16g. Fertility - Pregnancy Flashcards

1
Q

Common symptoms of pregnancy

A

Cramping (first trimester)
Nausea
Vomiting
Heartburn
Abdominal girth increase
Bowel movement changes
Increased urinary frequency
Ankle swelling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What can undernutrition during pregnancy lead to?

A

DM
CVD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What can excess and unbalanced food choices during pregnancy lead to?

A

Higher birth weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What foods should be avoided during pregnancy?

A

Pate
Soft/blue cheese
Raw eggs
Green/sprouting potatoes
Undercooked meat
Soft ice cream
Squirty fresh cream

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What health risks are increased by eating ‘do not eat’ foods during pregnancy?

A

Listeria
Salmonella
Parasites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why is it important to take on adequate levels of water during pregnancy?

A

Blood volume increase
Replenish amniotic fluid
Reduce morning sickness/pre-eclampsia/constipation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Safe herbal teas to use during pregnancy

A

Ginger
Peppermint
Chamomile

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Examples of herbs to be avoided during pregnancy

A

Parsley
Rosemary
Basil
Yarrow
Black cohosh
(emmenagogue herbs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which herb is safe to take for colds/flu?

A

Elderberry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which herb can be used in last month of pregnancy to encourage parturition?

A

Red raspberry leaf

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What can be done to reduce the risk of toxoplasmosis?

A

Wash fruit/veg
Avoid handling raw meat
Avoid cured meats/goat’s milk and cheese
Avoid contact with cat litter trays

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What can toxoplasmosis increase the risk of?

A

Miscarriage
Stillbirth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Why should prescription drugs be avoided during pregnancy?

A

Reduce risk of miscarriage
Congenital defects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Why should smoking be avoided during pregnancy?

A

Increases risk of premature delivery
Low birth weight
Associated with Sudden Infant Death Syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Key nutrients for pregnancy

A

Protein
Ca
Mg
Fe
A
D
EPA/DHA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Why is protein key during pregnancy?

A

Support foetal/placental/maternal tissue growth

17
Q

How much extra protein is needed per day during pregnancy?

A

6-10g

18
Q

Why is Ca key during pregnancy?

A

Ossification of foetal skeleton
Teeth/neural development
Maternal bone protection

19
Q

Dosage of Ca during pregnancy

A

1000mg/day

20
Q

Why is Mg key during pregnancy?

A

Reduces risk of pre-eclampsia
Pre-term labour
Metabolic dysregulation

21
Q

Dosage of Mg during pregnancy

A

360-400mg/day

22
Q

Why is Fe key during pregnancy?

A

Increased requirements to meet growth demands of foetus and placenta
Increased material production of erythrocytes
Oxygen transport

23
Q

Why is Mg key during pregnancy?

A

Foetal growth
Development of vision/hearing/immune/respiratory functions

24
Q

Why should vit A be sourced from beta-carotene sources during pregnancy?

A

High dosage pre-formed vit A can lead to birth defects

25
Q

Which SNP may reduce conversion of beta-carotene to pre-formed vit A?

A

BCO1

26
Q

Dosage of vit A for pregnancy

A

5000iu/dasy

27
Q

Why is vit D key during pregancy?

A

Ca homeostasis
Cell differentiation
Immune function

28
Q

What can inadequate levels of vit D during perinatal life affect?

A

Bone health
Brain development
Increased risk of CVD/T2D
Reduced muscle mass

29
Q

Dosage of vit D during pregnancy

A

2000iu/day

30
Q

Why is EPA/DHA key during pregnancy?

A

Neurodevelopment
Healthy birth weight/BMI
Lowered allergic response
Reduced food allergies/IgE associated eczema/asthma risk

31
Q

Why should fish oil be reduced 4 weeks before pregnancy?

A

Due to anti-coagulant effects

32
Q

How can mum’s weight lead to gut flora changes?

A

Excessive pre-pregnancy weight or excessive weight gain during pregnancy can lead to increased Bacteriodes/E.coli and reduced Bifidobacterium

33
Q

What can mum’s gut flora changes predispose the child to?

A

Obesity

34
Q

Supplementation of which bacteria can protect against allergy development?

A

Lactobacillus rhamnosus GG
Bifidobacterium

35
Q

How can optimal gut flora be encouraged apart from supplementation?

A

Natural childbirth
Breastfeeding
Avoid antibiotic use
Avoidance of hyperclean environment
Outdoor play

36
Q

What exercise should be encouraged during the first trimester?

A

Brisk walking
Low-impact exercise

37
Q

What exercise should be encouraged during the 2nd/3rd trimester?

A

Yoga
Gentle walking
Aqua-natal classes

38
Q

What exercise should be encouraged during the 2nd/3rd trimester?

A

Yoga
Gentle walking
Aqua-natal classes

39
Q

What lifestyle factors, other than exercise, should be encouraged during pregnancy?

A

Rest/relaxation
Optimal sleep
Sleep management