DOCSLIB.ORG

Prenatal Nutrition Table of Contents

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Prenatal Nutrition Table of Contents A GUIDE TO Prenatal Nutrition Table of contents Key nutrients 4 Fatigue during pregnancy 6 Constipation during pregnancy 8 Healthy calorie intake during pregnancy 10 Weight gain during pregnancy 12 Exercise during pregnancy 13 Eating fish during pregnancy 14 Eat right to sleep tight 15 Pregnancy superfoods for a super-pregnancy 18 Water: your pregnancy BFF 27 Foods and habits to avoid during pregnancy 28 Benefits of DHA and lutein during pregnancy 30 Planning to feed your baby: the benefits of breastfeeding 32 Breastfeeding tips before bringing your baby home 34 2 Welcome to this exciting time in your life Wherever you are on the path of motherhood, we know you are committed to supporting your little one with excellent nutrition. That is why we are excited to share this prenatal education guide with you. It covers everything from nutrition for you while you are pregnant and breastfeeding, to the latest science behind important nutrients for infant nutrition and development — such as lutein, DHA, and vitamin E. 3 Key Nutrients Why you and your baby need them, and where to get them During pregnancy, your blood volume is increasing and so is your baby’s. As blood quantity increases, so does your need for iron. Iron is necessary to carry oxygen to active and IRON growing cells. The daily recommended dose of iron during pregnancy is 27 mg. Iron can be absorbed more easily if iron-rich foods are eaten with vitamin C-rich foods, such as citrus fruits and tomatoes. You can get iron from eating red meats, beans, lentils, and fortified grains, and from taking an iron-fortified prenatal multivitamin. This same mineral that is good for your bones and teeth is good for your baby’s developing bones and teeth as well. You should get CALCIUM around 1,000 mg of calcium per day. Milk and dairy products, such as cheese and yogurt, are the best sources of calcium. If you have trouble digesting milk products, you can get calcium from other sources, such as broccoli, canned salmon, dark leafy greens, sardines, or a calcium supplement. Your baby’s muscles, tissues, and organs are all constructed of this primary building block. During the third trimester, your baby PROTEIN is growing faster than ever, so protein is especially important. Fortunately, most women get plenty of protein in their diets from foods such as meats, chicken, and fish, as well as milk, beans, peas, lentils, nuts, and tofu. 4 Many pregnant women in Canada don’t get enough vitamin D. Vitamin D works with calcium to help your baby’s bones and teeth develop. During pregnancy, the mother VITAMIN D transfers vitamin D to the baby, so if she is deficient in vitamin D, the baby is too. The vitamin D recommendation for pregnant women is 600 IU/day. Good sources are milk and other beverages fortified with vitamin D and fatty fish, such as salmon. Exposure to sunlight also converts a chemical in the skin to vitamin D. Check with your health care professional to see if the prenatal multivitamin he or she might recommend contains an adequate amount of vitamin D. In addition, most types of milk (except for evaporated) are fortified with vitamin D. Vitamin C is especially important during the third trimester. Vitamin C promotes healthy gums and also helps your body absorb iron. VITAMIN C In addition to being abundant in citrus foods, vitamin C is also found in broccoli, tomatoes, peppers, kiwis, and berries. Other vitamins and minerals Many other vitamins and minerals (such as folic acid) can be just as important towards the end of your pregnancy as they were earlier. As labour approaches, your body needs a strong immune system, antioxidants, and nutrition for optimal functioning and healing. Keep eating your fruits and vegetables. If you are having trouble eating all your servings during meals, try eating several small snacks a day that include these food groups. And if your doctor recommended a prenatal multivitamin, keep taking it. Beyond these essential vitamins and minerals, there are two other dietary components to consider adding to your diet, which we will cover in the next section: DHA (the acronym for docosahexaenoic acid) and lutein. 