NUTRITION IN PREGNANCY

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NUTRITION IN PREGNANCY

• Developed by
• D. Ann Currie, R.N., M.S.N.

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NUTRITION IN PREGNANCY

• PLAYS SIGNIFICANT ROLE IN THE OUTCOME OF THE
  PREGNANCY
• FETAL WELL-BEING
• PREVENTION AND TREATMENT OF HIGH RISK PREGNANCIES
• INTEGRAL PART OF NURSING CARE OF PREPREGNANT AND
  PREGNANT CLIENTS

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NURSES ROLE

• PRECONCEPTION EDUCATION
• ASSESSMENT OF NUTRITIONAL STATUS
• PLANNING NUTRITIONAL CARE
• CLIENT EDUCATION
• CLIENT ADVOCATE
• PROVIDE RESOURCES
• REFFERALS

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FACTORS AFFECTING PRENATAL NUTRITION

• NUTRITIONAL STATUS PRIOR TO PREGNANCY
• MATERNAL AGE
• MATERNAL PARIETY
• SUBSTANCE USE
• CLIENTS EDUCATION
• OTHER

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SPECIAL CONSIDERATIONS AFFECTING NUTRITION

• CULTURAL, ETHNICAL,OR RELIGIOUS INFLUENCES
• VEGETARIANISM
• EATING DISORDERS
• LACTOSE INTOLERANCE

• PICA
• SUBSTANCE USE
• PSYCHOSOCIAL FACTORS
• SOCIOECONOMIC FACTORS
• EDUCATION
• PSYCHOLOGICAL FACTORS

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CONT. SPECIAL CONSIDERATIONS

• MATERNAL AGE
• DIETARY PATTERNS
• DISEASES AND/OR MEDICAL CONDITIONS
• OTHER

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PRECONCEPTION CARE

• HEALTH PROMOTION
• NUTRITION-HEALTHY DIET INCLUCING FOLIC ACID.
• ADEQUATE FLUID INTAKE
• EXERCISE
• REST
• AVOIDANCE OF SUBSTANCES ABUSE

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PLANNING NUTRITIONAL CARE

• ASSESSMENT
• NSG DIAGNOSIS
• PLANNING
• INTERVENTIONS
• EDUCATION
• EVALUATION

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DIETARY RECOMMENDATIONS DURING PREGNANCY

• CALORIES
• FLUIDS-WATER
• PROTEIN
• CARBOHYDATES
• FAT
• VITAMINS-FAT SOLUBLE WATER SOLUBLE

• MINERALS-FE,CALCIUM, ZINC,OTHERS

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BODY MASS INDEX(BMI)

• BMIWT/HT²KG/M²
• BMI-below19.8-UNDERWEIGHT-WT GAIN OF12.5-18 KG.
• BMI-19.8-26-NORMAL-WT.GAIN OF 11.5-16 KG.
• BMI-26-29-OVERWEGHT-WT GAIN OF 7-11.5 KG.
• BMI OVER 29-OBESE-WT. GAIN OF 7KG.

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MORE ON WT. GAIN IN PREGNANCY

• 1ST TRIMESTER-WT. GAIN OF 1-2.5 KG
• THEN0.4 KG WEEKLY FOR NORMAL BMI,0.3 KG WEEKLY
  FOR OVERWEIGHT BMI,0.5 KG WEEKLY FOR UNDERWEIGHT
  BMI CLIENTS
• NO INCREASE IN CALORIES IN 1ST TRIMESTER
• ADDITIONAL 300 CALORIES/DAY IN 2ND AND 3RD
  TRIMESTERS

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MORE ON WEIGHT GAIN

• TEENNAGERS SHOULD GAIN HIGHER AMOUNT OF BMI--IE
  --A TEENAGER WITH BMI OF 22 SHOULD GAIN 16KG. OR
  35.2 LBS.