Thursday, 24 September 2015

Complete Pregnancy Health content

Complete Pregnancy Health content

1) What to eat & what not to eat?

2) Pregnancy Nutrition

3) Pregnant and overweight

4) Pregnancy exercise

5) Exercise during pregnancy

6) Loss of appetite during pregnancy

7) How to boost energy levels with food, rest, good posture and more.

8) Cholestasis During Pregnancy

9) Special concerns during pregnancy

10) Pregnancy and Anaemia

11) Braxton Hicks

12) Are you at risk of getting Rhesus Disease?

13) Postpartum Care for Better Future Health

14) Baby Blues

15) Testing for STIs in pregnancy

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Saturday, 19 September 2015

What to eat & what not to eat?

What to eat & what not to eat?
Sure, what you eat during pregnancy is vital, but that doesn’t mean you have to be afraid of everything you put in your mouth or force yourself to eat foods you don’t like. Simply stick to these 10 basic do’s and don’ts.
1.       
        Do load up on Folate, Calcium, Iron, Zinc and Fibre
Before conception and in the first six weeks of pregnancy, no nutrient is more vital than folate (the synthetic form is folic acid). This B vitamin can reduce the risk of neural-tube defects, such as spina bifida, by a whopping 70 percent.

You can get your daily minimum of 400 micrograms (600 micrograms is recommended in the first trimester) from beans and legumes, citrus fruits and juices, whole grains, dark green leafy vegetables, poultry, fish and shellfish but folate from foods is not as well absorbed as folic acid supplement for insurance.

Your daily dose of calcium – 1200 miligrams from low fat dairy products, dark green vegetables and fortified orange juice and soy products – plays a key role during the second and third trimesters, when your baby’s bone and tooth development reaches its peak. Because the foetus leaches calcium from your body, getting enough of this mineral can protect your own bones too.

Iron, important for supporting your 50 percent increase in blood volume, is crucial in the third trimester. Aim for 30 miligrams per day. Iron is difficult to get from the diet, so take an iron supplement or prenatal vitamin with iron. To boost iron absorption, combine iron-rich foods with vitamin C sources.

Your zinc requirement increases by 50 percent to 15 milligrams per day when you’re pregnant. Zinc deficiencies have been linked with birth defects, restricted foetal growth and premature delivery. Although nuts, whole grains and legumes are good sources, the mineral is best absorbed from seafood.

Fibre (found in fruits, vegetables and whole grains) is particularly essential for your own health. It helps prevent reduce constipation, a common pregnancy complaint that can lead to haemorrhoids, and it makes you feel fuller longer; aim for 25 milligrams to 35 milligrams day.
2.       
        Do eat a rainbow of foods
Not only does a varied diet provide you and your baby with all the important nutrients, but an eclectic mix also introduces your little one to new tastes via amniotic fluid. Of course, if bananas and saltines are the only foods you can stomach in the first trimester, don’t stress about it. But as soon as you start feeling better, aim for more variety. Deep-hued fruits and vegetables, such as blueberries, carrots and spinach, tend to be rishest in antioxidants.
3.       
      Do limit your exposure to pesticides by choosing organic & locally grown foods when possible
The developing immunes system is so much more sensitive than adult’s. other research has connected pesticides in the water supply to premature births and possible birth defects. There are evidence that nitrates (chemical used in fertilizer) and pesticides have the ability in very small doses to interact with the hormonal milieu of the pregnancy. Washing your produce helps, but may not be enough.
The types of produce harbouring the highest pesticide concentrations tend to be fruits and vegetables with skins, such as peaches, apples and strawberries.
4.       
      Do get your Omega-3 fatty acids
A diet rich in omega-3s can boost your baby’s brain and neurological development before birth, likely leading to better vision, memory and language comprehension in early childhood. It also may reduce your risk of postpartum depression. Flaxseed oil, walnuts and omega-3-fortified eggs are good sources of ALA, one of the three omega-3 fats, but fatty fish are the only reliable sources of the two more important omega-3s, EPA and DHA. It is recommended that pregnant and nursing women get at least 300 milligrams of DHA in their daily diet.

The trick is to choose fish that are high in omega-3s but low in mercury, which can harm a foetus’ nervous system. Varieties to avoid include swordfish, shark, king mackerel, tilefish, and some experts say, tuna, though canned light tuna is safer than albacore. Top picks include wild Alaskan salmon (fresh, frozen or canned), Atlantic mackerel, herring, sardines and anchovies. Fish oil supplements are also safe.
5.       
      Do choose “Double Duty” foods
Nutrient-dense foods such as yoghurt, peanut butter, chicken, beef, eggs and dairy products, are those that are higher in protein, calcium and iron, all nutrients your baby needs to grow and develop properly. Some other nutrient-dense foods: 1) beef contains protein, along with B vitamins, Iron and zinc; 2) Orange juice offers folate plus vitamin C which helps you absorb iron from foods such as fibre-rich black beans and spinach; 3) whole grains are filled with fibre, B vitamins, magnesium and zinc.

