Nutritional support during pregnancy

Pregnancy pertains to the physical and hormonal changes in the body where the needs of the person also alter. The growing fetus inside the womb requires sufficient nutrients during the stage of development. For coping the nutritional requirements that correspond to the healthy lifestyle, appropriate weight gain, a balanced diet, exercising regularly, vitamin and mineral supplementation should be considered.

Calorie intake during Pregnancy

During the course of pregnancy, 300 extra calories are required for maintaining the healthy body and suffice the needs of the fetus. To incorporate these calories, a balanced diet comprising of fruits, vegetables, and whole grains should be consumed. Besides, it is better to limit the intake of sugar and fats as a balanced diet can help in relieving the symptoms of pregnancy.

Fluid intake should also be taken into consideration during pregnancy as it forms a significant part of nourishing the body. Alongside water, juices and soups should also be consumed in subtle amounts.

Nutritional foods during pregnancy

For vitamin A and potassium: Carrots, sweet potatoes, amaranth, spinach, tomatoes, squash, bell peppers, cantaloupe, ragi, jowar, etc. are good source of vitamin and potassium as it helps to maintain the balance of fluids and electrolytes.
Calcium, potassium, Vitamin A and D: Fat free or low fat yogurt, milk, soya milk etc. should be a part of balance diet as calcium helps build the baby’s bones and regulate fluids.
Iron and folic acid: Grains inclusive of cereals reduces the risk of neural tube defects and increase the blood flow.
Proteins: Beans, chickpeas, soybean, chia seeds, quinoa, etc. provide proteins to the baby and mother which are required for the proper growth of baby, along with increasing blood supply.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Nutritionist customized diet plans for pregnant women and monitor their health throughout the period of pregnancy, in consultation with gynaecologists.

Do take an appointment with the best women and childcare hospital at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with our doctors, please book your appointment here.

Make Your Pregnancy Stylish

"How to stay stylish during pregnancy? "

Author – Motherhood Medical Team

Pregnancy poses a challenge of being up to date and following the fashion trends that may convert you into a stylish being. While it cuts out some alteration in the living patterns, there are ideas and ways to try out for making your pregnancy a stylish one.

There can be some transitions to map out this thing while also considering the safety approaches that must be followed during the pregnancy.

Staying Stylish During Pregnancy

The foremost thing that is important during pregnancy is the mental look you can cast on yourself so that you look sharp and put together. There is no need to feel grumpy all the time, though a pack of hormonal rush can induce so sometimes. However, you need to feel yourself and try to be excited about each single day, trying out some new ideas.
You don’t need to hide your tummy completely. One can wear form-fitting clothes, as long as they are covering your belly completely.
One can easily wear some old cardigans and blazers, open. This has to make a good fashion sense when fitted over a tank or camisole. In this way, the ready to go casual outlooks can make a great stylish fit.
Maternity or nursing printed dresses can make you feel comfortable as well as ready to head out on the way when paired with a sandal.
One can also choose to wear heels to give a better look. While stilettos and heels can be difficult to accommodate, wedges and kitten heels are safe as well as stylish to make you comfortable.
Getting yourself a denim that fits the protruding belly can be really a good option. Not only maternity jeans are comfortable to wear but can also boost up your confidence.

Do take an appointment with the best women’s hospital at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with our doctors, please book your appointment here.

Postpartum Essentials For New Moms

Author: Dr. Vijayalakshmi MBBS, DGO

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Indiranagar

Perhaps one of the most charming moments for a woman is to become a mother. However, those moments can gradually wane weeks on, punctuated thereafter by moments of physical and emotional challenges. The body naturally experiences a lot of changes after giving birth and while the focus has turned to caring for the baby, most forget that postpartum care for the mother is by far the most important aspect to take note of.

Every birth is unique, and therefore tough to determine the exact postpartum life of the mom. Understanding the ways a mother’s body may change, and taking appropriate steps during this postpartum period is a priority that will help you ease your life.

