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 avoidedReason
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 poultryMay 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 JUICEMay 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 beansMay contain E. coli or Salmonella.
Raw Eggs/eggnog and mayonnaiseUnder 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.
AlcoholPrenatal 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.

Trying to conceive: Expert advice By Dr. Jayashree Murthy

Doctor, we’ve been married for a few years and trying to have a baby but nothing’s happening,” is a line gynaecologists often hear. For couples trying to conceive, there are a few basic rules they should follow.

Know your fertile phase

For a woman who has regular 28-30 day menstrual cycle, the fertile phase would be from day 11 to day 18 (day 11 being the first day of the period). It is important that the couple be together during this period and have intercourse at least on alternate days at this time.
If a woman has irregular periods, she could be having the Polycystic Ovarian syndrome (PCOS). In this condition she would not be ovulating regularly. A visit to the gynaecologist will confirm the ovulation status and some ovulation inducing medications will be prescribed by the doctor. Women with PCOS often tend to be overweight, and it would help if she loses weight and tries to achieve an average weight for her height (as per standard charts). This would help regularize the periods and spontaneous ovulation may then happen. Many of these women successfully conceive and go on to have a normal pregnancy.

Folic acid tablets

Folic acid tablets (1 tablet per day) is a must for women planning a pregnancy as it has been established that high levels of Folic acid in the maternal blood at the time of conception reduces certain defects in the fetus.

Live a healthy life

Maintaining a healthy body weight for both men and women is important. In overweight women especially, the extra fat cells cause hormone imbalances and affect the menstrual cycles and fertility. A healthy diet, with plenty of natural foods will help. Fruits and vegetables, those rich in antioxidants are helpful as are dry fruits and nuts which contain high levels of Vitamin E which improve fertility. About three helpings per week of nuts (almonds, walnuts and pistachios) should be consumed.

How long to try before seeking help

It is advised for a couple to try for at least one year (one year of unprotected intercourse) before seeking a doctor’s advice. This much time should be allowed as many couples conceive on their own within this period.
Content Credits: Dr Jayashree Murthy

Pregnant , Stay Healthy By Dr. Faiza Waliullah

Pregnant? Tips for a healthy one!

There are a number of different emotions people go through when they discover they are pregnant. Excitement is perhaps the most common, but it is also natural to experience a bit of anxiety, especially while considering the best things to do for good health of the mother and baby. Often there are many questions, ranging from what food is safe to eat to exercise tips in order to stay healthy. We’ll be answering some of those questions here.

Exercise

It is important that most women take part in regular exercise.Moderate exercise is safe and can benefit both mother and child in most cases. However, you do need to be sensible as to the extent you decide to exercise and ensure you don’t over-extend yourself, especially if you’re not used to regular exercise. The guidelines for physical activity are no different for pregnant women than for the rest of the population – at least 30 minutes worth of moderate-intensity exercise a day.

Diet and dietary supplements

Eating a healthy, balanced diet is really important during pregnancy, and although you may feel hungrier than before, you should avoid eating for two. Gaining too much weight can lead to complications laterand can make it difficult to move around after your baby has been born. The World Health Organization suggests a weight gain of 10-14 kg is ideal for limiting the chance of complications later on.

When planning meals, a third of your plate should be starch-based food, such as bread, pasta, rice and potatoes. This should be eaten with fruits and vegetables, with moderate amounts of protein. Your baby needs plenty of iron, calcium and folic acid from a very early stage of pregnancy, so it is vital you include these in your diet. You’ll find iron in many sources, including red meat, fish, pulses, seeds and green vegetables. Low-fat dairy products are good sources of calcium, while green vegetables and fortified cereals are ideal for folic acid.

While eating fish is very healthy as it contains plenty of vital nutrients, you should be wary of the type of fish you are eating. Some fish contain high levels of mercury, which can affect your baby’s nervous system. Tuna should be limited to two steaks or four medium cans a week, while shark, swordfish and marlin should be avoided. Uncooked shellfish and raw fish should be cut out of your diet, while you should also avoid foods that are rich in vitamin A, such as liver.

Alcohol

During pregnancy, you must avoid alcohol altogether. Alcohol stays in baby’s system much longer than an adult’s as it is unable to process it properly, which can cause serious problems. Heavy drinking while pregnant can lead to fetaldeformities, brain damage and low birth weight, known as fetal alcohol syndrome (FAS). Even light drinking can be problematic and the National Institute for Health and Care Excellence (NICE) guidelines in the UK advise that if you are pregnant, do not drink at all.

Smoking

If you are a smoker and you get pregnant, it is strongly advisable to stop as quickly as you can. As well as damaging your own health, the poisonous chemicals in tobacco can increase your risk of miscarriage or slow down the growth of your baby. It can also bring about early labour and stillbirth. Even after the baby has been born, the chances of it developing chest infections or asthma, or being at risk of cot death are greatly increased if either parent is a smoker.