1.    Don’t “eat for two”
      Half of all women gain too much weight during pregnancy, according to studies; that’s up from 37 percent in 1993. Research suggests that when mums-to-be gain excess weight, the babies have a higher risk of obesity later in life. Plus, the mothers tend to retain extra poundage after giving birth. It’s crucial to base your pregnancy weight-gain goal on your height and pre-pregnancy weight. If you’re expecting twins and your pre-pregnancy body-mass index (BMI) was normal (18.5 to 24.9), expects now recommend gaining 37 to 54 pounds: 20 to 30 pounds by 20 weeks; 30 to 46 pounds by 28 weeks; and the rest in the last trimester.
If you’re carrying a single baby, you need approximately 340 extra calories per day in the second trimester and 450 extra in the third trimester. Doctors disagree on whether you need more calories in the first trimester – if you’re overweight, you likely don’t. But rather than count calories, simply eat until you feel satisfied, and not more. If you have a problem with portion control, seek the guidance of a registered dietitian.
2.       Don’t overdose on refined carbs
White bread, white rice, sweets and soft drinks rush into your bloodstream, spiking your blood glucose levels. These spikes may result in fatter newborns, who are at greater risk of being overweight as they grow up. If you consume the same numbe of calories but just change what you eat, your baby may have less body fat at birth and a lower risk of future obesity. Limit the white stuff and choose unrefined grains such as oatmeal, brown rice, whole-wheat tortillas and bread.
3.       Don’t overlook food safety
To protect yourself and your baby from harmful bacteria such as E.coli, Salmonella and Listeria, don’t eat raw or undercooked meat, poultry, seafood or eggs and don’t eat leftover food that has been sitting out for more than two hours. Also stick a thermometer in your refrigerator to make sure the temperature is below 40 degrees, cold enough to stop bacteria from growing. Heat deli meats until steaming hot.
With Brie, blue cheese and other soft cheeses, check the label to make sure they are made with pasteurized milk; unpasteurized soft cheese can harbor Listeria, which can lead to premature delivery, miscarriage or stillbirth. If there’s no label, don’t take the chance.
Stay away from sushi made with raw fish, but you’re welcome to enjoy California rolls containing imitation crabmeat or sushi made with cooked unagi (eel).
4.                       
                    Don’t go more than two to three hours without eating
Grazing not only pumps a steady stream of nutrients to your baby, it also keeps your blood sugar levels steady so you don’t “crash” or become lightheaded. If you don’t fill the tank frequently, you can bottom out. Smaller meals also minimize heartburn, a common and painful problem as pregnancy progresses and your stomach gets squeezed.
5.
               Don’t forget to drink at least 12 (8-ounce) glasses of fluid a day
It’s hard to stay hydrate when you’re pregnant because a lot of the fluid you drink leaks from your blood vessels into your tissues. Yet hydration is essential for preventing preterm labour; when you’re short on fluids, the body makes a hormone that stimulates contractions. Staying hydrated also helps prevent headaches, kidney stones, dizziness and common pregnancy complaints such as constipation and haemorrhoids. You know you’re well hydrated when your urine is light yellow to clear.


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Pregnancy Nutrition

Pregnancy Nutrition
In a perfect world, we’d get all the nutrients we need from well-balanced home-cooked meals. 

Unfortunately, with today’s jam-packed schedules and on-the-go dining, we’re likely to fall short on critical nutrients.

Revamp your diet to make sure you include the following key nutrients and you’ll not only function better, you’ll help stave off disease and may even extend your life.

Omega-3s
Research shows that consuming a diet rich in omega-3 fatty acids can reduce the risk of heart disease. 

Omega-3s DHA and EPA do this by helping prevent irregular heartbeats, reducing plaque buildup and inflammation in the arteries, and keeping blood sugar levels in check.

Need more reasons to load up on omega-3s? Researchers report that they’re more effective at combating depression than commonly prescribed antidepressant drugs.

Where to find it:
Fatty fish like salmon, trout, and sardines. (Some plant foods contain the omega-3 ALA, but this fatty acid hasn’t been proven to provide the health benefits of DHA and EPA.) Eating just one or two servings of fatty fish a week can slash your risk of dying from heart disease by 36 percent. Not into fish ? Take a supplement.