What to expect:

Some of the common postpartum changes can be:

Constipation
Hormonal changes
Haemorrhoids
Discomfort from C-section incision
Fatigue
Abdominal pain
Difficulty urinating
Soreness of the breasts and nipples
Perineum
Vaginal bleeding or discharge.

Postpartum care tips to follow:

The various ways in which pregnancy and childbirth affect the body may seem very intimidating, especially for new mothers. It can actually be tough to adjust to these changes; but postpartum health care tips help immensely in healing and taking care of the body, after giving birth.

1. Heal your body

The body experiences a lot during childbirth be it a vaginal delivery or C-section. It’s not as if you will get rid of postpartum challenges within a few days. It takes time and sometimes even months for the body to recover completely after pregnancy and childbirth. Let’s look at some of the steps that one can follow to gradually heal:

Vaginal soreness: Sit on a pillow or padded ring, use ice packs and keep your perineum away from irritation by spraying the area with warm water while urinating.
C-section scar: Consult your doctor about the care you need for C-section scar and clean it gently before applying an antibiotic ointment.
Pelvic floor changes: Perform regular Kegel exercises to provide your vagina and perineum with enough recovery after stretching during delivery.
Tender breasts: Frequent breastfeeding helps relieve engorged breasts and you can also try ice packs, warm compresses and gentle massaging in case of aches.

2. Give priority to rest

The extreme physical toll of labour and then having sleepless nights with the new-born can exhaust the new mom. Do not forget to give priority to your sleep to avoid postpartum fatigue. Make it a point to take a quick snooze whenever the baby is asleep.

3. Ask for help

At times new moms may feel shy and hesitant to ask for help from others. Do not forget that you definitely need postpartum care, and life for a new mother can be much easier and recovery faster, once you have assistance from friends and family.

4. Keep moving

Regular exercise and physical activity have shown great results in recovery from postpartum symptoms. Exercise is a great tool to boost energy levels, relieve stress and strengthen muscles after childbirth, however, it is best to consult your doctor before getting on a regime. Usually, most of the doctors will ask you to avoid rigorous activity and focus on gentle exercise such as walking in the garden and so forth.

5. Healthy diet

Eating well and healthy is always beneficial in postpartum care. It will help you fight constipation and fatigue while assisting you to shed the extra weight you gained during pregnancy.

At Motherhood Hospitals, we have a team of experienced super specialists backed by the latest in infrastructure and facilities. We have the best Gynaecologist specialists in Lullanagar, Pune.We are experts in handling complex deliveries, gynaecological, and other surgeries including a range of laparoscopic surgeries.

Do take an appointment with the best Gynaecology hospital in Indiranagar at a centre closest to you. Meet with our doctors who will carry out the required investigations, diagnose the issue and recommend the most appropriate treatment, enabling you to lead an active life.

If you wish to get in touch with Dr.Vijayalakshmi, please book your appointment here

Nutrition and Exercise Until D Day – Pregnancy Tips

Author: Dr. Preethika Shetty MBBS, DNB, M.S (OBGY), Fellowship in Reproductive Medicine (ICOG)

Consultant – Obstetrician & Gynaecologist at Motherhood Hospitals, Kharadi – Pune

Maintaining good health during the weeks of pregnancy provides your baby with the nutrition it needs as it steps into the world. Doing regular exercise, following a balanced diet and keeping up with scheduled appointments with your doctor are some of the pregnancy care tips that help you to have a healthy pregnancy. Let’s learn more about the steps you could take right from the first month of pregnancy:

1. Focus on eating healthy – Inculcate a healthy and balanced diet in your regime: Here is what you could include:

Have five portions of fresh fruits and vegetables daily. Consume fresh fruits or fresh juices and avoid drinking packaged or canned ones. Along with this, also avoid vegetables that come packed in saltwater. Do not forget to drink plenty of water.
Starchy foods such as pasta, rice, bread and potatoes should make more than one-third of all the food you are eating. Furthermore, always choose whole grain variants instead of the white ones since you need plenty of fibre. Also, leave the skin on potatoes while cooking to provide more nutrition for you and your baby.
Have daily servings of protein from good sources like eggs, fish (two portions weekly should be oily such as mackerel, salmon or sardines), pulses, lean meat, beans, or nuts.
Consuming dairy foods such as yoghurt, milk and cheeses is also recommended right from the first trimester of your pregnancy.

