Articles on post pregnancy

Tips for a Safe Pregnancy and Post Pregnancy Care

Dr. Sonica Chugh, Gynecologist/Obstetrician
Carrying your baby in your womb is the most beautiful experience and a precious period that a mother can enjoy in her life time. Concern for your baby’s health, well being and one’s own health is key to have a safe and healthy pregnancy.Diet during Pregnancy:Good nutrition during pregnancy ensures your baby gets the right start. Small, frequent and healthy meals containing folate, iron, calcium, zinc and omega-3 fatty acid should be taken. Plenty of water in between the meals is good for you and your baby. You don’t need to eat for two, rather your calorie intake during first six months should be more or less the same (pre pregnancy state), while increase in only 200 calorie/day during the last three months is recommended.Working women can take nuts and fruit salads as mid meal snacks and homemade lunch instead of going out to the mall or restaurant for lunch. Road travel of any kind is safe, provided, you are careful of bumpy roads and unruly traffic. You have to be more careful if there is associated high blood pressure, diabetes or history of previous premature delivery.Exercise, Meditation and Yoga:Pregnancy is not a time to start a rigorous regime or to gain or lose weight. A normal walk of 20-30 minutes without getting exhausted will help. Deep breathing exercises in fresh air are recommended. Yoga should also be a part of your life as it relaxes and calms you and your baby throughout the pregnancy. This also relieves tension and also builds up stamina by increasing circulation which enhances immunity and health. Light kegels exercises (Pelvic floor exercises) prepare you for easy child birth and labour management. Post Pregnancy Care: First 40 days are meant for you to recuperate, gain strength and bond with your baby. Resting and eating well is important during this time. Although rest may not be easy for you and with the newborn baby as you have to feed every two hours and change diapers frequently. Your mum, mum-in-law or trained maids can be of help during this period.Breastfeed exclusively for six months. You need to have a good diet during pregnancy (calories intake would increase to 330 calories/day). Therefore immediate and fast weight reduction should not be targeted. Eating healthy food will only reduce weight sensibly.Opt for moderate intensity physical activity, walk for 25-30 minutes, do abs exercise, pelvic floor exercise and stretching without resuming high impact activity post delivery. If your delivery has been uncomplicated it will help your body regain its normal strength. Gentle body massage will also help you and your baby. Do not resume your normal working routine or a heavy gym schedule immediately after delivery.

Post Pregnancy Weight Loss Plan

Ms. Swati Kapoor, Dietitian/Nutritionist
Weight Gain during pregnancy is absolutely normal . On an average a woman gains 10–12 kg during the entire span of pregnancy. Although the weight gain varies from woman-to-woman depending upon body type, eating pattern and severity of nausea and vomiting. A slow and steady rate of weight gain is considered ideal.While its natural to put on weight during pregnancy it becomes really difficult for most to lose weight after it. Post pregnancy weight gain is a cause of concern and depression among many women but according to experts a woman should concentrate on eating healthy food for the first three months instead of weight loss. This is to ensure that new born gets complete nutrition and also to avoid nutrient depletion from the mother’s body which might lead to other complications later like osteoporosis, caused by deficiencies.Here are some tips to get post pregnancy weight loss in a gradual but healthy way after you & your body are ready to get started:Breast Feeding: Breast feeding is great not just to provide nutrition to your baby, but also for you to lose weight. Breast feeding is the reason why fat is accumulated in the mammary glads. As the mother uses stored nutrition from her body in the form of milk to feed the child not only does it is very extremely healthy for the baby but she also uses up the fat cells during this process burning calories & working towards getting back to the pre-pregnancy weight. So remember the more you prolong your baby's dependency on the formula the better it will be for both you & your child.Post Pregnancy Diet Plan: The body needs time to recover from the stresses of labor, delivery and the hormonal changes in the body. Dieting soon after giving birth can delay the recovery and make one feel more tired, low in energy and some cases also lead to deficiencies in the body. It can also have adverse effect on milk production thus affecting the baby’s health. During breast feeding the mother’s nutritional demands are higher not only in terms of calories but also minerals like calcium, so diet except for that prescribed by the doctor is not at all recommended.Post 8-12 months of pregnancy you can look at losing the extra weight you might have gained. Losing weight post pregnancy does not mean restricting your calories. It means ensuring that you are getting your adequate supply of nutrition based on daily dietary requirement and avoiding extra rich food that might have been prescribed to you during breastfeeding.Post Pregnancy Exercise Plan: It is advisable to start with the exercise routine only after 6 months of delivery. You need to consult your doctor before you get on any routine. Apart from helping to accelerate weight reduction, exercises can help tackle post-partum depression, improve the mood, reduce stress and boost the confidence. Finding time to exercise is one of the biggest issues women face when losing weight after childbirth. The one and only solution to this problem is finding a perfect workout plan that suits your schedule and personality. For a post pregnancy weight loss plan a few recommended post natal workouts include:• Yoga and Pilates.• Swimming and Aqua aerobics.• Cycling.• Strength training – under the guidance of qualified health professional is recommended.• Low impact aerobic workouts.Having a baby not only changes your life but also bring about many changes in your body including the weight gain. First of all, the woman should have realistic goal about how long it takes to lose weight. From the moment you give birth, your body starts working to shrink your belly back to its pre-pregnancy state, but it's a slow process. So be patient and consult experts to get a customized diet and exercise plan. 

