|
 |
| Life
Stages |
 |
| |
 |
| |
Congratulations! You're
pregnant. This is a unique
time, when what you eat
not only has an effect
on your health, but also
on the development and
wellbeing of your unborn
baby |
| 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
before conception through
a healthy 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: |
| |
 |
Your
growing baby isn't
as big as an adult.
|
 |
During
pregnancy, your
body becomes more
efficient at absorbing
nutrients in the
digestive system. |
 |
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 |
In
theory, the 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 extra 200 calories
a day. This is the equivalent
of a couple of slices
of toast with low-fat
spread and a glass of
milk. |
| |
| Protein |
There
is no need to increase
your protein intake, as
long as you follow healthy
eating principles and
include some lean meat,
fish or poultry, dairy
products, grains, nuts
and pulses. |
| |
| Fibre |
It's
particularly important
to eat more fibre 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 drink more.
Increasing fibre without
enough fluids 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
the end of 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:
|
| |
 |
fortified
breakfast cereals
|
 |
wholemeal
and wholegrain breads
and rolls |
 |
green leafy vegetables
- cabbage, broccoli,
spinach, Brussels
sprouts, spring
greens, kale, okra
and fresh peas |
 |
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 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, wholegrain
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 with your
meal. In contrast, tannins
found in black 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 |
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 forming
and maintaining healthy
bones and teeth. It's
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
or 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. This includes
regular meals and snacks,
and a sensible healthy eating
regime containing: |
| |
 |
Plenty
of starchy carbohydrates
- bread, rice, pasta,
breakfast cereals,
chapattis, couscous
and potatoes. |
 |
Plenty
of fruit and vegetables
- at least five
portions a day. |
 |
Lots
of milk, yoghurt,
fromage frais and
pasteurised cheeses. |
 |
Enough
protein, such as
meat, fish, eggs
(well-cooked), beans
and pulses. |
 |
Not
too many fat-rich
and sugary foods. |
 |
Aim
to have at least
eight glasses of
fluids per day. |
|
 |
|
|
 |
|
|
| |
|
|
|