2. Take your supplements

During your pregnancy, you and your growing baby need to have regular folic acid and Vitamin D supplements. These will be required even if you are having a well-balanced diet. Although it is recommended to eat healthily and have your daily quota of vitamins, minerals and nutrients from your diet, if you are having issues with consuming the right kind of food, talk to your doctor for all the required supplements your body might need for a healthy pregnancy.

3. Regular exercise

Regular exercise gives your body several benefits not only during pregnancy but also in post-pregnancy care. Make sure to include the following exercises during your pregnancy weeks:

Brisk walking
Yoga
Swimming
Pilates
Aquanatal classes

Get in touch with your exercise instructor and inform that you’re pregnant so he/ she can tailor classes or exercises specifically for you.

4. Perform pelvic floor exercises

The wide sling of muscles present at the base of your pelvis is what’s known as your pelvic floor. The functionality of these muscles is to support your bladder, vagina and back passage. During the weeks of pregnancy you may feel these muscles are getting weaker because of the extra pressure on them. To ensure adequate strength is maintained in these muscles, perform pelvic floor exercises including Kegel exercises regularly. Do take your doctor’s advice on which type of exercise best benefits you. The benefit will be experienced once you start building up to 10 long squeezes of 10 seconds followed by 10 short squeezes thrice a day.

5. Stop smoking and drinking alcohol

Regardless of the concentration, alcohol of any type will reach your baby rapidly via your bloodstream and placenta. Hence, there is no safe or minimum level of alcohol to drink during your pregnancy and one should avoid drinking to put the baby under any harm. Similarly, smoking during pregnancy can expose you and your baby to serious health problems such as miscarriage, ectopic pregnancy or placental abruption.

6. Stop caffeine intake

High caffeine content elevates the risk of stillbirth and miscarriage late in pregnancy. Hence try not to consume too much coffee, energy drinks, cola, tea or chocolates. Apart from the mentioned risks, caffeine can also contribute to having a low-birth-weight baby or premature birth.

At Motherhood Hospitals, we have a team of expert doctors, super specialists and highly trained nurses backed by the latest in infrastructure and facilities. We ensure complete care and advice to ensure a safe delivery at any of our centres. All our centres are equipped with modern equipment and the expertise to handle complex deliveries. Do take an appointment at a centre closest to you with our doctor and have a safe delivery of your baby.

If you wish to get in touch with Dr. Preethika Shetty, please book your appointment here

Everything moms and moms-to-be need to prep for a post-pandemic world By Dr. Manisha Ranjan

The year that went by threw all our learnings and wisdoms handed down to us from our mothers and grandmothers, out of the window. Moms and moms to be had to learn to wing it and hone new skills to sail through the pandemic. Keeping yourself and your family safe and healthy became a challenge like no other. As we navigate back into a post pandemic world there are a million things that both moms and moms-to-be need to keep in their mind when it comes to ensuring the safety and wellbeing of themselves, their children and their soon-to-be born children. Now is the time to pause, reflect and take stock as we step into a post pandemic world. Few things to keep in mind:

The pandemic is not over

Even with the roll out of vaccinations across the globe, the pandemic is far from over. We need to continue to practise social distancing, sanitising and wearing masks while out in public places. Moms need to convey this to their children and ensure they are protected and that they follow social distancing wherever applicable. Moms-to-be need to practice extra care and precaution with the help of a support system which includes their medical practitioners, primary care givers and immediate family.

