Articles on pregnancy vegetarianism

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.

Pregnancy Diet

Ms. Swati Kapoor, Dietitian/Nutritionist
Pregnancy is the most beautiful phase in a woman's life. It brings both emotional and physiological changes as well as it also poses extra demands on the body. In this phase the body needs extra nutrition for the developing fetus, for pregnant woman herself and also the lactation period to follow. Pregnancy Diet must be full of nutrition and healthy also.Importance of Nutrition in The Diet in PregnancyThese nutritional demands have to be met for a healthy child and mother because as the week progresses the organs and other system of the fetus start developing in mother’s womb and thus the energy used to create these systems (which actually comes from the energy and nutrients in the mother's circulation, and around the lining of the womb) also starts to increase. The table below highlights the nutrients, its importance and food sources which should be included in a women's pregnancy diet -NUTRIENTSIMPORTANCEFOOD SOURCES Protein cell growth and blood productionlean meat, fish, poultry, egg whites, beans, tofuCarbohydrates daily energy productionbreads, cereals, rice, fruits, vegetablesCalcium strong bones and teeth, muscle contraction, nerve function milk, cheese, yogurt, spinachIronred blood cell production (to prevent anemia)All green leafy vegetables e.g. spinach, methi and whole-grain cerealsVitamin A healthy skin, good eyesight, growing bonescarrots, dark leafy greens, sweet potatoesVitamin C healthy gums, teeth, and bones; assistance with iron absorption citrus fruit, broccoli, tomatoes, amla, guavasVitamin B6 red blood cell formation; effective use of protein, fat, and carbohydratespork, ham, whole-grain cereals, bananasVitamin B12 formation of red blood cells, maintaining nervous system healthmeat, fish, poultry, milk(Note: vegetarians who don't eat dairy products need supplemental B12)Vitamin D healthy bones and teeth; aids absorption of calcium fortified milk, dairy products, cereals, and breadsFolic acid blood and protein production, effective enzyme function green leafy vegetables, dark yellow fruits and vegetables, beans, peas, nutsFatbody energy stores meat, whole-milk dairy products, nuts, peanut butter, margarine, vegetable oils(Note: limit fat intake to 30% or less of your total daily calorie intakeRecommended Nutrients in The Diet in PregnancyNutrientRecommendation (Extra = Above RDA)EnergyIncrease by 300 kcal (840 kJ) per day. Certain guidelines according to trimester.1st trimester (1 to 12 weeks) - 10 kcals/day 2nd trimester (13 to 27 weeks) - 90 kcals/day 3rd trimester (27 to 40 weeks) - 200 kcals /day.ProteinsExtra 15 gms per dayThiaminIncrease in line with energy; increase by 0.1 mg per dayRiboflavinNeeded for tissue growth; extra 0.3 mg per dayNiacinRegular supplementation/diet of substance. No increase required.FolateMaintain plasma levels; extra 100 µg per dayVitamin CReplenish drained maternal stores; extra 120 mg per dayVitamin DReplenish plasma levels of vitamin 10 µg per day.CalciumNeeds no increaseIronExtra 3 mg per day neededMagnesium, zinc, and copperNormal supplementation or consumption.IodineExtra 100 µg per day.Foods To Avoid During Pregnancy- Skip aerated or caffeine based beverages like coffee, tea and colas. Too much caffeine may affect the growth of baby. A recent study said that pregnant women who consume even about a cup of coffee everyday are at a higher risk of giving birth to an underweight baby.- Avoid eating foods that have been prepared with maida.- Try and cut down on eating foods that are high in sugar content.- Sea-food that is high in mercury should be strictly avoided. Swordfish, shark and king mackerel are among these. Raw fish may contain listeria, a bacteria that can cause food poisoning. While canned seafood is considered safe, skip smoked or frozen seafood like oysters, sushi, sashimi, and smoked salmon.- Unpasteurized milk may contain listeria, which can cross the placenta and lead to infection or blood poisoning in the baby. Ensure that the milk you drink is pasteurized.- Stay away from mould-ripened cheese (cheese that has a blue vein in it) like brie or camembert. Make sure you cook raw eggs. When the eggs are cooked, see that the yolk and white are firm.- Avoid the consumption of smoking and drinking in day to day routine.Healthy Pregnancy Diet Tips:-- Have a piece of fresh fruit for a mid-morning or afternoon snack, instead of reaching for chocolates or biscuits.- By carrying a small bottle of water when you are out ensures you are well hydrated, and not tempted by sugary soft drinks.- Each week, prepare a couple of meals using beans, lentils and pulses.- Add in your diet different healthy grains, such as barley, couscous or brown rice, in order to give variety to your favorite recipes.- Choose low-fat dairy productsIt is important to note that being pregnant doesn't indicate that the mother to be has to consume food for two individuals, as she is supporting a life within her. The key to a healthy pregnancy is to consume a balanced diet with light and frequent meals throughout, and to regularly take the supplements or medicines prescribed by the doctor. One should also try, and be active, for e.g., go for walks or light swimming or do pregnancy specific yoga [under supervision].

