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Nutrition During Pregnancy - Importance and Considerations

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During pregnancy, a healthy diet promotes the baby's growth and development. Read this article to understand the nutrients needed most and where to find them.

Medically reviewed by

Dr. Priyadarshini Tripathy

Published At December 16, 2022
Reviewed AtApril 4, 2023

Why Is Nutrition Important During Pregnancy?

  • During pregnancy, a woman's body goes through many physical and hormonal changes, and to meet the needs of the growing baby and the mother, optimum nutrition is very important.

  • A mother's diet is the only source of nutrition for the baby growing inside the womb. Thus, it is the mother's responsibility to provide all the nutrition to herself and the baby.

  • The key components of a healthy lifestyle include appropriate weight gain, vitamin and mineral supplementation, a balanced diet, and regular exercise. Approximately 300 extra calories are needed by the body of a pregnant woman daily.

  • The basic principles of healthy eating remain the same, like eating plenty of fruits, vegetables, lean protein, whole grains, and healthy fats. However, a few nutrients deserve special attention in the pregnancy diet.

  • A healthy and well-balanced diet can also help to reduce pregnancy symptoms like nausea or constipation.

Does Increased Nutrition in Pregnancy Mean Eat for Two?

A pregnant woman's body has increased nutritional needs as a baby grows inside her, but the adage of "eating for two" is incorrect. The pregnant mother requires more micronutrients and macronutrients to support herself and the baby. These nutrients are described as follows-

  1. Micronutrients - Vitamins and minerals (required in small amounts).

  2. Macronutrients - Nutrients that provide calories or energy like carbohydrates, proteins, and fats. (required in more amounts).

A pregnant woman must take a variety of diets that includes the maximum nutrients in it as-

  • Vitamins and minerals.

  • Complex carbohydrates.

  • Omega 3 fatty acids.

  • Protein.

The following table gives guidelines about the important nutrients during pregnancy-

nutrients-during-pregnancy

How Much and What to Eat During Pregnancy?

  • A wide variety of foods should be consumed to provide everything the mother and the baby need.

  • It is recommended that pregnant women must continue to eat normally in the first semester and in the second trimester, increasing by 350 calories per day. In the third trimester, as the baby grows, it increases to 450 calories per day.

  • It is good to avoid processed junk foods, fried chips, and soda, which add no nutritional value.

  • This does not mean the pregnant woman must avoid all her favorite foods during pregnancy. Rather, just balancing them with nutritious foods will bring great outcomes.

The nutrients, their amounts, and the foods that contain them are as follows-

Protein - Protein is important for properly growing the baby's tissues and organs. It also helps with the growth of breast and uterine tissues during pregnancy and increases the blood supply to the baby. The protein needs of a pregnant woman increase during each trimester.

  • Daily requirement per day - 70 to 100 grams (depending on the body weight and the trimester). The following list shows the protein-rich foods that can be consumed during pregnancy-

    • Beans.

    • Nuts.

    • Cottage cheese.

    • Peanut butter.

    • Salmon.

    • Lean beef.

    • Chicken.

Calcium - Calcium helps build bones in babies and regulates the mother's body fluids.

  • Daily requirement per day - 1000 milligrams in two doses of 500 milligrams each daily. Some good sources of calcium are as follows-

    • Green leafy vegetables.

    • Milk.

    • Cheese.

    • Yogurt

    • Seafood like low-mercury fish, shrimp, salmon, light tuna, or catfish.

    • Calcium-set tofu.

Folate - Folate or folic acid helps reduce the risk of neural tube defects like spina bifida or anencephaly. These are major birth defects affecting the brain and spinal cord of the baby.

  • Daily requirement per day- 600 to 800 micrograms of folate per day. The following foods contain folate-

    • Eggs.

    • Nuts.

    • Liver.

    • Peanut butter.

    • Beans and lentils.

    • Green leafy vegetables.

Iron - Iron, sodium, potassium, and water help to increase the blood flow and ensure enough oxygen is supplied to the mother and the baby. It also helps in preventing iron-deficiency anemia. Severe iron deficiency anemia during pregnancy increases the risk of premature birth, low birth weight babies, and postpartum depression.

  • Daily requirement per day- 27 milligrams of iron per day (alongside vitamin C to increase its absorption). Foods rich in iron are as follows-

    • Green leafy vegetables.

    • Eggs.

    • Enriched bread or cereals.

    • Citrus fruits.

    • Lean beef.

    • Poultry.

Some Other Important Nutrients to be Considered -

  • A few other nutrients necessary to keep the mother and the baby thriving during pregnancy are choline, salt, and vitamin B.

  • Besides all the important nutrients, it is very important to hydrate sufficiently. A pregnant woman must drink at least eight glasses of water daily, along with prenatal vitamins.

How to Deal With Cravings and Food Aversions While Keeping Optimum Nutrition During Pregnancy?

It is common to experience cravings or aversions to a particular food, its taste, or even its smell.

Following are some ways to deal with these situations during pregnancy-

  • Pregnancy Cravings - Pregnancy cravings are probably due to hormones, but the exact cause is unknown. If the craving is for healthy food, the pregnant woman can have it, but in a limited amount. Junk foods and processed foods must be avoided. Instead, a healthier version of that food should be opted for.

  • Pregnancy Aversions - Food aversions involving foods important for a baby's growth and development can cause problems. In such cases, the pregnant woman must seek a doctor's help to get alternative food or supplement suggestions.

