PREGNANCY AND LACTATION NUTRITION Flashcards
non pregnant woman needs__________calories
1500- 2000
pregnant woman needs__________calories
additional 300 calories during the 2 nd and 3rd trimesters
- eat plenty of fruits and vegetables of various kinds and colors;
- whole-grain bread and cereals;
- lean protein foods;
- low-fat or fat-free milk and dairy products;
- and healthy fats in moderation
basic principles of healthy eating
these should be limited
- sodium
- solid fats,
- added sugars
- refined grains
- Cereals
- White bread
- Rolls
- Pasta
- Crackers
Sources of Folic acid:
- Leafy green vegetables,
- spinach
- Citrus fruits
- Dried peas and beans, such as lentils, soybeans, pinto beans
Sources of naturally occurring folate
PHYSIOLOGICAL BASIS BROUGH BY THESE STAGES OF PREGNANCY
a. Implantation
b. ORGANOGENESIS - Malnutrition
c. Growth
IF Bld. Vol. > Blood Components this results to:
ANEMIA
Left Cardiac hypertrophy leads to
- Tachycardia
- Palpitation
this occurs after delivery (circulatory system)
bradycardia
During pregnancy, there can be hypertension and this is called
Pregnancy Induced Hypertension
changes to estrogen and growing fetus
Respiration
Malnutrition and Dehydration
Renal function
due to hormones progesterone, estrogen , human chorionic gonadotropin.
GIT function
this intake should be observed by pregnant women”
low sodium intake
weight gain by the end of the 1st trimester is_____; and approximately______a week
2 to 4 lbs ; 1 lb
*Average weight gain of pregnant women should be
25-35 lbs
weight of fetus
7.5 lbs
weight of placenta
1lbs
weight of amniotic fluid
2lbs
weight of breast
1-3 lbs
weight of maternal blood
4 lbs
weight of uterus fetus
2 lbs
weight of maternal fat
4+ lbs
Pregnant Underweight’ BMI is
<19.8
Recommended Weight Gain for underweight pregnant
28 TO 40 lb
- LBW infant (<5 lb)
- pre-term infant (<38 weeks)
Complication of UNDERWEIGHT
Pregnant w/ NORMAL WEIGHT’s BMI is
19.8 to 26
Recommended Weight Gain for preggy w/ normal weight
25 to 35 lb
- HTN,
- Gestational Diabetes,
- TORCH of pregnancy
Complication of NORMAL WEIGHT
Pregnant OVERWEIGHT BMI is
26 to 29
Recommended Weight Gain for preggy OVERWEIGHT
15 to 25 lb
Infant born post term and weak
Complication of OVERWEIGHT & OBESE
OBESE PREGNANT’S BMI is
> 29
Recommended Weight Gain for preggy OBESE
At least 15 lb
Recommended Weight Gain for Twin pregnancy
35 TO 45 LBS
- Nausea and Vomiting- also known “morning sickness”
- Heartburn
- Constipation
- Edema
- Leg Cramps
- Rapid Weight Gain
- Weight Loss
- Pregnancy- Induced Hypertension (PIH)
- Anemia
- PICA
- Gestational Diabetes Mellitus
PROBLEMS DURING PREGNANCY
- Eat dry crackers or dry toast before rising
- Ice chips
- Eat small, frequent meals
- Avoid foods with offensive odors
- Avoid liquids at mealtime
- Hyperemesis gravidarum – life threatening – REQUIRE HOSPITALIZATION
Morning sickness Management
Burning sensation beneath the chest
Heartburn
- eating small frequent meals
- AVOID spicy or greasy foods
- AVOID liquids with meals
- waiting at least an hour after eating before lying down and waiting at least 2 hours before exercising.
