KMC COLLEGE OF NURSING, MEERUT

Subject: Obstetrics And Gynecology

Health Education On
Postnatal Diet

Submitted to: - SubmittedBy:-

Mrs Renu Dhama Mrs Jyoti Katiyar

Assistant professor M.Sc. (N) 2nd Year
KMC College of nursing KMC College of Nursing

Submitted on
NAME OF STUDENT TEACHER- Mrs. Jyoti Katiyar

SUBJECT – obstetrics and gynaecology

TOPIC- postnatal diet

GROUP OF STUDENTS- M.Sc. (N) 2nd YEAR

NO. OF STUDENTS- 10

DATE/TIME OF TEACHING- 19/12/2020 AT 11:30 a.m

VENUE- Class Room

METHOD OF TEACHING-Lecture-Cum-Discussion

A-V AIDS-Chalk Board, OHP, Chart, Slides (Ppt),

GENERAL OBJECTIVE:
The students will be able to acquire adequate knowledge and understanding about the postnatal diet and will able to apply
this knowledge in their clinical practice.

SPECIFIC OBJECTIVES-
At the end of the class, students will be able to:

After studying this unit, students will be able to:

 Define terms related to the postnatal diet
 Explain about the postnatal diet
 Enumerate the purposes and indications of the postnatal diet .
 Describe the steps of the postnatal diet .
 Develop skill in performing postnatal diet clinical setting.
TIME SPECIFIC CONTENT TEACHING-LEARNING EVALUATION
OBJECTIVE ACTIVITY

1mins. Student teacher postnatal DIET INTRODUCTION TO

will be able to : The diet during pregnancy should be adequate to provide (a) good SELF
- establish maternal health (b) optimum fetal growth (c) the strength and vitality Good morning I am “jyoti”
rapport with the required during labor (d) successful lactation. student of M.Sc (N) 2nd year
group During pregnancy, there is increased calorie requirement due to increased Before I start my topic I
growth of the maternal tissues, fetus, placenta and increased basal would like to ask few
Student will be metabolic rate. The increased calorie requirement is to the extent of 300 questions:
able to : over the non pregnancy state during second half of pregnancy. Generally Q1) What do you
the diet in pregnancy should be with woman`s choice as regard the understand by postnatal
quantity and the type. care?
Woman with normal BMI should eat adequately so as to gain the optimum Q2) Why is postnatal care
weight (11kg). Overweight women with BMI between 26-29 should limit needed?
2min - Introduction of weight gain to 7 kg and obese women (BMI greater than 29) should gain
the topic less weight. Excessive weight gain increases ante-partum and intra-partum With the help of slide,
complications including fetal macrosomia. student teacher will
The pregnancy diet ideally should be light, nutritious, easily digestible and introduce the topic.
rich in protein, minerals and vitamins.
1min -define Physiological Changes in the Gastro Intestinal System during
postnatal care. Pregnancy: With the help of slide, Define postnatal
- Gums become edematous, soft and spongy during pregnancy, student teacher will define care?
probably owing to the effect of estrogen, which can lead to postnatal care.
bleeding when mildly traumatized as with a tooth brush.
5mins. - describe
- Profuse salivation or ptyalism is an occasional complaint in
anatomy and With the help of slide, List down the
physiology. pregnancy, caused by stimulation of the salivary glands due to student teacher will describe parts of female
ingestion of starch. anatomy and physiology. postnatal area?
- Pica, the term given to the bizarre craving for and compulsive,
secret chewing of food or ingestion of non-food substances (eg.
Ice,coal, chalk)
- Marked reduction of gastric and intestinal tone and motility plus
relaxation of the lower oesophageal sphincter predispose to heart
burn, constipation and haemorrhoids.
 Changes in metabolism:
- Accelerated fat metabolism.
- It is recommended that pregnant women neither fast, skip
meals nor restrict carbohydrate intake.

Maternal Weight:
 Weight gain during pregnancy comprises the products of
conception (fetus, placenta and amniotic fluid) and hypertrophy of
5min - enlist the several maternal tissues (uterus, breasts, fat stores and extracellular With the help of slide, What are the
purposes of and extravascular fluid) student teacher will enlist purposes of
postnatal care  Fetal weight gain is slow in the first half of pregnancy and purposes of postnatal care. postnatal care?
increases more rapidly in the second 20 weeks.
 An optimal weight gain for an average pregnancy is 12.5 kg, 9 kg
of which is gained in the last 20 weeks.
5min - enlist the With the help of slide, What are the
indications of student teacher will enlist indications of
postnatal care Diet In Pregnancy the indications of postnatal postnatal care?
care
A healthy diet and lifestyle during pregnancy is important for the
development of a healthy baby, and may have long-term beneficial effects
on the health of the child. It is also important for a pregnant woman to
5min - describe about have regular checks with a midwife throughout pregnancy, to ensure that With the help of power What are the
preliminary any conditions that may pose a risk to the baby’s health can be identified point slide, student teacher preliminary
assessment in and treated. will describe about assessment in
postnatal care. preliminary assessment in postnatal care?
NEED OF NUTRITIOUS DIET :- postnatal care