5 Fatigue during pregnancy You can’t make an omelet without breaking eggs and you can’t be pregnant without feeling tired at some point. Follow our nutrition and lifestyle advice and put pregnancy fatigue to bed. While pregnancy is a wonderful, amazing experience, it is also sometimes tiring. Fatigue is one of the most common symptoms, particularly in the 1st and 3rd trimesters, and while nothing can 100% zap fatigue, fueling your body with the right nutrients can help give you the energy boost that you need. Why are you so tired? If you have concerns about ongoing pregnancy fatigue, talk to your doctor to rule out anemia or other possible causes. Once these have been eliminated, think about the fact that your body is working hard to support a new life and adapt to the physical changes that come with the development of a baby. See? Feeling tired is a good thing. It means that your body is taking care of your baby. So if increased progesterone, lower blood sugar levels, and lower blood pressure sap your energy, give yourself a pat on the back. Your baby is getting bigger. 6 Keys to fighting pregnancy fatigue When fatigue strikes, try these tips to help reduce symptoms. Choose nutrient- and protein-rich foods like low-fat milk, yogurt, beans, chicken breast, or peanut butter. Always skip the quick fix, like donuts, candy, or sugary drinks (we know, they are really tempting, aren’t they?). They might do the trick in the short term, but eventually they will leave you feeling more tired than before. Energy drinks should be thought of as dietary supplements and might not be safe for your baby. Check with your doctor before using these types of products. Eat every four hours if you can, beginning with a balanced breakfast. Try to include at least one serving of whole grain and one fruit or vegetable with each mini-meal or snack. Vitamins and minerals (especially iron) are important too. Get as much as you can from iron-rich and nutrient-dense foods, and make sure to take your prenatal supplements as directed by your doctor. Limit caffeine. The Public Health Agency of Canada recommends no more than 300 mg of caffeine (or about two cups of coffee) a day while pregnant. Oh, and tea and sodas count, too. Exercising regularly (with your doctor’s guidance) can also be what you need to help you get that boost of energy to make it through the day. Water, water, water. Drink at least ten cups of water or other fluids daily. Now here’s a big one: listen to your body, and get the rest you need. It sounds simple, but it can be easy to forget. Follow this advice and you can hope to look forward to a pregnancy where fatigue won’t become a major drag. 7 Constipation during pregnancy Half of all pregnant women get constipated at some point, and this could be due to hormones, diet, or the pressure of a growing uterus. What can you do about it? Here are some tips for easing constipation during pregnancy Eat high-fibre foods such as whole grain cereals and breads, brown rice, beans, and fresh fruits and vegetables every day. Adding a couple of tablespoons of unprocessed wheat bran (available at health food stores) to your cereal in the morning and following it with a glass of water can help. Be patient as it may take a few days before you notice a difference. Don’t forget to drink plenty of water. Try to drink 2.5 L (10 cups) of water or other beverages every day. Your urine should be clear or pale yellow – a sign of proper hydration. You can always try some prune juice. Some people find that drinking a warm beverage right after waking up helps too. Iron can cause constipation. You may want to check with your health care provider about switching to a supplement with less iron. Another pregnancy tip: your bowels are most likely to be active after meals, so make time for the bathroom after you eat. Listen to your body. Never put off going to the bathroom when you feel the urge. 8 Moving might also help to… get things moving. Exercise regularly. Walk, swim, ride a stationary bike, and do yoga. All of these can help ease constipation and leave you feeling more fit and healthy. And if none of the above helps, talk to your doctor about taking an over-the-counter fibre supplement or stool softener. Do not use a laxative without checking with your doctor or nurse first. Laxatives can trigger the onset of labour contractions. Experiencing pregnancy constipation? Relax, follow the tips above, and you will soon be a regular “expert” at managing it. TIP: Breaking up your daily food intake into five or six smaller meals can help with constipation relief. Can constipation be serious? Not usually, but occasionally, it can point to another problem. If you have severe constipation that is accompanied by abdominal pain or that alternates with diarrhea, or if you pass mucus or blood, call your doctor or midwife immediately. Also, straining during a bowel movement or passing a hard stool can lead to or worsen hemorrhoids. Hemorrhoids can be extremely uncomfortable, though they rarely cause serious problems. In most cases, they go away fairly soon after the baby is born.
