ʻAi kūpono i ka wā hāpai

Pono nā wahine hāpai e ʻai i ka papaʻai kaulike.

ʻO ka hana ʻana i kahi pēpē kahi hana paʻakikī no ke kino o ka wahine. ʻO ka ʻai pono kekahi mea maikaʻi loa e hiki ai iā ʻoe ke hana e kōkua i kāu pēpē e ulu a ulu maʻamau.

ʻO ka ʻai ʻana i kahi papaʻai kaulike, olakino hiki ke kōkua i ke pale ʻana:

• ʻOi aku ka nui o ka loaʻa o ke kaupaona
• ʻO ka maʻi kō Gestational
• ʻO ka manawa kūpono e pono ai i kahi ʻāpana C
• Anemia a me nā maʻi i loko o ka makuahine
• Hoʻōla maikaʻi ʻole
• Hānau hānau mua o ka pēpē
• ʻO kahi pēpē kaumaha hānau

ʻO ka nui o ka loaʻa o ke kaupaona olakino olakino ʻokoʻa ʻO kēia nā kulekele laulā:

• ʻO ka loaʻa maʻamau o ka wahine maʻamau he 25 a 35 mau paona (11 a 16 kilokilo).
• Pono e loaʻa i nā wahine keu kaupaona he 10 a 20 paha mau paona (4 a 9 kilokilo) i ka wā hāpai.
• Pono nā wahine underweight a wahine paha me nā nunui (māhoe a ʻoi paha) e loaʻa iā 35 a 45 mau paona (16 a 20 kilokilo) i ka hāpai keiki.

E noi i kāu mea mālama ola i ka nui o ke kaumaha e loaʻa iā ʻoe.

ʻO ka ʻai ʻana no ʻelua ʻaʻole ia he kumu no ka ʻai pālua ʻana i ka meaʻai. Pono nā wahine hāpai ma kahi o 300 mau keu kalori i ka lā. Akā, kahi mai kēia mau caloli mai nā mea nui.

• Inā ʻoe e ʻai i nā mea momona a meaʻai ʻole paha, ʻaʻole hāʻawi nā calorie keu i nā meaʻai e pono ai kāu pēpē.
• A ʻo kahi hopena, e loaʻa i kāu pēpē e ulu nei nā wikamina a me nā minelala e pono ai mai kou kino ponoʻī. Hiki i kou olakino ke ʻeha.

Ma kahi o ka meaʻai maikaʻi ʻole, koho i nā meaʻai:

• Kiʻekiʻena protein
• Loaʻa i nā momona omega-3 polyunsaturated a hoʻohaʻahaʻa i nā momona trans a me nā momona momona
• Haʻihaʻi i ke kō (hāʻawi ke kō i nā kālani hakahaka wale nō) a i ʻole nā ​​carbohydrates i hoʻomaʻemaʻe ʻia i kiʻekiʻe i ka fiber

ʻO nā mea kōkua ʻē aʻe a kāu pēpē e pono ai:

• Kalipuna, no ka ulu olakino.
• ʻO ka hao, no ka lako o ke pēpē. Pale pū ia i ka anemia i ka makuahine.
• Folic acid, no ka hoʻēmi ʻana i ka makaʻu no ka spina bifida (hoʻopau ʻole i ke kolamu o ka iwi kuamoʻo), anencephaly (hemahema o ka lolo), a me nā kīnā hānau ʻē aʻe.

ʻO kaʻai ʻana i ka papaʻai maikaʻi me nā mea pono kūpono a pau a he 30 mau minuke hoʻoikaika kino i kēlā me kēia lā he mea nui ia no ka hāpai keiki olakino. No ka hapanui o nā wahine hāpai hona kaupaona, ʻo ka nui o nā kalori kūpono:

• Ma kahi o 1,800 calories i kēlā me kēia lā i ka trimester mua
• Ma kahi o 2,200 calories i kēlā me kēia lā i ka trimester ʻelua
• Ma kahi o 2,400 calories i kēlā me kēia lā i ke kolu o ka trimester

Palaoa, palaʻai, laiki, a me pasta:

• ʻAi i 9 a 11 mau lawelawe i ka lā.
• Hāʻawi kēia mau meaʻai iā ʻoe i nā wai ʻohina. Lilo lākou i ikehu no kou kino a no ka ulu ʻana o kāu pēpē.
• ʻO ka hua-palaoa a me nā huahana paʻa i ka folic acid a me ka hao.

