In our previous blog post, we discussed about some tips to stay healthy during pregnancy. While following healthy habits is important, it is equally important to understand nutritional needs of your body and ensure that you get adequate nutrition. In this blog post we’ll have a look at some important nutrients needed by your body.

Certain nutrients gain more importance during pregnancy because of the specific physiological changes taking place. There is expansion of blood volume, increase in heart rate and growth of placenta. In addition to the macronutrients such as carbohydrate, proteins and fat, one has to pay attention to certain vitamins and minerals. Iron, folic acid and calcium are three vital nutrients that are often found to be lacking in our body and need to be supplemented during pregnancy right from the beginning.

IRON: Don’t underestimate the power of the iron man!  Iron is one of the most important nutrients to watch out for during pregnancy. The body absorbs iron more efficiently during this pahse but the expansion of blood volume often leads to iron deficiency anaemia and low haemoglobin

Risks associated with Anaemia in Pregnancy

Severe or untreated iron-deficiency anaemia during pregnancy can increase risk of having:

• A preterm or low-birth-weight baby
• A blood transfusion (if you lose a significant amount of blood during delivery)
• Postpartum depression
• A baby with anemia
• A child with developmental delays

Dosage Recommended

While ICMR (Indian Council of Medical Research) recommends 35mg/day of iron, USRDA for iron is 30 mg/day for pregnant and lactating (breastfeeding) women.

Sources

Eating at least three servings of iron-rich foods a day will help ensure 30 mg of iron in daily diet. Note that iron intake is not equal to iron absorption. Absorption of iron into the body is greatest with meat sources (heme iron) of iron.

The best sources of iron include enriched grain products; lean meat, poultry, and fish; and leafy green vegetables.

CALCIUM: We know that calcium is good for bone health and teeth but it also has more complicated physiological roles to play such as normal blood clotting, smooth functioning of muscles and nerves and maintaining normal heart beat.

Role of Calcium in pregnancy

F Growing baby needs a considerable amount of calcium to develop.

F An inadequate supply of calcium at this time can diminish bone strength and increase risk for osteoporosis later in life.

Dosage recommended

• The U.S. Recommended Daily Allowance (USRDA) for calcium is 1200 mg/ day for pregnant and lactating (breastfeeding) women over age 24. The USRDA for women under age 24 is 1200 to 1500 mg. of calcium per day.
• Eating and drinking at least four servings of dairy products and calcium-rich foods a day will help ensure that we are getting 1200 mg. of calcium in daily diet.

Sources

• Dairy products including milk, cheese, yogurt, etc
• Til (sesame seeds/ gingelly seeds)
• Green vegetables (broccoli, spinach, and greens), seafood, dried peas, and beans.
• Vitamin D will help body to use calcium. Adequate amounts of Vitamin D can be obtained through exposure to the sun and in eggs, fish, and fortified milk.

FOLIC ACID

• Start Folic Acid supplements in pre-conception stage/ childbearing age itself.
• Birth defects occur within the first 3-4 weeks of pregnancy which makes  early initiation of folic acid supplements necessary
• Baby’s brain and spinal cord are developing rapidly during the early stages.
• Without enough folic acid, baby’s neural tube may not close correctly and may develop health problems called neural tube defects.These include:

o   Spina bifida: incomplete development of the spinal cord or the vertebrae

o   Anencephaly: incomplete development of major parts of the brain  

Risk associated with low folic acid intake

–          When taken before and during pregnancy, folic acid may also protect your baby against:

•         Cleft lip and palate
•         Premature birth
•         Low birth weight
•         Miscarriage
•         Poor growth in the womb

Dosage Recommended

–          400 micrograms (mcg) before and during pregnancy

Good sources of Free folate from foods

Food	Folic acid (mcg)	Food	Folic acid (mcg)
Liver sheep	65.5	Ladies finger	25
Spinach	51	Green gram dal	24.5
Gingelly seeds	51	Curry leaves	23.5
Cluster beans	50	Whole wheat	14.2
Amaranth tender	41	Tomato ripe	14

Along with nutrients, it is important to keep a regular track of your vital health indicators, You can upload your medical history, lab reports and health indicators on eKincare – Your Personal Health Manager to keep updated about your health and take measures to ensure good health for self as well as the baby.