Professional Documents
Culture Documents
College of Nursing
(Department of Midwifery)
Presenters:
Hermoso, Kyla
Jamoso, Maureen
Javinez, Leah Arce
Leachon, Kyla
Manzano, Richmon
Mayor, Murell
Presented to:
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Table of Contents
Title page………………………………………………………………………………………..................1
V. Health Teaching………………………………………………………………………………………..10
VI. Costing……………………………………………………………………………………..................16
VII. Appendices………………………………………………………………………………..................18
VIII. References…………………………………………………………………………………………...21
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I. Background of the Study
A healthy birth weight and good brain development are connected to eating a balanced diet
throughout pregnancy, which also lowers the risk of numerous birth abnormalities. Additionally, a balanced
diet will lower the risk of having anemia and other unpleasant pregnancy side effects including exhaustion
According to UC Davis Medical Center (2013), the calorie requirements remain the same during
the first trimester specifically weeks 1 to 12. Choose a variety of foods, such as fruits, vegetables, low-fat
dairy, whole grains, and lean proteins, for a healthy diet. Pregnant women will require an additional 300
calories per day for the developing baby during second and third trimesters which around weeks 13 to 40.
If a pregnant woman is expecting for more than one baby, she has to go to her dietician to get enough
nutrients throughout pregnancy. Consume a balanced diet made up of a range of foods since numerous
essential vitamins, minerals, and other nutrients found in each food group support the growth and
development of the baby. Reduce the amount of simple carbs such as soda, syrup, sugar, fruit juice,
sweets and high-fat foods will also help to prevent weight gain.
Based on American Pregnancy (2019), the recommended range for daily calories is 2,200–2,500.
These extra calories must originate from wholesome source of foods like whole grains, fruits, veggies, low-
fat dairy products, and lean meats. Gaining weight during pregnancy is essential for the growth and
development of your child, amniotic fluid, uterus, breasts, blood, and placenta provision and fat reserves.
In the first trimester, weight increase is usually between 0 and 4 pounds, and in the second and third
trimesters, is 1 pound each week. Remember that dieting or trying to reduce weight during pregnancy is
not advised since it could hinder your unborn child from receiving vital nutrients.
Poor diets low in essential nutrients during pregnancy, such as iodine, iron, folate, calcium, and
zinc, can result in anemia, pre-eclampsia, hemorrhage, and mortality in mothers. They can also result in a
stillbirth, a low birth weight, wasting, and problems in a child’s development. According to UNICEF, more
than 20 million newborns suffer from low birth weight every year. Poor nutrition during breastfeeding
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makes it harder for moms to meet their increased dietary needs while also replenishing their stockpiles of
nutrients. The accessibility and affordability of food, gender inequality, and societal and cultural norms that
may limit women’s ability to make decisions about their care and nutrition are among the many issues that
The purpose of this paper is to provide a meal plan idea during pregnancy and to give an idea on
how to prepare a nutritious breakfast, snack, lunch and dinner so that they can get the nutrients that are
essential for the growth and development of the fetus in their womb. In addition, this paper aims to lower
the case of mortality due to pregnancy complications caused by malnutrition and deficiency to folic acid,
calcium, iron, vitamin c, protein, fats, and iodine. In addition, teaching mothers to avoid alcoholic
e. Sex: Female
g. Religion: Catholic
k. Height: 1.65m
l. Weight: 57kg
4
m. OB Score: G1P0 (0000)
• BMI= 57kg/(1.65)2
5
1. Breakfast: Chicken Soup with Mixed Veggies
6
3. Lunch: Fried Galunggong and Ginisang Pechay with Mango
7
IV. Meal Plan with Nutritional Labeling
8
Nutritional 2,240.5kcal 2,016kcal 2,018kcal 2,446kcal 2,002kcal 2,160kcal 2,120kcal
Labeling
Fat: 42g Fat: 66g Fat: 90g Fat: 78g Fat: 65g Fat: 70g Fat: 85g
Protein: 151.7g Protein: 120g Protein: 168g Protein: 85g Protein: 105g Protein: 115g Protein: 116g
Carbs: 179.2g Carbs: 170g Carbs: 185g Carbs: 200g Carbs: 205g Carbs: 195g Carbs: 185g
Fiber: 28g Sugar: 25g Fiber: 28g Sugar: 22g Sugar: 30g Sugar: 18g Fiber: 25g
Sugar: 9.6g Iron: 20mg Sugar: 30g Iron: 18mg Iron: 15mg Iron: 16mg Sugar: 28g
Vitamin C: Vitamin C:
