Pregnancy Nutrition: Good Health for You and Your Baby
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About this ebook
A healthy pregnancy starts with a well-balanced diet, but there's much more to know. For example: True or False?
* You need to eat an extra 500 calories a day when pregnant.
* Iron needs triple during pregnancy.
* A high-fiber diet is important during pregnancy.
Answers:
* False. Pregnant women require 300 extra calories a day and nursing women need an extra 500 calories a day. You'll find more on calories and weight gain in Chapter 1 and nutrition tips while breast-feeding in Chapter 9.
* False. Your need for iron doubles during pregnancy. Still, it can be difficult to get this much iron from food alone. That's why you should read more about iron in Chapter 3.
* True. Fiber helps prevent constipation, a common occurrence during pregnancy. Learn tips for managing constipation, morning sickness, and other discomforts of pregnancy in Chapter 7.
From the latest information on vitamin and mineral supplements and exercise to advice on losing weight after your baby is born, this handy book covers it all.
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Pregnancy Nutrition - The American Dietetic Association
Pregnancy
Nutrition
Good Health for you
and your Baby
Written for
The American Dietetic Association
by Elizabeth M. Ward, MS, RD
JOHN WILEY & SONS, INC.
New York · Chichester · Weinheim · Brisbane · Singapore · Toronto
This book is printed on acid-free paper.
Copyright © 1998 by the American Dietetic Association.
All rights reserved
Published by John Wiley & Sons, Inc.
Published simultaneously in Canada
Previously published by Chronimed Publishing
No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 750-4744. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 605 Third Avenue, New York, NY 10158-0012, (212) 850-6011, fax (212) 850-6008, E-Mail: PERMREQ@WILEY.COM.
The information contained in this book is not intended to serve as a replacement for professional medical advice. Any use of the information in this book is at the reader’s discretion. The author and the publisher specifically disclaim any and all liability arising directly or indirectly from the use or application of any information contained in this book. A health care professional should be consulted regarding your specific situation.
Library of Congress Cataloging-in-Publication Data:
ISBN 0-471-34697-7
10 9 8 7 6 5
Pregnancy Nutrition
Good Health for you and your Baby
Written for The American Dietetic Association by
Elizabeth M. Ward, MS, RD Nutritionist, Harvard Vanguard Medical Associates Boston, Massachusetts
The American Dietetic Association Reviewers:
Lorri Fishman, MS, RD National Center for Nutrition and Dietetics
Maureen Murtaugh, PhD, RD Rush Presbyterian St. Luke’s Medical Center Chicago, Illinois
Technical Editor:
Betsy Hornick, MS, RD The American Dietetic Association Chicago, Illinois
The American Dietetic Association is the largest group of food and health professionals in the world. As the advocate of the profession, the ADA serves the public by promoting optimal nutrition, health, and well-being.
For expert answers to your nutrition questions, call the ADA/National Center for Nutrition and Dietetics Hot Line at (900) 225-5267. To listen to recorded messages or obtain a referral to a registered dietitian (RD) in your area, call (800) 366-1655. Visit the ADA’s Website at www.eatright.org.
Contents
Introduction
Chapter 1—Weight Gain: How Much is Enough?
Weighing In on Pregnancy
Counting on Calories
Chapter 2—Fueling a Healthy Pregnancy
Carbohydrates
Fiber: A Complex Issue
Protein
Fat
Chapter 3—Vitamins and Minerals: The Supporting Cast
Vital Vitamins
Must-Have Minerals
About Vitamin and Mineral Supplements
Chapter 4—What’s to Drink?
Fluids for Two
Lowdown on Caffeine
Alcohol Matters
Lead: A Heavy Metal
Chapter 5—An Eating Guide for Pregnancy
Pyramid for Pregnancy
Eating on the Run
Chapter 6—An Active Pregnancy
Physical Activity Tips
Special Concerns
Chapter 7—Managing the Discomforts of Pregnancy
Morning Sickness
Heartburn
Constipation
Hemorrhoids
Swelling
Food Aversions
Chapter 8—Special Concerns During Pregnancy
Food Safety
The Vegetarian Mom-to-Be
Special Health Conditions During Pregnancy
Chapter 9—Postpartum Nutrition
Weighing In on Weight Control
Weight Loss Readiness
Before Your Next Baby
Appendix 1: Your Daily Food Checklist
Appendix 2: Sample Daily Meal Plans
Appendix 3: Delicious and Nutritious Recipes
Index
Introduction
You’re pregnant! how wonderful! As a mother-to-be, you’ve taken on your most important role ever. Expecting a child gives new meaning to eating a well-balanced diet, cutting out alcohol and smoking, and getting enough rest. In fact, your habits during pregnancy can influence your child for the rest of his life. Leading a healthy lifestyle is the best way to show your love for your growing baby.
The coming months will be filled with rapid growth—for both you and your baby—and changes that will bring excitement and joy, as well as fatigue, uncertainty, and apprehension. At times, you may feel as if you’re riding a rollercoaster of emotions, happy one minute and down in the dumps the next. This is normal and quite common during pregnancy as you experience many physical and emotional changes and anticipate the life changes a new baby brings.
Pregnancy Nutrition was created to help make the eating right part of pregnancy easier. This essential guide is packed with practical advice. You’ll learn what to eat for your growing baby and how to manage side effects of pregnancy. And you’ll find answers to your many nutrition questions, presented in a simple, straightforward format.
While Pregnancy Nutrition helps you navigate healthy eating, it is not a substitute for the guidance of a qualified health care provider, such as a licensed physician, a certified nurse midwife, or perinatal nurse practitioner. Every pregnancy is unique, and pregnant women should visit their health care provider regularly, beginning early in pregnancy.
You’ve Just Found Out
Home pregnancy tests make finding out you’re expecting quick, private, and convenient. Once you get a positive home pregnancy test reading, your doctor’s office may ask you to have it confirmed by a more sophisticated blood test done through a laboratory or by another urine test in the doctor’s office. Whatever the case, call your health care provider’s office to schedule your first prenatal appointment after a positive home test.
Even with an appointment on the books, it can be weeks before you meet with your health care provider. What should you do in the meantime? Here are some suggestions to get you started on a healthy pregnancy.
If you smoke, drink alcohol, or take any illicit drugs, stop now.
Get plenty of rest.
Exercise in moderation, not until exhaustion.
If you’re taking a multivitamin and mineral supplement that provides no more than 100 percent of the RDA for nutrients, it’s fine to continue, but don’t take any other supplement, such as extra vitamin C, or herbs. Your health care provider may prescribe a prenatal vitamin and mineral supplement before your first prenatal visit. If so, then stop taking the multivitamin.
Eat a