Nutrition and Alcohol during Pregnancy No Alcohol is the safest choice Pregnancy is a time which brings much joy to most families. However, most people have a tinge of anxiety and hope that the baby will be born normal. There are things we can consider and do instead of just hoping. Do we really need to eat for two? The answer is no, but pregnant women do require a slight increase in calorie intake. For Energy, there is no change in the First Trimester (first 12 weeks), in the Second Trimester (13-25 weeks) it increases by 340 kcal/day and in the Third Trimester (2640 weeks), it increases by 452 kcal/day The Protein requirement increases from 46 g/day to 71 g/ day. Pregnant women are at increased risk for folic acid, iron, and calcium deficiencies and it is important to have a balanced diet to ensure inclusion of these nutrients. The Recommendations are: Iron – increases to 27 g/day Folate – increases to 0.6 mg/day Calcium - 1000 mg/day Magnesium - increases to 360 mg/day Vitamin C - increases to 85 mg/day Dietary sources Calcium Milk, yogurt (8 oz), hard cheese (1 oz) ~ 300 mg Calcium) Orange juice- fortified (1 cup = 300 mg calcium) Broccoli, kale (1 cup cooked = 90 mg calcium) Bok Choy, mustard green (1 cup cooked =180 mg) Tofu (made with calcium citrate- (½ cup =260 mg) Canned salmon (3 oz = 180 mg calcium) Folate Beans, peas, orange juice, green leafy vegetables, fortified cereals are good sources Prenatal vitamins contain 1000 mg folate Iron Meat, fish, poultry, eggs Organ meats (like liver and kidneys) Peas and beans Dried fruit Whole grain and enriched cereal If you need further assistance contact the Ngala Helpline Telephone 9368 9368 country Access 1800 111 546 8am to 8pm 7 days a week or see our website www.Ngala.com.au It is not only what to include but also what to avoid. Researchers are now telling us that nutritional factors interact with alcohol, potentially exacerbating or protecting against FASD (Foetal Alcohol Spectrum Disorder). Poor maternal nutrition is a significant problem in FASD, as the nutrients essential to support foetal development and preserve maternal health are often deficient with heavy alcohol use, or even moderate use especially if the mothers diet is already poor. Heavy alcohol consumption is one of the leading causes of both primary and secondary malnutrition,and undernutrition is a common characteristic of mothers in a majority of cases of FASD. Not only may a woman who drinks during pregnancy consume inadequate nutrition, but alcohol itself can compromise nutrient absorption and utilization, including thiamin, folate, pyridoxine, vitamin A, vitamin D, magnesium and zinc. These insufficiencies are only compounded as alcohol is placentotoxic, impairing the ability of the placenta to deliver essential nutrients to the foetus. Prenatal folic acid supplementation mitigates many of alcohol’s teratogenic effects, including growth retardation, physical anomalies, and neuronal loss (Wang et al. 2009). In conclusion, alcohol is known to cause foetal birth defects, brain damage, poor growth, developmental delays which leads to low IQ and learning difficulties and social and behavioural problems in childhood and beyond. The foetal brain changes daily and there is no safe time for alcohol consumption. Therefore, no alcohol is the safest choice. PRG No. 86
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