Dr. AKANSHA SHRIVASTAVA
Senior Resident ( Gynae & Obs), Lok Nayak Jai Prakash Narayan Hospital, New Delhi
WEIGHT GAIN
- Weight gain during pregnancy for women with normal BMI (18.2-22.9) should be around 11 kg
- Women who are already obese (overweight) should not gain more than 7 kg
- Women who are underweight may gain up to 19 kg
- Rapid weight gain of more than 2 kg a month after 5th month may be predictor of impending high blood pressure
- Stationary or falling weight may lead to low birth weight babies
DIET
Fluids
- Take plenty of fluids in form water, juices, milk, curd
- Avoid excessive tea ,coffee and alcohol
- Take almost a litre of fluid above your usual intake
- Proper fluid intake is a natural defence against constipation and urinary infection as both constipation and urinary infection can lead to preterm deliveries (delivery prior to expected date leading to weak babies)
Iron supplements
- Haemoglobin level during pregnancy should be above 11 gm%
- Start iron containing tablets after 3rd month till delivery
- Take iron rich diets such as spinach, tomatoes, jaggery, green leafy vegetables, beans, sprouts, red meat, and fish
Calcium
- Calcium requirement during pregnancy is 1000 mg per day
- Have milk and milk based products along with calcium supplements(after 3rd month)
- Do not take iron and calcium tablets at the same time as they interfere with each other’s absorption
Folic acid
- Start taking folic acid tablets from the time when you plan pregnancy and continue till 3rd month
REST AND SLEEP
- Get around 8 hours of sleep at night. Take short breaks during the day along with a mid-day nap. In late pregnancy it is better to lie in left lateral position
EXERCISE
- Mild exercise in the form of walking for approx.30 mins a day is good for both mother and baby
SEX
- Sex is safe during pregnancy but should be avoided in first three months months and last 1 month or if there is any history of bleeding
TRAVEL
- Avoid sudden jerks and traveling along bumpy roads during 1-3 months and last month of pregnancy
- Long road journeys are safe between long journey can be done between 4th to 7th month
- Air travel is safe between 4th to 7th month of pregnancy
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