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January 31, 2011

2010 Dietary Guidelines: What They Mean for Pregnant and Nursing Women

Today, the United States Department of Agriculture released the 2010 Dietary Guidelines (DG) for Americans. The latest recommendations about what to eat have lots of advice for pregnant and breastfeeding women, and for women in their childbearing years who may become pregnant. Here are the highlights:

• Healthy weight: If you may become pregnant, and especially if you’re trying for a child, you should achieve a healthy weight before conception. Starting pregnancy at a healthy weight, and gaining the right number of pounds during pregnancy (which is based on your pre-pregnancy Body Mass Index), reduces your chance of pregnancy complications, and improves your health and your child’s, possibly for a lifetime.

• Iron: If you’re pregnant, take an iron supplement. Even if you’re not pregnant, choose foods rich in heme iron, the form of iron most easily absorbed by the body. Animal foods, such as lean beef, pork, and seafood, are rich in heme iron. Another DG recommendation: include foods with non-heme iron, such as cereal, bread, rice, and pasta, and consume foods with vitamin C, such as orange juice, mango, tomatoes, and strawberries, to increase the body’s absorption of non-heme iron.

• Folic acid: Women in their childbearing years who are capable of becoming pregnant should get 400 micrograms (ug) of folic acid daily. Folic acid is a man-made B vitamin that reduces the risk of certain birth defects that occur during the first month after conception. You should also include in your diet foods with folate, folic acid’s naturally-occurring counterpart. Beans, orange juice, and dark leafy greens provide folate.

• Fish: The latest DG recommend that women who are pregnant or breastfeeding consume 8 to 12 ounces of fish every week. Fish supplies omega-3 fats, which are touted as heart healthy. But when it comes to pregnancy and nursing, the most important omega-3 fat is docosahexaenoic acid, or DHA. Your baby’s body starts hoarding DHA around the 24th week of pregnancy because it’s vital for proper brain development and peak vision. Nursing moms need adequate DHA in their diet to pass on to their child through breast milk. (Many infant formulas contain DHA, too.)

The recommendation for fish comes with a caveat: choose a variety of lower-risk fish, such as salmon; limit white (albacore) tuna to 6 ounces a week; and avoid tile fish, shark, swordfish and king mackerel.

If you don’t think you can get as much fish as the DG recommend, supplement your diet with fortified foods, including eggs, such as Eggland’s Best, and fortified milk and yogurt. One of my favorite lunches when I was pregnant and even now is two Eggland’s Best eggs fried in a bit of olive oil on a whole wheat English muffin. Yum!

November 19, 2009

Folic Acid: Good For You and Your Baby

Filed under: Nutrition During Pregnancy — Tags: , , , — Elizabeth Ward @ 5:34 pm

I was watching TV yesterday when I saw a segment about the possible link between folic acid and cancer. Negative stories about folic acid concern me because I think they can be confusing to women who are constantly being told they need folic acid every day during their childbearing years.  Folic acid is vital for preventing certain birth defects that occur within the first month of pregnancy, and it is also necessary for the entire eight months of pregnancy after that. Mom needs folic acid for a healthy heart, too.

A recent article in the Journal of the American Medical Association is the source of research suggesting a link between folic acid and cancer. I’ve read the study and its results have no bearing on how much folic acid women who are capable of having a child should take every day. The levels of folic acid - 800 micrograms -given to people in the study was nearly double the suggested amounts for adults in the US. In addition, the effects of  folic acid take by itself was not studied, as folic acid was always taken in combination with high doses of vitamin B12, vitamin B6, or both. That makes it  impossible to directly relate taking folic acid to cancer risk.

Here’s what you should know: Women who are not pregnant or nursing need 400 micrograms of folic acid a day - about the amount found in your garden variety, over-the-counter multivitamin.  You need 6oo micrograms daily once pregnancy occurs, and 500 micrograms daily when nursing. Since many common grain products made in the US are fortified with folic acid, you’ll easily reach your prepregnancy and pregnancy goals by taking a multivitamin and eating a balanced diet that includes fortified bread, cereal, rice, and pasta.

Remember, there’s no need to go overboard on any vitamin.  When you’re dealing with the health of a developing child, just because a little is good does not mean a lot is better.

Bottom line: Keep taking folic acid, for you and your baby’s health.