| Folic acid is so important, especially at the beginning of
pregnancy, that most doctors recommend that women planning a family take
folic acid supplements prior to conception. It is essential for the baby’s
growth and prevents some birth defects such as spinal bifida. Folic acid,
which also protects against heart disease, is found in dark leafy
vegetables, orange juice and some nuts, but is difficult to obtain from diet
alone.
Many pregnant women assume they are “eating for two” and overindulge
during their pregnancy. The result is extra strain on the body during
pregnancy and unwanted extra pounds after the baby is delivered. Remember
that the growing fetus inside of you is very tiny and doesn’t need as many
calories as you think. Doctors recommend an additional 200 calories per day
in the first trimester, with weight gain in the area of 1 to 1 ½ pounds per
month. If you are gaining significantly more than that in the first
trimester, you are probably consuming too many calories. Calorie needs
increase as the pregnancy progresses, from 300 extra calories to 500 extra
calories, depending on your activity level. Weekly weight gain will increase
towards the end of the pregnancy. The recommended weight gain for most women
during pregnancy is 25-30 pounds, or 35-40 pounds if you are carrying twins.
Of course, only your doctor can tell you how many calories you should be
eating and how much weight you should be gaining. Needless to say, pregnancy
is not the time to cut back on calories or try to lose weight. This could
have significant detrimental effects upon your baby.
Pregnant women have an increased need for
calcium because growing babies
need calcium for strong bones and teeth. Try to eat at least four servings a
day of milk, cheese or yogurt, along with other foods containing calcium
such as dried beans, calcium-fortified orange juice and canned fish with
bones (sardines or mackerel). Calcium deficiency can create health problems
in pregnant women such as high blood pressure or preeclampsia. If you cannot
tolerate eating the minimum amount of calcium-rich foods, talk to your
doctor about a calcium supplement.
Iron is also required in greater amounts during pregnancy. Many pregnant
women become anemic as their blood supply increases, and the baby’s own
blood supply develops. It is recommended that iron-rich foods be eaten with
foods rich in vitamin C for maximum iron absorption. Examples of iron-rich
foods include beef, dried fruits, sardines, and various vegetables. If you
are exhibiting symptoms of anemia, your doctor may recommend an iron
supplement (in addition to the iron found in your prenatal vitamin).
Pregnant women should avoid caffeine, alcohol and sugary sodas, as these
beverages do not contribute to the growth and development of a baby. In
fact, no safe minimum has been established for fetal exposure to alcohol.
Therefore, no alcohol should be consumed during pregnancy.
Smoking can cause serious harm to the fetus. Quit smoking immediately
when you discover you are pregnant.
Raw and undercooked foods should never be eaten, because they are
potentially contaminated with bacteria, which can harm a growing fetus. It
is recommended that pregnant women avoid soft cheeses such as blue, feta,
camembert and other similar cheeses, which also may contain harmful
bacteria. Do not drink un-pasteurized milk or juices and wash raw fruits and
vegetables thoroughly.
Nausea can be a problem, especially in the first trimester of pregnancy.
Many doctors recommend eating small (healthy!) meals throughout the day, or
nibbling on dry crackers.
Nutritional guidelines recommended on the
Food Pyramid are applicable to
pregnant women and non-pregnant women alike. It is best to eat wholesome
grains, fruits and vegetables, lean meats and dairy products. Avoid
saturated fats and sugary, processed foods but try to incorporate
monounsaturated “good” fats found in canola and olive oils, avocados and
nuts into your diet. Eat lots of high-fiber foods and drink lots of water to
help avoid constipation, a common side effect of pregnancy. In general, make
the effort for your baby to avoid the empty calories in junk food and eat a
healthy, well-balanced diet. |