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Falguni Kothari.
Getting Ready For Your Baby.
As with many of the really special
events in our lives, having a baby
means lots of change and excitement.

During the pregnancy your baby
depends on you for the nutrition it
gets so it is very important to eat well
and safely.

Even before you are pregnant
preparations should begin to get your
body in good condition.

A healthy pregnancy will be a happy
pregnancy and taking good care of
yourself is the key.
One of the most vital factors to be
 kept in mind during Pregnancy




              DIET
Worried About What
      To Eat?


• Eat smart and make sure
  that most of your choices
  are healthy ones.
4 GROUPS OF FOOD
1. Proteins
2. Carbohydrates
3. Fat
4. Vitamins, Minerals,
    Micronutrients, & Antioxidants.
EAT WELL.
• If you normally eat well and enjoy a
  wide variety of foods you will
  probably have to make only a few
  changes to your diet. If your diet isn’t
  as good as it could be, now is a good
  time to make some changes - both
  you and your baby will benefit.

• It is essential to take healthy
  Balanced Diet during
  pregnancy. Pregnancy diet plan needs
  to make that are rich in protein,
  carbohydrates, vitamins and minerals.

• A proper nutritious diet helps to grow
  your upcoming baby bones, organs
  and cell tissue.
• You also need more calcium for bones and teeth. If the pelvic
  bones become soft without calcium it leads to osteomalacia and
  causes severe difficulty during labour.

• Burkha women (Those who cover their body with thick black
  cloth) suffer from this disease and the child born to her will also
  have calcium and vitamin D deficiencies leading to skeletal
  deformities.

• This will make the mother weak if she doesn’t take adequate
  balanced diet. It is equally important that she should not over
  eat and become obese. Obesity in pregnancy due to excessive
  intake of rich food without enough physical activity to spend
  that energy, can lead to many complications during pregnancy
  and delivery.
3 groups of Essential Food substances in
                                Pregnancy

1.Supply Energy to the mother and the
fetus


2.Help in building and repairing tissues
and organs


3.Protect the mother against infection
and disease, help in the proper
functioning of all the systems including
that of the fetus.
Don’t give up all the foods you love
      when you are pregnant.




  Whatever foods are healthy for mom
        are healthy for baby
CAUSES FOR MALNUTRITION

1. IGNORANCE

2. POVERTY

3. UNSCIENTIFIC
   CUSTOMS.
Misconceptions and False beliefs
       about diet in pregnancy.

1. Banana & Orange……..
       Contains vitamin-A,C and iron.
FALSE BELIEF: May cau se Abortion &
                  Respiratory problem s.
2. Brinjal & Green Vegetables……..
     Contains vitamin A, Proteins and iron
FALSE BELIEF: May cause Diarrhea,
                   Allergy & Skin marks.
3. Dhals
     Contains abu nd ant Proteins.
  FALSE BELIEF : May cause arthritis and gas formation
                    which may affect the baby.

4. Tender-coconut Water And Other Common Fluids.
       Contains lot of minerals and vitamins and help in
preventing urinary infection which is common in
pregnancy.
   FALSE BELIEF : Causes cold, cough, fever and is
                       harmful to the growing child.
Diet to be taken in the 1st trimester of
                 pregnancy
• Along with the normal food
  containing      proteins,     fat   and
  carbohydrates, you must take plenty
  of fluids such as fruit juices, lime
  juice, orange juice, tomato juice, thin
  butter milk and tender-coconut water,
  as per the calorie requirements.
 Diet in the 2nd and the 3rd trimesters
• Because of the gradual increase in the
  pressure on the chest by the gravid
  uterus you should take frequent small
  feeds which are easily digested and
  should avoid very hot spicy or
  excessively salty preparation.
ADDITIONAL FOOD.

1. Pregnancy is physiologically and nutritionally
   a highly demanding period. Extra food is
   required to satisfy the needs of the fetus.
2. A woman prepares herself to meet the
   nutritional demands by increasing her own
   body fat deposits.
3. Daily diet of a woman should contain an
   additional 300 calories;
              15 g of protein;
              10 g of fat from mid-pregnancy.
Important Nutrients

