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Brought to you by: Eat Well, Live Well Step Up Right n i t g a E y h t l a e H o t Thinking about having a baby? Healthy babies begin with healthy moms! The foods you eat before you become pregnant are important to help you and your baby be as healthy as possible. Eating well now will ensure that your baby gets all of the vitamins and minerals required in the early weeks of development. Eating Well with Canada’s Food Guide helps you choose the foods that will give you the nutrition you need in preparation for pregnancy. Every day, eat a variety of foods from each of the four food groups: • Vegetables and Fruit: 7-8 servings of a variety of vegetables and fruit • Grain Products: 6-7 servings emphasizing on whole grains more often • Milk and Alternatives: 2* servings of lower fat milk, cheese, yogurt or enriched soy beverages • Meat and Alternatives: 2 servings of poultry, fish, Important nutrients for you and your baby Folic Acid Folic acid, also known as folate or folacin, is a vitamin needed both before you conceive and during pregnancy. This vitamin helps reduce the baby’s risk of developing a type of birth defect, called neural tube defect, which affects the brain and spinal cord. If neural tube defects occur, they happen in the first month of pregnancy, likely before you even know you are pregnant! This is why it is so important to make sure you’re getting enough folic acid every day before you get pregnant. Cooked asparagus, cooked spinach, romaine lettuce, kidney beans, chickpeas, lentils, orange juice and sunflower seeds are some excellent sources of folic acid. lean meat, dried peas, beans, lentils, eggs or tofu. *Females under age 19 require 3-4 servings of Milk and Alternatives each day Since it is difficult to get enough folic acid from food alone, Pregnant and breastfeeding women need more and mineral supplement that contains 0.4 mg (or 400 µg) of calories. For most women, this means an extra two folic acid before becoming pregnant and in the early weeks or three Food Guide Servings from any of the food of pregnancy. Make sure the supplement contains no more groups each day in addition to their recommended than 1 mg (or 1000 µg) of folic acid unless your physician number of Food Guide Servings per day. recommends otherwise. Talk to your health care professional Use Canada’s Food Guide to help you determine how about taking a multivitamin supplement before you become much food is in “one serving”. For more information, pregnant. women of childbearing age should take a daily multivitamin visit www.healthcanada.gc.ca/foodguide. Advancing health through food and nutrition www.dietitians.ca/eatwell Brought to you by: Eat Well, Live Well ts n e i r t Important nu Iron your baby d n a u f o r yo During pregnancy, your requirement for iron increases Other things to think about when planning a healthy pregnancy from 18 mg to 27 mg per day. This extra iron will Weight – A healthy lifestyle with regular, enjoyable be used to make red blood cells that carry oxygen physical activity and healthy eating will help you through your own body and to your growing baby. achieve a healthy body weight. You can determine if Feeling tired may be the first sign that you are low in you are at a healthy weight by learning your body iron. Start to build up your iron stores now by eating mass index (BMI), which is a ratio of weight to height. more whole grain and iron-enriched breakfast cereals, Visit www.hc-sc.gc.ca and search “BMI” to learn more. lean meats, dried peas and beans, dark green Caffeine – Caffeine crosses into the baby’s blood vegetables, dried fruits and nuts. when you are pregnant or breastfeeding. Take a To help your body better absorb the iron from plant- look at your caffeine intake and keep it to less than based foods, eat them with foods that are high in 300 mg a day. Instead of caffeinated beverages, drink vitamin C such as berries, tomatoes, peppers, orange water, milk, soup and fruit and vegetable juices juice, broccoli, cauliflower, kale and potatoes. At the before and during your pregnancy. same time, avoid tea and coffee (during and after meals) as they decrease the amount of iron that your body absorbs from plant-based foods. Calcium Calcium helps keep your bones and teeth strong. Get used to eating lots of calcium-rich foods now. Milk and fortified soy beverages are excellent sources of calcium and they also contain vitamin D, which Approximate caffeine content of foods*: • 1 cup filter drip coffee – 179 mg • 1 cup brewed coffee – 135 mg • 1 cup of percolated – 118 mg • 1 cup of instant coffee – 100 mg • 1 cup of strong tea – 100 mg • 1 can of cola soft drink – 36-50mg *Source: Caffeine and Your Health – Health Canada: www.hc-sc.gc.ca/fn-an/securit/facts-faits/caffeine-eng.php helps your body absorb calcium. If you have a milk allergy, talk to your health care provider about calcium supplements. Herbal teas – Most herbal teas, such as camomile, ginseng, licorice, lemon balm and fennel, should be Other calcium-containing foods to include in your avoided during pregnancy or when you are trying to diet are: yogurt, cheese, orange juice with calcium, conceive a baby because there is not enough research tofu set with calcium sulphate, almonds, canned to determine if they are safe. Herbal teas that can be sardines or salmon with bones, legumes and leafy consumed in moderation include ginger, bitter green vegetables. orange, orange peel, Echinacea, peppermint and rose hip. Have no more than 2-3 cups of these safe herbal teas per day. Advancing health through food and nutrition www.dietitians.ca/eatwell Brought to you by: Eat Well, Live Well d your baby n a u o y for s n o i at r e d i s n Other co Artificial sweeteners – Aspartame, sucralose and acesulfame-potassium are used in many foods such Alcohol, smoking and other substances – Alcohol, as soft drinks, desserts, yogurt, fruit spreads, salad drugs, inhalants, prescription dressings, chewing gum and candy. Although and over the counter medications evidence shows that aspartame, sucralose and can affect the unborn baby. Avoid alcohol and these acesulfame-potassium are safe for pregnant women, other substances if you are planning a pregnancy and it’s wise to use them sparingly. Read food labels to when you know you are pregnant. Check with your see if artificial sweeteners have been added. Avoid physician or pharmacist before using any medications. using saccharin and cyclamates. Smoking during pregnancy is one cause of babies Mercury and fish – Pregnant and breastfeeding being born premature, smaller and at a lower women and women who may become pregnant can weight. Try to cut back or quit smoking now, before particularly benefit from the nutrients offered by fish. you become pregnant. Look for smoking cessation However, because the developing fetus is also at risk programs in your area. from mercury exposure, it's important to be aware of what types of fish are a good choice for frequent consumption and which should be eaten less often. Pregnant and breastfeeding women and women who may become pregnant are advised to limit consumption of frozen/fresh tuna, shark, swordfish, marlin, orange roughy and escolar to 150 grams per month, which is equivalent to two servings in Canada’s Food Guide. Other situations – Being a teenager, living alone or in a violent environment, or sometimes not having enough money for food can affect your health. Please call your local health department or community health centre for programs, support, counselling and information on different lifestyle issues. If you have a medical condition, such as high blood pressure, diabetes or HIV, contact your health care professional and a Registered Dietitian before becoming pregnant. For more information: Visit the Health Canada website at www.hc-sc.gc.ca for a copy of their publication Nutrition for a Healthy Pregnancy. National Guidelines for the Childbearing Years. Dietitians provide food and nutrition information This Factsheet distributed compliments of: you can trust. Find a dietitian in your area at www.dietitians.ca/find or call 1-888-901-7776. Advancing health through food and nutrition www.dietitians.ca/eatwell ©2009 Dietitians of Canada. All rights reserved. May be reproduced in its entirety provided source is acknowledged.