Doctor visits and check-ups

One of the most critical and important steps, is to ensure that all children below 6 are vaccinated with age appropriate vaccinations which are imperative for a child’s growth and development. Moms-to-be must also ensure that their immunisation records are up to date and be in constant touch with their doctors and attend all scans and tests as they progress with their pregnancy

Building immunity

Keeping up with our age old traditions of eating immunity boosting fruits and nutrients, it is very important that we focus on building and keeping immunity levels high as we step back into the world. A good and robust immunity helps safeguard the entire family against seasonal infections and allergies. Our body is the most important tool we possess and nourishing it adequately will help keep infections at bay.

Mental Well-being & Mindfulness

While physical health is important, the pandemic has made us unlearn a lot of things when it comes to keeping calm. Especially in case of children, families and moms-to-be. Mental well-being is as important as physical fitness, for a happy and sane mind dwells in a healthy body. The pandemic has adversely effected children as it has taken away their freedom of movement, hence it’s up to the moms to ensure that kids have a safe place at home to speak their mind and share feelings. Mindfulness is very important when it comes to both moms and moms-to-be, for stress is not good and can lead to several health complications.

Self-care

One can never stress enough on the importance of self-care for moms. Sometimes balancing home, children, family and work can get a little overwhelming and it is important for moms and/or moms-to-be to take a step back and pause. It is an old saying which holds true that the woman of the house is the glue holding everything together and we must ensure that she is happy, hale and hearty.

The world as we know is undergoing a change and we must keep up with the changing pace while keeping in mind that our fight with COVID19 is far from over. Ensuring the health and well-being of the family is of utmost importance as we step back into a semblance of our lives pre COVID.

Breastfeeding Story by Mrs. Afreen

Breastfeeding can turn around to be a nightmare if your wife is not guided properly or if a child does not latch on correctly or lactating.

With basic general knowledge like the baby needs to be fed for two years everything felt normal.

However, it was not meant to be.

The next three months in my wife’s life defined what a mother is all about. Every man needs to respect and support his wife for all the pain, compromise and sacrifice which we sometimes conveniently forget.

It is very important that our wives get the deserved rest at home and whenever possible handle guests yourself. Be with your wife when she is feeding especially during the night sessions to divert her mind and help her carry on as it is not easy to feed every two hours.

My wife had probably one of the worst experiences of breastfeeding. What seemed to her like a perfect latch led to extremely painful feeding sessions with cracked, bleeding and sore nipples. I hid my tears to give her strength as I could not imagine someone feeding in such a state.

However, her courage to feed her hungry baby is way beyond words. During this phase, Dr Aruna (our lactation consultant) was very helpful and handled my wife very patiently. Due to over lactation my wife was able to donate milk as well and we heard it was very beneficial to a lot of babies. Would like to conclude by urging all husbands to accompany their wives in every hospital visit and consult a lactation expert to learn the right techniques. ?

DIET IN PREGNANT WOMEN IN FIRST TRIMESTER

A healthy pregnancy with expert advice on pregnancy diet first trimester - Motherhood Hospital India

The months of trying and fretting over conception are finally over and you can now feel part of that magical world of new parents:

Once you are pregnant, it is rather important you eat the right type of food, in right quantity, and right intervals, to ensure a healthy mother and a healthy foetus. A balanced diet, containing low carbs, high proteins, necessary vitamins, minerals, micro nutrients and antioxidants along with fats in moderate amounts is what very pregnant mother should look forward to.

Even though your doctor might have prescribed folic acid pills/supplement you still need to include folate rich foods in your diet. Foods rich in folate include enriched white rice, cooked lentils / cooked spinach, chick peas, oranges, broccoli & eggs.

Vitamin B6 is important during the first trimester as it can inhibit nausea and vomiting. Rather than taking medicines include vitamin B6 rich foods like whole grains/walnuts/bananas jowar in your pregnancy diet.