Load more

Recommended publications
  • Prenatal Vitamins and the Risk of Offspring Autism Spectrum Disorder: Systematic Review and Meta-Analysis
    nutrients Review Prenatal Vitamins and the Risk of Offspring Autism Spectrum Disorder: Systematic Review and Meta-Analysis Catherine Friel 1,*, Alastair H. Leyland 1, Jana J. Anderson 2, Alexandra Havdahl 3,4,5, Tiril Borge 6, Michal Shimonovich 1 and Ruth Dundas 1 1 Medical Research Council/Chief Science Office Social and Public Health Sciences Unit, University of Glasgow, Glasgow G3 7HR, UK; [email protected] (A.H.L.); [email protected] (M.S.); [email protected] (R.D.) 2 Public Health Research Group, Institute of Health & Wellbeing, University of Glasgow, Glasgow G12 8RZ, UK; [email protected] 3 Department of Mental Disorders, Norwegian Institute of Public Health, 222 Skoyen, 0213 Oslo, Norway; [email protected] 4 Nic Waals Institute, Lovisenberg Diaconal Hospital, Postboks 4970 Nydalen, 0440 Oslo, Norway 5 Promenta Research Center, Department of Psychology, University of Oslo, Boks 1072 Blindern, 0316 Oslo, Norway 6 Division for Health Services, Cluster of Reviews and Health Technology Assessments, Norwegian Institute of Public Health, P.O. Box 222 Skoyen, 0213 Oslo, Norway; [email protected] * Correspondence: [email protected] Abstract: Prenatal nutrition is associated with offspring autism spectrum disorder (herein referred to as autism), yet, it remains unknown if the association is causal. Triangulation may improve causal inference by integrating the results of conventional multivariate regression with several alternative approaches that have unrelated sources of bias. We systematically reviewed the literature on the Citation: Friel, C.; Leyland, A.H.; relationship between prenatal multivitamin supplements and offspring autism, and evidence for Anderson, J.J.; Havdahl, A.; Borge, T.; the causal approaches applied.
    [Show full text]
  • Nutrition for a Healthy Pregnancy
    Nutrition for a Healthy Pregnancy Healthy eating plays a very important role in a healthy pregnancy. Eating a well balanced diet gives your baby healthy nutrients to grow and develop. Eating foods from a variety of sources will help ensure you get all the vitamins, minerals and nutrients you and your developing baby need. Eating well will also help you feel better, give you more energy and help you gain a healthy amount of weight. It also helps lower your risk of having health problems such as low iron or high blood pressure. Healthy Eating Guidelines Aim for three meals a day with healthy snacks in between. Eat a variety of healthy foods each day by following Canada’s Food Guide (for more information visit www.Canada.ca/FoodGuide): Get your energy from healthy foods such as vegetables and fruit, whole grains, lower fat milk, cheese & yogurt, lean meats and legumes (beans, peas, lentils). Limit foods high in fat, sugar and salt like chips, salted pretzels, candy, sweetened beverages, cakes and cookies. Drink water regularly to satisfy your thirst. During your 2nd and 3rd trimesters of pregnancy, you need some additional calories each day to support the growth of your baby. Eat “twice as healthy” not “twice as much.” One extra snack is often enough. The following are examples of nutritious snacks or foods to add to a meal: o Have an apple and cheese or yogurt and fresh fruit or hummus with vegetable sticks as an afternoon snack o Have an extra slice of toast at breakfast and an extra glass of milk at supper o Have an extra morning snack of fruit with yogurt and an extra serving of vegetables with supper o Have an extra glass of milk with lunch and supper o Have an extra afternoon or evening snack of whole grain cereal with milk and sliced fruit or chopped nuts o Have an extra afternoon snack of half a sandwich or whole grain toast with nut butter and fruit Take a prenatal multivitamin every day.
    [Show full text]
  • Kentucky Prenatal Nutrition Guide Second Trimester 14 Weeks-28 Weeks
    Kentucky Prenatal Nutrition Guide Second Trimester 14 weeks-28 weeks 1st trimester 2nd trimester 3rd trimester NUTRITION Eating for a Healthy Baby The kinds of food you eat are as important as how much you eat. To make sure you are getting enough of the right foods for proper weight gain and growth of the baby, choose from all five food groups in “MyPlate”. It is helpful to plan meals and snacks in advance. Eating healthy snacks can help you meet your daily nutritional needs for pregnancy. Remember to take your prenatal vitamin daily. Good Snack Choices Choose More Often Choose Less Often Fresh Fruit Fresh Vegetables Pudding Dried Fruit Lowfat yogurt Unbuttered popcorn Cheese Ice Cream Vegetable Juice Skim/1% Milk Nuts Instant Breakfast WIC Cereals Reduced Fat Cheese Shakes Peanut Butter Eggs Whole or 2% Milk Weight Gain in Pregnancy Weight gain during pregnancy is very important. The right amount of weight gain can help prevent having a baby who is too small or may have medical problems. Women need to gain 25-35 pounds during pregnancy. Underweight women need to gain 28-40 pounds and overweight and obese women will need to gain 11-25 pounds during the pregnancy. Women expecting twins will need to gain more, about 35—45 pounds. During the 2nd trimester you can expect to gain about ½ to 1½ pounds per week. Losing weight during pregnancy is not recommended. For baby‟s health and development, wait until baby is born to start your weight loss. YOUR BABY‟S HEALTH Tobacco, alcohol and drugs A healthy baby is the one whose mother does not use tobacco, drugs or alcohol.