Iron: 15mg 50mg Iron: 75mg 65mg Vitamin C: 58g Vitamin C: Iron: 21mg
66mg
Vitamin C: 55g Calcium: Vitamin C: 55g Calcium: Calcium: Vitamin C: 78mg
1110mg 1150mg 1230mg Calcium:
Calcium: Calcium: 1140mg Calcium:
1100mg Iodine: 1100mg Iodine: Iodine: 215mcg 1240mg
210mcg 200mcg Iodine: 205mcg
Iodine: 190mcg Iodine: 220mcg Vitamin B6: Iodine: 211mcg
Vitamin B6: Folate: 25mcg Vitamin B6:
Vitamin B6: 10mcg Vitamin B6: 209mcg 18mcg
20mcg 20mcg Vitamin A: Vitamin A:
Folate: 350mcg Folate: 386mcg 600mcg
280mcg
Folate: 304mcg Folate: 304mcg
Folate: 265mcg Vitamin K: Folate: 270mcg
Vitamin D: Vitamin E: 40mcg
9mcg 20mg Vitamin D:
10mcg
Vitamin K:
35mcg
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V. Health Teachings
Most women can meet their increased needs with a healthy diet that includes plenty of fruits,
vegetables, whole grains and proteins. By doing so, you and your baby will most likely to get the essential
nutrients that you need for a healthy pregnancy. When You are pregnant, it is important for you to increase
the amounts of foods you eat with the nutrients because these are the key nutrients on order to have a
healthy pregnancy. Calcium helps to build strong bones and teeth. Main sources include milk, cheese,
yogurt, and sardines. During pregnancy you need 1,000 milligrams (mg) daily. Iron helps red blood cells
deliver oxygen to your baby. Sources include lean red meat, dried beans, peas, and iron-fortified cereals.
During pregnancy you need 27 mg daily. Vitamin A, you need this vitamin for healthy skin, eyesight, and
bone growth. Carrots, dark, leafy greens, and sweet potatoes are good sources. During pregnancy you
need 770 micrograms daily. Vitamin C, promotes healthy gums, teeth, and bones, and helps your body
absorb iron. Good sources include citrus fruit, broccoli, tomatoes, and strawberries. During pregnancy you
need 85 mg daily. Vitamin D, aids your body in the absorption of calcium to help build your baby’s bones
and teeth. Sources include exposure to sunlight, fortified milk, and fatty fish, such as salmon. During
pregnancy you need 600 international units (IUs) daily. Vitamin B6, helps form red blood cells and helps
your body use protein, fat, and carbohydrates. You can find vitamin B6 in beef, liver, pork, whole-grain
cereals, and bananas. During pregnancy you need 1.9 mg daily. Vitamin B12, helps form red blood cells
and maintains your nervous system. You can find this vitamin only in animal products. Good sources
include liver, meat, fish, poultry, and milk. During pregnancy you need 2.6 micrograms daily. Folic Acid, you
must get at least 400 micrograms of folate daily before pregnancy and during the first 12 weeks of
10
BMI Category Weight Goal (Single) Weight Goal (Twins)
Below >18.5 (Underweight) 28-40lbs (Not Enough Data)
18.5-24.9 (Normal) 25-35lbs 37-54lbs
25-29.9 (Overweight) 15-25lbs 31-50lbs
30< Above (Obese) 11-20lbs 25-42lbs
Source: (Adapted from IOM guidelines, 2009)
Remember, vitamin and mineral supplements cannot replace a healthy diet. It is recommended to
a pregnant woman that taking vitamins and minerals must be partnered with a healthy diet. In addition,
pregnant women and women who may become pregnant should not drink alcohol. Drinks containing
alcohol include beer, wine, liquor, mixed drinks, and malt beverages. Even moderate drinking during
pregnancy can cause behavioral or developmental problems for a baby. Heavy drinking during pregnancy
can result in serious problems for the baby, including malformation and intellectual disability. (ACOG,
2022).
This table below lists all of the nutrients required for the fetus's growth and development. All of the
nutrients listed below are also essential for avoiding certain diseases and deficiencies, which will have a
significant impact on the number of low birth weight babies and maternal death due to malnutrition.
Remember that a balanced diet is connected to good fetal spine and brain development and can help
reduce birth defects. Pregnant women should also know the calorie intake in each stages of pregnancy.
For 1st trimester, the calorie intake is 2000kcal per day, and on 2nd and 3rd trimester, 300-500kcal should
be added to make sure that all the needed nutrients are consumed. Keep in mind that gaining weight
during pregnancy is normal, in first trimester, weight increase is usually between 0 and 4 pounds, and in
the second and third trimesters, is 1 pound each week. Apart from having healthy diet, pregnant mothers
should take vitamin and mineral supplements because it ensures that the mother and baby receive an
adequate amount of key nutrients such as folic acid, iron, and vitamin C.
