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US Army: NutritionForThePostpartumMother

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    Nutrition for theNutrition for thePostpartum MotherPostpartum Mother

    [insert presenter info][insert presenter info]

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    Special Concerns of theSpecial Concerns of the

    Postpartum MotherPostpartum Mother

    Restocking nutritional storesRestocking nutritional stores

    Providing good quality milk for herProviding good quality milk for her

    breastfed babybreastfed baby

    Losing weight graduallyLosing weight gradually

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    Restocking NutritionalRestocking Nutritional

    StoresStores Eat according to MyPyramidEat according to MyPyramid

    Continue to take a daily multipleContinue to take a daily multiplevitamin and mineral supplement asvitamin and mineral supplement as

    prescribed by your health careprescribed by your health care

    providerprovider Continue to take an iron supplementContinue to take an iron supplement

    each day as prescribed by youreach day as prescribed by your

    health care providerhealth care provider

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    Eat the MyPyramid WayEat the MyPyramid Way

    GrainsGrains

    VegetablesVegetables FruitsFruits

    MilkMilk

    Meat and BeansMeat and Beans

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    Food Guide PyramidFood Guide Pyramid

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    GrainsGrains

    1 slice bread1 slice bread 1 tortilla1 tortilla

    cup rice, pasta, or cup rice, pasta, or

    cerealcereal

    1-ounce ready-to-eat1-ounce ready-to-eat

    whole-grain cerealwhole-grain cereal

    hamburger bun, hamburger bun,

    bagel or English muffinbagel or English muffin

    3 4 plain crackers3 4 plain crackers

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    VegetablesVegetables

    cup chopped raw or cup chopped raw orcooked vegetablecooked vegetable

    1 cup raw, leafy1 cup raw, leafy

    vegetablesvegetables

    cup vegetable juice cup vegetable juice

    cup scalloped potatoes cup scalloped potatoes

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    FruitsFruits

    1 piece fruit or1 piece fruit ormelon wedgemelon wedge

    cup fruit juice cup fruit juice

    cup chopped, cup chopped,

    cooked or cannedcooked or cannedfruitfruit

    cup dried fruit cup dried fruit

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    MilkMilk

    1 cup milk or yogurt1 cup milk or yogurt

    1- ounces natural1- ounces naturalcheesecheese

    2 ounces process2 ounces processcheesecheese

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    Meat and BeansMeat and Beans

    1 ounce cooked lean1 ounce cooked lean

    beef, pork, lamb, veal,beef, pork, lamb, veal,

    poultry, or fishpoultry, or fish cup cooked dry cup cooked dry

    beansbeans

    1 egg1 egg

    2 tablespoons peanut2 tablespoons peanut

    butterbutter

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    Fats, Sugars, and SaltFats, Sugars, and Salt

    (Sodium)(Sodium) Make most of your fatMake most of your fat

    sources from fish, nuts,sources from fish, nuts,

    and vegetable oilsand vegetable oils Limit solid fats andLimit solid fats and

    foods containing solidfoods containing solidfatsfats

    Choose food andChoose food andbeverages low inbeverages low inadded sugars andadded sugars andsodiumsodium

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    Breast FeedingBest forBreast FeedingBest for

    BabyBaby

    Breastfeeding Benefits for BabyBreastfeeding Benefits for Baby

    Superior to all other milk substitutesSuperior to all other milk substitutes

    Favorable balance of nutrientsFavorable balance of nutrients Easily digestibleEasily digestible Promotes physiological developmentPromotes physiological development

    Improves cognitive developmentImproves cognitive development Protects against infections and diseasesProtects against infections and diseases Decreases risk of food allergiesDecreases risk of food allergies Reduces Risk of Sudden Infant DeathReduces Risk of Sudden Infant Death

    (SIDS) syndrome(SIDS) syndrome

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    BreastfeedingGood for MomBreastfeedingGood for Mom

    TooToo Breastfeeding Benefits for MotherBreastfeeding Benefits for Mother

    Contracts the UterusContracts the Uterus

    Lengthens Birth IntervalsLengthens Birth Intervals Conserves Iron StoresConserves Iron Stores Reduces Risk of Breast and OvarianReduces Risk of Breast and Ovarian

    CancerCancer

    Decreases risk of Type II diabetesDecreases risk of Type II diabetes Increased weight loss and fat lossIncreased weight loss and fat loss Protects Bone DensityProtects Bone Density

    Saves MoneySaves Money

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    Special Concerns of theSpecial Concerns of the

