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NUTRITION DURING PREGNANCY: HEALTHYEATING FOR YOU AND YOUR BABY
Good nutrition during pregnancy is important because the food choices you make while
you are pregnant not only affect your health and well-being, but also the growth
and development of your baby. Generally speaking, your nutrient needs during pregnancy
are not all that different than before you became pregnant.
Even though you may have heard that you are “eating for two” you really don't need
many extra calories -- you only need an additional 250-300 calories a day during
the last two trimesters of your pregnancy. That amounts to an extra glass of milk,
one to two more ounces of lean meat or a few extra servings of fruit and vegetables
per day.
Healthy Food for Pregnancy
For good nutrition during pregnancy, eat a wide variety of foods from all food groups.
The following are the USDA MyPyramid food pyramid guidelines based on a 2,000 calorie
food pattern – your nutrient needs during pregnancy may be slightly higher so ranges
are given:
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Milk, Yogurt and Cheese (3 cups)
One cup = 1 cup milk; 1 cup yogurt; 1.5 cup cottage cheese; 1.5-2 ounces cheese
Meat, Beans & Nuts (5.5 - 6 ounces)
One ounce = 1 ounces meat, fish or poultry; 1 eggs; 1 Tablespoon peanut butter;
½ cup legumes
Vegetables (2.5 – 3 cups)
One cup = 1 cup raw or cooked vegetables; 2 cup raw leafy vegetables
Fruit (2 cups)
One cup = 1 cup fruit or 100% fruit juice; 1 medium banana, apple or orange; ½ cup
dried fruit
Breads and cereals (5.5 - 6 ounces)
One ounce = 1 slice bread; 1 cup ready-to-eat cereal; ½ cup cooked cereal, rice
or pasta
Fats, Oils and Sweets Group (Small amounts)
Oils contain essential fatty acids that are good for health but they are still high
in calories. Many foods already contain oils, such as peanut butter, avocados, nuts
and salad dressings
Alcohol
No level of alcohol has been proved safe during pregnancy
Nutrients During Pregnancy
Some nutrients are especially important during pregnancy so you'll want to be sure
you get the amounts recommended:
Calcium helps keep your bones strong, as well as your baby's. It's important
that you get 1,000 milligrams (mg) of calcium every day. Find out if you are getting
enough calcium in your diet by taking our online Calcium Quiz. Food sources of calcium
include: milk, yogurt and cheese, which are high-calcium foods;
dark leafy greens, broccoli and almonds, which are medium- and low-calcium foods.
Folate helps prevent neural tube defects and possibly facial abnormalities.
You need 400 micrograms (mcg) of folate before and during your pregnancy. Your doctor
may also prescribe a folate supplement. Food sources of folate include: asparagus,
broccoli, spinach, oranges, peas, legumes, whole grains and fortified breads and
cereals.
Iron helps make red blood cells, which carry oxygen. The baby needs red blood
cells for its new blood. You need more red blood cells too, since your body makes
as much as 50 percent more blood during pregnancy. Without enough iron, you can
become anemic, which leads to low energy and poor concentration. The recommended
amount of iron is 27 milligrams (mg) per day. Food sources of iron include:
meat, poultry, salmon, fortified cereals, beans, whole grains, eggs and dark leafy
green vegetables.
During pregnancy, your physician will test your iron levels to see if a low-dose
iron supplement is necessary during the last six months of your pregnancy.
Fiber will help ease problems with constipation. Whole grain breads and cereals,
legumes such as dried beans and lentils, and fruits and vegetables are great sources
of fiber.
Fluids will alleviate constipation. Although not exactly a nutrient, be sure
to drink plenty of fluids during pregnancy -- at least 8 cups (8 ounces each) of
liquids every day is recommended. Water, milk, juice, broth or soups can all provide
the fluids you need. Go easy on soft drinks and other drinks that contain a lot
of sugar and calories, as they provide very little in the way of nutrition.
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Vegetarian Diets for Pregnant Women
Vegetarians who do not eat dairy or meat products may need calcium, vitamin B12,
and vitamin D supplements. Be sure to tell your doctor about any dietary restrictions
you have. Ask your physician or a registered dietitian to help you plan a vegetarian
diet that will provide all of the nutrients you and your baby need during pregnancy.
Food Safety During Pregnancy
Not all foods are safe for pregnant women. Here is some information to protect you
and your baby from potentially serious illnesses.
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Do not eat swordfish, shark, king mackerel and tile fish. These
fish can contain potentially risky levels of mercury. Mercury can be transferred
to the growing fetus and cause serious health problems.
In addition, the Environmental Protection Agency (EPA) has advised pregnant women
to eat no more than six ounces (one average meal) of canned albacore ("white") tuna
per week. However, it is safe to eat up to 12 ounces (two average meals) a week
of a variety of fish and shellfish that are lower in mercury.
Five of the most commonly eaten fish that are low in mercury are shrimp, canned
light tuna, salmon, Pollock and catfish.
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Avoid raw fish, especially shellfish (oysters, clams) or undercooked
meat, poultry, seafood and hot dogs. Cook all meat, poultry and seafood thoroughly
to kill bacteria. Cook hot dogs until they are steaming hot. Deli meats (such as
ham, salami, and bologna) are an occasional cause of food poisoning; pregnant women
may choose to avoid them or reheat them before eating.
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Avoid soft-scrambled eggs and all foods made with raw or lightly
cooked eggs.
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Do not eat unpasteurized milk and any foods made from it. This
includes unpasteurized soft cheeses such as Brie, feta, Camembert, Roquefort and
Mexican-style such as queso blanco fresco.
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Avoid unpasteurized juices
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Avoid raw sprouts, especially alfalfa sprouts
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Supplements During Pregnancy
If you take a vitamin/mineral supplement, check the label to make sure you are getting
no more than 100 percent of daily recommendations for any nutrient without clearing
it with your doctor. Certain vitamins can increase the risk of serious birth defects
when taken in the large quantities available in some supplements.
Be sure to consult with your physician or pharmacist before taking any medications
(prescription and over-the-counter) or herbal supplements while pregnant.
Sources: U.S. Food Safety and Inspection Service, USDA MyPyramid.Gov
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