If you can digest it, milk is a wonderful source of protein, vitamins, calcium, water, healthy fats and fortified vitamin D, Dairy products like curds and yogurt can add variety to your meal.

Fruits are rich in vitamins, antioxidant, fibre and water content. They are a perfect recipe for healthy pregnancy.

Iodine rich diet like eggs, cow’s milk ,strawberry ,walnuts to ensure proper mental development of the foetus

Tips for a healthy pregnancy:

Aim for 5-6 meals per day
Eat when you are hungry & stop when your full
Select fruits & Vegetables from different colours of the rainbow,
Aim to eat all recommended groups.

Checklist of Foods to Avoid During Pregnancy

When you are pregnant, hormonal changes lower your immunity and affect your immune system. Your unborn baby is more susceptible to the bacteria, viruses, and parasites that cause food-borne illness.

Food-borne illnesses such as toxoplasmosis, salmonella and listeriosis can cause serious illnesses in mother and baby.Toxoplasmosis may cause flu-like symptoms in the pregnant mother. Listeriosis causes few or no symptoms to the mother but can be transferred to the baby and can lead to miscarriage, still birth, premature birth or may make the newborn very ill. You can reduce the risk of listeriosis by taking simple food hygiene steps at home and avoiding certain high risk foods. Salmonella can cause illnesses such as typhoid fever, paratyphoid fever, and food poisoning.

If you have any concerns about symptoms or illnesses, please consult your doctor. Keep this checklist handy to help ensure that you and your unborn baby stay healthy and safe.

Food to be avoided	Reason
Soft CHEESE made from unpasteurized milk, including Brie, feta, Camembert, Roquefort, queso blanco, and queso frescoHot dogs, luncheon meats, cold cuts, fermented or dry sausage, and other deli-style meat and poultry	May contain Campylobacter, E. coli, Listeria, or Salmonella.
Certain kinds of FISH, such as shark, swordfish, king mackerel, and tilefish (golden or white snapper)	Contains high levels of mercury.
Unpasteurized JUICE	May contain E. coli.
SALADS made in a store (unwashed vegetables)	May contain Listeria. It is essential to make sure that they are washed thoroughly to avoid potential exposure to toxoplasmosis.
Raw or undercooked SPROUTS, such as alfalfa and moong beans	May contain E. coli or Salmonella.
Raw Eggs/eggnog and mayonnaise	Under cooked/ raw eggs may contain Salmonella.
Caffeine (Coffee/Tea/Aerated drinks, etc)	Although most studies show that caffeine intake in moderation is not harmful but there are others reveal that caffeine intake may be related to miscarriages. Caffeine is a diuretic, which means it helps eliminate fluids from the body.
Alcohol	Prenatal exposure to alcohol can interfere with the healthy development of the baby. Alcohol consumption during pregnancy can lead to Fetal Alcohol Syndrome or other developmental disorders.

Contact our Nutrition Department to know more about foods that needs to be avoided and included for safe pregnancy.

Diet tips for a winter pregnancy by Mrs. Edwina Raj

Being pregnant in winter is definitely better compared to summer as the cooler weather balances your naturally high internal temperature. It reduces the increased sweating during the third trimester. Although, winter is also associated with flu, common cold, infections, chills, etc.

Diet for Pregnancy during winter needs to be taken special care of. Your food intake is responsible for boosting your immunity. You must also keep yourself well hydrated and prevent your skin from becoming dry.

Here are some healthy eating tips to keep you and your growing foetus safe during winter:

Eat plenty of fruits and vegetables to ensure a robust immunity.
Amla, or Indian gooseberry, is one of the richest sources of vitamin C. Add it to chutneys or drink it as amla juice, or you have it as sweet amla murabba. Vitamin C helps your body fight infection, and acts as an antioxidant, protecting cells from damage.
Drink kesar (saffron-few strands) milk which is also an antioxidant to help in improving your immune system.
To keep your skin hydrated by drinking plenty of fluids. Keep a bottle of water handy and sip water regularly. It is important to stay hydrated even if you don’t feel thirsty.

by Mrs. Edwina Raj , Nutritionist.

