Tuesday, July 10, 2012

Health Nutrition for Pregnant Mother

Healthy Mother

Nutrition During Pregnancy

Calories

  • Requirement exceeds pre-pregnancy needs by 300 calories per day (from 2,200 kcal/day to 2,500 kcal/day)
    • To support maternal-fetal tissue synthesis;
    • To meet increased basal metabolic needs;
    • To provide optimal use of protein and tissue growth

Proteins

  • Requirement exceeds pre-pregnancy needs by 14 to 16 grams per day (from 44 to 46 g/day to 60 g/day)
    • For expansion of blood volume;
    • For tissue growth'
    • For adequate amino acid intake for fetal development

Fats

  • 20% to 35% of woman's daily calorie intake
  • Linoleic acid
    • Essential for new cell growth;
    • Must be supplied by the diet;
    • Found in vegetable oils, such as corn, olive, peanut, and safflower oils.

Vitamins

  • Intake of all vitamins should be increased
    • Necessary for tissue synthesis and energy production;
    • Requirements for fat and water soluble vitamins increase
  • Intake of varied, healthy diet usually supplies the requirement for all of the vitamins except folic acid;
  • Folic acid is particularly important;
    • Promotes fetal growth and prevents anemia;
    • Intake should be increased from 400 to 800 mcg/day;
    • Sources include green, leafy vegetables, eggs, milk, and whole-grain bread.

Minerals

  • Intake of all minerals should be increased, including iodine, calcium, phosphorus, and zinc;
  • Drinking fluoridated water is important to aid in tooth formation; if fluoridated water is unavaiblable, a fluoride supplement should be prescribed;
  • The average American diet does not provide enough iron to prevent iron deficiency anemia; recommended supplemental iron intake is 30 to 60 mg per day.
  • Sodium restrictions is no longer advocated because it has been associated with hormonal and biochemical changes;
    • The National Research Council (NRC) recommends an increase in daily sodium intake of 69 mg over the normal dietary requirment of 2,400 mg;
    • Excessive sodium may lead to hypertension by altering fluid and electrolyte balance.

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