Vitamin A – Vitamin A supplement. Foods rich in Vitamin A are eggs, carrots, squash, and all green and leafy vegetables.
Vitamin D – Vitamin D supplement. Foods rich in Vitamin D are fish, liver, eggs, milk. Excess Vitamin D during pregnancy can lead to fetal cardiac problem.
Vitamin E – sources are green leafy vegetables and fish
Vitamin B – food sources are same as the foods rich in protein
Iron – the DRI for iron for pregnant women is 30 mg. Sources: liver and other internal organs, camote tops, kangkong, egg yolk, ampalaya
Foods to AVOID in pregnancy
Foods with caffeine
Weight loss diets
Smoking. Cigarette smoking causes vasoconstriction which leads to low birth weight infants and has been a risk factors for some complications during pregnancy. Thus, it is contraindicated during pregnancy.
Drugs. Teratogenic drugs can cause congenital defects to the fetus, hence, they are contraindicated unless prescribed by the physician. The following are medications that are contraindicated during pregnancy:
Thalidomide – can cause Amelia or Phocomelia
Steroids – can cause cleft palate and abortion
Iodides – can cause enlargement of the fetal thyroid gland leading to tracheal decompression and dyspnea at birth. Iodides are contained in many OTC cough suppressants.
Vitamin K – can cause hemolysis and hyperbilirubinemia
Aspirin and Phenobarbital – can cause bleeding disorders and tendencies
Streptomycin and Quinine – can cause damage to the 8th cranial nerve
Tetracycline – can cause staining of tooth enamel and inhibits growth of long bones.
Sexual Activity. During the first trimester, there is a decrease in sexual desire as the woman is more preoccupied with the changes in her body. However, during the second trimester, there is an improvement in the sexual desire as the woman has already adapted to the growing fetus. During the third trimester, a decrease in sexual desire is noted as the woman is afraid of hurting the fetus.
Sex in moderation is permitted during pregnancy.
During the last 6 weeks of pregnancy, sexual activity is not advised as it has been noted that there is increased evidence of postpartum infection on women who engage in sex during the last 6 weeks.
Sex is contraindicated in the following situations:
Spotting or bleeding
Incompetent cervical os
Deeply engaged presenting part
Daisy Jane Antipuesto RN MN
Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing.
Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse.
Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer.