|
Congratulations! You're pregnant! This is a
thrilling and unique time, when what you eat not only has
an affect on your health, but also on the development and
wellbeing of your unborn baby.
Nutritional considerations
The complex processes that occur during pregnancy require
a rich supply of protein, vitamins and minerals for both mother
and child. If you've built up good stores of nutrients in
the months and years before conception through a healthy,
balanced diet, the added demands of pregnancy can be met with
modest adjustments. If, however, your nutrient stores are
low, you run a greater risk of diet-related problems during
pregnancy, such as anaemia.
But while your need for certain nutrients does increase
during pregnancy, the old adage 'eating for two' doesn't
necessarily mean you should eat twice as much food, for
a number of reasons:
Your growing baby isn't as big as an adult.
During pregnancy, your body becomes more efficient at
absorbing nutrients in the digestive system.
Your body also doesn't excrete nutrients - instead, it
builds up stores of vitamins and minerals.
It's the quality of your diet that's important, not the quantity.
Energy
The theoretical energy cost of pregnancy has been estimated
to be 80,000 calories, but there's no need to increase your
overall energy intake until the last trimester, when all that's
needed is an increase of just 200 calories a day. This is
the equivalent of a couple of slices of toast with low-fat
spread and a glass of milk.
Protein
There is no need to increase your protein intake, as long
as you follow general healthy eating principles and include
some lean meat, fish or poultry, dairy products, grains, nuts
and pulses.
Fibre
It's particularly important to increase your fibre intakes
when pregnant to avoid the common pregnancy niggles of constipation
and piles (haemorrhoids). Increase your fibre intake by eating
lots of fruit and vegetables, wholemeal bread and cereals,
brown rice, wholemeal pasta and pulses. You should also increase
your fluid intake. Increasing fibre without adequate fluid
can exacerbate constipation.
Folic acid
This is particularly important before conception and during
the first trimester of pregnancy. Mothers who are deficient
in folic acid are at increased risk of having a baby with
a neural tube defect (NTD), such as spina bifida.
From the moment you start trying to conceive until week
12 of pregnancy, you should take a daily 400mcg supplement
of folic acid. Women with a history of NTDs should be prescribed
a 5mg supplement.
These supplements should be in addition to dietary intakes,
which should be about 200mcg per day. You can boost your
folic acid intake by choosing foods such as:
fortified breakfast cereals
wholemeal and wholegrain breads and rolls
green leafy vegetables - cabbage, broccoli, spinach, Brussels
sprouts, spring greens, kale, okra and fresh peas
pulses - chickpeas, black-eyed beans and lentils
Folic acid is easily lost during cooking, so steam vegetables
or cook in only a little water for a short time to retain
as much goodness as possible.
Iron
Many women of child-bearing age have low iron stores.
Your iron levels will be measured throughout pregnancy,
and if found to be low you'll be prescribed an iron supplement.
Nevertheless, it's important to try to maintain a good iron
intake during pregnancy.
Good sources of iron can be split into two categories:
meat-based (haem) and plant-based (non-haem):
| Meat-based |
Plant-based |
| Lean red meat - beef,
pork, and lamb. |
Fortified breakfast cereals,
eggs, baked beans and other pulses, green leafy vegetables
such as spinach and broccoli, dried apricots and prunes,
whole grain breads and cereals. |
The body doesn't absorb iron from non-meat foods as easily
as it does from meat sources. However, you can enhance iron
absorption by including a source of vitamin C (see below)
with your meal. In contrast, tannins found in tea reduce the
absorption. So, it's better to have a glass of orange juice
with your bowl of cereal in the morning than a cup of tea.
Vitamin A
Although liver and liver products, such as paté and
liver sausage, are good sources of iron, they can also contain
very high concentrations of vitamin A. If taken in excess,
this vitamin can build up in the liver and cause serious
harm to a growing baby.
As a result, the Department of Health advises all pregnant
women to avoid liver and liver products. You should also
be aware that some vitamin supplements are high in this
vitamin, so always choose a specially prepared pregnancy
supplement.
However, the form of vitamin A derived from green, orange,
and yellow fruit and vegetables - known as carotene - has
very positive health benefits, and is plentiful in red,
yellow and orange peppers, mango, carrots, sweet potatoes,
apricots, tomatoes and watercress.
Vitamin C
In order to help your body absorb and effectively use iron
and other nutrients from your food, you should eat plenty
of vitamin C-rich foods. Good sources include citrus fruits
(oranges, tangerines, grapefruit and lemons), blackcurrants,
strawberries, kiwi fruit, peppers, tomatoes and green leafy
vegetables. Aim to eat at least five portions of fruit and
vegetables every day.
Vitamin D
This is sometimes referred to as the 'sunshine vitamin'
because it's made when the skin is exposed to sunlight.
Vitamin D is essential for the proper use of calcium and
phosphorus, which are necessary for the formation and maintenance
of healthy bones and teeth. It is found in only a few foods,
including fortified margarines and reduced-fat spreads,
fortified breakfast cereals, oily fish and meat. A small
amount can also be found in milk and eggs.
Pregnant and breastfeeding women with dark skin or those
who always cover their skin, are at particular risk of a
vitamin D deficiency and may require a supplement. These
should be available at your local health centre. Ask your
dietician, practice nurse or doctor for more information.
Calcium
Your requirements of this essential mineral double during
pregnancy, and are particularly high during the last ten
weeks when calcium is being laid down in your baby's bones.
Despite this, though, no dietary increase is thought necessary
because your body adapts to absorb more calcium from the
foods eaten.
This means, though, that it's important to eat sufficient
calcium-containing foods. Good sources include milk and
dairy foods such as cheese, yoghurt and fromage frais. Pregnant
women should aim to have three servings of foods from this
group every day (typical servings include a glass of milk,
milk with cereal, a small chunk of cheese and a small pot
of yoghurt). Other sources include bread, green vegetables,
canned fish with soft, edible bones (salmon, sardines and
pilchards), dried apricots, sesame seeds, tofu, fortified
orange juice and fortified soya milk.
If you're pregnant or breastfeeding and you receive Income
Support of Jobseeker's Allowance, you're entitled to free
milk (up to seven pints a week). Ask your midwife or health
visitor for further details.
A balanced diet
Most of the additional nutrient needs of pregnancy can be
met by eating a well-balanced and varied diet. With a few
exceptions, you can continue to eat a normal, healthy diet
in keeping with the Balance of Good Health. This includes
regular meals and snacks, and a sensible healthy eating
regime containing:
Plenty of starchy carbohydrates - bread,
rice, pasta, breakfast cereals, chapattis, couscous and
potatoes.
Plenty of fruit and vegetables - at least five portions
a day.
Lots of milk, yoghurt, fromage frais and pasteurised cheeses.
Enough protein, such as like meat, fish, eggs (well-cooked),
beans and pulses.
Not too many fat-rich and sugary foods.
Aim to have at least eight glasses of fluids per
day.
|