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Summary of Chapter 10 – Nutrition through the Life Span: Pregnancy and Infancy

Adequate nutrition before pregnancy establishes physical readiness and nutrient stores to support fetal growth. Both underweight and overweight women should strive for appropriate body weights before pregnancy. Newborns who weigh less than 51/2 pounds face greater health risks than normal-weight infants. The healthy development of the placenta depends on adequate nutrition before pregnancy.

Placental development, implantation, and early critical periods depend on maternal nutrition before and during pregnancy.

Pregnancy brings physiological adjustments that demand increased intakes of energy and nutrients. A balanced diet that includes more nutrient-dense foods from each of the five food groups can help to meet these needs.

Due to their key roles in cell reproduction, folate and vitamin B12 are needed in large amounts during pregnancy. Folate plays an important role in preventing neural tube defects.

All pregnant women, but especially those who are less than 25 years of age, need to pay special attention to calcium to ensure adequate intakes. Fluoride supplements are not recommended for pregnant women who drink fluoridated water, but for those who live in communities where the water is not fluoridated, a fluoride supplement may protect fetal teeth.

A daily iron supplement is recommended for all pregnant women during the second and third trimesters. Iron interferes with zinc absorption, so women taking iron supplements (more than 30 milligrams per day) may need zinc supplements as well.

Women most likely to benefit from multivitamin-mineral supplements during pregnancy include those who do not eat adequately, those carrying twins or triplets, and those who smoke cigarettes or are alcohol or drug abusers.

Food assistance programs such as WIC can provide nutritious

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