The Academys Position for Pregnancy A healthy weight gain should be established
Physical activity should be performed
Healthy lifestyle choices should be adopted
Take supplements
Handle food safely
Avoid harmful substances
Healthy Weight Gain During Pregnancy Weigh within the normal BMI range before conceiving
Being overweight during pregnancy may
cause diabetes and/or cardiovascular disease
Weight gain beyond the recommendations by
Institute of Medicine can cause excess weight after delivery Physical Activity Physical activity benefits moms overall health
Moderately intense exercise does NOT increase
risk of miscarriage or premature delivery (for low-risk pregnancy)
Exercise is shown to reduce excessive
weight gain during pregnancy
No information provided on how long
exercise sessions should be Adopting healthy lifestyle choices Healthy dietary patterns (including DASH and Mediterranean diet) are linked to less instances of gestational diabetes
Maternal lifestyle and diet play a role in long-term health of
mom and baby
Inadequate nutrients causes increased chances of chronic
medical conditions for baby
Overnutrition can decrease mothers and babys health
status Supplementation during Pregnancy Iron and folic acid are very important
Iron protects baby from low birth weight and
prematurity
Folic acid protects baby from neural
tube defects
Vitamin D, choline, calcium,
and iodine also discussed Food Safety Pregnant moms are at increased risk of foodborne illnesses
Hormone changes lead to decreased immune
system function
Pregnant women should follow 2010
Dietary Guidelines for Americans Avoidance of Harmful Substances Alcohol should be avoided o May result in neurological defects o No current safe level!
Caffeine information is conflicting
o American College of Obstetricians and Gynecologists say less than 200 mg caffeine per day o Birth defects research says caffeine does not cause miscarriages, prematurity, or birth defects Role of the RDN Care is important before, during, and after pregnancy
Multiple gestations, disordered eating, and
chronic diseases should be referred to RDN for medical nutrition therapy
RDN should asses weight gain, dietary habits,
and nutrition-related health problems Agreement with the Position The paper provides scientifically based information
The position has 39 references
References from the Centers for Disease Control,
Institute of Medicine, and Pediatric journals
The information is also consistent with WIC
education materials provided References Campbell G, Christina. Procter B, Sandra. Position of the Academy of Nutrition and Dietetics: Nutrition and Lifestyle for a Healthy Pregnancy Outcome. J Acad Nutr Diet. 2014;114:1099-1103.
Campbell G, Christina. Kaiser L, Lucia. Practice Paper of
the Academy of Nutrition and Dietetics: Nutrition and Lifestyle of a Healthy Pregnancy Outcome. Eat Right Web site. Available at: http://www.eatrightpro.org/~/media/eatrightpro %20files/practice/position%20and%20practice %20papers/practice %20papers/practice_paper_healthy_pregnancy.ashx. Accessed March 3, 2017.