Nutrition in Pregnancy Basic Principles and Recommendations

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SUMMARY

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

disease and stroke) in adult life.

Keywords: pregnancy; nutrition; fetal growth

Nutrition in Pregnancy: Basic Principles and

Recommendations

Draga Plećas1

, Snežana Plešinac2,3, Olivera Kontić Vučinić2,3

Institute of Hygiene and Medical Ecology, Faculty of Medicine, University of Belgrade, Belgrade,
Serbia;

Faculty of Medicine, University of Belgrade, Belgrade, Serbia;

Clinic of Obstetrics and Gynecology, Clinical Center of Serbia, Belgrade, Serbia

INTRODUCTION

Well balanced diet has an important role in

health throughout the lifecycle and affects the


functioning of all body systems. Increased nu-

tritional and energy needs in pregnancy are due

to the physiologic changes of mother and meta-

bolic demands of fetus. These are met through

numerous physiologic adaptations including

changes in nutrient metabolism orchestrated

by placental hormones. Still, if the nutritional

and energy needs are not met (especially un-

der severe deprivation), evidence indicates that

this will result in unfavorable changes of infant

weight, size and body composition, and even

in an apparently healthy infant, in alteration of

metabolic competence that might emerge as a

disease in later life [1, 2, 3].

Healthy diet in pregnancy should ensure

proper fetal growth, good maternal health and

lactation. Good fetal supply is also achieved

through increased intestinal absorption or re-

duced excretion via the kidney or gastrointesti-

nal tract. Nutritional counselling and interven-

tions need to be an integral part of antenatal

and pregnancy care.

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