Nutrition in Pregnancy Basic Principles and Recommendations
Nutrition in Pregnancy Basic Principles and Recommendations
Nutrition in Pregnancy Basic Principles and Recommendations
Healthy diet in pregnancy should guarantee proper fetal growth and development, maintain (and
pro-
mote) maternal health and enable lactation. Nutritional counselling and interventions need to be an
integral part of antenatal care and continue during pregnancy in order to reduce the risk of
maternal,
fetal and neonatal complications, as well as the short- and long-term adverse outcomes. Adverse
preg-
nancy outcomes are more common in women who begin the gestation as undernourished or obese
in comparison to pregnant women whose weight is within normal ranges. Increased nutritional and
energy needs in pregnancy are met through numerous metabolic adaptations; pregnancy is
successfully
achieved within wide range of variations in energy supply and weight gain. However, if nutrient
restric-
tion exceeds the limits of adaptive responses, evidence indicates that fetus will develop the
alternative
metabolic competence that might emerge as a disease (type 2 diabetes, hypertension, coronary
heart
Recommendations
Draga Plećas1
Institute of Hygiene and Medical Ecology, Faculty of Medicine, University of Belgrade, Belgrade,
Serbia;
INTRODUCTION