Maternal-Fetal Nutrition During Pregnancy and Lactation


Glucose is the primary energy substrate for the mammalian fetus and placenta. The fetus metabolizes glucose in several ways, including oxidation for energy requirements and as a carbon source for production of various macromolecules, such as glycogen, glycolytic products, proteins, and fatty acids. Total nitrogen concentration measurements have been used to estimate the rate of protein accretion in tissues, because most of the total nitrogen is represented by amino acid nitrogen uptake.

The net uptake of amino acids by umbilical circulation through the placenta represents the dietary supply of amino acids for fetal growth and protein metabolism. The transport of fatty acids and other lipid substances across the placenta and the deposition of lipids in fetal adipose tissue are primarily late-gestation phenomena.

Maternal-Fetal Nutrition During Pregnancy and Lactation

Minerals known to be of major importance during pregnancy include calcium, copper, iodine, iron, magnesium, selenium, and zinc. Deficiencies in these minerals have been associated with complications of pregnancy, childbirth, or fetal development. This chapter considers each, by briefly discussing their physiological roles, and discussing how the symptoms of deficiency overlap.

It also discusses the consequences of deficiencies using both animal and human models and considers how these might be best treated, if indeed they can.

Zygote is an international journal dedicated to the rapid publication of original research in early embryology. This title is available for institutional purchase via Cambridge Core Cambridge Core offers access to academic eBooks from our world-renowned publishing programme. Deficiencies in these minerals have been associated with complications of pregnancy, childbirth, or fetal development. It also discusses the consequences of deficiencies using both animal and human models and considers how these might be best treated, if indeed they can. Maternal nutrition around the time of conception may have important effects on gestational length, fetal growth trajectory, and postnatal growth and health. Weed Technology Weed Technology. This chapter discusses the important differences in nutrient requirements in preterm infants compared with those in infants born at term.

Mineral deficiencies have varied effects because of the wide range of roles they play. In pregnancy, the effects can be seen in both the mother and her fetus. The mother can suffer from pregnancy induced hypertension, anemia, preeclampsia, labor complications, and death. To meet the increased demand for the essential minerals during pregnancy and lactation, maternal physiology undergoes several alterations. Individualized fetal growth curves can be used to assess the appropriateness of fetal growth given the nonpathological characteristics or predict size at birth given all growth-determining characteristics of the pregnancy.

Fetal growth may be affected by the mother's nutrition throughout her life. In developed countries, adequate micronutrition before conception and avoidance of teratogens in early pregnancy are the nutritional factors most relevant to optimal fetal growth. Under famine or near-famine conditions, fetal growth appears increasingly restrained by a lack of maternal energy supply as pregnancy progresses. In the developed world, the major causes of fetal growth pathology are maternal vascular disease, particularly preeclampsia, maternal infections, particularly of the genitourinary tract, chromosomal and genetic anomalies, and, increasingly, syndrome X, the metabolic anomaly that includes diabetes and insulin resistance.

There is some evidence that these may respond to micronutritional therapy.

Maternal-Fetal Nutrition During Pregnancy and Lactation - Google Книги

Poor fetal growth in the developing world is largely attributed to widespread maternal undernutrition. The majority of low birth weight LBW in developing countries is due to intrauterine growth restriction IUGR , the causes of which are complex and multiple, depending primarily on the mother, placenta, fetus, and combinations of all three. The recent hypothesis on fetal origins of adult diseases suggests that fetal undernutrition at critical periods of development in utero and during infancy leads to permanent changes in body structure and metabolism.

Cultural beliefs, practices, and food taboos play a role to some extent in determining maternal intakes in some of the populations in developing countries.

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In most populations, maternal diets are inadequate in both macronutrients and micronutrients. Minerals such as iron, zinc, and calcium are known to have an important role in fetal growth. Reappraisal of maternal interventions is essential to explore future possibilities through systematic research.

Preeclampsia carries implications in adult life, with offspring of affected preterm pregnancies demonstrating poor growth in childhood and an increased risk of hypertension, heart disease, and diabetes. This chapter discusses the role of maternal nutrition in the prevention and development of preeclampsia.

Restriction of activity and prolonged resting has traditionally been advocated for the prevention and treatment of many of the ailments of pregnancy, including the prevention and treatment of hypertension. The evidence linking the promotion of regular exercise and a reduction in the risk of hypertension in the nonpregnant person is well established.

Achieving an ideal body mass index BMI relationship between a person's height and weight by weight loss before conception may be the most prudent advice in many patients. The chapter highlights the significant lack of quality studies from which to draw conclusions regarding the role of nutrition in the prevention or treatment of preeclampsia.

Lactogenesis begins during pregnancy and secretory material accumulates in the acini from the third month of gestation. Human milk fat content is the main source of energy and its most variable constituent. Dietary fats are the main source of infants' energy, provide essential fatty acids, and facilitate the absorption of fat-soluble vitamins.

Immunological and anti-infectious proprieties of human milk are of major importance compared with formulas. Environmental factors, including early infant nutrition, may influence their development. Potential energy mobilization during lactation depends on weight gain during gestation and nutritional status of the mother. This chapter considers nutritional requirements of the neonate during the period between birth and weaning.

  • Maternal-Fetal Nutrition During Pregnancy and Lactation edited by Michael E. Symonds.
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Requirements comprise whatever is necessary to maintain normal healthy body functions, daily energy expenditure above maintenance, and growth. Exclusive breast-feeding to 6 months meets all of the protein requirements of the healthy baby. Milk fat provides more than half of the neonate's dietary energy; and individual fatty acids play an important role in neonate's growth and development.

Lactose is the principal carbohydrate in breast milk and makes a significant contribution to energy supply. Through provision of glucose, it is essential for brain and nervous tissue function. Calcium levels in breast milk are less than one third of cow's milk levels, and formula is intermediate, but the absorption of calcium from breast milk is higher than that from formula. Early nutrition affects both the short-term and longer-term health and development of preterm infants.

This chapter discusses the important differences in nutrient requirements in preterm infants compared with those in infants born at term. It provides the practicalities of meeting these requirements during the early postpartum period and following discharge. Despite greater appreciation of the importance of adequate nutrition for outcome in preterm infants and the existence of specific nutritional recommendations, it is widely recognized that these infants often exhibit suboptimal growth, which may persist for some time after hospital discharge and which may have adverse consequences for cognitive outcome.

The use of breast milk is associated with a reduction in the incidence of necrotizing enterocolitis NEC and systemic infection and is associated with improved cognitive outcome, lower blood pressure, and more favorable plasma lipid profile during childhood and adolescence.

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This chapter presents a brief history of formula feeding to provide a historical perspective into the evolution of modern infant formulas. It discusses the types and composition of modern infant formulas available, and the regulation of infant formula composition and marketing. The chapter discusses the growth of formula-fed versus breast-fed infants, and the appropriate introduction of complementary foods for both breast-fed and formula-fed infants.

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Open global navigation Cambridge University Press Academic. View cart 0 Checkout. Include historic titles Search products. Register Sign in Wishlist. Unlocking potential with the best learning and research solutions. Home Academic Medicine Obstetrics and gynecology, reproductive medicine. Add to cart Add to wishlist Other available formats: This title is not currently available on inspection. In-depth chapters on maternal adaptations to allow nutrient absorption and optimal fetal growth give readers an authoritative background to the mechanisms that control fetal growth and development Chapters discuss the consequences of inadequate nutrition during pregnancy and how interventions may help alleviate these problems Provides the scientific background to infant nutrition and feeding and discusses practices of infant feeding, both with breast milk and infant formula.

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How does good nutrition during pregnancy help my growing baby?

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