    [Show full text]
  • 382 Fetal Alcohol Spectrum Disorders
    382 Fetal Alcohol Spectrum Disorders UPDATED 8/2020 Definition/Cut-off Value Fetal alcohol spectrum disorders (FASDs) are a group of conditions that can occur in a person whose mother consumed alcohol during pregnancy (1). FASDs is an overarching phrase that encompasses a range of possible diagnoses, including fetal alcohol syndrome (FAS), partial fetal alcohol syndrome (pFAS), alcohol-related birth defects (ARBD), alcohol-related neurodevelopmental disorder (ARND), and neurobehavioral disorder associated with prenatal alcohol exposure (ND-PAE) (2). Presence of condition diagnosed, documented, or reported by a physician or someone working under a physician’s orders, or as self-reported by applicant/participant/caregiver. See Clarification for more information about self-reporting a diagnosis. Participant Category and Priority Level Category Priority Pregnant Women 1 Breastfeeding Women 1 Non-Breastfeeding Women 6 Infants 1 Children 3 Justification Justification Prenatal exposure to alcohol can damage the developing fetus and is the leading preventable cause of birth defects and intellectual and neurodevelopmental disabilities (2). (See risk #372 Alcohol and Substance Use for more information.) FASD is an umbrella term describing the range of effects that can occur in an individual whose mother consumed alcohol during pregnancy (2). These effects include physical, mental, behavioral, and/or learning disabilities with possible lifelong implications (1, 2). Often, a person with FASD has a mix of these conditions (1). The term FASDs is not meant for use as a clinical diagnosis and encompasses all other diagnostic terms, such as fetal alcohol syndrome (FAS) (1, 2). FASDs refer to the whole range of effects that can occur in a person whose mother consumed alcohol during pregnancy.
    [Show full text]
  • Healthier Pregnancy: Patient Safety Goals
    HEALTHIER PREGNANCY: PATIENT SAFETY GOALS JASSIN M. JOURIA, MD DR. JASSIN M. JOURIA IS A MEDICAL DOCTOR, PROFESSOR OF ACADEMIC MEDICINE, AND MEDICAL AUTHOR. HE GRADUATED FROM ROSS UNIVERSITY SCHOOL OF MEDICINE AND HAS COMPLETED HIS CLINICAL CLERKSHIP TRAINING IN VARIOUS TEACHING HOSPITALS THROUGHOUT NEW YORK, INCLUDING KING’S COUNTY HOSPITAL CENTER AND BROOKDALE MEDICAL CENTER, AMONG OTHERS. DR. JOURIA HAS PASSED ALL USMLE MEDICAL BOARD EXAMS, AND HAS SERVED AS A TEST PREP TUTOR AND INSTRUCTOR FOR KAPLAN. HE HAS DEVELOPED SEVERAL MEDICAL COURSES AND CURRICULA FOR A VARIETY OF EDUCATIONAL INSTITUTIONS. DR. JOURIA HAS ALSO SERVED ON MULTIPLE LEVELS IN THE ACADEMIC FIELD INCLUDING FACULTY MEMBER AND DEPARTMENT CHAIR. DR. JOURIA CONTINUES TO SERVES AS A SUBJECT MATTER EXPERT FOR SEVERAL CONTINUING EDUCATION ORGANIZATIONS COVERING MULTIPLE BASIC MEDICAL SCIENCES. HE HAS ALSO DEVELOPED SEVERAL CONTINUING MEDICAL EDUCATION COURSES COVERING VARIOUS TOPICS IN CLINICAL MEDICINE. RECENTLY, DR. JOURIA HAS BEEN CONTRACTED BY THE UNIVERSITY OF MIAMI/JACKSON MEMORIAL HOSPITAL’S DEPARTMENT OF SURGERY TO DEVELOP AN E-MODULE TRAINING SERIES FOR TRAUMA PATIENT MANAGEMENT. DR. JOURIA IS CURRENTLY AUTHORING AN ACADEMIC TEXTBOOK ON HUMAN ANATOMY & PHYSIOLOGY. Abstract Preparing women early on in a pregnancy to follow a plan for routine prenatal care has been shown to promote healthy outcomes for expectant mothers and the developing baby during all phases of pregnancy. Proper nutrition and prevention should be reviewed at the first prenatal visit and for every visit throughout the pregnancy. To ensure that best care practices are followed and that promotion of maternal and infant health is of top priority, all health professionals should understand patient safety goals and standards of practice.