How Can I Lose Post Pregnancy Weight?

Ms. Farzana Chauhan, Dietitian/Nutritionist
Have you gained tons of weight post pregnancy?Does it seems, you can never become stunning like you were in your wedding pics?Relax there is a definite way out for you weight gain issues!I know you got lot of pampering post pregnancy by your mother, in laws and by your other half. Believe me! They did right, as they were concerned about you and your little one’s health.It’s true that the nutritional demand increases post pregnancy as you feed your baby and also there are blood losses. A lactating mother require 350-550 extra calories and 20-25g of additional protein per day to ensure proper nourishment of new born and heavy nutrient demands of mother.But normally we eat way lot more than what is advisable, and on top of that inactivity cause a lot of weight gain!What’s the right thing to do?Remember it took you 9 months to get there so the weight loss is going to be a gradual process. If you lose weight too soon after childbirth you are going to take time to recover and end up feeling tired. And yes, you need a lot more energy so that you can muster to the life of your newborn. If you are breast feeding wait until your baby is 4 months old. An important post natal concern is increased hair fall which happens as hormones balance out after delivery. Eating foods high in protein, iron, zinc, flavonoids are beneficial nutrients for healthy scalp and hair. As a result to maintain optimal health aim to loose between 0.5kg and1kg (1lb to 2lb) a week which will not affect the quality or supply of your milk, or your baby's growth. Losing weight gradually will also make it more likely to stay off in the long run.Breastfeeding and weight loss are closely related. It meets the caloric requirement of the infant. As well lactation is often suggested by researchers as an efficient means of postpartum weight loss due to its high energy cost. But its important to shed those kilos which is safe for you and your baby. You’ll need around an extra 330 calories a day to have the energy to produce milk. However, some of these additional energy needs will be met from your body’s existing fat stores. Exclusive breastfeeding promotes greater weight loss than mixed feeding among mothers even in the early postpartum period. This suggests that there is the need to encourage mothers to exclusively breastfeed as a means of overweight and obesity prevention.But yes don't going for extravagant fat laden products as lactation may not facilitate weight loss, especially if the patient consumes a high-calorie diet and does not routinely exercise for an adequate amount of time can help with your post pregnancy weight loss.Chances are that physical changes you notice after pregnancy may become so dramatic that many people refer this as fourth trimesterYou desperately want to look like your old self again. However there is no magical way to take off baby weight gain. Here is as an simple and easy way to trim down all while taking care of your bundle of joy• Eating for two during pregnancy - Cause of obesity in some women• Follow a balanced diet. It’s always recommended to consult a dietician to provide you with an individualized diet.• Post pregnancy cravings continue - Opt for right choices.Perform some kind of physical activity regularly such as walking briskly atleast 3 times per weekPost natal weight loss can be your short term goal. But Choosing wisely can go long way in cultivating  healthy eating habits for your entire life• Ditch all the junk food from your kitchen • Make time for breakfast - eating breakfast can help keep you from feeling famished and tired later in the morning, and it can give you the energy to be more active• Trim the extra fat - Fat has twice as many calories as carbohydrates or proteins, so trimming the extra fat from your diet is probably the easiest way to cut calories • Complex carbs like whole grains, cereals will keep you full for longer • Get adequate sleep - One study found that mums who slept five or less hours per night were more likely to hold onto their extra baby weight. This is because when you're sleep deprived, your body releases the stress hormone - cortisol, which can promote weight gain around your belly

