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Pregnancy Nutrition FAQPregnancy Nutrition FAQMaintained by Sabrina Cuddy, AAHCCswnymph@fensende.comSummary: Bradley(r) Method Pregnancy Nutrition Guidelines Daily Plan for getting what you and your baby need Agrees with the California Dept. of Health Guidelines **NEW** Section on Iron and Raising HematocritHere are the daily requirements for pregnant women according tothe Bradley Method of Natural Childbirth®, from the followingsources: California Department of Health (Nutrition During Pregnancy and Lactation); Robert Bradley, MD; Phyllis Williams(Nourishing Your Unborn Child); Gail & Tom Brewer (What Every PregnantWoman Should Know); Helen Guthrie (Composition of Food, USDA).I will state this as clearly as I can: This is a guideline for theEASIEST way to get all the nutrients and calories you need inpregnancy, especially a high level of protein and the calories you needto use the protein as building blocks rather than for fuel. There areother ways to do it if you are vegetarian, vegan, eat low fat, or don'tlike/tolerate a particular food. Please see the books referenced atthe end for more details on substituting foods!Every Day, you should have: (examples given are one serving)(Remember, each category is separate and you cannot fill two withone food - if you eat 3 oz of cheese, it can be a protein or amilk, but not both!)1 Quart of Milk (4 8-oz Glasses) - in any form: milk, cheese, yogurt, even ice cream (although try to watch the fat!)2 Eggs (cooked any way, in french toast, added to other foods...)2 Servings of Protein Foods - 3 oz Meat or Fish, 1-1/2 Cup Beans, 3 oz Cheese, 1-1/2 Cup Tofu, etc.2 Servings Green Vegetables, preferably leafy (1/4-1/2 Cup)4 Servings of Grains, preferably whole (Whole Wheat Bread -1 slice, Tortilla - 1, Brown Rice - 1 Cup, Oatmeal - 1 Cup)1 Vitamin C Source - Citrus Fruit/Juice, Tomato, Cantaloupe, etc.3 Fat Servings - 1 tsp oil/butter/sour cream/mayonaise (some reduced fat products let you use 1 Tbsp instead...)1 Serving Other Fruit1 Serving Other VegetablesEach Week, try to include:5 Servings Yellow or Orange Colored Fruit/Vegetables1 Serving of Liver (if you like it - don't force yourself!)[Note: This is controversial as it is an organ meat with a potential for storing harmful substances, and because of the high levels of vitamin A it contains...]3 Whole Baked PotatosPlenty of Water/other fluidsSalt your food to taste for safe blood volume!If you substitute Proteins for Milk/Eggs, you must be sure yourproteins are complete and that you get 80-100 grams of protein/day!You must also be sure to include all the elements of a well-balanceddiet. While this plan is not the only way to get everything you needin pregnancy, it is one of the easiest ways!Some recent research (from the Journal of Nurse-Midwifery) suggests that eating too much protein can lead to low birth weight babies!The number to stay below for a singleton pregnancy is 150g/day.The recommended amount of protein for a twin pregnancy is 130g/day,so even moms with twins can eat the recommended amount withoutworry that they are getting too much!If you are following a vegetarian or vegan diet, please see the referencedbooks below for ways to substitute for meat/dairy/eggs on this diet.For more information, please read the following books:"What every pregnant woman should know" By Gail Brewer with Tom Brewer, MD"The Brewer Medical Diet for Normal and High Risk Pregnancy" by Gail Brewer with Tom Brewer, MD"Pregnancy, Children, and the Vegan Diet" by Michael KlapperSpecific Diet Questions may be addressed to your local Bradley Teacher(call 1-800-4-A-BIRTH for a National Directory or see the Bradley Page for email information) or to the Brewer Prenatal Nutrition Hotline (802) 388-0276.The following section is not Bradley Method® material and shouldnot be in any way associated with them.Iron: US RDA for pregnant women is 30-60mg/dayHematocrit: Should be upper 30s, and some say at least 40. 