Vitamin D
For years, Scientists thought vitamin D’s only role was to enhance the absorption of calcium from food. New research shows that vitamin D can reduce chronic pain, ease PMS, guard against heart disease, and even ward off cancer.

Trouble is, most of us don’t get enough vitamin D to maintain bone health, let alone reach the levels that protect against chronic disease. People used to get a lot of vitamin D from sunlight. Nowadays we protect ourselves from the sun, and our vitamin D levels have declined as a result. What’s more, experts say the current daily recommendation of 400 IU is too low, and that most Americans need a minimum of 1000 IU of vitamin D every day, especially in the absence of sunlight.

Where to find it:
It may be difficult to get all of the vitamin D you need by loading up on vitamin D-rich foods like salmon and fortified milk and cereal. To get the recommended 1000 IU, look for supplements that contain vitamin D (cholecalciferol), an active form that’s more effective than its vitamin D2 counterpart.

Fibre
Dietary fibre fills you up without weighing you down, helps keep blood sugar levels in check, and helps prevent health problems ranging from cancer to stroke.

Even though the nutrient is widely available in fruits, vegetables, legumes, and whole grains, our average intake is a paltry 14 grams per day, compared to the recommended 25 to 35 grams.
“People are spending less money at the supermarket and more money at fast food joints that don’t serve high-fiber meals, “ says a researcher. “Not only does this increase the chance of constipation, it also can lead to weight gain.”

Where to find it:
Fortunately, fibre is easy to find. Oatmeal, beans, barley, and most fruits and vegetables (especially apples, berries, and broccoli) are chock full of the stuff. If you’re adding fibre to your diet, make sure to boost your diet, make sure to boost your water intake, too. A sudden increase in fibre consumption without water can cause bloating, constipation, and other tummy troubles.

Calcium
Getting enough calcium can help prevent disease ranging from diabetes and cancer to hypertension and heart disease. Calcium is important for muscle function, not just bone health. The heart is a muscle and it needs calcium, too. Only 21 percent of adults get the recommended amount of calcium (1000mg per day for women 19 to 50, and 1200 mg for women 51 and over).
Where to find it:
Two to three servings of dairy every day should meet your needs. Want extra insurance ? Consider taking a supplement or choosing calcium fortified cereals or orange juice.





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Postpartum Care for Better Future Health

Postpartum Care for Better Future Health

Postpartum Confinement
According to Traditional Chinese Medicine(TCM), normally our joints are closed. But the process of labor and delivery and blood loss during delivery of a baby often deplete mothers’ qi and blood. 

During the postpartum, the channels and collaterals are empty, organs are weak and blood stasis occurs in the uterus, leaving mothers vulnerable to other illnesses.

In the postpartum period, the body cavities are open and loose, and pathogenic cold can enter the body easily. As the body cavities recover and gradually close up, cold wind that enters during the postpartum period will be trapped in the body, affecting the future health of mothers.

According to TCM, illnesses that mothers catch during the postpartum period can only be treated in their next postpartum period. It is only during the postpartum stage that the joints are open which allow medicine to absorb and make treatment possible.

Women who are week may experience back pain after postpartum. As they grow older, they may even feel overall body pain, especially in the joints. For some, the pain may never go away. This is known as postpartum syndrome.

Postpartum Depression
Postpartum Depression is caused by a combination of biological and psychological factors. Mothers with postpartum depression experience feelings of anxiety, insecurity, guilt, fear and so on. Some women with postpartum depression feel hopeless and have thoughts about suicide or harming their babies.

Biologically, postpartum depression is triggered by hormonal changes associated with having a baby. After childbirth, women experience a big drop in estrogen and progesterone hormone levels, leading to mood swings and postpartum depression.

Psychologically, it is due to the anxiety about one’s ability to care for the baby, feeling overwhelmed by the new lifestyle, and difficulty in adjusting oneself to new role. Mostly women experience some form of short-term baby blues period, some of them may develop into longer lasting postpartum depression, or even develop postpartum psychosis.

Herbal Decoctions to Treat Postpartum Depression
1.       Take one serving a day, simmer with water 30g Lily bulb, Lilyturf root, Heterophylla, Floating wheat; 15g Rehmannia root, Jhuru, 10g Schisandra, 6g Licorice, 6 pieces Jujube.
2.       Take  one serving a day with water 10g Bupleurum, Angelica, Ginger, Atractylodges, 12g White Paeony Root, 6g Mint, Bupleurum, 15g Poria
3.       Take one serving a day with water 3g Huang Lian, Baicalin, White Paeony Root, Calamus, Bupleurum, Licorice, Turmeric, 10g Ejiao, 30g Floating wheat, 15g Zaoren, 5 pieces Jujube.




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