    [Show full text]
  • Nutrition Guideline: Pregnancy: Multiples
    Nutrition Guideline For Professional Reference Only Pregnancy Applicable to: Nurses, Physicians and Other Health Professionals Recommendations: • Women who could become pregnant are encouraged: o To eat a variety of food every day and make healthy eating and physical activity part of everyday life. o To take a multivitamin and mineral supplement that contains 0.4 mg (400 mcg) of folic acid every day. Women are recommended to start supplementation at a minimum of 3 months prior to conception. o To maintain a healthy body weight before and between pregnancies. • During pregnancy, women are advised to: o Eat a variety of foods and follow Canada’s Food Guide. o Include additional foods every day in the 2nd and 3rd trimesters of pregnancy in amounts appropriate to meet healthy pregnancy weight gain recommendations for their pre-gravid BMI category. o Choose a multivitamin and mineral supplement that contains 0.4 mg (400 mcg) folic acid, 16 – 20 mg of iron, vitamin B12, and 400 IU of vitamin D every day. o Follow safe food handling practices and avoid foods that increase chances of getting a food-borne illness during pregnancy. o Limit caffeine intake to 300 mg per day. o Drink 10 cups (2.5 L) of fluid each day. Water is recommended as the main fluid. • Health care providers are advised to provide pregnant women with nutrition information that will help them make informed choices about: o Healthy pregnancy weight gain. o Nutrients of special concern during pregnancy (e.g. folic acid, iron, calcium). o Nutrient supplements. o Beverage and fluid choices.
    [Show full text]
  • First Steps Nutrition Modules Module 3 – Nutrition Assessment
    First Steps Nutrition Modules Module 3 – Nutrition Assessment Introduction The nutrition-related objectives for pregnancy include the following: Infant born at full-term infant (37 weeks gestational age or later) weighing 2500 to 4200 g (5 lb, 8 oz to 9 lb, 6 oz) Maternal pregnancy weight gain within the Institute of Medicine (IOM) guidelines Hemoglobin/hematocrit levels maintained within acceptable levels for gestation Appropriate prenatal vitamin and/or mineral supplement use Dietary intake adequate to meet essential nutrient needs of mother and baby Breastfeeding discussed and promoted as the infant feeding method Family planning goals and method(s) identified Attaining these objectives begins with a thorough nutrition assessment. The initial nutrition assessment provides the dietitian with valuable information about the nutritional status of the individual as well as information with which to identify potential nutrition interventions. Subsequent assessments help the dietitian evaluate the effectiveness of each intervention and identify additional risk factors. In order to be useful, the dietitian must gather accurate information and carefully evaluate it. Hamaoui and Hamaoui (1998) summarize this: “To provide meaningful guidance, the nutritional assessment must answer at least four basic questions: First, with what nutrient reserves has the woman entered pregnancy? Second, what are her own physiologic needs, and what are the added requirements of her pregnancy? Third, does she have any disease process or is she receiving any therapy that might affect her nutrient requirement or nutrient tolerance? Fourth, is her current intake meeting her nutritional needs?” First Steps Nutrition Training Modules – http://depts.washington.edu/pwdlearn/firststeps Module 3 – Nutrition Assessment page 1 This module reviews the process of nutrition assessment, highlighting the nutritional issues of the pregnant woman.
