----------------------- Page 1----------------------10/20/2011 Fajar Ari Nugroho 1 Under Weight Overweight & Obesity having a low-birth weight infant

hypertension, gestational diabetes, & postpartum infection, also more likely to have other complication of labor & delivery

2 1 ----------------------- Page 2----------------------10/20/2011 Nausea Acidosis, dehydration, excessive weight loss Constipation & Hemorrhage alter muscle tone & growing fetus crowds intestinal organs, also develop hemorrhoids 3 Food Craving & Aversion fairly common, but do not seem to reflect real physiological needs Heartburn relax the digestive muscle & the growing fetus puts increasing pressure on mother stomach 4 2 ----------------------- Page 3-----------------------

10/20/2011 Eat small, frequent meals Eat dry toast or ds with crackers ve odors To Alleviate When nauseated, do not drink On waking, arise citrus juice, slowly water, milk, Pregnancy coffee, or tea 5 Drink at least 8 glasses of liquids a day Use laxative only as Exercise regularly prescribe by physician; Eat food high in do not use mineral fiber (fruits, oil, because it vegetables & interferes with whole-grain absorption of fatcereals) soluble vitamin 6 3 ----------------------- Page 4----------------------10/20/2011 Avoid spicy or To Prevent Respond promptly to the urge to defecate the Nausea of offensi Avoid foo

or Alleviate

Constipation

greasy foods Drink liquid between meals Chew food elevate the head thoroughly while sleeping; To Prevent wait 1 hour after eating before Relax & eat or Relieve lying down, 2 slowly hour before Heartburn exercising 7 Folic acid Neural tube defect; prevent preconception; birth defect; hematology indices 8 4 ----------------------- Page 5----------------------10/20/2011 9 10 5 ----------------------- Page 6----------------------10/20/2011 1 mg/day Pregnant women Women with 4 mg/day Sit up while eating

tube defect history

Take folic acid 1 month prior conception & during first semester 11 Fe

Anemia: low birth weight; premature; perinatal mortality; maternal mortality & morbidity 12 6 ----------------------- Page 7----------------------10/20/2011 13 14 7 ----------------------- Page 8----------------------10/20/2011 60 mg 5 g folic elemental acid iron 15 Iodine Mental impairment, cretinism 16 8 ----------------------- Page 9----------------------10/20/2011 17 18 correction Anemia

9 ----------------------- Page 10----------------------10 /20/2011 Timeline Effective in preconception & middle pregnancy period 130 g/day Needs 19 Calcium Reduce PIH(pregnancy induce hypertension) 20 10 ----------------------- Page 11----------------------10/20/2011 Intake increase in calcium intake through diet in women at risk of hypertension or low calcium areas 1000 mg/day Doses 21 Jika kita melayani, maka hidup akan lebih berarti. 22 11