Nā mea kanu:

• ʻO nā mea kanu kahi kumu maikaʻi o nā huaora A a me C, folic acid, hao, a me ka magnesium.
• E ʻai i 4 a 5 mau lawelawe i ka lā.
• E hoʻāʻo e loaʻa ma ka liʻiliʻi he 2 o kāu mau lawelawe i kēlā me kēia lā mai nā ʻōmaʻomaʻo, nā lau lau.

Hua:

• ʻAi i 3 a 4 mau lawelawe i ka lā.
• Hāʻawi ka hua iā ʻoe i nā huaora A a me C, potassium, a me ka fiber. Koho i nā huaʻai a me nā wai momona. ʻOi aku lākou ma mua ou ma mua o nā hua paʻakai a i ʻole kē kē kēa. ʻAi i ka nui o nā huaʻai C-waiwai waiwai, e like me nā hua citrus, melons, a me nā hua. E hoʻāʻo e hōʻalo i nā wai i kō ke kō a i ʻole nā ​​mea hoʻonaninani i hoʻohui ʻia.

Ka waiū, yogurt, a me ka tī:

• E ʻai i 3 mau lawelawe i ka lā.
• ʻO nā huahana waiū kahi kumu waiwai nui o ka protein, calcium, a me ka phosphorus. Inā pono ʻoe e kaohi i nā kalori a me ka kōkō, koho i nā huahana waiū nonfat.

ʻO kaʻiʻo, nā moa, nā iʻa, nā pī maloʻo, nā hua, a me nā nati:

• E ʻai i 3 mau lawelawe i ka lā.
• ʻO nā meaʻai mai kēia hui kahi waiwai maikaʻi o nā huaora B, protein, iron, a me zinc.

ʻO nā momona a me nā aila

Pono ʻoe i nā momona momona i kāu papaʻai nāu a me kāu pēpē e ulu ana. Hāʻawi nā momona i ka ikehu lōʻihi no ka ulu ʻana a makemake ʻia no ka ulu ʻana o ka lolo. Pono nā wahine me ka papaʻai kūikawā e hoʻolālā pono i kā lākou pāʻina e ʻike pono i ka loaʻa ʻana o ka meaʻai e pono ai. E kamaʻilio i kāu mea hāʻawi aku a i ʻole kahi dietitian inā loaʻa kāu papaʻai kūikawā, e like me:

• ʻO Vegetarian a vegan paha
• Hoʻolālā Lactose
• ʻAʻohe Gluten

Pono pū nā wahine hāpai e inu i nā wai he nui. Hōʻalo i nā mea inu me ka caffeine a me kō. E noi i kāu mea hāʻawi i ka nui o ka wai āu e loaʻa ai i kēlā me kēia lā.

Pono ʻoe e lawe i ka wikamina prenatal i loaʻa ka folic acid, hao, a me nā huaora a me nā minelala ʻē aʻe e pono ai nā wahine āpau. Hāʻawi paha kāu mea hāʻawi iā ʻoe i kahi kuhikuhi no nā huaora. Hiki iā ʻoe ke kiʻi i nā huaora prenatal ma luna o ka pā.

ʻOiai ʻaʻohe mea e ʻike i ke kumu, makemake nui nā wahine hāpai i kekahi mau meaʻai. Ma muli paha o nā loli o ka hormone. E hala pinepine kēia mau kuko ma hope o nā malama 3 mua.

ʻOiai ke loaʻa nei ʻoe i nā huaola āpau āu e pono ai nāu a me kāu pēpē, maikaʻi ke loaʻa kekahi o nā meaʻai āu e makemake ai i kēlā me kēia manawa.

I kekahi manawa, e loaʻa nā wahine hāpai i nā kuko ʻē no nā mea ʻai ʻole, e like me ka lepo, pālolo, holoi holoi lole, a me nā ʻāpana hau. Kapa ʻia kēia pica, a he kumu hao liʻiliʻi paha i loko o ke koko, e hiki ai i ka anemia. E hoʻomaopopo i kāu mea hāʻawi inā loaʻa iā ʻoe kēia mau kuko.

Mālama prenatal - ʻai pono

Berger DS, Komohana EH. Kaʻai kūpono i ka wā hāpai. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 6.

ʻO Cline M, mālama ʻo Young N. Antepartum mālama. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2021. Piladelapia, PA: Elsevier 2021: 1209-1216.

ʻO Gregory KD, Ramos DE, Jauniaux ERM. Mālama mua ʻana a me ka mālama mua ʻana. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Kāpena Gabbe: Nā Pregnancies Maʻamau a me nā Pilikia. 8th ed. Piladelapia, PA: Elsevier; 2021: chap 5.

• Ka hāpai keiki a me ka meaʻai kūpono