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.

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.

Pregnancy and You – a Guide to Healthy Eating

Dr. Devjani Das (Ganguly), Gynecologist/Obstetrician
Pregnancy is a normal physiological journey through motherhood. In the absence of any complications, apart from some screening tests and monitoring of the general health of mother and baby, little else needs to be done in managing this condition. Majority of pregnancies are uncomplicated, and have a happy ending with the delivery of a healthy baby.It is nevertheless important to optimise a mother’s health during pregnancy, as this has a direct bearing on the baby’s health and wellbeing. This can be achieved by some simple measures, and watching what you eat is one of them. Keeping yourself hydrated with a good fluid intake, at least two litres a day, eating abundant dark green leafy vegetables, fruits, fish, red meat and milk, would help your pregnancy. Folic acid supplementation in the first twelve weeks of pregnancy helps to prevent abnormalities of brain and spinal cord.It is also important to know what foods to avoid in pregnancy.High doses of vitamin A can be harmful for the baby. Therefore vitamin A supplementation, and consuming liver and liver products in pregnancy should be avoided.Infections transmitted through food can be avoided by avoiding consumption of unpasteurised milk, soft cheese, pate, uncooked or undercooked ready meals. Raw, half-boiled, and partially cooked eggs, mayonnaise; raw or partially cooked meat and poultry should also be avoided. Prescribed and over the counter medications should only be used if benefits outweigh risks, as the safety profile of many such medicines in pregnancy, is yet to be established. Therefore watching what you choose to eat can have a significant impact on your pregnancy and its outcome. As Asian women, we are also susceptible to developing diabetes in pregnancy, therefore avoiding excess of high calorie food such as chocolates, chips, fizzy drinks, may also be helpful.So here’s wishing you a Happy Women’s Day, and a safe and happy journey through pregnancy and motherhood.

Dietary Advice in Pregnancy

Dr. Ramna Banerjee, Gynecologist/Obstetrician
This post is primarily intended to pregnant women and thoseplanning a pregnancy and their husbands and stems from the many queries that Ikeep having from pregnant and to be mums who want to do the best for theirbabies!Keeping healthy when you are having a baby depends on both the amountand the type of food you eat before you become pregnant and during your pregnancy. To eat healthily, you should aim to do the following-Base your meals on starchy foods such as potatoes, bread, rice and wholegrainfoods like roti. Eat a low-fat diet and don’t increase the number of calories you eat. Eat aslittle fried food as possible and avoid drinks that are high in added sugars,and other foods such as sweets, cakes and biscuits that have a high fat orsugar content.Instead, eat fibre-rich foods such as oats, beans, lentils(dal), greenvegetables, grains and seeds,as well as wholegrain bread, roti, chappati, riceand wholemeal pasta.Eat some protein every day; choose chicken, fish, egg. Lentils, beans andtofu are also a good source of protein.Eat dairy foods for calcium but choose low-fat varieties such as skimmed milkor low-fat yogurt.Watch the portion size of your meals and snacks and note how often you eat.Do not ‘eat for two’.Always eat breakfast.Limit your caffeine intake to 200 milligrams (mg) per day, for example twomugs of instant coffee. Be aware that other drinks such as tea and energy drinks also contain caffeine.Most women do not need any extra calories during the first six months ofpregnancy. It is only in the last 12 weeks that they need to eat a little more, and then only an extra 200 calories a day, which is roughly the same as two slices of bread or roti.What is a ‘healthy’ weight?You can find out your healthy weight from your BMI (body mass index). This is ameasure of your weight in relation to your height. A healthy BMI is above 18.5but below 25. Being overweight carries risks for you and your baby likediabetes , high Blood Pressure and poor wound healing at caesarean section. Italso increases the risk of blood clots developing in the legs during pregnancyand after delivery.Being underweight increases the risk of your baby not growing as well as he orshe should. However, trying to lose weight by dieting during pregnancy is not recommended asit may harm the health of your unborn baby.VITAMIN and MINERAL SUPPLEMENTS NEEDED IN PREGNANCY:Folic acid is one of the B vitamins and helps to reduce the risk of your babyhaving spina bifida. Taking extra folic acid may also reduce the risk of heartor limb defects and some childhood brain tumours. The recommended daily dose is400 micrograms (μg). Ideally, you should start taking extra folic acid beforeyou conceive and continue to take it until you reach your 13th week ofpregnancy. If you did not take folic acid before you became pregnant, starttaking it as soon as you realise you are expecting a baby. You will need higherdoses of folic acid in some conditions like diabetes, epilepsy and if you havehad a previous baby with neurological problems.Vitamin D and Calcium supplements as advised by your doctor - during pregnancyand breast feedingIron : if you are anaemic as advised by your doctor.Thus in summary you should have a well balanced diet rich in proteins,carbohydrates , vitamins and low in fats. Have a healthy snack like fruits,brown bread, cereals , health drink like horlicks or complan in between threemajor meals. Never overstuff yourself and never skip your breakfast.

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.

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