    Breastfeeding MomBreastfeeding Mom ProteinProtein FatFat

    Vitamin BVitamin B1212

    Vitamin DVitamin D

    Vitamin KVitamin K

    Folic AcidFolic Acid

    CalciumCalcium

    ChromiumChromium

    IronIron

    SeleniumSelenium

    ZincZinc

    FluidsFluids

    Adequate CaloriesAdequate Calories

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    ProteinProtein

    Protein needs are higher duringProtein needs are higher during

    breastfeeding than at any other timebreastfeeding than at any other time

    in lifein life

    While breastfeeding, you can getWhile breastfeeding, you can get

    enough protein from a nutritious dietenough protein from a nutritious diet

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    FatFat

    Composition of fats in breast milk isComposition of fats in breast milk isdetermined by the mothers dietdetermined by the mothers diet

    Breast milk contains docosahexaenoicBreast milk contains docosahexaenoic

    acid (DHA)acid (DHA) DHA is important for babys visual andDHA is important for babys visual and

    brain developmentbrain development

    Include one serving of fish in diet eachInclude one serving of fish in diet eachweekweek

    Best sources of DHA are fatty fish, suchBest sources of DHA are fatty fish, such

    as salmonas salmon

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    Vitamin BVitamin B1212

    Vitamin BVitamin B1212 is found only in foodsis found only in foods

    from animal sourcesfrom animal sources

    Meat, poultry, fish, eggs, and dairyMeat, poultry, fish, eggs, and dairy

    products are excellent sourcesproducts are excellent sources

    Some vegetarians may need aSome vegetarians may need a

    vitamin Bvitamin B1212 supplementsupplement

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    Vitamin DVitamin D

    Breast milk is low in Vitamin DBreast milk is low in Vitamin D

    Food sources include Vitamin D-fortifiedFood sources include Vitamin D-fortified

    cows milk and soy milkcows milk and soy milk

    Yogurt, cheese, and other dairy productsYogurt, cheese, and other dairy products

    are not usually fortified with Vitamin Dare not usually fortified with Vitamin D

    Sunlight helps the body produce VitaminSunlight helps the body produce VitaminDD

    Some vegetarians may need a Vitamin DSome vegetarians may need a Vitamin D

    supplementsupplement

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    Vitamin KVitamin K

    Vitamin K is produced in the smallVitamin K is produced in the small

    intestineintestine

    The newborn infant has a sterileThe newborn infant has a sterileintestine for several days after birthintestine for several days after birth

    Breast milk may be low in Vitamin KBreast milk may be low in Vitamin K

    The doctor may prescribe a VitaminThe doctor may prescribe a Vitamin

    K supplement for the infantK supplement for the infant

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    Folic AcidFolic Acid

    Leafy vegetables, citrus fruits,Leafy vegetables, citrus fruits,

    legumes, and nuts are excellentlegumes, and nuts are excellent

    sources of folic acidsources of folic acid Grain products like breads, cereals,Grain products like breads, cereals,

    pasta and rice are enriched with folicpasta and rice are enriched with folic

    acidacid

    Make sure you get enough folic acid,Make sure you get enough folic acid,

    especially if planning anotherespecially if planning another

    re nanc in the near futurere nanc in the near future

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    CalciumCalcium

    Main mineral in bones and teethMain mineral in bones and teeth

    Important mineral in nerveImportant mineral in nervetransmission and muscle contractiontransmission and muscle contraction

    A breastfeeding mother loses 200 A breastfeeding mother loses 200

    300 mg of calcium in breast milk300 mg of calcium in breast milkeach dayeach day

    Inadequate intake The body drawsInadequate intake The body draws

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    Calcium-rich FoodsCalcium-rich Foods

    The postpartum mother shouldThe postpartum mother should

    consume at least three servings of milkconsume at least three servings of milk

    each dayeach day

    Nonfat and low-fat milk and milkNonfat and low-fat milk and milk

    products are excellent sources ofproducts are excellent sources of

    calciumcalcium

    Some vegetables and fish with edibleSome vegetables and fish with edible

    bones are also good sources of calciumbones are also good sources of calcium

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    ChromiumChromium

    Helps produce high quality milk inHelps produce high quality milk in

    breast-feeding mothersbreast-feeding mothers

    Low intake of chromium can increaseLow intake of chromium can increase

    the mothers risk for developing highthe mothers risk for developing high

    blood sugar and heart diseaseblood sugar and heart disease

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    IronIron

    An important component of bloodAn important component of blood

    Iron concentrations in most womenIron concentrations in most women

    are depleted after pregnancyare depleted after pregnancy

    Most women should continue to eatMost women should continue to eat

    iron-rich foods and take ironiron-rich foods and take ironsupplementssupplements

    The body absorbs iron best fromThe body absorbs iron best from

    foods from animal sourcesfoods from animal sources

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    SeleniumSelenium

    Selenium helps both mother and babySelenium helps both mother and baby

    maintain a strong immune systemmaintain a strong immune system

    It also aids in cell growthIt also aids in cell growth Nursing babys selenium status isNursing babys selenium status is

    directly affected by what the motherdirectly affected by what the mother

    eatseats Food sources include seafood, extra-Food sources include seafood, extra-

    lean meat, cooked dried beans andlean meat, cooked dried beans and

    peas, and chickenpeas, and chicken

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    ZincZinc

    Essential for babys growth andEssential for babys growth and

    developmentdevelopment

    Breastfeeding increases the demandBreastfeeding increases the demandfor this nutrientfor this nutrient