Medicines

Some medicines (such as paracetamol) are perfectly safe to take while you are pregnant, but there are many medicines where there is insufficient evidence of their possible effects on your baby. This means it is generally advisable to limit your use of medications unless absolutely necessary – even herbal and natural remedies should be checked out with your doctor first. If you are unsure about safety of a medicine, seek advice from a doctor or pharmacist before using it.

Wishing you health & happiness!

Dr. Faiza Waliullah
Motherhood, Hyderabad

Everything you need to know about PCOS

What is PCOS or PCOD?

Polycystic ovary syndrome (sometimes sadly referred to as disease) is a problem in which a woman’s hormones are out of balance. It can cause problems with one’s periods and make it difficult to get pregnant. PCOS also may cause unwanted changes in the way you look. If it isn’t treated, over time it can lead to serious health problems, such as diabetes, heart disease and even cancers!

Most women with PCOS grow many small cysts on their ovaries. That is why it is called polycystic ovary syndrome. The cysts themselves are not harmful, but lead to hormone imbalances.

Did you know that symptoms of PCOS persist even when both the ovaries are removed?
The root cause of the problem is the brain, the hormone regulation centre at hypothalamus, with involvement of multiple organs (Multi-system disease).

Some of the symptoms
  • Acne.
  • Weight gain and trouble losing weight.
  • Extra hair on the face and body. Often women get thicker and darker facial hair and more hair on the chest, belly, and back.
  • Thinning hair on the scalp.
  • Irregular periods. Often women with PCOS have fewer than nine periods a year. Some women have no periods. Others have very heavy bleeding.
  • Fertility problems. Many women who have PCOS have trouble getting pregnant (infertility).
  • Depression.

As if it was not bad enough, it increases your chances of developing a big disease later on in life, like full-blown diabetes, autoimmune thyroid disease and even cancers. Today I want to spread the awareness about Bio-cycle study. You can read the whole study in the oxford journal but the conclusion is here: If you have a hormonal imbalance in your 20s or 30s,( like pcos, irregular painful periods, or even something as small as PMS, it significantly increases your chances of developing a big disease of inflammation in the later life(40,s and 50,s) like diabetes, autoimmune thyroid disease and some form of cancers!

The BioCycle Study – Influence of Endogenous Reproductive Hormones on F2-Isoprostane Levels in Premenopausal Women.

The Treatment

The western medicine today, deals with identifying and treating the symptoms around PCOS. But these spot treatment are at best described as bind-aid solutions to a much deeper problem that gets worse not only due to the ignorance of the root cause but also as side-effects of these symptomatic treatments over long periods of time.

If you have been diagnosed with PCOS, chances are you have been prescribed to Birth Control Pills or OC’s (oral contraceptives) for regularising hormone cycles and hence periods and metformin for elevated blood sugars or pre/diabetic conditions. All in an attempt to masking the symptoms BUT they come back in a worse form once synthetic hormones are stopped.

Lets have a look at these two so that you can get to the root of the problem and avoid potential side effects of these.

Birth Control Pill

What it does:

The synthetic hormones in the birth control mask your natural hormonal patterns to prevent ovulation from happening, and therefore prevent pregnancy. The menstrual period you experience on the pill is not an acutal period, but rather a break-through bleed that occurs from the drop in estrogen. So even though it might be regulating your cycle, once you get off the pill chances are your period will return to the same state is was before and mostly it gets even worse.

Side effects:

Off the several side-effects, one side effect most relevant to PCOS is that it increases testosterone uptake, which can make your androgenic symptoms worse. This means if you re experiencing hirsutism (hair growth in unwanted places), head-hair loss, or acne, it could potentially get worse with the pill.

Alternative solutions:

Re-establish your monthly ovulation and menstruation through restoring key micronutrients and helping your body to eliminate excess estrogen or other hormones that could be impeding your natural flow. Addressing adrenal fatigue and thyroid issues is also key here. And the great news is – all of these can be achieved via our program.

Metformin (Glucophage)

What it does:

Metformin helps with blood sugar and insulin management by suppressing glucose production by the liver. It’s commonly used for diabetes and PCOS with insulin resistance.

Side effects:

In a recent study, metformin was found to cause an impairment mental cognition. It’s more commonly known to cause serious digestive issues like gas, bloating, diarrhea, constipation, and more uncomfortable symptoms.

Alternative solutions:

Address your blood sugar balance through your diet and key supplements as I teach you in the program.

Not only they do not help, they damage your body in the long run!

If you are diagnosed with PCOS and you have been offered a prescription of birth control pills & synthetic hormones, PLEASE STOP!

The advice to lose weight & exercise more does not completely work either. They say that you should lose weight to be healthy but I say that you should be healthy to lose weight. I am sure you can relate to that. I am not here to criticize any system, and each kind of treatment has its own role.

