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Click on the titles below for diet and lifestyle advice

apple
Now is not a good time to go on a reducing diet. However, if you have been eating a lot of high calorie junk food or a diet high in hydrogenated fats or starches, changing to more healthy alternatives like fruits, vegetables and wholegrains should result in a reduction in weight which will not harm your baby.

Restricting certain foods also reduces your nutrient intake and it is vital to maintain optimum nutrition because pregnancy takes a lot from the mother's body, especially calcium from her bones and teeth.

Where possible, organic fresh fruit and vegetables should be eaten, at least five portions a day but preferably eight. Vegetables can be combined in soups or as a raw vegetable juice to increase the amount consumed, as variety is more important than quantity. Processed food and Takeaways should be avoided or eaten only occasionally.

Eating little and often is better than eating three larger meals each day and if you suffer with “morning sickness” or are nearing the end of your pregnancy you will find that smaller meals, eaten more often, are easier to tolerate. Try to avoid eating a large meal after 7pm as calories not used up by bedtime will be turned to fat.




Morning Sickness
Although many women suffer from nausea in the first three months of pregnancy, they can also be hungry at the same time and food usually provides relief.

If you have feelings of sickness during the day (not necessarily in the mornings) you will probably find it more manageable by eating small, frequent, but healthy snacks. You may also find that certain foods or beverages that you used to enjoy are no longer tolerable and some cooking smells may trigger an episode of nausea, too.
Here are some suggested snack foods which you can have available if you experience “morning sickness”:

- Slice of wholemeal toast
- Nuts and raisins
- Dried apricots
- Apple
- Rice cakes
- Raw vegetables eg. carrots, celery, tomatoes
- Fruit juice
- Muesli-type bar or raw Nākd Bar
- Soft fruits eg. peach, plums, pear

Ginger has been found to help feelings of nausea. This can be taken as a herbal tea (1-2 cups a day) or by ingesting half a teaspoon (1/8 teaspoon x 4 a day) of powdered ginger.

Raspberry leaf tea (1 - 3 cups a day) may also help, especially if combined with ginger, mint and a little lemon to give it more taste. Raspberry leaf tea has been used for centuries in pregnancy to smooth the muscles of the uterus, which is also helpful in labour.

If you have a juicer, mixing up the following juices may also help:

Ginger, kiwi fruit, mint and pineapple; apple, carrot and ginger; apple, fennel, ginger and peppermint/spearmint.

Studies have also shown that 25mg of Vitamin B6 taken three times a day can significantly reduce morning sickness but it is wise to tell your doctor or midwife that you are taking it.

basket of fruit and veg
Dietary Support

The old saying "eating for two" is quite right - not in quantity of food but in quality. More nutrients are required during pregnancy because your baby will take all it needs from your resources and if they are low, you may become malnourished. It has also been shown that poor maternal nutrition may set the stage for the development of cancer later on in your baby’s life.

Foods you should avoid that may reduce your nutrient intake are:-

a) Processed Food - the nutrients are either reduced, removed or destroyed by canning, pasteurising or freezing. Do not Microwave your food as this destroys the nutrients and alters your blood. See an article about Microwave Ovens.

b) Foods with artificial preservatives, flavourings or colourings - they contain high levels of chemicals which may affect your baby. Foods high in nitrites like hotdogs and bacon etc, can form nitrosamines in the body which are known carcinogens and have been linked to nervous system cancers in the baby.
c) White foods - such as white flour, white rice, white pasta, white bread or white sugar. They contain little nutrition or fibre but are high in calories and starch.

d) Strong coffee and tea - they can upset your digestive system. The tannic acid in tea can prevent the absorption of iron from food if drunk with a meal and there are studies showing that tannic acid and caffeine may affect the baby.

There are certain nutrients which are essential to prevent birth defects as they are the building blocks for a new baby. The most well-known of these nutrients is folic acid which has been proven to prevent spina bifida. At least 400mcg of folic acid is needed daily and ideally, should be commenced at least three months before stopping contraception. If your pregnancy is unplanned, you may not have had the opportunity to increase your intake of folic acid so you should do so as soon as possible.

Folic acid can be found in citrus fruits, wheatgerm, wheatbran, nuts, pulses, wholemeal bread, eggs, brown rice, kidney beans and asparagus. Zinc helps the absorption of folic acid and can be found in meat, hard cheese, wholemeal bread, eggs, pulses, rice, green leafy vegetables and potatoes.

