Pregnancy Part 1

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Pregnancy Part 1
2014-05-06 12:35:59
Pregnancy Part

Pregnancy Part 1
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  1. Successful pregnancy outcomes include:
    • Viable birth weight
    • No congenital defects
    • Favorable long-term health outlook for mother and infant
  2. Metabolic changes
    • Basal Metabolic Rate increases 15-20% by end of pregnancy
    • mother uses more fats bc fetus want glucose
  3. anatomic and physiologic changes at end of pregnancy
    • weight
    • bone and soft tissue structure
    • plasma volume doubles
  4. Full term pregnancy
    40 weeks
  5. Renal changes
    • GFR increases (glomerular filtration rate)
    • may increase risk for preeclampsia- hypertension
  6. GI changes
    • Slow GI motility- increase absorption of nutrients
    • smooth muscle relaxation
    • consequences: constipation, heart burn, delay gastric empting
  7. Why does heart burn occur
    relaxation of cardiac spinicter smooth muscle and longer churning of food in stomach
  8. Weight gain due to maternal body composition
    • increased blood and fluid volume
    • maternal support tissue- breast, uterine
    • products of conception (fetus and placenta)
  9. consequences of inadequate weight gain
    • low birth weight
    • small gestation age (SGA)- weight and height
  10. Normal weight gain when pregnant
    • 25-35lbs
    • 1st: 0 weight
    • 2nd/ 3rd: 1 lb/ week
  11. extra consumption of food
    300-400 cal per day in 2nd and 3rd trimester
  12. BMI
    doesn’t take into consideration muscle mass
  13. Prenatal vitamin
    • only in population where supplementation is necessary
    • contain more folic acid to prevent neural tube development
    • less A and D- can cause birth defects
  14. Omega 3 (DHA)
    neurological development