Post Pregnancy Weight Loss Is Now Possible

Ms. Simran Saini, Dietitian/Nutritionist
Most common myth associated with pregnancy : Ab tu bahut moti ho jayegi. Well there is good news for all those lucky ladies who are having those little angels. Look at all the celebrity moms like Karishma Kapoor or Shilpa Shetty back to their figure in mere weeks of delivering a child.First of all we need to understand that you can start working out within 40 days of your delivery. We need to choose what workout we are comfortable with. You can start Yoga under supervision, a brisk walk, daily jogging and even a light gym schedule if you are up to it. If you have a cranky baby who keeps you up all night and leaves you tired, walk for atleast half an hour each day. A woman’s physiology is such that the Basal Metabolic Rate (BMR) is high when you're lactating. So you should take advantage of the situation and lose more weight within first 3 months after delivery.It is possible to lose up to six kilos as soon as you give birth. The baby, placenta and liquor (amniotic fluid) make up for that weight. Of that weight which is in excess post this loss, 10-20 per cent is fluid retention. So that takes off two more kilos off the ‘to-lose’ list. Rest can be lost like an average of 2 kgs every month which is healthy loss and makes sure it does not affect your lactation.Now it is vital to understand what we need to Eat and Drink to shed off this weight. Firstly drink a lot of water. Drinking plenty of water and staying hydrated helps boost your metabolism and keeps your stomach full. Avoid staying thirsty all the time. If possible meditate for 5 minutes everyday since reducing post pregnancy stress helps in easy weight reduction.Now we need to understand what to eat during the lactation period. You need to eat small frequent meals to ensure sufficient milk supply. Do not starve. Eat plenty of fruits, Vegetables, Home made vegetable and chicken soups, nuts such as almonds, walnuts and Steamed Pulses or sprouts in 2 hour gaps. Make sure to drink plenty of toned Milk in the form of Milk, Curd and cottage cheese during the day, but strictly avoid adding sugar or sweet additives like chocolate flavoured mixes to this. Also use only healthy oils such as rice bran, olive, canola for cooking and do not cook vegetables entirely in ghee.Also it’s a myth that hogging on ghee laden panjiri mixture gives you strength. Kindly just a spoon of this mixture with your breakfast and that’s all you need to make you strong. Please control intake of ghee, its better left a little on chapatti or dal tadka that’s it. Say no to sweets, chocolates, white sugar, bakery products, namkeens, junk food and aerated drinks.So a little workout and a little healthy eating sense will make you slim and trim within the first few months after your delivery. But please keep in mind that seeking professional help for workout and diets for shedding weight is a very important concern during this period so that you are sure that the health of the mother and the newborn is taken care of. Looking the same old beautiful and slim you, It’s a dream ready to come true, all you need to do is to make the right choice and go for it.

