Pregnancy Pathway

Have you read the Preg­nancy Path­way series on the DTP Blog? Start here and fol­low the blog through the fac­tors that influ­ence a healthy preg­nancy, birth and recov­ery before, dur­ing and after preg­nancy. The series was writ­ten and edited over the course of a year, with more than a dozen entries. It dis­cusses most of the con­cerns and ques­tions — from how does my pre-pregnancy health affect my baby? to how soon after birth should I become active? — that we have encoun­tered in 34 years of work­ing with the pre/postnatal pop­u­la­tion. The flow of top­ics runs chrono­log­i­cally (see below). But go to the path­way to see the full blown and col­or­ful algorithm!!

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Upcoming Events

Acad­emy of Cer­ti­fied Birth Edu­ca­tors (ACBE)CBE & Doula trainings

Lamaze Inter­na­tional, Child­birth Edu­ca­tion Train­ing - Lamaze CBE trainings

Sum­mer 2013 TBD: Danc­ing Thru Preg­nancy Teacher Practicum, New Haven CT. For who pass the cor­re­spon­dence Study Course by May 15, 2013 and those who are renew­ing their cer­ti­fi­ca­tion. Infor­ma­tion: director@dancingthrupregnancy.com

May 29-June 2: Amer­i­can Col­lege of Nurse-Midwives ACNM 58th annual meet­ing, Nashville TN. Pre­mier ses­sions address top­ics of broad sig­nif­i­cance and fea­ture nationally-recognized advo­cates for mater­nal health. Work­shops address clin­i­cal prac­tice, and the meet­ing offers a com­pre­hen­sive edu­ca­tion pro­gram with seven defined tracks address­ing our profession’s crit­i­cal con­cerns. Social and net­work­ing events pro­vide the back­drop for our com­mu­nity of mid­wives and mater­nal health professionals.

June 20: Amer­i­can Acad­emy of Birth Cen­ters - Prac­ti­cal Tech­niques to Sup­port Women in Child­birth Work­shop, Irvine, CA.


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National Children’s Study: help improve children’s health & well-being

The goal of the Study is to learn how to improve the health and well-being of chil­dren. To do this, the National Children’s Study is exam­in­ing the effects of envi­ron­men­tal influ­ences on the health and devel­op­ment of 100,000 chil­dren across the United States, fol­low­ing them from before birth until age 21 years. There are two ways moms can help:

1) If you are preg­nant, par­tic­i­pate in the study. Find the cen­ter near­est you at the national website:

http://www.nationalchildrensstudy.gov/studylocations/pages/map.aspx

2) If you are a mom, tell peo­ple about the study. Here is the study’s home page:

http://www.nationalchildrensstudy.gov

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Mom-Baby Fitness in Spanish on YouTube!

El Show de Analeh — on Uni­vi­sion — a seg­ment on Healthy Moms, Healthy Babies, fea­tures DTP’s Mom-Baby Fit­ness and par­tic­i­pant Car­olina Baffi. Now avail­able on YouTube!  Check it out!!

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Schedule of Events

•Next Teacher Practicum

Decem­ber 5 at Yale-New Haven Hospital.

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Back Care in Pregnancy

Point­ers on pre­vent­ing back pain dur­ing preg­nancy and post­par­tum: Yale Back Care Video, fea­tur­ing DTP staff.

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DTP and Preeclampsia Prevention

DTP’s founder/director, Ann F. Cowlin, has recently returned from Hol­land where she pre­sented data on community-based group pre­na­tal dance and the reduc­tion of risk for preeclamp­sia, pre­ma­tu­rity and low birth weight. View the PPT pre­sen­ta­tion here: http://tinyurl.com/ycr4agm or through LinkedIn at Ms. Cowlin’s pub­lic profile.

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Pregnancy Pathway, Pregnancy — Nutrition

Fresh fruit = vitamins & minerals!!

Fresh fruit = vit­a­mins & minerals!!

Ques­tion:

How many extra calo­ries do you need in each trimester to off­set the meta­bolic cost of pregnancy?

Answer:

First trimester — 0; Sec­ond trimester — 300; Third trimester — 500 (source: Insti­tute of Medicine).

