| Nutritional
considerations |
The complex
processes that occur during pregnancy require
a rich supply of protein, vitamins and minerals
for both mother and child. If you've built up
good stores of nutrients in the months and years
before conception through a healthy, balanced
diet, the added demands of pregnancy can be met
with modest adjustments. If, however, your nutrient
stores are low, you run a greater risk of diet-related
problems during pregnancy, such as anaemia. |
| But while
your need for certain nutrients does increase
during pregnancy, the old adage 'eating for two'
doesn't necessarily mean you should eat twice
as much food, for a number of reasons: |
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Your
growing baby isn't as big as an adult. |
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During
pregnancy, your body becomes more efficient
at absorbing nutrients in the digestive
system. |
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Your
body also doesn't excrete nutrients -
instead, it builds up stores of vitamins
and minerals. |
|
It's the quality
of your diet that's important, not the quantity. |
| Energy |
The theoretical
energy cost of pregnancy has been estimated to
be 80,000 calories, but there's no need to increase
your overall energy intake until the last trimester,
when all that's needed is an increase of just
200 calories a day. This is the equivalent of
a couple of slices of toast with low-fat spread
and a glass of milk. |
|
There is no
need to increase your protein intake, as long
as you follow general healthy eating principles
and include some lean meat, fish or poultry, dairy
products, grains, nuts and pulses. |
| Fibre |
It's particularly
important to increase your fibre intakes when
pregnant to avoid the common pregnancy niggles
of constipation and piles (haemorrhoids). Increase
your fibre intake by eating lots of fruit and
vegetables, wholemeal bread and cereals, brown
rice, wholemeal pasta and pulses. You should also
increase your fluid intake. Increasing fibre without
adequate fluid can exacerbate constipation. |
| Folic
acid |
This is particularly
important before conception and during the first
trimester of pregnancy. Mothers who are deficient
in folic acid are at increased risk of having
a baby with a neural tube defect (NTD), such as
spina bifida. |
From the moment
you start trying to conceive until week 12 of
pregnancy, you should take a daily 400mcg supplement
of folic acid. Women with a history of NTDs should
be prescribed a 5mg supplement. |
These supplements
should be in addition to dietary intakes, which
should be about 200mcg per day. You can boost
your folic acid intake by choosing foods such
as: |
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fortified
breakfast cereals |
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wholemeal
and wholegrain breads and rolls |
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green
leafy vegetables - cabbage, broccoli, spinach,
Brussels sprouts, spring greens, kale, okra
and fresh peas |
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pulses
- chickpeas, black-eyed beans and lentils |
|
Folic acid
is easily lost during cooking, so steam vegetables
or cook in only a little water for a short time
to retain as much goodness as possible. |
| Iron |
Many women
of child-bearing age have low iron stores. Your
iron levels will be measured throughout pregnancy,
and if found to be low you'll be prescribed an
iron supplement. Nevertheless, it's important
to try to maintain a good iron intake during pregnancy. |
Good sources
of iron can be split into two categories: meat-based
(haem) and plant-based (non-haem): |
| Meat-based |
Plant-based |
| Lean
red meat - beef, pork, and lamb. |
Fortified breakfast
cereals, eggs, baked beans and other pulses,
green leafy vegetables such as spinach and
broccoli, dried apricots and prunes, whole
grain breads and cereals. |
|
The body doesn't
absorb iron from non-meat foods as easily as it
does from meat sources. However, you can enhance
iron absorption by including a source of vitamin
C (see below) with your meal. In contrast, tannins
found in tea reduce the absorption. So, it's better
to have a glass of orange juice with your bowl
of cereal in the morning than a cup of tea. |
| Vitamin
A |
Although liver
and liver products, such as paté and liver
sausage, are good sources of iron, they can also
contain very high concentrations of vitamin A.
If taken in excess, this vitamin can build up
in the liver and cause serious harm to a growing
baby. |
As a result,
the Department of Health advises all pregnant
women to avoid liver and liver products. You should
also be aware that some vitamin supplements are
high in this vitamin, so always choose a specially
prepared pregnancy supplement. |
However, the
form of vitamin A derived from green, orange,
and yellow fruit and vegetables - known as carotene
- has very positive health benefits, and is plentiful
in red, yellow and orange peppers, mango, carrots,
sweet potatoes, apricots, tomatoes and watercress. |
| Vitamin
C |
In order to
help your body absorb and effectively use iron
and other nutrients from your food, you should
eat plenty of vitamin C-rich foods. Good sources
include citrus fruits (oranges, tangerines, grapefruit
and lemons), blackcurrants, strawberries, kiwi
fruit, peppers, tomatoes and green leafy vegetables.
Aim to eat at least five portions of fruit and
vegetables every day. |
| Vitamin
D |
This is sometimes
referred to as the 'sunshine vitamin' because
it's made when the skin is exposed to sunlight.
Vitamin D is essential for the proper use of calcium
and phosphorus, which are necessary for the formation
and maintenance of healthy bones and teeth. It
is found in only a few foods, including fortified
margarines and reduced-fat spreads, fortified
breakfast cereals, oily fish and meat. A small
amount can also be found in milk and eggs. |
Pregnant and
breastfeeding women with dark skin or those who
always cover their skin, are at particular risk
of a vitamin D deficiency and may require a supplement.
These should be available at your local health
centre. Ask your dietician, practice nurse or
doctor for more information. |
| Calcium |
Your requirements
of this essential mineral double during pregnancy,
and are particularly high during the last ten
weeks when calcium is being laid down in your
baby's bones. Despite this, though, no dietary
increase is thought necessary because your body
adapts to absorb more calcium from the foods eaten. |
This means,
though, that it's important to eat sufficient
calcium-containing foods. Good sources include
milk and dairy foods such as cheese, yoghurt and
fromage frais. Pregnant women should aim to have
three servings of foods from this group every
day (typical servings include a glass of milk,
milk with cereal, a small chunk of cheese and
a small pot of yoghurt). Other sources include
bread, green vegetables, canned fish with soft,
edible bones (salmon, sardines and pilchards),
dried apricots, sesame seeds, tofu, fortified
orange juice and fortified soya milk. |
If you're
pregnant or breastfeeding and you receive Income
Support of Jobseeker's Allowance, you're entitled
to free milk (up to seven pints a week). Ask your
midwife or health visitor for further details. |
| A
balanced diet |
Most of the
additional nutrient needs of pregnancy can be
met by eating a well-balanced and varied diet.
With a few exceptions, you can continue to eat
a normal, healthy diet in keeping with the Balance
of Good Health. This includes regular meals and
snacks, and a sensible healthy eating regime containing: |
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Plenty
of starchy carbohydrates - bread, rice,
pasta, breakfast cereals, chapattis, couscous
and potatoes. |
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Plenty
of fruit and vegetables - at least five
portions a day. |
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Lots
of milk, yoghurt, fromage frais and pasteurised
cheeses. |
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Enough
protein, such as like meat, fish, eggs (well-cooked),
beans and pulses. |
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Not
too many fat-rich and sugary foods. |
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Aim
to have at least eight glasses of fluids
per day. |
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