Lecture 3: Preconception and Pregnancy Flashcards

1
Q

Lifestyle factors affecting pregnancy?

A

Diet
Exercise/sedentary behaviour
Smoking
Alsohol consumption
Drug use

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2
Q

_____ _____ levels (low and excessive) are linked to ______ in both women and men.

A
  • Body fat levels (low and excessive) are linked to fertility in both women and men
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3
Q

What percentage of adults are infertile?

A
  • 17.5% 1 in 6
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4
Q

What percentage of adults are overweight?

A

36%

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5
Q

What percentage of adults are obese?

A

31%

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6
Q

What percentage of adults are severely obese?

A

12%

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7
Q

_________ includes being underweight for one’s age, too short for one’s age (________), dangerously thin (_______), and deficient in _______ and ________ (micronutrient malnutrition).

A

Undernutrition includes being underweight for one’s age, too short for one’s age (stunted), dangerously thin (wasted), and deficient in vitamins and minerals (micronutrient malnutrition).

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8
Q

Malnutrition refers to?

A

Refers to both undernutrition and over nutrition

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9
Q

What has the greatest effect on fertility?

A

Acute undernutrition

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10
Q

Association with lower sperm count?

A
  • Undernutrition or being overweight
  • Abdominal obesity
  • Alcohol consumption (heavy/binge drinking)
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11
Q

In males what are some ways of improving fertility?

A
  • Adequate Zinc intake
  • Antioxidants
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12
Q

In females name some potential negative impacts on fertility?

A
  • Unsaturated fats
  • Refined carbohydrates
  • Added sugars
  • No clear link between caffeine and fertility in humans
  • Alcohol lowers chance of conception
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13
Q

Association with increased female fertility

A
  • Diet containing more vegetable protein
  • Low glycemic load
  • Antioxidants (reduction of oxidative stress and free radicals)
  • Mediterranean dietary patterns
    o Dietary fibre, omega-3 fatty acids
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14
Q

The right ____ and ____ duirng the 1000 day window influences not only whether the child will ____ but also their ability to ____, learn and rise out of poverty.

A

The right nutrition and care during the 1000 day window influences not only whether the child will survive but also their ability to grow, learn and rise out of poverty.

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15
Q

Effects of intrauterine environmental exposure to risk factors.

A

Affects the foetus’ development during sensitive periods and increases risk of specific diseases in adult life.

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16
Q

What is the developmental plasticity?

A
  • Periods where an organism is “plastic” or “sensitive” to its environment
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17
Q

Energy requirements for the first trimester?

A

No additional requirement

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18
Q

Energy requirements in the second trimester?

A

Additional 1/4MJ/day

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19
Q

Energy requirements in the third trimester?

A

Additional 1.9MJ/day

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20
Q

Carbohydrate requirements in pregnancy

A

In line with non-pregnant requirements

21
Q

Protein requirements in pregnancy

A

14grams/day on top of RDI

22
Q

Fat requirements in pregnancy

A

Higher requirement for long-chain polyunsaturated fattty acids

23
Q

Impacts of iron deficiency in pregnancy

A

Reduced physical performance
Increased fatigue
Reduced cognative performance increased risk of infection and hospitalisation
pre-exlampsia and bleeding
Inhibited lactation

24
Q

Impacts of iron deficiency on foetus?

A

Spontaneous abortion
Premature delivery
Intrauterine fowtal death
Low birht weight
hypertension
neurologic impairment

25
Q

Effects of folate deficiency in pregnancy

A

Birth defects (spina bifida)

26
Q

Public health iitiative to increase folate in pregnancy

A

Mandatory fortification of all break making flour
Daily folic acid supplementation fefore and after conception

27
Q

Do pregnant women deed additional calcium?

A

Maternal adaptive mechanics allow enhanced efficiency of absorption

28
Q

Need for iodine in pregnancy?

A

Iodidine is stored in the thyroid which is overactive in pregnancy

29
Q

Iodine recommendation when pregnant

A

220 micrograms per day

30
Q

What is listeria?

A

types of bacteria found in soft cheese, sand0which meats, prepared salad, chilled seafood and pate

31
Q

What does listeria cause in pregnancy

A

Miscarriage
Stillbirth
infection of newbornS

32
Q

Salmonella in pregnancy

A

Pregnant women at high risk of severe illness
May cause miscarriage

33
Q

What are some possible sources of salmonella?

A

Mayonaise
Aioli
Scrambled eggs
Custard
Eggnog
Deep fried icecream

34
Q

What is the caffeine recommendation in pregnacny

A

Less than 200mg per day

35
Q

What is the optimal birthweight?

A

3.01-3.6kg

36
Q

What is classified as a low birth weight?

A

<2.5kG

37
Q

What is considered large for gestational age?

A

> 4,5kg

38
Q

What are four common micronutrient deficiencies in pregnancy?

A

Iron
Vitamin A
Iodine
Zinc

39
Q

What are some example causes of micronutrient deficiencies in pregnancy?

A

Poverty
Food security
Heady burden of infectious diseases
Poor hygiene and sanitation

40
Q

Concerns of adolescent pregnancy

A

Time of rapid growth (higher energy requirement)
Risk of exlampsia peurperal endometriosis and systemic infections
Babies can have low birth weight and preterm delivery

41
Q

Consequences of overweight pregnancy

A

Increased risk of gestational diabetes mellitus and hypertention

42
Q

Considerations of vegan and vegetarianism in pregnancy

A

Inclusion of: milk, yogurt, cheese and eggs

43
Q

Issues with gestational diabetes mellitus

A

Poos control can lead to:
- Baby with high birth weight
- birthing complications

44
Q

Foetal alcohol disorder can lead to?

A

Low birth weight
Intellectual disability
Behavioral problems
Distinct facial features
Heart defects

45
Q

Supplementation for vegan/vege pregnant women

A

Vitamin B12

46
Q

Smoking effects on pregnancy

A

Increased risk of low birth rate

47
Q

Caffeine effects on pregnancy

A

Decreases iron absorption
Increases risk of miscarriage
Low birth weight

48
Q
A