Important Nutrients & their Role                     Sources.
         FOLIC ACID                        • Enriched White Rice,
• Reduces the risk of congenital   • Ready-to-eat Cereals, Cornmeal, Wheat
  malformations                     Flour, Cowpeas, (Black-eyed Peas) Beans,
• Increases birth weight.             Chickpeas, Okra, Spinach, Asparagus
                                              • Cooked lentils
                                             • Cooked spinach
                                               • Orange juice
                                         • 2 slices multigrain bread
            IRON                    • Spinach, Garden-cress seeds, Beetroot,
• High demands of erythropoiesis     Tomato juice, lean meat, celery, fenugreek
  (RBC formation)                     seeds, lentils, oatmeal, raisins, soya flour,
                                           carrot, radish, almonds, Rajma.
           IODINE                 • Sea vegetables, Cow’s Milk, yoghurt,
• Ensures proper mental health of   strawberries, Eggs
  the growing fetus and infant
Contd…
       VITAMINS              Vitamin C:citrus fruits,
• Required during lactation green peppers, broccoli,
  to improve child survival. green leafy vegetables,
                             strawberries, raw cabbage
                             and potatoes.
                             Vitamin E– Important
                             sources include wheat
                             germ, nuts, seeds, whole
                             grains,     green    leafy
                             vegetables, vegetable oil
                             and fish-liver oil.
        CALCIUM               Cow's milk, Paneer, curds,
Proper formation of bones     Ragi, yoghurt, hard
and teeth of the offspring.   cheese, fortified bread,
• Secretion of breast milk    orange juice, broccoli,
    rich in calcium           lentils, okra, spinach,
• Prevents osteoporosis in    sweet potatoes, chickpeas.
    the mother
ADDITIONAL CARE


1.   Periodic health
     check-up

2.   Blood pressure

3.   Hemoglobin

4.   Receive tetanus
     toxoid.
5. Physical
   exercise

6. Rest for
   2-3
   hours
   during
   the day.
Craving for Certain Foods
1.Pickles

2.Ice-cream

3.Chocolate

4.Sour foods

5.Tamarind

6.Jaggery
Things to be Avoided During
                       Pregnancy
•   Caffeine


•   Drugs


•   Cigarettes


•   Alcohol
• Green and leafy vegetables like cabbage, and spinach are loaded
  with iron, folic acid and vitamins A, C, K. These minerals help to
  grow baby tissue.

• Sweet potatoes are considered healthier than white potatoes.
Fish is among the foods that cause
concern because of mercury, a metal that
can be toxic to babies, children, and even
adults.
Allowable Quantity of
                 Fish

• The FDA suggests pregnant women should not eat
  more than two average-size servings of fish per
  week.


• Avoid swordfish, shark, king mackerel, and tilefish
The key component of fish is
omega-3 fatty acids, which are
critical to fetal neural
development.

Those who abstain from fish,
some very good sources of
omega-3 fatty acids are
flaxseed, nuts (particularly
walnuts), soybeans, and eggs.
Sources of Water.
• The best source of water is
  plain, pure drinking water.

• Sodas have a lot of sugar in
  them and aren't a good
  source.

• Herbal teas that      aren't
  diuretic are fine.

• Sports      drinks contain
  electrolytes and may be
  beneficial.
REFERENCES:




• Krause & Mahan-Clinical Nutrition & Diet
  Therapy.-12th Edition

• Pregnancy-wikipidea.com information.

• PubMed Journal.

• Nutritionguide.com
Thank
 You.

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Nutrition in pregnancy by Falguni A Kothari

