Lecture 4 Notes Flashcards
Energy needs for pregnant women
Increase energy by 340 to 450 kcal/ d (1st, 2nd, 3rd trim)
TDEE formula for pregnant woman
TDEE= BMR x AF + Preg
Blood volume goes up
40%
Amniotic fluid
Used to create space for baby to grow
Protein needs to be
increased 25 more grams per day (50% more than a no preg)
Calcium requirements
800-1000 for fetal development
Embryo
12 weeks (developement)
Fetus
After 12 weeks (growth)
A good source of calcium during pregnancy is
MILK
Sources of folate:
Enriched flour and grain, green leafy vegetables, pinto beans, soy beans, orange juice, wheat germ, asparagus, and broccoli
Weight gain during pregnancy
Normal weight women- 25 to 35
Obese women- 15lb
Average weight gain in 1st T-2-4lbs
1lb/ week gain during 2nd and 3rd
BMI formula
Weight/(Height)2
Daily food paln
Protein and complex carbohydrates should be increased
Avoid alcohol (FAS), caffein (SGA) (Max 300mg), tobacco (preterm), and drugs.
Morning Sickness
Functional , hCH
Hyperemesis Grauidarum
Pathological, hCG
in Molar Pregnancy
Constipation
Due to increased pressure of enlarging uterus
High fiber foods
Vegetables, dried fruits, prunes figs, juices
Heartburn med term:
Pyrosis
Effects of iron deficiency:
anemia
Effects of Iron supplementsL
Tarry stools
Constipation
Elixirs
High risk pregnancy
ages less than 19 older than 34
Complications of pregnancy
Anemia (most common)
NTD
Intrauterine growth failure
Hypertensive disorders
Preeclampsia (Toxemia)
Gestational Diabetes (Macrosomia)
Preexisting disease
Lactation trends
Breastfeeding up to 6 months minimum
Colostrum
First milk: 1-3 days
a lot of antibodies protect 6m
Newborn-
Infant reflexes: rooting, sucking and swallowing
Nutrition needs for lactation
25g/ day
3L/d of fluidds
Coffee (5mg/kg to 6mg
Cows milk does not provide enough:
Vitamin E, Iron, Essential faatty acids
Food for infants are
prepared without extra seasoning with salt
Life cycle growth pattern