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Essential Nutrients for Pregnancy Definition of Essential Nutrients for Pregnancy Food Sources
Folic Acid Folic acid helps form the neural tube during the early stages of Dark green leafy vegetables such as turnip
Recommended Intake per day: pregnancy when the fetus is developing. Folic acid is crucial greens, spinach, romaine lettuce,
600mcg because it can aid in preventing some serious birth malformations asparagus, Brussels sprouts, broccoli,
of the baby's spine and brain (anencephaly) (spina bifida). The beans, peanuts, sunflower seeds, fresh
early brain and spine are formed by the neural tube. (Centers for fruits, fruit juices, whole grains, liver,
Vitamin D It aids in the proper absorption of calcium and phosphate. It is Cod liver oil, salmon, swordfish, tuna fish,
Recommended Intake per day: especially crucial during pregnancy since it promotes the growth of sardines, beef liver, egg yolk, fortified
10mcg your unborn child's bones, teeth, kidneys, heart, and nervous cereals.
Vitamin C Vitamin C is essential for the physical development of your unborn Citrus such as oranges, kiwi, lemon,
Recommended Intake per day: child as well as to strengthen your immune system and lower your grapefruit, bell peppers, strawberries,
85mg risk of developing iron-deficiency anemia while pregnant. Collagen, tomatoes, and cruciferous vegetables like
which supports normal growth, healthy tissue, and wound healing, broccoli, brussels sprouts, cabbage,
is produced with the help of vitamin C. (Erin Hinga, n.d.). cauliflower, white potatoes.
12
Vitamin A In addition to being necessary for the development of other organs, Leafy green vegetables such as kale,
Recommended Intake per day: the fetal skeleton, and the maintenance of the fetal immune system, spinach, broccoli, orange and yellow
750mcg vitamin A is crucial for the pregnant woman and the fetus. It also vegetables like carrots, sweet potatoes,
helps to maintain maternal night vision and fetal ocular health. pumpkin and other winter squash, summer
milk, eggs.
Vitamin E Vitamin E helps your body create and maintain red blood cells, Wheat germ oil, sunflower, safflower, and
Recommended Intake per day: healthy skin and eyes, and strengthens your natural immune soybean oil, sunflower seeds, almonds,
30mg system. (Nutriciaís Medical and Scientific Affairs Team, 2021). peanuts, peanut butter, beet greens, collard
Iron An essential component of a healthy diet and a critical nutrient Red meat, beans, such as red kidney
Recommended Intake per day: during pregnancy is iron. It aids in keeping your blood's oxygen beans, edamame beans and chickpeas,
27mg levels healthy and promotes your baby's developing brain. It also nuts, dried fruit such as dried apricots,
contributes to maintaining your personal health and welfare as well fortified breakfast cereals, soy bean flour.
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Protein Eating enough protein during pregnancy also supports your baby's Chicken breast, eggs, yogurt, ground beef,
Recommended Intake per day: development, since amino acids are required for normal cell growth salmon, legumes.
At least 60g per day and function. Meeting your daily protein needs may also lower the
(Clark, C, 2020).
Calcium When you're pregnant, you’re developing baby needs calcium to Seeds, cheese, yogurt, sardines, canned
Recommended Intake per day: build strong bones and teeth. Calcium also helps your baby grow a salmon, beans, almonds, leafy green
At least 1000mg per day healthy heart, nerves, and muscles as well as develop a normal vegetables.
your diet is especially important during the last three months of your
pregnancy, when your baby is growing quickly and has the greatest
calcium in your diet when you're pregnant, your baby will draw it
from your bones, which may impair your own health later. (Walsh,
K, 2022)
14
DHA During pregnancy, women need at least 200 milligrams daily of this Mackerel salmon, oysters, sardines, shrimp,
Recommended Intake per day: powerful omega-3 fatty acid to support the development of baby's chia seeds, walnuts, kidney beans.
At least 200mg per day brain, eyes and nervous system. Plus, getting that daily dose of
Iodine Iodine is an essential constituent of thyroid hormones (TH). TH Seaweed, dairy, iodized salt, shrimp, tuna,
Recommended Intake per day: actively takes part in critical periods of brain development during eggs.
damage.
Fats Fat is your developing baby’s main source of energy, fuelling the Avocados, sunflower seeds, olive oil, pine
Recommended Intake per day: intense and incredible development that happens from conception nuts, salmon, mackerel, sardines.
