Archive for the ‘Health’ Category
Nutrition During Pregnancy
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Should I take a multivitamin during my pregnancy?
Yes. Most doctors recommend that pregnant women or those trying to get pregnant take a multivitamin or prenatal vitamin every day. This ensures that you and your baby get enough important nutrients like folic acid. Folic acid helps prevent serious birth defects of your baby’s brain and spine. These birth defects often happen before most women know they are pregnant.
Even women who plan carefully to eat healthy every day sometimes fail to get important nutrients. Taking a daily multivitamin or prenatal vitamin will guarantee you daily dose of needed nutrients. But don’t overdo it. Taking more than one multivitamin daily can be harmful.
What about other supplements?
Folic acid: Pregnant women need 400 micrograms (400 mcg) of folic acid every day to help prevent birth defects.
Folic acid is important for any woman who could possibly become pregnant. Folic acid is a B vitamin that helps prevent serious birth defects of a baby’s brain or spine called neural tube defects. Getting enough folic acid can also help prevent birth defects like cleft lip and congenital heart disease.
Getting enough folic acid is most important very early in pregnancy, usually before a woman knows she is pregnant. So, at least one month before you try to become pregnant you should make sure you’re getting enough folic acid. Women who are already pregnant need to get enough folic acid every single day.
An easy way to get enough folic acid is to take a multivitamin every day. Most multivitamins sold in the U.S. contain enough folic acid for the day. But be sure to check the label! Choose a multivitamin that contains 400 mcg or 100% of the Daily Value (DV) for folic acid.
Another way to get enough folic acid is to eat a serving of breakfast cereal that contains 100% DV for folic acid, every day. Check the nutrition label on the box of cereal to be sure. It should say “100%” next to folic acid. Orange juice, spinach and legumes are also good sources of folic acid.
Iron: Pregnant women need twice as much iron — 30 mg per day — than other women.
The Centers for Disease Control and Prevention (CDC) recommends that pregnant women start taking a low-dose iron supplement (30 mg/day) or a multivitamin with iron beginning at the time of their first prenatal visit. Ask your doctor what she recommends. Prenatal vitamins prescribed by your doctor or those you can buy over-the-counter usually have the amount of iron you need. But be sure to check the label to make sure. Pregnant women should also eat lots of iron-rich foods. Some good sources of iron include lean red meat, fish, poultry, dried fruits, whole-grain breads, and iron-fortified cereals.
Pregnant women need extra iron for the increased amount of blood in their bodies. Iron helps keep your blood healthy. Plus, your baby will store iron in his body to last through the first few months of life.
Too little iron can cause a condition called anemia. If you have anemia, you might look pale and feel very tired. Your doctor checks for signs of anemia with the routine blood tests taken at different stages of your pregnancy. If your doctor finds that you have anemia, she will give you a special iron supplements to take once or twice a day.
Calcium: Pregnant women aged 19 to 50 years should get 1,000 mg/day of calcium. Younger pregnant women need even more — 1300 mg/day.
Most women in the U.S. don’t eat enough calcium. So many pregnant women will have to change their diets to get their fill of this important mineral. Low-fat or non-fat milk, yogurt, cheese or other dairy products are great sources of calcium. Eating green leafy vegetables and calcium-fortified foods like orange juice and breakfast cereal can also provide calcium. If your diet is not providing 1,000 mg/day of calcium, talk to your doctor about taking a calcium supplement.
What role does water paly in nutrtion?
Water: Pregnant women should drink at least six eight-ounce glasses of water per day. Plus, pregnant women should drink another glass of water for each hour of activity.
Water plays a key role in your diet during pregnancy. It carries the nutrients from the food you eat to your baby. It also helps prevent constipation, hemorrhoids, excessive swelling, and urinary tract or bladder infections. Drinking enough water, especially in your last trimester, prevents you from becoming dehydrated. Not getting enough water can lead to premature or early labor.
Juices also contain water. But juice also has a lot of calories that can cause you to gain extra weight. Coffee, soft drinks, and teas with caffeine actually reduce the amount of fluid in your body. So caffeinated drinks do not count towards the total amount of water you need every day.