10 More Vegetarian Superfoods For Pregnant Women

In our earlier blog, we had discussed the top 10 Superfoods for Vegetarians. These are 10 more Super Rich & Nutritious foods that make a remarkable impact on your health. Pregnancy is the most beautiful feeling any woman can ever experience. Throughout the three trimesters, your body floods out various hormones to adjust to bearing and nurture a new life within.

Along with healthy food, regular exercise can prevent the risk of birth defects and depression. Low iron levels can cause lethargy during pregnancy. Hence, Vegetarians need to take efforts persistently to include the below mentioned superfoods to account for the nutrients quintessentially required to meet the needs of the developing fetus as well as the energy requirements of the mother.

1)Tofu

Essential Nutrients: Packed with protein, iron, calcium, magnesium, vitamin A and vitamin K.

Health Benefits: Essential for normal blood clotting, particularly after the birth, helps in building essential cells that forms vital body organs.

2)Avocado

Essential Nutrients: Powered with protein, folic acid, potassium, vitamin C, and vitamin B6, high calories.

Health Benefits: Helps in forming your baby’s brain and nervous system, building up tissues, helps to combat morning sickness. The high calorie helps those who want to gain weight during pregnancy.

3)Cereal

Essential Nutrients: Power house of energy, folic acid, fibre and vitamin B.

Health Benefits: Fortified cereals make great for an energetic breakfast. You need energy as you progress through your trimesters to support your child as well.

4)Cabbage

Essential Nutrients: Wholesome goodness of thiamin, folic acid, vitamin E, A, B6, C, K, calcium, magnesium, manganese, phosphorus, potassium, fibre & iron.

Health Benefits: These vitamins aid in healthy breast-milk production. Chilled cabbage leaves placed in your bra help to soothe sore breasts during & after pregnancy. Magnesium improves blood flow.

5)Chickpeas

Essential Nutrients: Rich in calcium, magnesium, zinc and folic acid.

Health Benefits: Hummous (made from chickpeas) with peta bread makes a tasty snack. Fibre balances glucose levels; iron helps combat anaemia.Folic acid is vital for baby’s development.

6)Oils and Fats

Essential Nutrients: Entails omega-3 and omega-6 fatty acids, antioxidants.

Health Benefits: Quintessential for cell function, brain and eye development.Go for the extra virgin olive oil. it lowers blood pressure and improves cardiovascular health by providing protection against heart disease, depression, cancer, high cholesterol and dementia.

7)Oatmeal

Essential Nutrients: Packed with fiber, protein and vitamin B6. It can be fortified with iron & folic acid.

Health Benefits: Whole grains containing complex carbohydrates that release energy slowly after you have eaten it. A bowl of oatmeal or porridge is a great start to the day and will help combat any fatigue which sets in mid-morning.

8)Tomatoes

Essential Nutrients: Contains vitamins A and C.

Health Benefits: Low fat tomatoes have the ability to regulate blood sugar, reduce stress, cure headaches and even protection against gall & kidney stones.

9)Going Nuts over Nuts

Essential Nutrients: Proteins, manganese, omega-3 fatty acids, selenium, magnesium, Vitamin E.

Health Benefits: They are memory-boosting foods, helps development of child’s brain and eyes, reduced risk of premature baby. Indulge guilt-free in almonds, walnuts, flax seeds, reduced risk of heart diseases.

10)Whole Wheat

Essential Nutrients: Plentiful of iron, fiber, Vitamin B complex and protein.

Health Benefits: Along with energy boost to the body, it releases energy from muscles, iron fights anemia & eases constipation. Brown rice & millets are considered a healthier option.

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