Your intake of Protein, calcium, magnesium and iron are also important at this stage and the vitamins A, B6, B12, C, D, E and K to prevent cleft palate, hydrocephalus (water on the brain), Siamese twins and kidney, limb, eye and brain malformation.

Some pregnant women find they are low in iron and your doctor may recommend increasing your intake of iron-rich foods.

There are two types of iron in foods – haem iron and non-haem iron. Haem iron is absorbed the best and can be found in red meat (1.9mg), liver (12.5mg), sardines (4.6mg) and egg yolk. The non-haem iron must have vitamin C for absorption and this can be found in dark green leafy vegetables like spinach and cabbage; dried fruits (5.8mg) like apricots, raisins and prunes, parsley (8mg), haricot beans/baked beans (2.5mg), and kidney beans, wheat bran (12.9mg), wholemeal bread (2.5mg) and cocoa powder (10.5mg). Fortified cereals also contain iron and the values can be found on individual packets.

Good sources of Vitamin C are: Citrus fruits like oranges, lemons, limes etc, red peppers, strawberries, cranberry juice, cherries, blackcurrants, broccoli, watercress, cabbage, and Brussels sprouts.

If your doctor advises iron tablets due to anaemia, then it is important that you eat a diet high in fibre as iron tablets often cause constipation. Supplements containing psyllium husk provide a good source of fibre if you find other sources difficult to tolerate.  Your fluid intake is also important to prevent constipation. (See Fluid Intake below).

Unfortunately, in today's world, it is impossible to receive the full complement of nutrients required to maintain good health. Every decade, the nutrient value in our fruits and vegetables is depleted because of modern farming methods. Therefore, it is important to build up the body during pregnancy.



Fluid Intake
glass of water
Most people do not drink sufficient fluids each day but now is a good time to get into the habit of increasing your consumption of water. Ideally you should be drinking at least two litres of water a day. That should not include water used for tea or coffee as they are both dehydrating. This means that the benefit from their volume is soon cancelled out by their diuretic effect.

Sufficient fluids allows your body to remove toxins. If you are dehydrated, water is drained away from some cells and sent to the vital organs. This can lead to tiredness, lack of concentration and gastro-intestinal problems.

Tea and coffee both contain caffeine and should be kept to a minimum. If you drink a lot of these beverages then now is the time to cut down. Some pregnant women find that they cannot tolerate these drinks during pregnancy.
Fizzy drinks and any drinks containing artificial sweeteners should be avoided. Aspartame, which is commonly used in diet drinks is a bio-chemical toxin and has been found to cause birth defects amongst many other health problems. For more information on Aspartame click here.

A glass of fruit juice may be counted as one of your required daily portions of fruit but you should not drink more than two a day because they can be quite acidic.

If you have problems drinking water, then diluting fruit juice is one way of making it more palatable. However, like most things, if you drink it often enough it becomes an acquired taste.

Filtered water is better than water straight from the tap but remember to change the filters regularly to prevent bacteria, nitrate, and metal build up. Mineral water is also good, preferably “still” water from glass bottles rather than plastic. Plastic bottles may contain chemicals which can cause birth defects. If you can only buy plastic bottles, make sure you drink it as soon as possible, as the closer it is to the expiry date, the higher level of chemical contamination in the water.  NEVER keep water in a plastic bottle in a hot place, like a car during summer as the plastic chemicals will easily leach into the water.

If you live in an area with artificially fluoridated water, you should avoid drinking tap water, altogether.  The only guaranteed method of eliminating this toxic chemical is to install a reverse osmosis unit.  Details about this can be found here.

lady relaxing in bath
Personal Hygiene

You may be shocked to discover that many of the products you use daily for personal hygiene contain a toxic cocktail of chemicals which can not only harm your long-term health but can also cause birth defects. Recent studies have shown that shampoos, shower gels, and bubble baths contain chemicals which have the potential to cause infertility in boys. These chemicals are able to pass through your skin into your bloodstream and across the placenta into your unborn baby.

Common chemicals that should be avoided are:
The National Childbirth Trust also provides local ante-natal exercise classes in the UK for a small fee.

weighing scales
Weight

The amount of weight put on by women in pregnancy varies between 9 - 13.5kg (20 - 30lbs) with the most rapid gain usually between weeks 24 and 32. Your baby, uterus, placenta and the fluids surrounding your baby will account for more than half your total weight gain. Also, during this time, your blood volume increases and you begin to store fat in preparation for breastfeeding.

