Maternal Adaptation - Last

A good healthy diet and weight is a direct effect on

fetal well-being and birth outcome

Nutritional: Need for

vitamin and mineral supplement daily

Nutritional: Increase in

protein, iron, folate and calories

Nutritional: Use the

USDA’s Food Guide MyPlate

Nutritional: Avoid some

fish due to mercury content

Nutrition: Special considerations

Cultural variations, Gluten-free diets, Lactose intolerance, Vegetarianism, Pica

Maternal Emotional Responses

Ambivalence, Introversion, Acceptance, Mood Swings, Change in body image

Ambivalence

Having conflicting feelings at the same time such as happy and fear towards the pregnancy

Introversion

Focusing on oneself; the pregnant woman may just focus on herself and the fetus while ignoring the rest of the world

Acceptance

In the second trimester it becomes more real and women tend to finally accept pregnancy

Mood swings

Emotional roller coaster

Changes in body image

Normal and still can be stressful depending the women’s perception

Numerous changes causing

stress on sexual relationship

Changes in sexual desire with

each trimester

Pregnancy and sexuality

Sexual health and link to self-image

Pregnancy and partner

Family-centered emphasis

Partner’s reaction to preganancy and changes

Couvade syndrome, Acceptance, Preparation

Couvade syndrome

sympathetic response to their partners pregnancy

Acceptance of roles

second trimester

Preparation for the

reality of new role (third trimester)

Pregnancy and sibling

Age-dependent reaction

Pregnancy and sibling: Important

Sibling preparation imperative

Sibling rivalry with introduction of

new infant into family

Healthy weight BMI

25-35lb

BMI <19.8

28-40lb

BMI >25

15-25lb

Healthy weight BMI: Trimesters

• First trimester: 3.5-5lbs

• Second and third trimester: 1lb/wk

BMI <19.8: Trimesters

• First trimester: 5lb

• Second and third trimester: 1lb/wk

BMI >25: Trimesters

• First trimester: 2lb

• Second and third trimester: 2/3 lb/wk