 By taking healthier diet , a pregnant lady can prevent minor

infections and diseases. In pregnancy the risk for anemia is highest
5min due to increase in the blood plasma volume.
- enlist the With the help of showing What are the
articles used in articles, student teacher will articles used in
Some nutritious food items which are necessary for the mother and enlist the articles used in
postnatal care postnatal care?
fetus during pregnancy: postnatal care
8min - explain steps  Recipies made from milk -What are the
of in postnatal  Paneer products - With the help of power steps of ?
care of females. point slide, student teacher
will explain steps of in
 Boiled eggs, fish oil [if you are a non vegetarian]
postnatal care.

 Fruits and vegetables

 Rice and cereals

 Green leafy vegetables and green vegetables

 Ghee, jaggerry, dry fruits

- explain after Explain the after
5min care of patient  Sweets made from ghee and mawa With the help of power care of patient
and articles in point slides, student teacher and articles in
postnatal care.  Iron rich food like jaggery, dates, brinjal, spinach and all green will explain after care of postnatal care.
leafy vegatables. patient and articles in
postnatal care.
 Calcium rich food like banana, milk etc.

FOODS TO BE AVOIDED FOR HEALTHY PREGNANCY:

- explain steps What are the
5min of in postnatal  Tea and coffee should not be taken before or after meal, because it With the help of power steps of in
care of male will lead to deficiency of iron because of decreased iron point slides, student teacher postnatal care of
absorption. will explain steps of in males?
postnatal care of males
 Alcohol ,tobacco chewing ,cigarette etc. should be avoided during
pregnancy.

 Avoid consuming unpasteurized milk

 Avoid alcoholic drinks during pregnancy.

 -define Define postnatal
postnatal diete PUERPERIUM: With the help of power diete?
2min - enlist the point slides, student teacher
purposes of  Haemorrhoids and constipation is not uncommon during will define postnatal diet
postnatal diete pregnancy and is a result of the influence of progesterone on What are the
5min With the help of slide, purposes of
smooth muscle.
student teacher will enlist postnatal diete?
the purposes of postnatal
 Women who have haemorrhoids should be given advice on diete
following a diet high in fibre and fluids, preferably water and the
-enlist the use of appropriate laxatives to soften the stools as well as topical What are the
indications of application to reduce the oedema and pain. With the help of slide, indications of
3 mins postnatal diete student teacher will enlist postnatal diete?
 Some women might experience loss of bowel control and whether the indications of postnatal
this is faecal incontinence. diete.

- enlist the What are the

contraindication With the help of slide, contraindication
3min in postnatal student teacher will enlist in postnatal diete.
diete the contraindications in
postnatal diete. What are the
- describe the preliminary
preliminary With the help of slide, assessment for
4 assessment for student teacher will postnatal dieting?
mins. postnatal describe the preliminary
dieting assessment for postnatal
dieting What are the
Daily dietary allowances for a woman of reproductive age, pregnancy and articles for
-enlist the lactation postnatal dieting?
articles. Non-pregnant Pregnancy With the help of slide,
5min Second half student teacher will enlist
Energy(k. Cal) 2200 k.cal 2500 k.cal the articles for postnatal
dieting What are the
Protein 50 gm 60 gm solutions used in
postnatal dieting?
-list all the Iron 18mg 40 mg
 solutions used Calcium 500 mg 1000 mg
2min in postnatal Zinc mg) 12 mg 15 mg With the help of slide,
dieting Iodine (µg) 150µg 175 µg student teacher will list all
Vitamin A 5000 I.U 6000 I.U the solutions used in What are the
Vitamin D 200 I.U 400 I.U postnatal dieting steps of for
Thiamine 1.1 mg 1.5 mg postnatal dieting?
Riboflavine 1.1 mg 1.6 mg Explain the
-explain the general
steps of for Nicotinic acid 15 mg 17 mg With the help of slide, instructions of
5min postnatal Ascorbic acid 60 mg 70 mg student teacher will explain postnatal diet
dieting Folic acid 200 µg 400 µg the steps of for postnatal inslillation?
Vitamin B12 2 µg 2.2 µg dieting.