  • Pica - Pica is a pregnancy disorder that causes cravings for foods with zero nutritional value, like clay, cigarette ashes, chalk, or starch. Pica during pregnancy indicates a lack of specific vitamins or minerals, so getting help from a doctor is important. These strange food cravings can sometimes cause damage to the growth and development of the baby.

Conclusion

A pregnant woman must ensure that she eats a balanced and nutritious diet so the growing baby can be as healthy as possible. The pregnancy diet must include whole, nourishing foods and a limited intake of foods with low nutritional value (processed, junk, and fast foods). If the diet does not provide sufficient nutrients, then supplements can be taken after consulting the doctor. Optimum Nutrition, a healthy lifestyle, proper hydration, and daily exercise are the keys to a happy and healthy pregnancy.

Frequently Asked Questions

1.

What Dietary Requirements Does a Pregnant Lady Have?

A daily increase in caloric intake of about 300 calories is required to support a healthy pregnancy. These calories should come from a protein-rich diet, vegetables, fruits, and whole grains. In addition, the pregnant woman must keep her intake of sweets and fats to a minimum.

2.

Why Is Proper Diet Crucial During Pregnancy?

Nutrition is crucial throughout pregnancy. A pregnant woman requires several essential nutrients than she did before becoming pregnant. Therefore, she will be able to provide the baby with everything they need to grow by making nutritious dietary choices. Additionally, it will ensure that the mother and her child put on the appropriate weight.

3.

How Much Food Should a Pregnant Woman Consume?

The recommended daily caloric intake for pregnant women of average weight is 1800 calories during the first trimester. During the second trimester, about 2200 calories a day. During the third trimester, about 2400 calories a day.

4.

Why Are Prenatal Vitamins Recommended for Expectant Mothers?

Every day, pregnant women should take folic acid, commonly known as folate, which is an ingredient in prenatal vitamins because it helps prevent severe birth malformations of the fetus' brain and spine (called neural tube defects).

5.

Can a Pregnant Lady Supplement Her Prenatal Vitamins if She Is Not Getting Enough of Them?

It is not recommended to take more prenatal vitamins per day than what is advised. In more significant quantities, several chemicals in multivitamins, like vitamin A, can result in birth abnormalities.

6.

What Vitamins and Minerals Does a Pregnant Woman Need?

- During pregnancy, a woman needs-
- Folic acid.
- Iron.
- Calcium.
- Vitamin D.
- Choline.
- Omega-3 fatty acids.
- Vitamin B.
- Vitamin C

7.

Why Is Iron Crucial for a Pregnant Woman?

The body uses iron to produce the additional blood the mother and developing fetus need during pregnancy. Non-pregnant women require 18 mg of iron daily. Women who are pregnant require 27 mg more daily. The majority of prenatal vitamins contain this higher quantity.

8.

How Can a Woman Make Sure She Is Receiving Enough Iron Throughout Pregnancy?

Pregnant women should consume iron-rich foods such as beans, lentils, enriched breakfast cereals, beef, turkey, liver, shrimp, and a prenatal vitamin containing iron. She should also consume foods like oranges, grapefruit, strawberries, broccoli, and peppers that aid in the absorption of iron by the body. Pregnancy blood tests should be performed to screen for anemia. The obstetrician might advise taking additional iron supplements if she might have anemia.

9.

What Foods Contain Calcium?

The element calcium helps develop the bones and teeth of the fetus. The calcium sources are milk and other dairy items like yogurt and cheese. Suppose a pregnant woman has problems digesting dairy products. In that case, she can still receive calcium from other foods like broccoli, fortified foods (cereals, bread, and juices), almonds, sesame seeds, sardines, anchovies with bones, and dark green leafy vegetables. Additionally, she may take calcium supplements.

10.

How Can a Lady Who Is Expecting Determine if She Is Getting Enough Vitamin D?

Vitamin D intake is often insufficient. A test to measure the level in the blood might be performed if the doctor suspects the pregnant woman may have low levels of vitamin D. She might need to take a vitamin D supplement if it is below average.

11.

What Is Vitamin D and What Foods Have It?

Together with calcium, vitamin D aids in the development of the fetus's bones and teeth. In addition, vitamin D is necessary for good skin and vision. Every woman, whether or not she is pregnant, needs 600 IU of vitamin D each day. Rephrased: Vitamin D can be obtained from various sources, including fortified milk, breakfast cereal, fatty fish like salmon and mackerel, fish liver oils, and egg yolks, which are all rich in this essential nutrient.

12.

What Is the Recommended Weight Gain for a Pregnant Woman?

 - Weight gain is influenced by the pregnant woman's pre-pregnancy health and body mass index (BMI). She should put on more weight than a pregnant lady whose pre-pregnancy weight was average if she was underweight. She should gain less weight if she is overweight or obese before becoming pregnant. By trimester, the rate of weight increase varies-
 - A pregnant woman may only put on 1 pound to 5 pounds during the first 12 weeks of pregnancy (the first trimester).
 - The pregnant woman should gain a half-pound to one pound weight per week in her second and third trimesters if she had a healthy weight before becoming pregnant.

13.

How Could Having a Weight Problem Affect a Pregnancy?

Several pregnancy-related and childbirth issues are linked to being overweight during pregnancy, including -
 - High blood pressure.
 - Preeclampsia
 - Preterm birth. 
 - Pregnancy diabetes.
Pregnancy-related obesity raises the risk of:
 - An abnormally big fetus (macrosomia).
 - Birth injury.
 - Cesarean section.
 - Congenital disabilities.
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Dr. Priyadarshini Tripathy
Dr. Priyadarshini Tripathy

Obstetrics and Gynecology

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