Life Cycle Nutrition Pregnancy and Lactation Prior To Pregnancy • Achieve and maintain a healthy body weight • Choose and adequate and balanced diet • Be physically active • Avoid harmful influences Weight Prior To Conception • Underweight –Preterm • Overweight and obesity –Post term –Cesarean section Weight Gain Weight Gain #2 b Weight Gain #4 #4 cc #4 c Exercise During Pregnancy Copyright 2005 Wadsworth Group, a division of Thomson Learning Energy And Nutrient Needs #6 c #13 b,c Nutrition-Related Concerns • Nausea • Constipation and hemorrhoids • Heartburn • Food cravings and aversions • Non-Food cravings –Pica #7 d #8 b Nutrition-Related Concerns Nutrition-Related Concerns High-Risk Pregnancies High-Risk Pregnancies Infant’s Birth Weight • Low birthweight (LBW) –Criteria: 5 ½ pounds –Causes: •Mother’s weight •Mother’s nutritional status •Mother’s age #1 b #11 d #12 a Maternal Health • Preexisting diabetes • Gestational diabetes • Pre-existing hypertension • Transient hypertension of pregnancy • Pre-eclampsia and eclampsia • Pregnancy in adolescents • Pregnancy in older women –Down’s Syndrome Practices Incompatible With Pregnancy • Alcohol; caffeine • Illicit drugs; medicinal drugs • Herbal supplements • Smoking; chewing tobacco (SIDS) • Environmental contaminants • Vitamin/Mineral megadoses • Weight-loss dieting • Sugar substitutes Breastfeeding Breastfeeding Practices Incompatible With Lactation • Alcohol; smoking; caffeine • Illicit drugs; medicinal drugs • Environmental contaminants #16 b Fetal Alcohol Syndrome #9 d Alcohol • Prenatal alcohol exposure –Alcohol-related neurodevelopmental disorder = ARND –Alcohol-related birth defects = ARBD Alcohol • Drinking during pregnancy • How much is too much? • When is the damage done? – 1st trimester – brain, heart, kidney – 2nd trimester – increased abortion – 3rd trimester – growth retardation