Chapter 5: Nutrition during pregnancy: conditions and interventions

Pregnancy after bariatric surgery

• rapid weight loss and limited food intake increase risk of deficiencies - low protein stores

Nutrition care for pregnant women after bariatric surgery

• asses DI, supplement use and nutrient status

• monitor weight gain

Hypertensive disorder

• leading cause to maternal mortality

• contributes to still births, fetal and newborn deaths, adverse outcomes of pregnancy

• cause unknown

Gestational diabetes diagnosis

• routine testing for pregnant females 24-28 weeks of pregnancy

• oral glucose tolerance test

• non-fasting glucose screen; if positive, follow up with a 100-g glucose tolerance test

What is not recommended for diabetic management in pregnant women who have gestational diabetes?

• Hemoglobin A1C - because the values don’t reflect current blood glucose

The use of hemoglobin A1c for diagnosing and monitoring blood glucose is not recommended for diabetes management during pregnancy: True or False?

TRUE

DI for twin pregnancy

• higher energy + nutrient needs

• increased needs for essential fatty acids, iron, calcium

Vitamin and mineral supplements for twin pregnancy

• needs unknown

• avoid exceeding tolerable upper intake levels

Fetal alcohol syndrome and partial fetal alcohol syndrome

• fetal exposure to alcohol is leading, preventable cause of birth defects, intellectual disability and developmental disorders

Nutrient recommendations for teen pregnancy

• same for weight gain and protein intake as regular age women

• protein ( 71 more grams per day with usual intake)

• higher needs for calcium (1300mg)

• need adequate vit. D intake

What artificial sweeteners are safe during pregnancy?

• stevia

• sunett

• sucralose

What artificial sweeteners are bad during pregnancy

• saccharin