32-33 is definitely anemic!Hemoglobin: During early pregnancy, 13 is a good number, Near term, 10 is a bit low, 11 is OK, 12 is great. The drop in hemoglobin is due to expanding blood volume.Iron suppliments can cause constipation or nausea, but taking them withmeals can help. To build blood, enough protein, folic acid, andvitamin B12 are also needed. Iron is most easily absorbed when eatenwith foods containing protein and vitamin C. Animal sources of ironare most easily absorbed - studies are unclear as to whether soyprotein inhibits iron absorption.Take iron suppliments in several small doses, since one large dose islikely to be unabsorbed and unutilized! Iron gluconate is an organicsource of iron - because it is not well absorbed, it is hard tooverdose. Iron sulfate is man-made and better absorbed, so it ispossible to take too much - this can be hard on the liver.One of the gentlest, most absorbable iron suppliments is Floradixliquid, available in most health food stores. It is expensive. A lespensive source of iron is Nettle Tea. Other options includespirulina and blue-green algae (chlorella). The chlorophyll moleculein plants is very similar to the heme molecule which carries iron inthe blood. For more on this, see the posting below.The hematocrit naturally drops in pregnancy, particularly in the lastmonths as the baby stores up iron to last it a few months in earlyinfancy. During the first months of life, the baby receives verylittle iron from breastmilk, so the mechanism is a slow release of ironstored as a fetus. If your hematocrit is below 36 after birth, keep upany suppliments and iron rich foods for a few months to replenish youriron stores.(From the midwifery mailing list)From: Elizabeth Couch <kindredspirit@shop.medchem.purdue.edu>Subject: Re: Chlorophyll in Pregnancy???>Just curious, why do you give chlorophyll in pregnancy? What is its>indication? This is the first time that I ever heard of this substance being>given to people to eat. I know that it is a substance found in plants and>algae and give them their green hue, but I didn't think that it was a>substance which promoted healthy pregnancy.We use chlorophyll too. We use it prenatally to increase a lowhemoglobin and promote the clotting factor. It is excellent for thispurpose after a postpartum hemmorhage as well. We always tell clientsthat honestly we're not sure why it works. But chlorophyll has asimilar chemical structure to that of hemoglobin. They are identicalin chemical make-up except for the fact that chlorophyll has a moleculeof magnesium at the center where hemoglobin has iron. As far as Iknow, no one knows why this substance helps a person build red bloodcells. It seems that perhaps the body can easily convert it tohemoglobin. But when people take chlorophyll, their red blood countgoes up. I haven't seen too many written references to the use ofchlorophyll as an alternative to iron supplementation; however, InaMay Gaskin does mention it briefly in the newest edition of "SpiritualMidwifery."Anecdotally speaking I have a client right now who had two midtrimestermiscarriages with her last two pregnancies after many term deliveries.She came to us for help, and upon checking her hemoglobin, found it tobe around 8 (!!!) So we recommended 12 chlorophyll capsules, prenatalvitamins and additional folic acid, and liver once a week in additionto all the protein/dietary recommendations that have been discussedhere lately. By her next visit her hemoglobin was close to 10 and haseven increased a little throughout the process of expanding bloodvolume. I have been impressed with chlorophyll more than ever.Usually we recommend somewhere around 4-6 chlorophyll a day for atypical low hemoglobin. Some like to get on it toward the end of theirpregnancy as a hemmorhage prevention, but we don't regularly recommendit for that purpose alone. My hemoglobin is OK (11.4 at 30 weeks), butI wouldn't mind it being a little higher, so I've been taking 2 a day.I have also heard of chlorophyll being used with very successfulresults for premenopausal women who are bleeding too heavily with theirperiods. I think the routine I heard discussed was taking 4-6chlorophyll/day the week before an expected period; then 16, 12, 8, 4,4, 4,... for each day of bleeding thereafter. My mother-in-law triedthis after some some very discouraging times, hormonal treatments, etc.and was delighted to find that it worked.Why chlorophyll instead of iron? It seems to get better results andhas the added benefit of being somewhat laxative instead of somewhatconstipating. (Alfalfa is often used for this purpose as well.) Ifpeople think "iron supplement" they often buy ferrous sulfate which ispoorly absorbed and very constipating. If you or your clients aretaking chloropyll for the first time, you might be surprised by itsother normal but kind of weird effect--it causes bright green stools.Chlorophyll is available as a liquid, in gel caps, or dried tablets.Liquid is probably best but some find the flavor and sightobjectionable. (Some say drinking it in a cup with a lid helps.)Capsules seem to do just as good a job prenatally, but we carry theliquid in our birth bags for quick fluid replacement and clotting aftera heavy bleed.Elizabeth Couch, MidwifePage Design by  Fen's Ende Software |
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