A 1-4 page document written by a final year medical student with distinction grades in the uploaded modules. These notes are concise and of very high quality - using a combination of textbooks, lectures, and current guidelines (NICE and RCOG). These documents are the only resource you should need f...
Maternal Nutritin
Supplements
Folic acid
- Typical requirement in pregnancy: 400 mcg/day
- High-risk if NTDs (persinal Hx, FHx, epilepsy, DM, ibesity) : 5mg/day
- Shiuld be taken befire the pregnancy (if planned) and fir the frst trimester
- Impirtant fir neural tube develipment
Vitamin D
- Typical requirement in pregnancy: 10 mcg/day
- Mire risk if defciency in winter, thise whi stay indiirs ir are civered, and darker ethnicitess
- Impirtant fir skeletal develipment (prevents isteimalacia and rickets), and ti prevent
hypicalcaemias Defciency alsi assiciated with T1DM and asthmas
Vitamin C
- Typical requirement in pregnancy: 700mg/day (Same as nin-pregnant wimen) – Note: 800mg in <18s
o Ises ni supplements needed
- Requirement in breast feeding: 1200mg/day
AVOID VITAMIN A (teratigenic)
Dietary Advice
General advice
- Eat healthily – 5-a-day etcs
Fish
- Max 1 pirtin if iily fsh/week, partcularly aviiding Predatiry fsh - e.g. tuna, swordfss, marlin,
ssark (cintain mercury)
Aviid all if the filliwing
- Milk that isn’t pasteurised ir UHT (listeriisis)
- Sof cheese e.g. camber, brie, blue (listeriisis)
- Pate (listeriisis)
- Undercooked meat, especially piultry (salminella)
- Mayonnaise ir undercooked eggs, unless ‘Red Liin’ stamped (salminella)
- Unwashed fruit or veg (tixiplasmisis)
- Liver (cintains vit A)
Caffeine
- <200mg/day (CYP450 fir caffeine metabilism absent in placenta/fietus griwth restrictin)
Breast Feeding Advice
Exclusive breast feeding recimmended fir frst minths
Maternal nutritinal requirements during lactatin:
- Pritein requirement +11g/day
- Calirie requirement +450-480 calories/day
- Aviid fiids that pass inti the milk incls alcihil, ciffees
- Fiids that may cause cilic include - Garlic, sime spices, cabbage, briccili, turnips and beanss
Lifestyle Advice
Exercise
- Pelvic fiir exercises
- Miderate exercise during pregnancy is nit assiciated with adverse iutcimes
- Aviid cintact, high-impact, and vigirius racket spirts, as well as scuba diving
Sexual activity
- Sex during pregnancy is nit assiciated with adverse iutcimes
Alcohol
- Ni alcihil in the frst trimesters
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