Hypertension in Pregnancy

Dr. Pallavi Vasal, Gynecologist/Obstetrician
                                                                      Hypertension is defined as high blood pressure (B.P). A person has high blood pressure when the systolic pressure (the top number in BP reading) is greater than 140mmHg and the diastolic pressure (the bottom number) is greater than 90mm Hg.Hypertension can lead to many health problems. During pregnancy severe and uncontrolled hypertension can cause complications to both mother and baby.Causes of high blood pressure in pregnancy -1. Chronic hypertension - is high blood pressure that is present before the lady is pregnant or that occurs in first 20 weeks of pregnancy.2. Gestational hypertension – is high blood pressure that occurs during the second half of pregnancy that is after 20 weeks of pregnancy.3. Pre-eclampsia - is high blood pressure after 20 weeks of pregnancy associated with proteinuria (an abnormal amount of protein in the urine) . Pre-eclampsia is a serious BP disorder which can affect all the organs of a lady.The woman can present with complaints of severe headache, swelling over face and hands, changes in vision, vomiting, pain in upper abdomen or decrease urine output.The RISK of developing pre-eclampsia are more in women who -Are pregnant for the first timeHave had pre-eclampsia in previous pregnancy or have family history of pre-eclampsia.Are 40 years or olderHave multiple pregnancy (more than 1 baby in utero)Have history of chronic hypertension, kidney disease or both.Are obese IVF conceptionHave medical conditions such as diabetes, thrombophilias or lupus.RISKS  of high BP for baby -Growth restrictionPreterm deliveryPlacental abruption that is premature detachment of placenta (afterbirth) from the wall of uterusCaesarean deliveryIntra uterine deathHence it is very important for the lady who is planning to conceive or is pregnant to keep her BP within normal limits.PRECAUTIONS TO BE TAKEN FOR HIGH BP DURING PREGNANCY - Before Pregnancy-Keep the blood pressure under control. Reduce salt intake and do physical exercise. Loose weight if overweight .Lady needs to discuss with her doctor that she wants to become pregnant so that the doctor may change the medication to one which are safe in pregnancy or change the dose of medication if she is trying to conceive. 2) During Pregnancy-Take care of your diet that is a diet which is low in salts (avoid processed foods, pickles, pappad etc) and eat food rich in vitamin C, D and antioxidants.Lifestyle modifications that is exercise regularly .Walk and practice yoga if possible and keep weight gain under control.Avoid alcohol and tobaccoGo for antenatal check ups with your obstetrician and make sure that BP and urine are examined in each checkup. If the lady is feeling unwell any time during pregnancy , consult the doctor immediately.Being proactive and taking care of herself, going for regular prenatal and antenatal check ups, the lady with hypertension can deliver a healthy baby.

Pregnancy Diet: Things You Need to Know!