Diet and Pregnancy
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While you are pregnant, you will need additional nutrients to keep you and your baby healthy. But, that does not mean you need to eat twice as much. You should only eat an extra 300 calories per day. A baked potato has 120 calories. So getting these extra 300 calories doesn’t take a lot of food. Make sure not to restrict your diet during pregnancy either. If you do, your unborn baby might not get the right amounts of protein, vitamins, and minerals. Low-calorie diets can break down a pregnant woman’s stored fat. This can lead to the production of substances called ketones. Ketones can be found in the mother’s blood and urine and are a sign of starvation. Constant production of ketones can result in a mentally retarded child. If you are eating a healthy diet before you become pregnant, you may only need to make a few changes to meet the special nutritional needs of pregnancy. According to the American Dietetic Association (ADA), a pregnant woman needs only 300 calories a day more than she did pre-pregnancy. The ADA recommends that pregnant women eat a total of 2,500 to 2,700 calories every day. These calories should come from a variety of healthy foods. But what pregnant women eat is more important than how much. A pregnant woman needs more of many important vitamins, minerals and nutrients than she did pre-pregnancy. To get enough nutrients, pregnant women should take a multivitamin or prenatal vitamin and eat healthy foods from the four basic food groups everyday including:
Fruits and Vegetables — Pregnant women should try to eat 7 or more servings of fruits and vegetables combined (for example: 3 servings of fruit and 4 of vegetables) daily.Fruits and vegetables are rich sources of fiber, vitamins and minerals. Fruits and vegetables with vitamin C help you and your baby to have healthy gums and other tissues. Vitamin C also helps your body to heal wounds and to absorb iron. Examples of fruits and vegetables with vitamin C include strawberries, melons, oranges, papaya, tomatoes, peppers, greens, cabbage, and broccoli. Fruits and vegetables also add fiber and minerals to your diet and give you energy. Plus, dark green vegetables have vitamin A, iron, and folate, which are important nutrients during pregnancy.
Whole-grains or Enriched Breads/Cereals — Pregnant women should eat 6 to 9 servings of whole-grain or enriched breads and/or cereals every day. Whole-grain products and enriched products like bread, rice, pasta, and breakfast cereals contain iron, B vitamins, minerals, and fiber. Some breakfast cereals are enriched with 100% of the folic acid your body needs every day. Folic acid has been shown to help prevent some serious birth defects. Eating breakfast cereals and other enriched grain products that contain folic acid is important before and during pregnancy.
Dairy Products — Pregnant women should try to eat 4 or more servings of low-fat or non-fat milk, yogurt, cheese or other dairy products every day. Dairy products provide the calcium you and your baby need for strong bones and teeth. Dairy products are also great sources of vitamin A and D, protein, and B vitamins. Vitamin A helps growth, fight infection, and vision. Pregnant women need 1,000 milligrams (mg) of calcium each day. If you are 18 or younger, you need 1,300 mg of calcium each day. Try to eat low-fat or non-fat milk and milk products to lower your fat intake. Other sources of calcium include dark green leafy vegetables, dried beans and peas, nuts and seeds, and tofu. If you are lactose intolerant or can’t digest dairy products, you can still get enough calcium. There are several low-lactose or reduced-lactose products available. In some cases, your doctor might recommend a calcium supplement.
Proteins — Pregnant women and their growing babies need 10 grams of protein more than non-pregnant women. Pregnant women should eat 60 grams of protein every day. Two or more 2-3 ounce servings of cooked lean meat, fish, or poultry without skin, or two or more 1 ounce servings of cooked meat contain about 60 grams of protein. Eggs, nuts, dried beans, and peas also are good sources of protein. But don’t rush out and buy high protein drinks! Women in the United States regularly eat more protein than they need. So you probably won’t have to make an effort to eat the needed 60 grams of protein a day. Don’t eat uncooked or undercooked meats or fish. These can make you sick and may harm your baby. Pregnant women should also avoid deli luncheon meats. Protein builds muscle, tissue, enzymes, hormones, and antibodies for you and your baby. Protein-rich foods also have B vitamins and iron important for your blood.
Healthy Pregnancy Part 2
Swelling
Most women develop mild swelling in the face, hands, or ankles at some point in their pregnancies. As the due date approaches, swelling often becomes more noticeable. If you have rapid, significant weight gain or your hands or feet suddenly get very puffy, call your doctor as soon as possible. It could be a sign of high blood pressure called preeclampsia or toxemia.
To keep swelling to a minimum:
- Drink 8 to 10 eight-ounce glasses of fluids (water is best) daily.
- Avoid caffeine.
- Try to avoid very salty foods.
- Rest when you can with your feet elevated.
- Ask your doctor about using support hose.
