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RECOMMENDED NUTRIENT ALLOWANCES FOR PREGNANCY AND LACTATION
Pages 7-27

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From page 8...
... To achieve effective nutritional management during pregnancy, it is necessary to individualize food plans to meet the needs of each patient. Physicians planning a diet for a pregnant woman must make dietary adjustments after considering the patient's nutritional status, age, body size, genetic pattern, physical activity, economic status, cultural and environmental background, food preferences, and existing medical complications.
From page 10...
... These include calories for the building of new tissue in the fetus and placenta, the increased physical work load associated with normal activities of the mother, and the increased basal energy requirements during pregnancy. The increase in weight associated with pregnancy accelerates, beginning with small increments during the early weeks and increasing in the latter months before term, with an average gain between 0.5-0.8 pounds per week over the entire period.(Figure I, Appendix page 55)
From page 11...
... A diet which provides generous amounts of all of the essential nutrients, to be described, along with the additional items commonly used in preparing meals will usually provide adequate calories necessary for successful pregnancy.
From page 12...
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From page 13...
... Protein allowances for women who are lactating may be derived by addition of 20 grams protein daily to pregnancy allowances, on the assumption that 850 ml breast milk is produced daily. However, protein allowances during lactation must be adapted to the quantities of milk produced.
From page 14...
... have shown that when the diet of the pregnant woman does not contain sufficient calories from carbohydrates and fats, protein is used for energy, and the body becomes depleted in the protein reserve necessary for the building of new tissue. Milk and milk products are protein-rich foods and are also good sources of calcium, phosphate, B vitamins and minerals.
From page 16...
... 21 315 h cup 19 160 1 cup 19 335 h cup 19 100 3/4 cup 19 190 3 oz . 18 170 2 cups 18 180-320 3 18 240 1 cup 16 320 2h 15 390 Food FAIR SOURCES Amount Beans, dried, cooked Peas, blackeyed, cooked Peanut butter Tortillas, corn Bread, enriched whole grain Rice, cooked 1 cup Protein (grams)
From page 17...
... When dietary calcium is insufficient, the most readily mobilized calcium is found in the trabecular portion of bones of the mother. Milk and milk products are the richest food sources of calcium.
From page 18...
... Approximate Contribution to Recommended Daily Dietary Allowances for a Pregnant Woman 18-35 Years of WHOLE MILK, 3 cups (1% pints) Calories 20% | Protein ZZZZZZHIIZ 35% I Calcium 65% Riboflavin 80%
From page 20...
... Women entering pregnancy with iron deficiency anemia need prescribed medicinal iron in addition to food sources of iron. In fact, it is not unreasonable to provide supplemental iron to all pregnant women.
From page 21...
... 3.2 3 oz. 3.2 Calories 210 170 195 240 160 230 220 170 FAIR SOURCES Food Raisins Prunes Greens, cooked Sardines Bread, enriched whole grain Amount Iron (mg )
From page 22...
... Food sources of ascorbic acid include fruits, especially citrus fruits, vegetables, and liver. Vitamin A Recommended allowances for a woman with a prepregnant weight of 58 kg (128 Ib)
From page 23...
... A newly recognized infantile hypercalcemia syndrome with developmental cardiac abnormalities suggests that smaller excesses in pregnancy may be toxic to the fetus.
From page 24...
... 1/2 cup 57 1/2 cup 56 1/2 52 3/4 cup 50 3/4 cup 50 Calories 60 40 20 60 20 55 55 60 30 FAIR SOURCES Food Spinach, cooked Pepper, green and red, raw Tomato, fresh Cauliflower, cooked Sweet potato, baked Cabbage, raw Tomato (canned, cooked or juice) Asparagus, cooked White potato (boiled in jacket or baked)
From page 25...
... 460 100 fied margarine Milk, whole 1 cup 350 160 Milk, half & half 1/4 cup 290 80
From page 26...
... . Pregnancy 1.0 mg daily Lactation 1.2 mg daily Thiamine helps to maintain appetite and normal cardiac and neurologic functions and is necessary in systems of carbohydrate metabolism.
From page 27...
... . Pregnancy 17 mg equivalents daily Lactation 21 mg equivalents daily Niacin is needed for the vital processes of translating sources of energy into usable form.


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