Nutrition Flashcards
should you try lose weight during pregnancy?
no as ketosis is dangerous
calorie changes in pregnancy
3rd trimester needs an increase of only around 200kcal
what is folic acid important in?
DNA
RNA
amino acid synthesis
pre-conception dosing of folic acid
400mcg 3 months before conception til 13th week of pregnancy
when is 5mg of folic acid recommended?
previous spina bifida AEDs coeliac disease DM BMI >30 sickle cell anaemia thalassaemia folic acid deficient
vitamin D consumption in dark skin
need more sun exposure
when should vitamin D be taken in pregnancy?
10mcg when pregnant and breastfeeding
what does low vitamin D risk?
osteomalacia pre-eclampsia GDM C/S SGA hypocalcaemia asthma Ricket's
food infection examples in pregnancy that are a risk?
listeriosis
salmonella
toxoplasmosis
risks with listeriosis
miscarriage
stillbirth
pre-term labour
foods associated with listeriosis
pasteurised milk
soft cheeses
pate
undercooked foods
farm animals
foods associated with salmonella
raw eggs
poultry
shellfish
what is toxoplasmosis?
parasite
what is toxoplasmosis associated with?
wash hands before handling food raw meats soil cat faeces unpasteurised milk
foods to avoid in pregnancy
tuna (mercury)
liver (vitamin A)
vitamin supplements (vitamin A is neurotoxic)
fish oil supplements
one cup of caffeine a day
what is iron involved in?
enzyme processes
oxygen transport
complications of iron deficiency
tiredness SOB stillbirth IUGR/LBW placental abruption PPH neurodevelopment delay
examples of iron rich foods
green veg meat pulses seeds dried fruit fish brown rice
management of iron deficiency
diet
iron tablets, liquid, IV
take with vitamin C
reduce caffeine and tea
supplements to take when breastfeeding
vitamin D
calcium
management of obesity in pregnancy
counselling folic acid vitamin D low dose aspirin OGTT 24-28 weeks USS growth 28 weeks anaesthetic review 34 weeks ranitidine regularly equipment review
post-partum management of obesity
sleep apnoea
VTE prophylaxis (fragmin 6 weeks)
weight management options
sources of B12
milk cheese eggs cereal meat + fish?
what causes hyperemesis?
thiamine