Teeth and Gums Problems
A pregnant woman’s teeth and gums need special care. Pregnant women with gum disease are much more likely to have premature babies with low-birth weight. This may result from the transfer of bacteria in the mother’s mouth to the baby during pregnancy. The microbes can reach the baby through the placenta (a temporary organ joining the mother and fetus which supplies the fetus with blood and nutrients), through the amniotic fluid (fluid around the fetus), and through the layer of tissues in the mother’s stomach.
Every expectant mother should have a complete oral exam prior to or very early in pregnancy. All needed dental work should be managed early, because having urgent treatment during pregnancy can present risks. Interventions can be started to control risks for gum inflammation and disease. This also is the best time to change habits that may affect the health of teeth and gums, and the health of the baby.
Remember to tell your dentist that you are pregnant! You can ease bleeding gums by brushing with a soft-bristled toothbrush and flossing at least twice a day. Get more details on taking care of your teeth and gums during pregnancy.
Digestive Difficulties
Constipation
Many pregnant women complain of constipation. High levels of hormones in your pregnant body slow down digestion and relax muscles in the bowels leaving many women constipated. Plus, the pressure of the expanding uterus on the bowels boosts the chances for constipation.
Try these tips to stay more regular:
- Eat fiber-rich foods like fresh or dried fruit, raw vegetables, and whole-grain cereals and breads daily
- Drink eight to ten glasses of water everyday.
- Avoid caffeinated drinks (coffee, tea, colas, and some other sodas), since caffeine makes your body lose fluid needed for regular bowel movements.
- Get moving. Mild exercise like walking may also ease constipation.
Hemorrhoids
Up to 50% of pregnant women get hemorrhoids. Hemorrhoids are swollen and bulging veins in the rectum. They can cause itching, pain and bleeding.
Hemorrhoids are more common during pregnancy for many reasons. During pregnancy there is a huge increase in the amount of blood in the body. This can cause veins to enlarge. The expanding uterus also puts pressure on the veins in the rectum. Plus, constipation can make hemorrhoids worse. Hemorrhoids usually improve after delivery.
Follow these tips to help prevent and relieve hemorrhoids:
- Drink lots of fluids
- Eat plenty of fiber-rich foods like whole grains, raw or cooked leafy green vegetables, and fruits
- Try not to strain for bowel movements
- Talk with your doctor before taking any laxative.
*Talk to your doctor before using witch hazel or ice packs to soothe hemorrhoids.
Sleeping Troubles
During your pregnancy, you might feel tired even after you’ve had a lot of sleep. Many women find they’re particularly exhausted in the first trimester. Don’t worry, this is normal! This is your body’s way of telling you that you need more rest.
In the second trimester, tiredness is usually replaced with a feeling of well being and energy. But in the third trimester, exhaustion often sets in again. As you get larger, sleeping may become more difficult. The baby’s movements, bathroom runs, and an increase in the body’s metabolism might interrupt or disturb your sleep. Leg cramping can also interfere with a good night’s sleep.
Try these tips to feel and sleep better:
- When you’re tired, get some rest.
- Try to get about eight hours of sleep every night, and a short nap during the day.
- If you feel stressed, try to find ways to relax.
- Sleep on your left side. This will relieve pressure on blood vessels that supply oxygen and nutrients to the fetus.
- If you have high blood pressure during pregnancy, always lay on your left side when you’re lying down.
- Avoid eating large meals three hours before going to bed.
- Get some mild exercise like walking.
- Avoid long naps during the day.
Weight gain
The amount of weight you need to gain during pregnancy depends upon how much you weighed before you became pregnant. According to the American College of Obstetricians and Gynecologists (ACOG) women who have a normal weight before getting pregnant should gain 25 to 35 pounds. Women who are underweight before pregnancy should gain 28 to 40 pounds. And women who are overweight should gain 15 to 25 pounds.
Research shows that women who gain more than the recommended amount during pregnancy have a higher chance of being obese 10 years later. Ask your doctor how much weight gain during pregnancy is healthy for you.
When to Call the Doctor
When you are pregnant you should not hesitate to call your doctor or midwife is something is bothering or worrying you. Sometimes physical changes can be signs of a problem.
Call your doctor or midwife immediately if you:
- are bleeding or leaking fluid from the vagina
- have sudden or severe swelling in the face, hands, or fingers
- get severe or long-lasting headaches
- have discomfort, pain or cramping in the abdomen
- have a fever or chills
- are vomiting or have persistent nausea
- feel discomfort, pain or burning with urination
- have problems seeing or blurred vision
- feel dizzy
- sense a change in your baby’s movement
- suspect your baby is moving less than normally after 28 weeks of pregnancy ( if you count less than 10 movements in 2 hours or less)