I ‘m 35 weeks pregnant and I have gained a lot of weight and I’m starting to feel very insecure about my body, I would to start exercising but I’m just way too tired. Is there anything you can recomend I do so I can start a routine now. And not get lazy and unhealthy later. And is there anything you recommend for stretch marks, like creams or lotions. Thanx for your time.”
At 35 weeks, you and the baby will still be gaining even more weight until the very end; during the third trimester the baby puts on about half of his or her birth weight at the rate of about 8 ounces (half of a pound) a week and most women will also gain about a pound a week along with the baby.
This combination of hormones and stretching followed by rapid weight loss means that almost all but the luckiest of women will get some stretch marks somewhere at some point between the third trimester and baby’s first month.
Most of what you’ll see on the scale isn’t fat, though, but fluid that you will shed during and in the weeks after birth. If you haven’t been exercising at all up until this point, it’s not a good idea to start a challenging routine now, but two 15-minute walks a day will help burn carbs and prevent fat gain. Keeping a balanced diet and watching your sugar and processed carbohydrate intake will also help you stay energized and not gain too much weight.
As for stretch marks (also known as striae distensae), there is not much you can do to prevent or heal them while you’re pregnant. The likelihood of getting them or not seems to be genetic (if your mom got them, you probably will too), and also age-related (the younger you are the more likely you are to get them), as well as related to how much weight you gain and how big the baby is. While moisturizing oils and creams like coconut oil, almond oil, vitamin E or cocoa butter will make your stretched-out skin feel better and less itchy, applying them while you’re pregnant has not been proven to prevent or improve the appearance of stretch marks. After pregnancy, though, keeping the skin moisturized does seem to help the marks heal more quickly, no matter which moisturizer you pick.
Other postpartum treatments have also shown to be effective. The most effective is laser treatment, with light pulsed at 590 nm (though unfortunately it is also the most expensive and time-consuming). Prescription cream with retinoic acid (tretinoin) has been shown in clinical studies to be effective when the potency of the cream is at least .1%, but this ingredient is not safe for use during pregnancy. A gel with silicone as well as treatment with a 20% glycolic acid solution also appears to show promise in early clinical trials. And also note that most stretch marks will fade and heal over time with no treatment at all.