Keep in mind that you may also need calo­ries for any fit­ness pro­gram you are doing. If you are con­tin­u­ing a pro­gram, the only change is due to the pregnancy.

If you begin or increase your activ­ity, you need to take that into account. One yoga class = 100 — 150 calo­ries. One aer­o­bics class = 200–400 calo­ries. Walk one mile = 100 calories.

1 slice whole grain bread = 50-100 calories

1 slice whole grain bread = 50–100 calories

Be sure you read food labels so that you can bal­ance your food intake and your calo­rie out­put. A small woman (under 5’3″ & 130 lbs.) prob­a­bly needs about 1200 calo­ries per day as a base. A medium sized woman needs about 1400, and a large woman (over 5’9″ & 160 lbs.) prob­a­bly needs 1600 to 1800 calo­ries. Add your activ­ity and preg­nancy needs to your base amount.

Ques­tion:

What foods are nec­es­sary for a healthy pregnancy?

Answer, part A:

PROTEIN. Lean pro­teins like turkey and those with omega 3 fats like ocean fish and eggs.…yes! EGGS!

Turkey is a good protein

Turkey is a good protein

Ocean fish 1 or 2 times/wk = good protein & omega 3 fat

Ocean fish 1 or 2 times/wk = good pro­tein & omega 3 fat

Eggs are a perfect pregnancy food!

Eggs are a per­fect preg­nancy food!

70–90 grams of pro­tein are nec­es­sary each day, along with  ade­quate water.  These are needed to make an extra 40% blood vol­ume required to sup­port the placenta.

Answer, part B:

WATER. Two (2) quarts of water…more if you are very active…are needed to make extra blood and to pre­vent dehydration.

Ques­tion: What else?

Fresh vegetables also provide fiber

Fresh veg­eta­bles also pro­vide fiber

Answer: CARBS. Fresh, col­or­ful fruits & veg­gies pro­vide nec­es­sary vit­a­mins and min­er­als, as well as fiber. Eat 5 serv­ings a day from all the col­ors:  yel­low, orange, red, pur­ple and green, and you will get live vit­a­mins all day long that help your baby develop prop­erly! Fruits, veg­eta­bles and whole grains are low glycemic index car­bo­hy­drates — the good ones!

Dairy provides calcium

Dairy pro­vides calcium

Ques­tion:

Do I need dairy prod­ucts and red meat? Can I get the needed min­er­als in other ways?

Answer:

Cal­cium is needed in ade­quate amounts for bones and teeth. It is most eas­ily obtained by drink­ing milk or eat­ing cheese, yogurt or cot­tage cheese. Soy, dark green leafy veg­eta­bles and cal­cium for­ti­fied juice are alternatives.

Iron is nec­es­sary for red blood cells to take up oxy­gen. It is found in high amounts in beef,  and lesser amounts in raisins, spinach, and prune juice. Pre­na­tal vit­a­mins are your insur­ance against defi­cien­cies of these essen­tial minerals.

Ques­tion:

Any­thing else that’s essential?

Answer:

Yes! Healthy FAT!!

Avocado is an excellent source of omega 6 fat

Avo­cado is an excel­lent source of omega 6 fat

In addi­tion to omega 3 fats found in fish, wal­nuts and flax seeds, you need also need omega 6 fats, which are found in avo­ca­dos, olive oil and other veg­etable oils. Healthy fats help bal­ance car­dio­vas­cu­lar con­stric­tion and dila­tion, reduc­ing the risk for hypertension.

Last Ques­tion:

What is a healthy weight gain?

Answer:

In 2009, the National Acad­emy of Sci­ences revised its rec­om­men­da­tions. It now bases desir­able weight gain on pre-pregnancy BMI (Body Mass Index…google this!).

BMI less than 18.5 (low) — 28 to 40 lbs.; BMI between 18.5–24.9 (nor­mal) — 25 to 35 lbs.; BMI 25.0 to 29.9 (high) — 15 to 25 lbs.; obese women (BMI over 30.0) — 11 to 20 lbs.

Com­ing Next: Avoid­ing Risks.

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