nutrition in pregnancy Flashcards
how much do pregnant women need to drink
1.9L water
fasting recommendations
avoid >12h
calories during pregnancy
no need to increase for first 2 trimesters but increase 200 for last trimester/12 weeks
caffeine in pregnancy
no more than 200mg
(2 mugs instant/1 filter/3 cups of tea)
vitamins
400 micrograms Folic acid/B9 pre-conception & first trimester
10 micrograms Vitamin D through pregnancy & continuation if breast feeding
vitamins A, C, D, E and K and the vitamin B s (13 in total)
why is folic acid important
Folates important in the biosynthesis of DNA and RNA, and amino acid metabolism.
folic acid deficiency
spina bifida, heart or limb defects and some childhood brain tumours & anaemia!
when prescribe High Dose Folic Acid 5mg
spina bifida
Anticonvulsants for epilepsy
Coeliac disease
Diabetes
BMI is 30 or more
Sickle-cell anaemia or thalassaemia
vitamin d deficiency for mother and child
Osteomalacia, Pre-eclampsia, Gestational diabetes, Caesarean section, Bacteria vaginosis
Neonatal Hypocalcaemia, Asthma/Respiratory Infection, Rickets
Listeriosis
monocytogenes infection can cause in utero infection
Listeriainfection can cause miscarriages, stillbirths, and preterm labour
how to avoid listeriosis
Drink only pasteurised or UHT milk
Avoid eating ripened soft cheese such as Camembert, Brie or blue-veined cheese;
what can limit iron absorption and what can iron limit absorption of
caffeine
thyroxine
why do you need to not have tuna during pregnancy
mercury
management of obesity in pregnancy
Low Dose Aspirin ( 150 mg daily from 12/40 until delivery
Operative delivery In Obese Women
IV access difficulty
anticipate PPH