    [Show full text]
  • Prenatal Nutrition Guidebook Arizona WIC Training Trainee Edition
    Prenatal Nutrition Guidebook Arizona WIC Training Trainee Edition Trainee Version Arizona WIC Training Prenatal Nutrition Guidebook Bureau of Nutrition and Physical Activity Page 1 11/24/2020 Prenatal Nutrition Guidebook Arizona WIC Training Trainee Edition Contents Contents ........................................................................................................................................................ 2 What Will You Learn?.................................................................................................................................... 3 Items Needed for This Course ....................................................................................................................... 3 Recommended Time ..................................................................................................................................... 3 Things to Remember ..................................................................................................................................... 3 Prenatal Nutrition Course Instructions ......................................................................................................... 4 Module 1: Prenatal Care and Physical Activity ............................................................................................. 5 Module 1: Activity ..................................................................................................................................... 5 Module 2: Healthy Eating and Supplements ...............................................................................................
    [Show full text]
  • Prenatal Nutrition Checklist Is to Help Guide Client Discussions
    November 2013 Welcome to the Prenatal Nutrition Manual for healthcare professionals working with pregnant women. This manual was designed by Public Health Dietitians from the Winnipeg Regional Health Authority and was created especially for use during Healthy Baby community drop-in programs. The purpose of the Prenatal Nutrition Checklist is to help guide client discussions. It is not intended to be used in the following manners: - as a form for the client to fill out without follow up - as an assessment - as a form of charting to be kept on file The client’s name or other identifying information should not be written down on the checklist. The goal of the Prenatal Nutrition Checklist is to provide evidence based prenatal nutrition information and corresponding handouts to equip healthcare professionals in their work with prenatal women. How to use this manual: 1. Following this page is the Prenatal Nutrition Checklist. This is a conversation guide for you, the healthcare professional, to use when initiating a discussion with a prenatal client. The checklist encompasses all the major discussion points for a conversation on optimizing pregnancy outcomes through healthy eating and nutrition. 2. Each tab thereafter corresponds to each of the questions asked on the Prenatal Nutrition Checklist in the order in which they appear on the checklist. Within each tab, there are summaries of background evidence for the topic. 3. The colourful folder on the left contain handouts pertaining to each of the topics in the checklist. 4. A memory stick has been included with the electronic copies of resources that can easily be printed by each user of this manual as needed.
    [Show full text]
  • How to Feed the Fetus
    Vol. 78, Suppl. 1, 20–21 How to Feed the Fetus Guest Editor Ferdinand Haschke, Salzburg Editorial Board Jatinder Bhatia, Augusta, GA Weili Lin, Chapel Hill, NC Carlos Lifschitz, Buenos Aires Andrew Prentice, Banjul/London Frank M. Ruemmele, Paris Hania Szajewska, Warsaw Supported by Basel • Freiburg • Hartford • Oxford • Bangkok • Dubai • Kuala Lumpur • Melbourne • Mexico City • Moscow • New Delhi • Paris • Shanghai • Tokyo https://www.nestlenutrition-institute.org Reprint of Annals of Nutrition and Metabolism Vol. 76, Suppl. 3, 2020 Sponsor Note This publication was supported by an unrestricted educational grant by the Nestlé Nutrition Institute. The institute is a not-for-profi t association which was created to provide latest medical and scientifi c information to health profes- sionals in the fi eld of pediatric and adult nutrition and nutrition-related disorders (available at www.nestlenutrition-institute.org). Any liability of the sponsors for the content of the papers is hereby expressly excluded. Disclosure Statement Guest Editor Ferdinand Haschke declares honoraria for scientifi c lectures from Nestlé and other food companies. S. Karger Disclaimer All rights reserved. Medical and Scientifi c Publishers Th e statements, opinions and data contained in this publica- No part of this publication may be translated into other tion are solely those of the individual authors and contributors languages, reproduced or utilized in any form or by any means, Basel • Freiburg • Hartford • Oxford • and not of the publisher and the editor(s). Th e appearance of electronic or mechanical, including photocopying, recording, Bangkok • Dubai • Kuala Lumpur • advertisements in the journal is not a warranty, endorsement, microcopying, or by any information storage and retrieval Melbourne • Mexico City • or approval of the products or services advertised or of their system, without permission in writing from the publisher or, Moscow • New Delhi • Paris • eff ectiveness, quality or safety.
