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Pregnancy & Childbirth

 

GUIDE FOR PREGNANT MOTHERS

During pregnancy you will need more of certain nutrients. HOWEVER THIS DOES NOT MEAN YOU NEED TO 'EAT FOR TWO'. Satisfying your appetite with healthy foods such as lean meats, fruit and vegetables, wholegrain breads, cereals, and dairy foods will ensure you give your baby the best start in life.

Weight Gain
- There is no exact healthy weight gain. Most people gain on average around 13kg over the 9 months. However slim people may need to gain more weight, overweight women less.
- The biggest weight gains tends to be from 20-36 weeks so weight gain is not spread evenly over the pregnancy.

Calcium
- Your baby needs calcium to build healthy bones and teeth. As early as the 6th week of pregnancy your baby's teeth and bones begin to form.
- Dairy foods provide the richest sources however there are other sources.
- You need approx 1200mg/per day:

 

Foods

Amount

Calcuim

Trim milk

200ml (1cup)

320

Whole milk

200ml (1 cup)

240

Soy milk (calcium fortified)

200ml (1cup)

252

Cheese

3 slices

320

Yoghurt

1 pottle

180

Tinned fish (with bones)

½ cup

110

Tofu

½ cup

140

Kidney beans

½ cup

50

Wholemeal breads

3 slices

35

Sesame seeds

1 TBL

1L

Green veg Eg. Broccoli

1 cup

125

Sardines

5 only

330

Baked beans (in tomato sauce)

1 cup

121

Figs

4 only

180


- Try and limit your salt intake as this increases your urinary output of calcium.

Iron                                                                    top


- At least 2-3 times more iron than usual is needed during pregnancy to help increase the red blood cells especially in the last 2 trimesters
- If your diet is lacking in iron you may become very tired and or anaemic
- Foods rich in easily absorbed iron are red meats, liver, kidney, chicken and fish
- Green leafy vegetables, wholegrain cereals, beans, peas and lentils also contain iron but this is not so well absorbed.
- Eating foods rich in Vitamin C (e.g. Kiwifruit, citrus fruit, orange juice, tomatoes and broccoli) at the same time will improve the absorption of iron.

You need approx 12-16mg per day:
 

Foods

Amount

Iron mg

Cooked red meats 4 slices

(165g)

6.0

Liver/kidney

1 cup (150g)

13.5

Lamb chop

1 chop (50g)

1.1

Cooked mince

1 cup (170g)

4.6

Chicken 2 drumsticks

(88g)

1.6

Sardines in oil

5 only

2.0

White flesh fish

1 fillet

0.7

Tofu

100g

1.9

Kidney Beans

½ cup

2.8

Weetbix

1

0.6

Wholemeal bread

1 slice

0.5

Silver beet

1 cup

1.0

Dried apricots

5

1.1


Folic Acid                              top

  • This is a vitamin required during pregnancy for the formation of blood cells and new tissues. In the early part of your pregnancy your needs are higher.
     

  • Lack of folic acid has been linked with birth defects such as spina bifida. The risk can be reduced by taking a folic acid supplement, it is best to discuss this with your doctor, midwife or dietitian.
     

  • Folic acid is easily destroyed by heat
     

  • Foods rich in folic acid include:
     

  • Green leafy vegetables
     

  • Wholegrain breads and cereals
     

  • Cooked dried beans and peas
     

  • Yeast extracts eg wheatgerm, vegemite, and marmite
     

  • Liver and kidney
     

  • Avocado

Fluid and Fibre                              top

  • Use your thirst as a guide, you will need at least 6-8 glasses/day
     

  • Coffee, tea (including some herbal), cola drinks contain caffeine which can cause side effects to your baby, limit these to no more than 3/day
     

  • Alcohol is not recommended
     

  • Dietary fibre can help minimise constipation which is a common problem in pregnancy. Good sources of high fibre foods include: beans, peas, lentils, vegetables, wholegrain breads and cereals, fruit, nuts and seeds

Morning Sickness                         top

  • Some women suffer from nausea and vomiting early in pregnancy
     

  • It may help to:
     

  • Eat small frequent meals
     

  • Try dried foods such as bread or crackers before getting out of bed
     

  • Sip flat lemonade or Gingerale
     

  • Avoid high fat or spicy foods
     

  • Cold, plain or bland foods are often well tolerated
     

  • Potato chips are also well tolerated
     

  • Try to rest more often

LCP's and Pregnancy

  • When you are pregnant, or planning a pregnancy certain long chain fatty acids (LCP's) are important to you and your baby. You cannot always be sure you are getting enough LCP's either from your diet or when converted from essential fatty acids. You may need to consider a fatty acid supplement such as Efanatal - a balanced supplement of Omega 3 and Omega 6 fatty acids

Heartburn and Indigestion        top

  • This is usually a problem later in pregnancy as your baby grows and presses on the stomach
     

  • It may help to:
     

  • Eat small regular meals
     

  • Avoid drinking fluids with your meals
     

  • Avoid high fat/spicy foods
     

  • Sit or stand upright after eating

Listeria                                                   top

  • This is a bacteria which in pregnant women can cause miscarriages and stillbirths
     

  • It is important to:
     

  • Cook all hot foods until piping hot (above 70 degrees Celsius)
     

  • Keep all cold foods under refrigeration
     

  • Thoroughly wash all raw fruit and vegetables
     

  • Avoid any of the following:
    Chilled, precooked seafood products, unless reheated thoroughly
    Pate, precooked chicken, ham and other precooked meat products
    Uncooked sea foods
    Shop bought salads and coleslaws
    unpasturised milk and milk products

 

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