Friday, July 13, 2007

Brewer, schmewer

I just heard the crackpot idea that a certain diet is 100% successful in preventing preeclampsia. (Pardon me a moment while I laugh until I pee my pants. There, all done.)

There is so much to criticize about the diet's "official" website, I wouldn't even know where to begin. (Ok, I'll begin with the notion that there are still OBs out there putting pregnant women on diet pills. Seriously?) Leaving aside the inflammatory language and ridiculous claims, the diet itself doesn't look that strange to me after just a cursory glance. It looked pretty balanced, with a variety of fruits, veggies, whole grains, and a lot of protein. The Brewer Diet seems to be all about protein. Eat enough of it, and nothing bad will ever happen to you!

The funny this is, I was eating a lot of protein. When we realized that Claire was petite, I was put on a quadruple dose of folic acid and a high-protein diet to help her bulk up. That was challenging, because my morning sickness came with an aversion to meat, seafood, nuts, and all but the blandest cheeses. I could occasionally choke down tofu or scrambled eggs. I drank a lot of Ensure shakes. My OB suggested going to Jamba Juice and getting smoothies with the protein boosters, but the one time I tried that, there was such an unfortunate morning sickness incident that I may never be able to eat peaches again.

When I was admitted to the hospital, the perinatologist specified a specific level of protein for my diet. One day he looked at me a little strangely and asked, "Are you getting enough protein?" (I still have no idea what inspired him to ask the question.) I said that I didn't think so, and within half an hour a slightly defensive nutritionist showed up in my room with menus and a calculator, and we went through the protein she'd been sending on my meal trays.

Finally she said, "And then there's the chocolate pregnancy shake every night, that's 50 grams of protein." *

Oops.

Here's the thing: that milkshake was disgusting. I was terribly sick and stuck in bed all day, and although at that point I was past morning sickness and would eat almost anything, for the first time in my life I didn't have much appetite. I could only eat about half of the food they sent me, and I figured that a chocolate milk shake before bed was a nice treat, but mostly empty calories. James would get to the hospital in the evenings after the cafeteria closed, and we didn't realize at that point that we could order him a hospital tray for a few dollars. So, I usually gave him my chocolate shake to supplement whatever fast food he had picked up for himself.

I did not admit this to the nutritionist. Instead I (probably unconvincingly) said, "Oh, of course! The shake! You know, it just tastes so good, I forget to think of it as nutrition! You're right, I'm getting plenty of protein! Thanks so much for coming by!"

After that, I drank the shake. I can still taste the chalkiness when I think about it. Maybe that was powdered protein?

If only I'd known that drinking that shake would have solved all of our problems!


* Or some absurdly high amount, I don't remember the exact number of grams anymore.

5 comments:

Shannon said...

I've actually HEARD that too much protein can make preeclampsia WORSE because once started, your liver can't process it.

My mom was ALL about the protein and would call me DAILY when I was pregnant with Elise. She bought me protein powder, etc.. Little does she know, I never opened the can.

Karianna said...

Now what does that say about James that willingly drank down a chalky milkshake, hmmm?

This will not be the first of the finger-pointing. No matter what you do as a parent, someone will say that if you had done it differently, everything would be perfect.

PS: Moms are villains, Dads are victims. But I am sure you've already figured that out by now with all your interactions with medical staff and what-not.

Mom22 said...

After having preeclampsia with baby #1 and an emergency induction at 32 weeks (was 20 min away from c-section), I was bound and determined to avoid the complication again. I tried Shaklee's protein shakes as well as limiting my sodium intake and drinking about a gallon of water a day (I kid you not). I did not develop the nasty illness and truthfully, I'm not sure which did it or if it was just the way it was supposed to be. But, I had to try many, many shakes before finding their vanilla protein shake which was the only one that didn't taste like liquid cardboard.

Erika said...

I'm confused -- you readily admit that you did not eat the recommended amount of protein (which was still likely lower than the amount Brewer recommends) and yet you debunk the idea that protein can help prevent preeclampsia? 100 grams of protein a day is a LOT. I'm a regular eater of meat, eggs, milk, and cheese, and I still had to keep a chart to get the full amount. Three healthy babies with no complications of any kind. Doesn't prove anything, of course, but neither since you DIDN'T eat the protein, your experience in no way debunks Brewer and may confirm it.

Also, Mom 22, not eating salt is a bad idea. The reason you should eat protein, salt, and water during pregnancy is that these are the nutrients the body needs to build blood volume. Insufficient blood volume is the root cause of most preeclampsia.

I know I'm tilting at windmills here as you already have your minds made up, but I couldn't leave it uncommented on.

Kathy said...

Erika, from my web logs, it appears that you work for BlueRibbonBaby.org (the Brewer diet website). Interesting.

The root cause of my preeclampsia was a genetic blood clotting disorder, not insufficient blood volume. I am a big fan of protein, and certainly choked down as much as I could.

I never said that Brewer couldn't help prevent preeclampsia. However, I object to the idea that one solution could be 100% successful in preventing a syndrome that has multiple causes and many unknowns. There are too many variables, and my b.s. detector goes off whenever anyone uses absolutes in the medical field.

I think that advocates of the Brewer diet are doing themselves a disservice with the extreme language. To me, it makes the arguments lose credibility.