If you are overweight before you are pregnant, your body will be placed under a much greater strain during pregnancy giving rise to back problems, joint pains, varicose veins, cardiovascular problems, haemorrhoids and stretch marks.
tablets
Medication

It is well known that some drugs can affect the developing baby so they should be avoided wherever possible. If you are on medication for a medical condition like diabetes, thyroid disease, inflammatory bowel disease or epilepsy then you should tell your GP or specialist that you are pregnant as soon as possible, so they can review your treatment if necessary.

Recent studies have shown that over-the-counter painkillers like Ibuprofen should be avoided in pregnancy and aspirin is also advised against. If you are in need of a painkiller for a headache, paracetamol is regarded as a safer choice, although this should only be taken as a last resort.

If you wish to avoid all drugs, a headache can be dealt with by lying down or rubbing Lavender oil on your temples.



Exercise
Everyone should exercise or do an activity which raises the heart rate for 20 minutes at least five days a week and now is no exception. Exercise strengthens the whole body and allows toxins to be dealt with by helping to move lymph around the lymphatic system (our garbage disposal system).

Having a supple body before pregnancy will make a significant difference when the extra demands increase later in pregnancy and during labour. Aerobic exercise like swimming, cycling, walking or dancing are ideal to prepare your body for labour. Your midwife should be able to tell you about ante-natal classes which will teach you helpful exercises. Yoga exercises may also be helpful.
pregnant woman exercising
Smoking

If you are a smoker and did not have time to prepare for your pregnancy, you should make every effort to stop. Chemicals absorbed from cigarette smoke reduce the number of cells produced in your baby's body and brain. Nicotine constricts the blood vessels to the placenta which reduces the blood supply to your baby. The raised levels of carbon monoxide in your blood also reduces the amount of oxygen reaching your baby, resulting in lower birth weight and a higher incidence of premature birth.
stubbed out cigarette
If you smoke cannabis, your baby is likely to be smaller, hyperactive, have behaviour and learning problems and be 10 times more likely to develop leukaemia.  Studies have shown that babies of smokers are more likely to have congenital abnormalities, and miscarriage is twice as likely due to damaged blood vessels in the placenta.

There are a variety of ways to stop smoking. Your GP can advise you or you can find out about support groups in your local library or Yellow Pages. Also read the article on Smoking Cessation here.

At the end of the day, whichever method you choose, you will only succeed if you really want to give up. And, if you want a healthy baby, then that should be the best incentive in the world.


Alcohol
Alcohol is a poison and can seriously damage your developing baby, especially in the first six to 12 weeks of pregnancy. There is no safe level but you should never drink more than one unit per day (one unit = one small glass of wine, half a pint of beer/ cider, a pub measure of spirits) and certainly not every day. Alcohol in pregnancy can lead to Foetal Alcohol Syndrome which can cause facial abnormality, heart defects, abnormal limb development and reduced intelligence in your baby.

It would be better not to drink at all and if that is a problem for you, it is essential that you wean yourself off alcohol. If you are a heavy drinker, your GP or midwife should be able to advise you.

glass of wine
If you have just found out you are pregnant, you will undoubtedly have a mixture of feelings. Whether your pregnancy was planned or not, your priority now is to keep yourself in good health to cope with the increasing demands on your body and provide your baby with the necessary nutrients to develop.

Below, you will find general health recommendations for women who are pregnant.  Click on each heading to find out how you can best look after yourself to give you and your baby the best chance for a long and healthy life.

Pregnancy Care










Pregnant woman
Sodium Lauryl Sulphate found in toothpastes and some mouthwashes; Sodium Laureth Sulphate found in shampoos, shower gels and bubble baths; Propylene Glycol found in skin care products; DEA, MEA, TEA found in cosmetics, shampoos and shower gels; Fluoride found in toothpastes; Triclosan found in toothpaste, deodorants and anti-bacterial products; and Talc. See Toxins in Toiletries for more details.

Therefore, the best chance of having a healthy baby would be to find safer alternatives and that includes baby products for when your baby arrives.  These are much easier to find now that information about controversial ingredients has become better known.


For information about healthy living after giving birth and whilst breastfeeding, click here.