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VI. Costing
Ingredients Cost
Chicken ₱ 40.00
Carrots ₱12.00
Corn ₱12.00
iodized salt ₱5.00
pepper ₱2.00
TOTAL: ₱ 71.00
Ingredients Cost
Tuna ₱32.00
Molo Wrapper ₱28.00
Onion ₱5.00
Garlic ₱8.00
Cheese ₱12.00
Mayonnaise ₱15.00
Calamansi ₱3.00
TOTAL: ₱103.00
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3. Lunch (Ginisang Pechay and Fried Galunggong with Mango and Rice)
Ingredients Cost
Galunggong ₱ 28.00
Mango ₱ 56.00
pechay ₱10.00
Oyster sauce ₱8.00
Rice ₱25.00
TOTAL: ₱ 127.00
Ingredients Cost
Talbos ng Kamote ₱ 10.00
Flour ₱ 15.00
Egg ₱ 7.00
TOTAL: ₱32.00
Ingredients Cost
Potato – small size ₱ 24.00
Mushroom soup ₱ 32.00
Apple ₱ 10.00
TOTAL: ₱ 66.00
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VI. Appendices
18
19
20
VII. References
• Davis, U. C. (2013). Healthy Eating During Pregnancy. UC Davis Health System. Retrieved August
%20Healthy%20Eating%20During%20Pregnancy.pdf
• Casadei, S. (2017, April). Prenatal Nutrition. Med.Umich. Retrieved August 21, 2022, from
https://www.med.umich.edu/pfans/_pdf/hetm-2017/0417-prenatalnutrition.pdf
• N.H. (n.d.). Healthy Eating During Your Pregnancy (Advice Eating for you and for your Baby).
National Health and Medical Research Council. Retrieved August 21, 2022, from
https://www.eatforhealth.gov.au/sites/default/files/content/The%20Guidelines/n55h_healthy_eating_
during_pregnancy.pdf
• G. Dewey, K. (n.d.). Pregnancy Food Guide. Merrimackfamilymedicine. Retrieved August 21, 2022,
from https://merrimackfamilymedicine.com/wp-content/uploads/PregnancyFoodGuide.pdf
• Muir. J (2019). American College of Obstetricians and Gynecologist (ACOG). Retrieved August 23,
• Karla Walsh, K. W. (2022, June 16). How much vitamin C do you need during pregnancy? What to
pregnancy/#:~:text=During%20pregnancy%2C%20vitamin%20C%20is,your%20ability%20to%20ab
sorb%20iron.
• Centers for Disease Control and Prevention. (2022, June 15). Folic acid. Centers for Disease
https://www.cdc.gov/ncbddd/folicacid/about.html#:~:text=When%20the%20baby%20is%20developi
ng,the%20early%20brain%20and%20spine.
• Vitamin D in pregnancy. Tommy's. Together, for every baby. (n.d.). Retrieved August 24, 2022,
from https://www.tommys.org/pregnancy-information/im-pregnant/nutrition-in-pregnancy/vitamin-d-
21
pregnancy#:~:text=Everybody%20needs%20vitamin%20D%20%E2%80%93%20it,and%20nervous
%20system%20to%20develop.
fitness/vitamin-a-in-your-pregnancy-
diet_675#:~:text=Vitamin%20A%20is%20important%20for,helps%20with%20postpartum%20tissue
%20repair.
• Nutriciaís Medical and Scientific Affairs Team. (2022, August 24). Vitamin E during pregnancy: How
much do you need?: Aptaclub. Aptamil™ Early Life Nutrition & Pregnancy Advice - Join
nutrition/key-vitamins-and-nutrients/pregnancy-nutrients-vitamin-
e.html#:~:text=Vitamin%20E%20in%20pregnancy,-
Read%20time%3A%203&text=Vitamin%20E%20helps%20your%20body,foods%2C%20rather
%20than%20taking%20supplements.
• Clark, C. (2020, July 13). What nutrients you need while pregnant. Healthline. Retrieved August 24,
,Protein,be%20sent%20to%20your%20baby.
• Dailey, K. (n.d.). Iron during pregnancy: Quantity, supplements, iron-rich foods. WebMD. Retrieved
iron#:~:text=Your%20body%20uses%20iron%20to%20make%20extra%20blood%20(hemoglobin)
%20for,tired%2C%20called%20iron%20deficiency%20anemia.
https://www.unicef.org/nutrition/maternal#:%7E:text=Women’s%20diets%20in%20many%20countri
es,haemorrhage%20and%20death%20in%20mothers.
22