Exchange list- Ante natal diet (Vegetarian)

Calorie requirement: 2500 k.cal Protein : 60 gm
Time Item Calorie
7 am Milk & milk products(200ml) 100+20
Cereals 300
9 am Fruit 50
11 am Milk product(Tea-100ml) 50+20
Cereals 100+20
Cereals+ Fat 200
1 pm Cereals 300+30 Explain the
Veg B+Veg A 50+50 method of
Pulse (30gm) 100 postnatal
3 pm Fruit juice 50+20 dietsuppository
4 pm Cereals + Milk product 200 insertion ?
-explain the 5 pm Fruit 50
method of 7 pm Pulses +Veg A+ Veg B 100+50+50
postnatal Cereals With the help of slide,
300+100
5min dietsuppository 9 pm Milk 100+20student teacher will explain
insertion Fruit 50 the suppository.
TOTAL 2,550 KCal
Diet Plan
 Time Item Amount
7 am Milk 200ml
Biscuit 1 packet Parle G
9 am Banana 1 Explain the
11 am Tea 100ml method of
Poha 30 gm postnatal
Bada bread with butter 2 Slice dietcream, jelly
1 pm Chapatti 3Nos or foam
-explain the Rice 60 gm application?
method of Palak & Potato Sabji 30 gm
postnatal Dhal 30 gm With the help of slide,
5min dietcream, jelly student teacher will explain
3 pm Fruit juice 200ml
or foam the method of postnatal
4 pm Bread butter 2 slice
application. dietcream, jelly or foam
5 pm Apple 1
application. Explain the after
7 pm Mixed vegetable sabji 30 gm
care of patient
Chapatti 3Nos and articles?
Rice 60 gm
9 pm Milk 200ml
-explain the Apple 1
after care of With the help of slide,
2min patient and student teacher will explain
articles Exchange list- Ante natal diet (Non vegetarian) the after care of patient and
Time Item Caloriearticles
7 am Milk & milk products(200ml) 100+20
Cereals 300
9 am Fruits 100
11 am Cereals 100+20
Boiled egg 35
1 pm Cereals 300+100+15
Flesh food +Veg B 70+50
Pulse 100
3 pm Fruit juice 50+20
4 pm Cereals + Milk product 200
5 pm Fruit 50
7 pm Pulses +Veg A+ Veg B 100+50+50
 Cereals 300+100+15
Flesh food+ Fat 70+ 15
2min Veg A+ Milk product 100
9 pm Milk 100+20
Fruit 50
TOTAL 2,600 k Cal

Time Item Amount

7 am Milk 200ml
Biscuit 1 packet Parle G
9 am Banana 2
11 am Poha 30 gm
Boiled egg 1
1 pm Chapatti 3Nos
Rice 30 gm
Flesh food+ Veg B 30 gm
Dhal 30 gm
3 pm Fruit juice 200ml
4 pm Bread butter 2 slice
5 pm Apple 1
7 pm Mixed vegetable sabji 30 gm
Chapatti 3Nos
Chicken rice 60 gm
Salad 30 gm
9 pm Milk 200ml
Apple 1

Exchange list- Post natal diet (vegetarian)

Calorie requirement: 2700kCal Protein: 65 gm
Time Item Calorie
7 am Milk & milk products(200ml) 100+20
Cereals 300
9 am Fruits 100
11 am Milk product 100+20
Cereals 100+20
 1 pm Cereals 300+100
Pulse +Veg B 100+50
Pulse 200
3 pm Fruit juice 50+20
4 pm Cereals + Milk product 200
5 pm Fruit 50
7 pm Pulses +Veg A+ Veg B 100+50+50
Cereals 300+100+15
Milk product+ Veg A 100+ 50
Veg A 50
9 pm Milk 100+20
Fruit 50
TOTAL 2,800 k Cal
DIET PLAN
Time Item Amount
7 am Milk 200ml
Biscuit 1 packet Parle G
9 am Banana 2
11 am Tea 200ml
Poha 30 gm
1 pm Chapatti 3Nos
Rice 30 gm
Rajmah+ Veg B 30 gm
Dhal 60 gm
3 pm Fruit juice 200ml
4 pm Bread butter 2 slice
5 pm Apple 1
7 pm Mixed vegetable sabji 30 gm
Chapatti 3Nos
Rice 30 gm
PaneerTomato sabji 60 gm
5min Salad 30 gm
9 pm Milk 200ml
Apple 1
Exchange list- Post natal diet (Non vegetarian)
Time Item Calorie
7 am Milk & milk products 100+20
Cereals 300
9 am Fruit 50
11 am Milk product 100+20
Cereals 100+20
Boiled egg 35
1 pm Cereals 300+30+15
Flesh food +Veg B 70+50
Pulse 200
3 pm Fruit juice 50+20
4 pm Cereals + Milk product 200
5 pm Fruit 50
7 pm Pulses +Veg A+ Veg B 100+50+50
Cereals 300+100+15
Flesh food+ Fat 70+ 15
Veg A+ Milk product 100
9 pm Milk 100+20
Fruit 50
TOTAL 2700 KCal
DIET PLAN
Time Item Amount
7 am Milk 200ml
Biscuit 1 packet Parle G
9 am Banana 1
11 am Tea 200ml
Poha 30 gm
Boiled egg 1
1 pm Chapatti 3Nos
Rice 60 gm
Flesh food+ Veg B 30 gm
Dhal 60 gm
3 pm Fruit juice 200ml
4 pm Bread butter 2 slice
5 pm Apple 1
 7 pm Mixed vegetable sabji 30 gm
Chapatti 3Nos
Chicken rice 60 gm
Salad 30 gm
9 pm Milk 200ml
Apple 1
Total

5 mins
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