Mathernal and fetal nutrition Lectures 11, N.Petrenko, MD, PhD.

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Presentation transcript:

Mathernal and fetal nutrition Lectures 11, N.Petrenko, MD, PhD

Nutrition Prior to Pregnancy

© 2007 Thomson - Wadsworth

Weight Gain

© 2007 Thomson - Wadsworth Alcohol

© 2007 Thomson - Wadsworth Breastfeeding

© 2007 Thomson - Wadsworth Nutrition During Lactation

© 2007 Thomson - Wadsworth Nutrients to Support Growth

© 2007 Thomson - Wadsworth

Infant Formula

© 2007 Thomson - Wadsworth Formula Composition

© 2007 Thomson - Wadsworth Nursing Bottle Tooth Decay

© 2007 Thomson - Wadsworth Foods to Provide Iron & Vitamin C

Physical Readiness

Healthy Eating During Pregnancy

Important nutrients for pregnancy

Folate

Iron

Calcium

Vitamin D

Vitamin A

Essential Fats

Folate, iron Calcium, vitamin D, vitamin A Folate, vitamin A Iron, essential fats, vitamin A Each food group has important nutrients

Prenatal multivitamins have important nutrients Iron Folate Calcium Vitamin DVitamin A A multivitamin doesn’t replace healthy eating. A healthy diet AND a multivitamin are best!

Crystal is 5 foot 5 and 150 pounds. What is her BMI?

Crystal’s BMI is 25

How much weight gain is healthy? Pre-pregnancy weight Recommended total weight gain Weight gain in 1 st trimester Weight gain per week in the 2 nd and 3 rd trimesters Very Thin or underweight (BMI < 18.5) 28 to 40 lbs (12.5 to 18 kg) 2 to 4 lbs (0.9 to 1.8 kg) 1.0 lb (0.5 kg) Healthy Weight (BMI 18.5 – 24.9) 25 to 35 lbs (11.6 to 16 kg) 1.0 lb (0.5 kg) Overweight (BMI ) 15 to 25 lbs (7 to 11.5 kg) 0.6 lb (0.3 kg) Obese (BMI >30) 11 to 20 lbs (5 to 9 kg) 0.5 lb (0.2 kg) How much should Crystal gain?

How to eat for healthy weight gain TrimesterExtra energy needs Examples of foods 1 st trimester100 extra calories each day A large apple OR A slice of cheese OR A glass of milk OR A piece of bannock 2 nd and 3 rd trimester 300 extra calories each day A piece of toast with peanut butter and a glass of milk OR A small piece of meat or fish with bannock OR A bowl of vegetable soup with crackers and cheese

Morning Sickness – How to deal with it

Constipation – How to deal with it

Caffeine During Pregnancy

Smoking During Pregnancy

No Drugs or Alcohol are Safe During Pregnancy

The Outcome 1. Crystal feels guilty and ashamed that she has been drinking. She says very little for the rest of the appointment and she never returns to the clinic again.