Your general health and nutritional status
can affect whether you and your baby have
a healthy and successful pregnancy, so it's
important to make sure you're fit and healthy
before trying to conceive.
Following
a healthy diet will ensure you have adequate stores
of nutrients to meet your and your baby's needs
during pregnancy. Follow the principles of healthy
eating and choose appropriately from the major
food groups, making sure you have a well-balanced
and varied diet:
Food
Group
Number
of servings per day
Starchy
carbohydrates, eg. bread, breakfast cereals,
porridge oats, rice, pasta and potatoes
5-7
Fruit
and vegetables - all types, fresh, juiced,
frozen or canned
At least
5
Milk
and dairy products eg. low-fat milk, yoghurt,
cheese
2-3
Meat,
fish and alternatives eg. lean meat, poultry,
eggs, white fish, oily fish, peas, beans
and pulses
2
Fat
and sugar rich foods, eg. butter, margarine,
cooking fats, pastries, cream, crisps,
cakes, chocolate, sugary drinks, biscuits
and sweets
Keep to
a minimum
Body
weight and fertility
Being a healthy
body weight is important before pregnancy. If
you're underweight, it can be more difficult to
conceive; if you're overweight, you run a greater
risk of complications such as high blood pressure
and diabetes during pregnancy.
The ideal
range is usually calculated using the body mass
index (BMI) of 20 to 25. Take steps to either
try to lose or gain weight where necessary, in
a sensible way - crash dieting will not be good
for your overall health and may deplete your nutrient
stores. Even a small weight loss can greatly increase
your ability to conceive and have a healthy pregnancy.
If you are concerned about your weight, you may
find it useful to speak to your doctor or practice
nurse for further advice.
Folic
acid
Taking folic
acid before and in the very early stages of pregnancy
can reduce the risk of your baby suffering neural
tube defects (NTDs) such as spina bifida. Current
advice is that all women of child-bearing age
who may become pregnant should take a supplement
that provides 400mcg folic acid per day. This
is in addition to a dietary intake of folic acid
of around 200mcg per day.
Rich dietary
sources include fortified breakfast cereals, bread,
green leafy vegetables (Brussels sprouts, broccoli,
spinach and green beans), oranges, dried beans,
peas and lentils. Some supermarkets and food manufacturers
identify good sources of folic acid with a special
label. Look out for these next time you go shopping.
Women who've
already had an NTD-affected pregnancy should take
a supplement that provides 5mg per day. See your
doctor for more information.
Supplements
Ideally you
should not need a vitamin and mineral supplement
(apart from folic acid) if you're eating a healthy
diet. However, if you want to take a supplement,
choose a specially formulated prenatal multivitamin
and mineral supplement. These are more likely
to provide nutrients in balanced amounts, not
high doses that may be dangerous to your health.
Dads
too
Being super-fit
and healthy is important for men who are hoping
to conceive. There have been numerous research
studies looking at preconceptual nutrition in
men. We know that diets low in zinc can reduce
sperm counts, while excessive alcohol intakes
can reduce zinc levels even further. Zinc may
be found in foods such as meat, wholegrain cereals,
seafood, eggs and pulses.
Another nutrient
that has a role in male fertility is selenium.
Brazil nuts contain lots of this important mineral,
along with meat, seafood, mushrooms and cereals.
As with women, being very overweight or underweight
can influence your fertility significantly. Aim
to be the right weight for your height by eating
sensibly and exercising on a regular basis.
The key message
is to stick firmly within the alcohol limits -
or reduce them further - and embark on a healthy
eating regime to ensure you and your sperm are
in tip-top condition. Don't expect results overnight
- better quality sperm will result in about three
months, the length of the sperm production cycle.
Plan well in advance of the intended time of conception.
Each day, simply choose foods from each of the
major food groups, as outlined in nutrition basics.
This will help you ensure you have a diet packed
with energy-giving carbohydrates, moderate in
protein and fat (but low in saturated fat) and
rich in vitamins and minerals.