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NUTRITION IN PREGNANCY & ANTENATAL ADVICE

സുഖപ്രസവത്ത഻നു സഹഺയകരമഺയത്.DIET  സമ്പൂർണ്ണ മഺതൃ ആരരഺഗയം. ഗർഭസ്ഥശ഻ശുവ഻നു ആരരഺഗയകരമഺയ വളർച്ച. മൂലയൂട്ടുവഺൻ സഹഺയകരമഺയത്    .

IN PREGNANCY Increased growth of maternal tissue  Fetal tissue  Increased basal metabolic rate  Placental development  .

300 kcal extra  15gm exta protein  11kg weight gain with normal BMI  7kg for BMI 26-29  Less BMI >29  .

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Phosphorus  Vitamin D  .

Nutritious.easily digestible  Rich in protein.vegetables.fruits  .minerals and vitamins  Milk.Taste of the lady  Food habits  Socio economic conditions  Reasonable and realistic  Light.

fruits.One litre milk (atleast 500ml)  Middle class diet reinforced with leafy vegetables.fruits  Bananas are inexpensive  Ground nuts and jaggery  .nuts.orange juice.

Adequate supply of fluid.  1 litre of fluid in excess prevent constipation urinary infections  .

Normal amount of salt  Pre ecclampsia-extra salt avoided  Green leafy vegetables.citrus fruits  Vegetarians.vitamin B12 supplimentation  .

SUPPLIMENTARY NUTRITIONAL THERAPY Negative iron balance  Diet alone not adequate  Supplementary iron therapy for all pregnant from 16 wks onwards  100mg elemental iron and 500micro gm folic acid  1 tab ferrous sulphate -60 mg iron  Supplementary vitamins from 20wks  Calcium 500mg tablet  .

PROTEIN 20%  .DIET IN GESTATIONAL DIABETIS 30 KCAL/KG FOR NORMAL WEIGHT  24 KC/KG FOROVERWEIGHT  12KCAL/KG FOR OBESE  FIBRE CONTENT INCREASED  THREE MEAL REGIMEN WITH LOW FAT BREAK FAST 25% LUNCH 30%DINNER 30%  CARBOHYDRATE 50%.

ANTENATAL ADVICE            HYGIENE BATHING CLOTHING DENTAL CARE CARE OF BREASTS COITUS TRAVEL SMOKING AND ALCOHOL CAFFEINE IMMUNISATION REST .