Heartburn Management
Can result from relaxation of the cardiac sphincter and smooth muscles related to progesterone, may lead to haemorrhoids
Constipation
- Eating high-fiber foods
- getting daily exercise
- drinking at least 13 glasses of liquid each day
- responding immediately to the urge of defecating
- DO NOT USE LAXATIVE
Constipation Management
mild and PHYSIOLOGIC in the 3rd trimester BU Physiologic if accompanied with ________
Edema; toxemia
usually at night, may be due to Calcium-Phosphorous
imbalance
Leg Cramps
Leg Cramps is manifested by sudden contraction of the
GASTROCNEMIUS MUSCLE
- defined as an increase on weight of 3 kg or more during 2 nd and 3rd trimester
Rapid Weight Gain
Weight Loss during (1st trimester)
<500 grams/mon
Weight Loss during (2nd trimester)
<250 grams/mon
If there is weight loss fetus is at risk of:
- Preterm deliveries
- Abortion
- Mental retardation
PRE-ECLAMPSIA
H- Hypertension
E- Edema
L- low platelet
P- Proteinuria
Pregnancy- Induced Hypertension (PIH)
ECLAMPSIA:
H- Hypertension
E- Edema
L- low platelet
P- Proteinuria
C- COMA
Pregnancy- Induced Hypertension (PIH)
Condition caused by an insufficiency of red blood cells, haemoglobin or blood volume
Anemia
The most common form OF Anemia
Iron deficiency
can result in a form of megaloblastic anemia.
Folate deficiency
- The craving for non-food substances such as starch, clay (soil), or ice
PICA
due to “STRESS”. Close monitoring by health care provider.
Gestational Diabetes Mellitus
CONTROL OF SUGAR!!!
CAN CAUSE:
i. IUFD- intra uterine fetal demise
ii. Premature delivery
iii. Macrosomia
Nursing alert for GDM
additional 300 cal/day during 2nd and 3rd trimester; FOR ENERGY
Calories
additional 10 g/day with HIGH BIOLOGIC VALUE; FOR TISSUE BLEEDING
Protein
additional 100 g/day; ENERGY SOURCE
Carbohydrates
critical during 2 months before pregnancy to 6 weeks’ gestation
Folates
Folate Requirement
600 mcg/day
To prevent
1. Neural Tube Defect (NTD)
2. Spina Bifida
Folate
calcium requirement for ages 14-18 year old, _______
1,300 mg/day
calcium requirement for ages 18-50 year old, _______
1000 mg/day
- formation of fetal bone and teeth
- prevents preeclampsia
Calcium and phosphorus
additional 41 mg/day
Iron
- To prevent anemia
- Necessary for infant’s iron storage
Iron
less than 2000 mg/day
to prevent
edema and PIH
Sodium
less than 2000 mg/day
more readily absorbed by the
body
heme iron, additional iron sources
enhancers of iron absorption
vitamin C–rich foods.
Consume______) per day of synthetic folic acid (from fortifi ed foods and/or supplements) in addition to food forms of folate from a varied diet
400 micrograms
may reduce the risk of complications during pregnancy, increase the chances of a healthy infant birth weight, and improve the long-term health of both mother and infant.
healthy weight
can cause negative behavioral or neurologic consequences in the offspring when consumed during pregnancy, especially during the first few months
alcohol
Consume_____of seafood per week from a
variety of seafood types.
8 to 12 oz
Due to their high methylmercury content, limit white (albacore) tuna to______per week
6 oz
do not eat the following four types of fish
- tilefish
- shark
- swordfish
- king mackerel
If pregnant, consume______ dietary folate equivalents from all sources ( natural and synthetic).
600 g/day
If breastfeeding women choose to drink, they should wait until the infant is at least______and consume only one drink, waiting at least _______before breastfeeding
3 months old; 4 hours
B – Best food for baby
R – Reduce allergy
E – Economical
A – Always available
S – Safe
T – Temperature is right
F – Fresh
E – Encourage maternal bonding
E – Ensure means of contraception
D – Digestible
I – Immunity
N – Nutritious
G – Good tooth and jaw
breastfeeding
85 calorie required to produce
100ml milk
Average daily milk production
750ml (640 calories)
6 mos milk calorie is
600ml = 510 extra calories
1 ounce of human milk
20 calories
Experts on breastfeeding and help new mothers
who may be having problems such as the baby
not latching on properly
Lactation Specialist
500 calories a day during lactation
FNB
breastmilk shelf-life at Room Temperature (66 –72 degree F)
8- 10 Hrs
breastmilk shelf-life in Refrigerator
8 days
breastmilk shelf-life in Refrigerator freezer
3 – 4 months
breastmilk shelf-life in Deep freezer
12 months