Nutrition for Reproductive Health and Lactation Flashcards

1
Q

infertility

A

inability to conceive within 12 months of attempting pregnancy

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2
Q

subfertility

A

women who have had 2-3 pregnancy losses or who ovulate infrequently or men with sperm abnormality

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3
Q

lifestyle changes to increase fertility

A

weight (lose if over, gain if under)
don’t smoke
limit alcohol intake

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4
Q

female diet changes to increase fertility

A

vitamin D, multivitamin with folic acid, iron, protein, eat more PUFA, consume less caffeine

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5
Q

male diet changes to increase fertility

A

vitamin D, calcium, vitamin C, zinc, more low glycemic index foods
less caffeine, animal protein, soy

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6
Q

nutrients that are good for the brain an NS in the preconceptual perio

A
iron
zinc
iodine
PUFA
vtiamin A, B6, B12
folate
copper
selenium
protein
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7
Q

nutrients that are good for placental function and structure in the preconceptual period

A
iron
PUFA
vitamins E, C, B12
folate
zinc
selenium
copper
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8
Q

nutrients that help with inflammation and immune function in the preconceptual period

A

vitamins A, A
zinc
fatty acids

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9
Q

nutrients that help with oxidative stress during the preconceptual period

A

vitamins C, C, B6, B12

folate

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10
Q

nutrients that help with embryogenesis during the preconceptual period

A

vitamins A, B6, B12
folate
zinc

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11
Q

pregnancy physiology in the blood

A

increase in blood volume
water-soluble components decrease
blood lipids increase

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12
Q

pregnancy physiology in the circulatory system

A

increased heart rate and cardiac output
low BP in first half of pregnancy and high BP later
low Mg and Ca intake associated with higher BP

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13
Q

pregnancy physilogy in the GI

A

nausea and vomiting
increased transit time (constipation)
heartburn

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14
Q

pregnancy physiology of the kidney

A

glomerular filtration rate increases by 50%

increased sodium retention

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15
Q

pregnancy physiology of the metabolic system (carbs)

A

fetus prefers glucose for energy

insulin resistance occurs in 3rd trimester

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16
Q

pregnancy physiology of metabolic system (protein)

A

increased protein synthesis

decreased nitrogen excretion

17
Q

pregnancy physiology of metabolic system (fats)

A

fat storage in first half of pregnancy

mobilization of fats in second half

18
Q

pregnancy physiology ofmetaolic system (minerals)

A

enhanced calcium absorption

mobilization from bone

19
Q

pregnancy physiology of metabolic system (accelerated metabolism)

A

fasts longer than 12 hours can greatly increased production of ketone bodies

20
Q

key nutrients for fetal brain development

A

DHA, ARA, protein, zinc, iron, choline, copper, iodine, vitamin A, folate

21
Q

intrauterine growth restriction is caused by..?

A
small placenta (less absorptive surface area)
infections
HTN
preeclampsia
malnutrition
small maternal size
young age
substance abuce
22
Q

what increases risk of miscarriage?

A

underweight mother
oxidative stress
vitamin E and D deficiency in first trimester

23
Q

what causes preterm delivery?

A

oxidative stress
metabolic stress
inflammation
greater caffeine intake

24
Q

what decreases the risk of preterm delivery?

A

folic acid supplementation prior to pregnancy
healthy diet patterns
fish (1-3 times/week), veggies, fruits, legumes, whole grains

25
Q

what are the different energy requirements of pregnancy?

A

1st tri: none
2nd (13-26weeks): +340 Cal/d
3rd (27-42): +452 Cal/d
30 min of moderate intensity exercise (150 min/week)

26
Q

what is our protein requrement for pregnancy? (sedentary)

A

0.8 g/kg of current weight for 1st half of pregnancy (0-20weeks)
1.1g/kg for 2nd half of pregnancy (>20weeks)
twins- add 25g for each extra baby

27
Q

what is our carb requirement for pregnancy? (sedentary)

A

RDA- 175g/d

fiber RDA- 28g/d

28
Q

what is our lipid requirement for pregnancy?

A

omega 3 and omega 6 requirements go slightly up