Dr. M.L.Kothari, Pediatrician
Foods to eatDuring pregnancy, the goal is to be eating nutritious foods most of the time, Krieger told Live Science. To maximize prenatal nutrition, she advises emphasizing the following five food groups: fruits, vegetables, lean protein, whole grains and dairy products. When counseling pregnant women, Krieger recommends they fill half their plates with fruits and vegetables, a quarter of it with whole grains and a quarter of it with a source of lean protein, and to also have a dairy product at every meal. Fruits and vegetables: Pregnant women should focus on fruits and vegetables, particularly during the second and third trimesters, Krieger said. Get between five and 10 "tennis ball"-size servings of produce every day, she said. These colorful foods are low in calories and filled with fiber, vitamins and minerals. Lean protein: Pregnant women should include good protein sources at every meal to support the baby's growth, such as meat, poultry, fish, eggs, beans, tofu, cheese, milk and nuts, Krieger said. Whole grains are an important source of energy in the diet, and they also provide fiber, iron and B-vitamins. At least half of a pregnant woman's carbohydrate choices each day should come from whole grains, such as oatmeal, whole-wheat pasta or breads and brown rice, Krieger said. Dairy: Aim for 3 to 4 servings of dairy foods a day, Krieger suggested, such as milk, yogurt and cheese, which provide good dietary sources of calcium, protein and vitamin D. In addition to a healthy diet, pregnant women also need a daily prenatal vitamin to obtain some of the nutrients that are hard to get from foods alone, such as folic acid and iron, according to ACOG. For women who take chewable prenatal vitamins, Krieger advised checking the product labels because chewables might not have sufficient iron levels in them.Foods to avoidAlcohol: Avoid alcohol during pregnancy, Krieger advised. Alcohol in the mother's blood can pass directly to the baby through the umbilical cord. Heavy use of alcohol during pregnancy has been linked with fetal alcohol spectrum disorders, a group of conditions that can include physical problems, as well as learning and behavioral difficulties in babies and children, according to the Centers for Disease Control and Prevention (CDC).Fish with high levels of mercury: Seafood such as swordfish, shark, king mackerel, and tilefish are high in levels of methyl mercury, according to the Academy of Nutrition and Dietetics, and should be avoided. Methyl mercury is a toxic chemical that can pass through the placenta and can be harmful to an unborn baby's developing brain, kidneys and nervous system. Unpasteurized food: According to the USDA, pregnant women are at high risk of getting sick from two different types of food poisoning: listeriosis, caused by the Listeriabacteria, and toxoplasmosis, an infection caused by a parasite.The CDC reports that Listeria infection may cause miscarriage, stillbirth, preterm labor, and illness or death in newborns. To avoid listeriosis, the USDA recommends forgoing the following foods during pregnancy: Unpasteurized (raw) milk and foods made from it, such as feta, Brie, Camembert, blue-veined cheeses, queso blanco and queso fresco. Pasteurization involves heating a product to a high temperature to kill harmful bacteria. Hot dogs, luncheon meats and cold cuts unless heated before eating to kill any bacteria. Store-bought deli salads, such as ham salad, chicken salad, tuna salad and seafood salad. Unpasteurized refrigerated meat spreads or pates.Raw meat: A mother can pass a Toxoplasma infection on to her baby, which can cause problems such as blindness and mental disability later in life, reports the CDC. To avoid toxoplasmosis, the USDA recommends avoiding the following foods during pregnancy: Rare, raw or undercooked meats and poultry. Raw fish, such as sushi, sashimi, ceviches and carpaccio.Raw and undercooked shellfish, such as clams, mussels, oysters and scallops.Some foods may increase a pregnant woman's risk for other types of food poisoning, including illness caused by salmonella and E. coli bacteria. Foodsafety.gov lists these foods to avoid during pregnancy, and why they pose a threat. Raw or undercooked eggs, such as soft-cooked, runny or poached eggs. Foods containing undercooked eggs, such as raw cookie dough or cake batter, tiramisu, chocolate mousse, homemade ice cream, homemade eggnog, Hollandaise sauce. Raw or undercooked sprouts, such as alfalfa, clover. Unpasteurized juice or cider.Pregnancy diet misconceptions:Morning sickness: When a mother-to-be is experiencing morning sickness, the biggest mistake she can make is thinking that if she doesn't eat, she'll feel better, Krieger said. The exact causes of morning sickness are not known, but it may be caused by hormonal changes or lower blood sugar, according to the Mayo Clinic. It can bring on waves of nausea and vomiting in some women, especially during the first three months of pregnancy. And "it's definitely not happening only in the morning," Krieger said. "It's any time of day." It's better to eat small amounts of foods that don't have an odor, since smells can also upset the stomach, she suggested.Food cravingsIt is common for women to develop a sudden urge or a strong dislike for a food during pregnancy. Some common cravings are for sweets, salty foods, red meat or fluids, Krieger said. Often, a craving is a body's way of saying it needs a specific nutrient, such as more protein or additional liquids to quench a thirst, rather than a particular food, she said. Eating for twoWhen people say that a pregnant woman is "eating for two," it doesn't mean she needs to consume twice as much food or double her calories." A woman is not eating for two during her first trimester," Krieger said. During the first three months, Krieger tells women that their calorie needs are basically the same as they were before pregnancy, because weight gain is recommended to be between 1 and 4 pounds in this early stage of pregnancy. Krieger typically advises pregnant women to add 200 calories to their usual dietary intake during the second trimester, and to add 300 calories during their third trimester when the baby is growing quickly. Weight gain during pregnancy, "Weight gain during pregnancy often has an ebb and a flow over the nine months," Krieger said. It's hard to measure where pregnancy weight is going, she said, adding that a scale does not reveal whether the pounds are going to a woman's body fat, baby weight or fluid gains. When it comes to pregnancy weight gain, Krieger advises mothers-to-be to look at the big picture: During regular prenatal checkups, focus on that the baby is growing normally rather than worrying about the number on a scale. The total number of calories needed per day during pregnancy depends on a woman's height, her weight before becoming pregnant, and how active she is on a daily basis. In general, underweight women need more calories during pregnancy; overweight and obese women need fewer of them. The Institute of Medicine (IOM) guidelines for total weight gain during a full-term pregnancy recommend that: Underweight women, who have a Body Mass Index (BMI) below 18.5, should gain 28 to 40 lbs. (12.7 to 18 kilograms). Normal weight women, who have a BMI of 18.5 to 24.9, should gain 25 to 35 lbs. (11.3 to 15.8 kg). Overweight women, who have a BMI of 25.0 to 29.9, should gain 15 to 25 lbs. (6.8 to 11.3 kg).Obese women, who have a BMI of 30.0 and above, should gain 11 to 20 lbs. (5 to 9 kg). Rate of weight gain: The IOM guidelines suggest that pregnant women gain between 1 and 4.5 lbs. (0.45 to 2 kg) total during their first trimester of pregnancy. The guidelines recommend that underweight and normal-weight women gain, on an average, about 1 pound every week during their second and third trimesters of pregnancy, and that overweight and obese women gain about half a pound every week in their second and third trimesters of pregnancy. Twins: The IOM guidelines for pregnancy weight gain when a woman is having twins are as follows:Normal weight: 37 to 54 lbs. (16.7 to 24.5 kg). Overweight: 31 to 50 lbs. (14 to 22.6 kg). Obese: 25 to 42 lbs. (11.3 to 19 kg). This article is for informational purposes only, and is not meant to offer medical advice.