    Many women dont consume enoughMany women dont consume enough

    zinczinc

    The body uses zinc from foods ofThe body uses zinc from foods of

    animal origin bestanimal origin best

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    FluidsFluids

    Nursing mother loses about 23 ouncesNursing mother loses about 23 ouncesof fluid each dayof fluid each day

    If you feel thirsty, you are alreadyIf you feel thirsty, you are already

    dehydrateddehydrated Drink at least six glasses of water inDrink at least six glasses of water in

    addition to other fluids dailyaddition to other fluids daily

    Drink a glass of milk, juice, or water atDrink a glass of milk, juice, or water ateach meal and each time the babyeach meal and each time the baby

    nursesnurses

    Low fluid intake could result inLow fluid intake could result in

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    Practices Incompatible withPractices Incompatible with

    BreastfeedingBreastfeeding

    Avoid:Avoid:

    AlcoholAlcohol

    Illicit DrugsIllicit Drugs

    CigaretteCigaretteSmokingSmoking

    Caution:Caution:

    MedicinalMedicinalDrugsDrugs

    HerbalHerbal

    SupplementsSupplements

    CaffeineCaffeine

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    Getting Back to YourGetting Back to Your

    Pre-pregnancy WeightPre-pregnancy Weight Excessive weight gain duringExcessive weight gain during

    pregnancy is an important factor inpregnancy is an important factor in

    postpartum weight retentionpostpartum weight retention

    Avoid fad diets!Avoid fad diets!

    Breastfeeding speeds up the weightBreastfeeding speeds up the weight

    loss processloss process

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    Success Strategies forSuccess Strategies for

    Weight LossWeight Loss

    Lose weight gradually 1 to 2 poundsLose weight gradually 1 to 2 pounds

    per weekper week

    Reduce fat intake and eat more fruits,Reduce fat intake and eat more fruits,

    vegetables, whole-grains, andvegetables, whole-grains, and

    nonfat/low-fat milk and milk products,nonfat/low-fat milk and milk products,

    and lean meat productsand lean meat products

    If breastfeeding, dont attempt weightIf breastfeeding, dont attempt weight

    loss for the first six weeks postpartum,loss for the first six weeks postpartum,

    then aim for a weight loss of no morethen aim for a weight loss of no more

    than a 2 pound weight loss per monththan a 2 pound weight loss per month

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    Success Strategies forSuccess Strategies for

    Weight Loss (cont.)Weight Loss (cont.) Eat regular meals and snacksEat regular meals and snacks

    Watch portion sizesWatch portion sizes Include high protein foods in yourInclude high protein foods in your

    meals (e.g., chicken breast, watermeals (e.g., chicken breast, water

    packed tuna, grilled salmon)packed tuna, grilled salmon)

    Begin to exercise as soon as yourBegin to exercise as soon as your

    health care provider gives the okayhealth care provider gives the okay

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    Weight LossWeight Loss

    Installation resourcesInstallation resources- How to get a referral to a dietitianHow to get a referral to a dietitian

    - The Weigh to Stay programThe Weigh to Stay program- Fitness and/or recreation centerFitness and/or recreation center

    - PPPT Program for postpartum mothersPPPT Program for postpartum mothers

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    Questions??Questions??

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    Enjoy Your New Baby!Enjoy Your New Baby!

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    ReferencesReferences

    The American Dietetic Associations Complete FoodThe American Dietetic Associations Complete Foodand Nutrition Guide, Roberta Larson Duyff, MS,and Nutrition Guide, Roberta Larson Duyff, MS,

    RD, CFCSRD, CFCS

    Nutrition for Women: The Complete Guide ElizabethNutrition for Women: The Complete Guide ElizabethSomer, MA, RDSomer, MA, RD

    Position of the American Dietetic Association:Position of the American Dietetic Association:Promoting and Supporting BreastfeedingPromoting and Supporting Breastfeeding

    Understanding Nutrition (8Understanding Nutrition (8thth ed), Whitney and Rolfesed), Whitney and Rolfes