By Deborah Pesicka RD, CDE, Judith Riley MD, Cynthia Thomson MS, RD, CNSD (auth.)

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Extra info for Obstetrics/Gynecology: Nutrition Handbook

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Reduce portion sizes. • Keep records of food intake for evaluation by the dietitian. 2). • Select healthy snacks such as fresh fruits and vegetables, low-fat crackers or cookies, and low-fat dairy products. ). Nutrition-Related Concerns 49 Exercise During Pregnancy Exercising during pregnancy can promote good muscle tone, cardiovascular strength, and reduce fatigue. Regular exercise throughout pregnancy can also make the delivery easier by increasing stamina. Following are recommendations for women who exercise during pregnancy.

Nutrition During Pregnancy and lactation: An Implementation Guide. Copyright 1992 by the National Academy of Sciences. Courtesy of the National Academy Press, Washington, DC. l 1E I i, - ;, ,," :!! 2 PRENATAL WEIGHT GAIN CHART Assessment and Maintenance of Nutritional Status 35 Weight Changes that Signal the Need for Further Evaluation The following weight changes have been associated with adverse outcome and therefore indicate a need for more complete medical and nutritional evaluation. Continuing patterns of less than or greater than recommended weight gain is of concern.

1-4 Increased blood volume .................. ... •.. • 2 Maternal fat stores ........ .............. •.... ••.. ... . 5 Tissue fluid ........... ••••.... • ... ... .. 3-5 TOTAL.. ••.... 25-35 Assessment and Maintenance of Nutritional Status 37 Effects of Alcohol, Tobacco, and Illegal Drug Use on Nutritional Status and Pregnancy Outcome Women who drink alcohol, smoke, or use illegal drugs during pregnancy place the fetus at considerable nutritional risk. The deficits induced by these substances can last a child's lifetime.

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