  • 2. Getting Ready For Your Baby. As with many of the really special events in our lives, having a baby means lots of change and excitement. During the pregnancy your baby depends on you for the nutrition it gets so it is very important to eat well and safely. Even before you are pregnant preparations should begin to get your body in good condition. A healthy pregnancy will be a happy pregnancy and taking good care of yourself is the key.
  • 3. One of the most vital factors to be kept in mind during Pregnancy DIET
  • 4. Worried About What To Eat? • Eat smart and make sure that most of your choices are healthy ones.
  • 5. 4 GROUPS OF FOOD 1. Proteins 2. Carbohydrates 3. Fat 4. Vitamins, Minerals, Micronutrients, & Antioxidants.
  • 6.
  • 7. EAT WELL. • If you normally eat well and enjoy a wide variety of foods you will probably have to make only a few changes to your diet. If your diet isn’t as good as it could be, now is a good time to make some changes - both you and your baby will benefit. • It is essential to take healthy Balanced Diet during pregnancy. Pregnancy diet plan needs to make that are rich in protein, carbohydrates, vitamins and minerals. • A proper nutritious diet helps to grow your upcoming baby bones, organs and cell tissue.
  • 8. • You also need more calcium for bones and teeth. If the pelvic bones become soft without calcium it leads to osteomalacia and causes severe difficulty during labour. • Burkha women (Those who cover their body with thick black cloth) suffer from this disease and the child born to her will also have calcium and vitamin D deficiencies leading to skeletal deformities. • This will make the mother weak if she doesn’t take adequate balanced diet. It is equally important that she should not over eat and become obese. Obesity in pregnancy due to excessive intake of rich food without enough physical activity to spend that energy, can lead to many complications during pregnancy and delivery.
  • 9. 3 groups of Essential Food substances in Pregnancy 1.Supply Energy to the mother and the fetus 2.Help in building and repairing tissues and organs 3.Protect the mother against infection and disease, help in the proper functioning of all the systems including that of the fetus.
  • 10. Don’t give up all the foods you love when you are pregnant. Whatever foods are healthy for mom are healthy for baby
  • 11. CAUSES FOR MALNUTRITION 1. IGNORANCE 2. POVERTY 3. UNSCIENTIFIC CUSTOMS.
  • 12.
  • 13. Misconceptions and False beliefs about diet in pregnancy. 1. Banana & Orange…….. Contains vitamin-A,C and iron. FALSE BELIEF: May cau se Abortion & Respiratory problem s.
  • 14. 2. Brinjal & Green Vegetables…….. Contains vitamin A, Proteins and iron FALSE BELIEF: May cause Diarrhea, Allergy & Skin marks.
  • 15. 3. Dhals Contains abu nd ant Proteins. FALSE BELIEF : May cause arthritis and gas formation which may affect the baby. 4. Tender-coconut Water And Other Common Fluids. Contains lot of minerals and vitamins and help in preventing urinary infection which is common in pregnancy. FALSE BELIEF : Causes cold, cough, fever and is harmful to the growing child.
  • 16. Diet to be taken in the 1st trimester of pregnancy • Along with the normal food containing proteins, fat and carbohydrates, you must take plenty of fluids such as fruit juices, lime juice, orange juice, tomato juice, thin butter milk and tender-coconut water, as per the calorie requirements. Diet in the 2nd and the 3rd trimesters • Because of the gradual increase in the pressure on the chest by the gravid uterus you should take frequent small feeds which are easily digested and should avoid very hot spicy or excessively salty preparation.
  • 17. ADDITIONAL FOOD. 1. Pregnancy is physiologically and nutritionally a highly demanding period. Extra food is required to satisfy the needs of the fetus. 2. A woman prepares herself to meet the nutritional demands by increasing her own body fat deposits. 3. Daily diet of a woman should contain an additional 300 calories; 15 g of protein; 10 g of fat from mid-pregnancy.
  • 18. Important Nutrients Important Nutrients & their Role Sources. FOLIC ACID • Enriched White Rice, • Reduces the risk of congenital • Ready-to-eat Cereals, Cornmeal, Wheat malformations Flour, Cowpeas, (Black-eyed Peas) Beans, • Increases birth weight. Chickpeas, Okra, Spinach, Asparagus • Cooked lentils • Cooked spinach • Orange juice • 2 slices multigrain bread IRON • Spinach, Garden-cress seeds, Beetroot, • High demands of erythropoiesis Tomato juice, lean meat, celery, fenugreek (RBC formation) seeds, lentils, oatmeal, raisins, soya flour, carrot, radish, almonds, Rajma. IODINE • Sea vegetables, Cow’s Milk, yoghurt, • Ensures proper mental health of strawberries, Eggs the growing fetus and infant
  • 19. Contd… VITAMINS Vitamin C:citrus fruits, • Required during lactation green peppers, broccoli, to improve child survival. green leafy vegetables, strawberries, raw cabbage and potatoes. Vitamin E– Important sources include wheat germ, nuts, seeds, whole grains, green leafy vegetables, vegetable oil and fish-liver oil. CALCIUM Cow's milk, Paneer, curds, Proper formation of bones Ragi, yoghurt, hard and teeth of the offspring. cheese, fortified bread, • Secretion of breast milk orange juice, broccoli, rich in calcium lentils, okra, spinach, • Prevents osteoporosis in sweet potatoes, chickpeas. the mother
  • 20. ADDITIONAL CARE 1. Periodic health check-up 2. Blood pressure 3. Hemoglobin 4. Receive tetanus toxoid.
  • 21. 5. Physical exercise 6. Rest for 2-3 hours during the day.
  • 22. Craving for Certain Foods 1.Pickles 2.Ice-cream 3.Chocolate 4.Sour foods 5.Tamarind 6.Jaggery
  • 23. Things to be Avoided During Pregnancy • Caffeine • Drugs • Cigarettes • Alcohol
  • 24. • Green and leafy vegetables like cabbage, and spinach are loaded with iron, folic acid and vitamins A, C, K. These minerals help to grow baby tissue. • Sweet potatoes are considered healthier than white potatoes.
  • 25. Fish is among the foods that cause concern because of mercury, a metal that can be toxic to babies, children, and even adults.
  • 26. Allowable Quantity of Fish • The FDA suggests pregnant women should not eat more than two average-size servings of fish per week. • Avoid swordfish, shark, king mackerel, and tilefish
  • 27. The key component of fish is omega-3 fatty acids, which are critical to fetal neural development. Those who abstain from fish, some very good sources of omega-3 fatty acids are flaxseed, nuts (particularly walnuts), soybeans, and eggs.
  • 28. Sources of Water. • The best source of water is plain, pure drinking water. • Sodas have a lot of sugar in them and aren't a good source. • Herbal teas that aren't diuretic are fine. • Sports drinks contain electrolytes and may be beneficial.
  • 29. REFERENCES: • Krause & Mahan-Clinical Nutrition & Diet Therapy.-12th Edition • Pregnancy-wikipidea.com information. • PubMed Journal. • Nutritionguide.com