    [Show full text]
  • Investigating Alcohol Consumption
    Ceccanti et al. Obstet Gynecol cases Rev 2016, 3:076 Volume 3 | Issue 2 Obstetrics and ISSN: 2377-9004 Gynaecology Cases - Reviews Review Article: Open Access Investigating Alcohol Consumption during Pregnancy for the Prevention of Fetal Alcohol Spectrum Disorders (FASD) Mauro Ceccanti1*, Daniela Fiorentino1, Paola Ciolli1, Giovanna Coriale1, Marisa Patrizia Messina1, Maria Concetta Marcella Scamporrino1, Simona Solombrino1, Marco Fiore2 and Valentina Carito2 1Centro Riferimento Alcologico Regione Lazio, Universita’ di Roma ‘‘La Sapienza’’, Roma, Italy 2Istituto di Biologia Cellulare e Neurobiologia, CNR, Roma, IRCSS Santa Lucia, Italy *Corresponding author: Mauro Ceccanti, Centro Riferimento Alcologico Regione Lazio, DAI di Medicina Interna, Immunologia Clinica, Nutrizione Clinica ed Endocrinologia, Policlinico Umberto I-Università Sapienza, Viale del Policlinico 155, 00186-Rome, Italy, Tel: (0039) 06 4997 2093/5/7, Fax: (0039) 06 4997 2096, E-mail: [email protected] during pregnancy shows that many Countries all over the world Abstract officially released recommendations on the safest drinking behavior The term FASD (Fetal Alcohol Spectrum Disorders) is used to during pregnancy, from total abstention to no more than 1 or 2 drinks1 describe the entire spectrum of pathologies and disorders caused once or twice a week (i.e. the United Kingdom)2. Some countries by alcohol exposure in uterus. Alcohol assumed in pregnancy made health warning labels on alcoholic beverages mandatory: the passes directly through the placental barrier causing a broad range US enacted such a law in 1989, China in 2005, France in 2006, Russian of symptoms whose severity can greatly vary in degree. The alcohol 3 teratogenic effect may result in physical damage and specific Federation and South Africa in 2007 .
    [Show full text]
  • Comparison and Characterization of Prenatal Nutrition Counseling Among Large-For-Gestational Age Deliveries by Pre-Pregnancy BMI
    nutrients Article Comparison and Characterization of Prenatal Nutrition Counseling among Large-for-Gestational Age Deliveries by Pre-Pregnancy BMI Kiley B. Vander Wyst 1, Guadalupe Quintana 2, James Balducci 2 and Corrie M. Whisner 1,* 1 College of Health Solutions, Arizona State University, Phoenix, AZ 85007, USA; [email protected] 2 Maricopa Integrated Health System, Phoenix, AZ 85008, USA; [email protected] (G.Q.); [email protected] (J.B.) * Correspondence: [email protected]; Tel.: +1-(602)-496-3348 Received: 4 November 2019; Accepted: 6 December 2019; Published: 10 December 2019 Abstract: It is recommended that prenatal care include nutrition counseling; however, <70% of women report receipt of nutrition counseling during pregnancy. In this study, we aimed to characterize prenatal nutrition counseling (PNC) among large-for-gestational age deliveries at a low-income and minority-serving hospital by performing a retrospective chart review of infants with a birth weight > 4000 g. Of the 2380 deliveries, 165 met the inclusion criteria. Demographics, PNC receipt, and pregnancy outcomes were compared among normal-weight (NW; BMI: 18.5–24.9 kg/m2, 19%, n = 31), overweight (OW; BMI: 25–29.9 kg/m2, 29%, n = 48), and obese (OB; BMI > 30 kg/m2, 52%, n = 86) women. The majority (78%, n = 129) of women were Hispanic White with a mean age of 30.4 5.7 ± yrs and gestational weight gain of 12.1 5.8 kgs. A total of 62% (n = 103) of women received PNC. ± A total of 57% gained above the Institute of Medicine (IOM) recommendations (n = 94). OB women were 2.6 and 2.1 times more likely to receive PNC than OW (95% CI: 1.1–2.0) and NW (95% CI: 0.9–1.9) women, respectively.
    [Show full text]