From Post-Pregnancy Flab to Fabulous

Dr. Sangeeta Malu, Dietitian/Nutritionist
Malaika Arora Khan, Shilpa Shetty, and Kim Kardashian they all have one thing in common they were fit and fabulous within weeks of delivering their babies! Although it's every pregnant woman's dream come true, hurry things up could land you in some serious complications.Read this how to get fit from post-pregnancy flab to fabulous:1. Start smallAs the storm of childbirth passes, you finally have the time to concentrate on getting back into shape. However, it is important to have realistic goals and exercise with caution. The muffin top didn't grow overnight so don't expect it to disappear so soon. post-pregnancy flab to fabulous.2. Go slowWhen you hit the gym, remember not to put a lot of direct stress on your abdominal muscles. It takes about a month or two after delivery for the gaps in your abdomial muscles to close. Going tough on your tummy anytime before this might cause an ab seperation. post-pregnancy flab to fabulous.3. Think nextAb exercises such as crunches, twists combined with crunches, sit ups; anything that places strain on the abdominals are out of the question. Don't do straight leg lifts or holds lying on your back. There are other alternatives such as walking, light cardio, and core strength training that are far more fruitful in the long run. post-pregnancy flab to fabulous.4. Bounce backThe post-pregnant body needs time to heal and get back to shape. You may not look like those celebrities immediately but if you follow the right exercises you'll be back in those skinny jeans sooner than you think!

