Medicine an Surgery notes

Apr 24th, 2015
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MATERNAL NUTRITIONPresenterDr. E.C.N. NabakweLecturer Department of CHAPObjectives Describe nutritional requirements ofmothers through different stages of life Discuss the effect of nutritional status onlactation & milk composition Explain the concept of energy versus energyexpenditure in mothers and child growth Outline the risks of female nutritionaldeficiencyNutritional Requirements Girl-child: increased needs due to rapidgrowth Adolescent: Growth spurt & maturation Non-pregnant: Fe required for monthly loss Pregnant: Nutrients for fetal growth Lactating woman: metabolically activeIndicators of Adequate NutritionBwt, mothers wt, ht & BMI, MuacAbsolute wt gain in pregnancyRate of wt gainWt loss during lactationAnaemiaNutritional Requirements DuringLactationAdditional 600-700kcal /24hrsIncrease nutritional intakeImproved efficiency of metabolismUse of energy stored during pregnancyDecreasing physical activityMicronutrient intake duringPregnancy & Lactation Requirements increased Deficiency increases MTCT of HIVCalcium Infants 400-600mg/day Children 800mg/day Adolescents, pregnant & lactating mothers1,200mg/day infant draws 13mg/hr (250-300mg/day) Sources milk,dark vegetables,bone soupsCalcium Ca muscle irritabilitycramps Ca risk of HPT, oedema & preeclampsia supplementation after 20/52

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