Diet Accommodation and Discomfort Concerns Related to pregnancy

Question 1

What can a gluten-free diet be low on?

Answer 1

Fibre – should have 28g of fibre/day
Iron – 16 – 20mg of iron
B-vitamins

Question 2

Who would we see on a gluten-free diet?

Answer 2

Pt with celiac disease, gluten sensitivity, or by choice

Question 3

What is incomplete and lacking in a vegetarian diet? What must we make sure we do in a vegetrain diet to make up for this?

Answer 3

Plant proteins are “incomplete” and lack certain amino acids needed for growth and tissue maintenance

Supplement with other plants that provide these to get essential amino acids

Question 4

What vitamin is only found in foods with animal origin?

Answer 4

B12 - we ned to make sure our vegans and vegetarians take supplement or have fortified foods high in this

Question 5

In a vegetarian diet, what might not be as easily absorbed as meat sources?

Answer 5

Iron and Zinc from plant sources

Question 6

What can be low if milk in not in diet?

Answer 6

Calcium

Question 7

What natural remidies can a pregnant person take to cope with nausea and vomiting?

Answer 7

Antiemetics like:
-Vitamin B6 (200mg/day)
-Ginger (up to 1000mcg/day)
-Pericardium 6 acupressure (pressure point on posterior wrist)

Question 8

What drug combination could be prescribed to reduce nausea and vomiting in pregnancy?

Answer 8

-Pyridoxine +Doxylamine (Diclectin)

Question 9

What can we teach our patient to manage nausea and vomiting during pregnancy?

Answer 9

-Small amounts of food every 1-2hrs
-Do not mix food and drink
-Do not skip meals
-Avoid strong odors
-Avoid sudden movements
-Try salty and tart food
Breathe fresh air
-Try candies and gum to eliminate metallic taste in mouth
-Avoid brushing teeth immediately after eating

Question 10

What can we teach our patients to do to manage constipation related to pregnancy?

Answer 10

-Eat more fibre (28g/day)
-Drink more water (2.2L/day (Warm fluids may induce peristalsis more than cold fluids)
-Regular exercise
-Laxatives should not be taken unless Pt talks to a physician

Question 11

What can we teach our patients to do to manage heartburn that’s related to pregnancy?

Answer 11

-Eat small, frequent meals
-Add protein to every snack
-Avoid fluid with meals
-Avoid foods high in fat, spicy foods, acidic foods, and chocolate or mint
-Avoid lying down immediately after eating
-Not all antacids are safe. Pt should consult a physician before using them.