NUTRITION DURING PREGNANCY

This is discussed under following ;

Nausea and vomiting

Hyperemesis gravidarum

Hypo- and hyperglycaemia

Low maternal weight

High maternal weight

 

NAUSEA AND VOMITING

Eat small, frequent meals and snacks (every 1.5-2 hours).

Try to have crackers or dry toast at the bedside if nauseous upon waking.

Carry food and keep snacks in the car.

Try to have plenty of fluids between meals and nutritious shakes, if this is easier than eating solids. In general,

Try any foods that are appealing.

Try smelling fresh lemon, squeezing lemons into sparkling water,lemon sour candies, lemonade, ginger ale, or ginger tea.

Increase food sources of vitamin B6 (for example, meat, poultry, fish, potatoes, bananas, watermelon, acorn squash, and fortified cereal).

Prefer  foods that are easier to digest.

Take the prenatal vitamin at night as a feasible option.

Don’t  stop eating and drinking altogether even if they have no appetite because this can worsen nausea.

Don’t let more than 2-3 hours pass before eating.

Don’t take any medication, over-the- counter products, or supplements (including vitamin B6) without the PMD’s approval.

Don’t provide high- fat or oily foods, which take longer to digest.

Don’t take caffeinated beverages (coffee, some teas, and some soft drinks).

Don’t stay in poorly ventilated rooms or places with bothersome smells (for example, cigarette smoke or strong perfume/cologne).

 

VOMITING/HPEREMESIS GRAVIDARUM

Stay well hydrated by drinking plenty of fluids,including a rehydrating drink containing electrolytes (for example, Gatorade) and juices in small amounts throughout the day.

Try adding ginger root to foods and drink ginger roots tea or red raspberry tea.

Prefer low-fat foods that are easy to digest.

Recommend snacks with high water content.

Get psychosocial support in addition to physical support if recquired

Don’t take caffeinated beverages (coffee, some teas, and soft drinks).

 

HYPO-AND HPERGLYCEMIA:

Eat a diet consisting proportionally of complex, high-fiber carbohydrates (for example, whole-grain breads and cereals, brown rice, legumes, and fresh fruits and vegetables).

Take smaller meals with appropriate snacks between meals.

Include some source of protein (for example, milk, and yogurt, cheese, meat, poultry, eggs, or nut butters) in all meals and snacks.

Don’t eat or drink fruit juice, highly sweetened beverages and concentrated sweet foods.

 

LOW MATERNAL WEIGHT (BMI LESS THAN 19.8), LOW WEIGHT GAIN/WIGHT LOSS

Take frequent meals and snacks consisting of nutrient-dense, high-kilocalorie foods (for example, cheese, yogurt, milk shakes, granola, dried fruits, starchy vegetables, and muffins) or what appeals to you if appetite is poor.

Try homemade shakes (blend yogurt, milk powder, and fresh fruit).

Problem solve ways to minimize stress or to slow down if you are“too busy” to eat.

Consult with  your doctor  if weight gain remains poor.

Don’t skip meals.

Don’t do excessive exercise or physical activity.

 

HIGH MATERNAL WEIGHT (BMI GREATER THAN 29) OR WEIGHT GAIN:

Establish a healthy eating pattern of regular meals and snacks with nutrient-dense foods lower in calories.

Prefer high-fiber choices (for example, vegetable, fruits, beans, legumes, whole-grain cereals/ breads).

Try easy ways to get more fruits and vegetables on a regular basis.

Take low-fat or nonfat dairy foods, seafood, chicken, or lean meat for the patient.

Have  more water and caffeine-free, noncaloric beverages.

If you want to have soft drinks, try club soda mixed with some fruit juice.

Take frozen yogurt, light ice cream, and sugar- free puddings for dessert.

Do moderate exercise on a regular bales ( for example, walking, swimming, dancing, and prenatal yoga).

Find out ways to decrease stress, fatigue, and anxiety .

Increased food intake positively correlates with these psychosocial factors.

Don’t try skipping meals or calorie restrictions to lose weight.