Vegetarian Pregnancy Diet

Ms. Swati Kapoor, Dietitian/Nutritionist
What’s that on the telly? It’s an angel sent from GodGrowing in my belly…!!Like a sweet pea in a pod(Malissa  Hatcher)Even though everyone will advise you to eat for two, the average woman does not need any extra calories during the first six months of pregnancy. Your body actually becomes more efficient at extracting the required energy and nutrients from your diet when you're expecting a baby. Even in the last few months, you only need about 200 extra calories per day.Many vegetarian pregnant women worry about the effect their diet may have on their developing baby during pregnancy. However, with careful meal planning, there may be no need for concern."Vegetarian pregnancy diet can provide the mother and baby with all the proper nutrients they need," says Rachele Dependahl, RD, a dietitian at Cedars-Sinai Medical Group in Beverly Hills, Calif.These nine months may be the most challenging months of your life. With your body undergoing a number of changes, you need to be extra careful about yourself as well as your surroundings. And watching your vegetarian pregnancy diet should be on top of your top list.The Pros of  Vegetarian Pregnancy Diet -There are many positive aspects to maintaining a vegetarian diet during pregnancy. For instance, vegetarian sources of protein are easier on the kidneys. And being a vegetarian can help keep tooth decay — a common problem during pregnancy — at bay. In addition, vegetarian eating, in general, lowers the risk of the following conditions:- Obesity- Hypertension- Constipation- Heart disease- Type 2 diabetes- Cancer- GallstonesAnother plus to being a vegetarian, says Martha K. Grodrian, RD, a nutrition therapist at Good Samaritan Hospital in Dayton, Ohio, is that "most vegetarian women eat fewer junk foods and a more nutritious diet."The Cons Vegetarian Pregnancy Diet -A vegetarian diet during pregnancy can be a healthy option, though it requires a little more effort."It may take more work and effective meal planning to follow a vegetarian diet that is healthy during pregnancy," says Grodrian. In general, the more foods a vegetarian omits from the diet, the more difficult it is to meet nutrient needs." However, dietary supplements may be able to fill the void.A lacto-ovo vegetarian (one who also eats dairy and eggs) can get all the nutrients she needs for a healthy pregnancy through diet and a multivitamin/mineral supplements. A vegan, on the other hand, who avoids all animal products, will need to take supplements of vitamin B12 and iron and might want to take calcium, zinc, and vitamin D, too.Vegetarian Pregnancy Diet - Nutritional GuidelinesNutritional guidelines for pregnant vegetarians are the same as for non-vegetarian women who are expecting. "All pregnant women need additional iron, calcium, folate, essential fatty acids such as DHA (which can be obtained in a vegetarian form), zinc, protein, and 200 to 300 calories more than pre-pregnancy," says Grodrian.Specifically, vegetarian pregnancy diet should include  the following:- Six to eleven  servings per day of bread, cereal, rice, and pasta (choosing whole grain when possible)- Four to five servings per day of vegetables. Four or more servings of fruits- Eight servings of milk and milk alternatives (one cup of cooked kidney beans as a milk alternative, for instance).- Three to four servings of beans and bean alternatives.- Two servings of omega-3 fats for DHA (found in flax-seed oil, walnuts, tofu, and omega-3 fortified eggs, among other places).- Fats, sweets, and junk food should be eaten sparinglyPregnant women should be careful to avoid the following foods:- Unpasteurized soft cheeses (such as brie, Camembert, and feta) and unpasteurized milk, because they carry the risk of listeriosis (a food-borne illness caused by bacteria).- Raw vegetable sprouts and fresh unpasteurized fruit and vegetable juices, which can contain bacteria like E. coli and salmonella.

3 Simple Ways to to Avoid Unwanted Pregnancy

Dr. Himani Gupta, Gynecologist/Obstetrician
1. Use protection - Prevention is always better than cureIndian social scenario is changing - Pre- marital, extramarital and living in relationships are on a riseAt times these relationships are casual and will lead to unwanted pregnancyAt the end of it, it is the female's body which will bear the brunt of physical discomfort of abortionThere are many myths in people's minds regarding use of regular contraceptive methods like oral contraceptive pills, condoms or Copper - TWhether a couple is married or unmarried when these regular contraceptive methods are used, unwanted pregnancy can be avoidedA consultation with the Gynaecologist for check up and to understand their correct use is a must and will allay your anxieties and concernsA word of caution here about Emergency Contraceptive Pill It is clear that these pills are for emergency situationsCouples in steady relationship should adopt regular contraceptive methodThese emergency pills have very high content of hormonesUsing them can make your next menses irregular, delayed and heavyThey should be taken ONLY on advice of a Gynaecologist2. Be alert - For early diagnosis of unwanted pregnancyAs soon as you have missed your periods, check yourself for pregnancyEasiest method is to do a urine pregnancy test done at home in a kit easily available at ChemistThe instructions to do the tests are also clearly written on packet Advanced tests for diagnosis of pregnancy can be done on your Gynaecologist 's advice like a test in blood known as Serum Beta HCG and sonography3. Timely treatment - See a Gynaecologist at earliestWhen we talk about unwanted pregnancy, it is clear that couple wants terminationGovernment of India has made guidelines to offer safe abortion to all who seek it, regardless of marital statusThere are two ways of undergoing abortion:A. Surgical D&C - This is traditional way and will require a day's time hospitalization.- If done in Govt approved MTP (Medical Termination of Pregnancy) center, it is safe B. Abortion by pills- If clinical situation is of early pregnancy and within the limit set by Govt of India, oral abortion pills  can be taken on advice of a Gynaecologist- There are no risks of anesthesia and surgical instrumentation in this method and no hospitalization is required