NUTRITION IN PREGNANCY & ANTENATAL ADVICE

DIET

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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

Phosphorus Vitamin D

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

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

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

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%,PROTEIN 20%

ANTENATAL ADVICE

HYGIENE BATHING CLOTHING DENTAL CARE CARE OF BREASTS COITUS TRAVEL SMOKING AND ALCOHOL CAFFEINE IMMUNISATION REST