Conclusion

Very often you ll be told that the only thing you can do is take a pill, but I hope this article has opened your eyes to other possibilities and helped give you your power back when it comes to making informed decisions about treating your PCOS symptoms.

There is no quick fix to treating PCOS. It is a systemic issues that needs to be managed through diet and lifestyle and holistic approach

If you re ready to get to the bottom of your hormonal imbalances once and for all, let me help you. Your body CAN work for you .Stop suffering. Start feeling good all month long.

My thoughts

I believe it is my responsibility to share what I ve learnt so that you and many others are not held back by PCOS & hormone imbalances, but rather use it as a way to improve your lives. I want to empower you.
I want you to be the captain of your own ship because I know that if we take the necessary steps, we can improve not only our own lives, but those of our family, community & the world at large.

The journey of a thousand miles begins with a single step
I will be glad if you choose to take that first step with me.

Wishing you health & happiness!

Content Credits Dr. Disha Sridhar

Harmful Effects Of Oral Contraceptive Pills

Oral contraceptives are birth control pills, which as the name suggests are taken orally, to avoid pregnancy. While they are easier for birth control, having known the harmful side effects, one may find it difficult to swallow one. Healthy women have meager chance of having severe side effects. For women who smoke the effects are far worse. Smoking cigarettes increases your chance of having heart problems; which increases with age (especially in women greater than 35 years of age). The pill contains synthetic forms of estrogen and progestin hormones.

SIDE EFFECTS: If you undertake these pills you should undergo a complete physical examination that includes blood pressure measurements and breast/pelvic examinations at regular intervals. Taking birth control pills may cause the following harmful effects.

Common Side Effects

  1. Nausea and dizziness
  2. Frequent tiredness or weakness
  3. Vomiting
  4. Mood swings
  5. Weight gain or loss
  6. Changes in pattern of menstrual cycle and bleeding.
  7. Abdominal cramping, bloating or stomach upset causing discomfort
  8. Acne problem due to hormonal imbalance
  9. Breast pain, tenderness, or swelling.
  10. Swelling of ankles and feet
  11. Gain or loss of body or facial hair
  12. High blood pressure

Less Common Side Effects

  1. Headaches or migraines and loss of co-ordination
  2. Severe depression and weakness
  3. Gum inflammation
  4. Urinary tract or vaginal infection, itching or irritation
  5. Sensitive skin causing brownish, blotchy spots on skin exposed to sunlight
  6. Aggravation of asthma
  7. Groin, chest or calf pain
  8. Changes or lumps formed in the breast
  9. Increased or diminished interest in sexual intercourse and responsiveness
  10. Coughing up of blood
  11. Loss or change in vision
  12. Change in speech pattern
  13. Increased risk of gallbladder disease
  14. Blood clots or stroke
  15. Benign liver tumors or liver cancer

Beneficial Uses:

While there may be many adverse effects of taking oral contraceptives, there are some positive beneficial uses that accompany the use of the pill.

1)It is used to regulate your menstrual cycle & predictable periods

2)Reduces acne problem

3)Diminished risk of ovarian cancer & benign breast disease

4)Reduced risk of iron deficiency anemia.

Prolonged use of contraceptives (beyond 4-6 months) should be taken under the guidance of doctor. It is also important to discuss with him any serious health problems that you may be facing.

Note Do not smoke while taking these pills. Risk of these harmful adverse effect increases three fold.

Puzzled About Your Weight Gain During Pregnancy?

If you are expecting then you naturally tend to gain weight. But there is also the question of how much weight you should gain during pregnancy. Weight gain is vital during pregnancy as it affects the development of the baby. You must be prepared to gain about 12 kilograms of weight at an average. However, it differs from 8 to 16 kilograms in most of the cases of pregnant women.
The best part you will shred this extra weight once you deliver your baby and reach your pre-pregnancy weight after a while. This extra weight you gain encompasses your baby’s weight and a lot of other fluids and tissues that come along as the part and parcel of pregnancy. You must keep in mind that this weight gain is necessary for your baby’s growth and not try losing weight or lessen your calorie intake. The baby needs the nutrients in order to grow at a healthy pace.
Research claims that the average pregnant women requires only about an increment of 300 calories on her usual diet before the pregnancy. This will ensure that she gains the apt amount of weight for her pregnancy phase. Here is how much you should gain if you are a mommy-to-be, first three months 1 to 3 kilograms and 0.5 kilograms every week henceforth.
In case if twins, you can gain 0.7 kilograms per week during the rest of your pregnancy period. And the amount of calorie intake when you are expecting twins is much higher i.e. about 3500 calories a day. Following is the break-up of the entire weight to be gained during pregnancy:
The child 3.6 kgs
Blood supply 1.85 kgs
Amniotic fluid 1.3 kgs
Placenta 1 to 1.5 kgs
Breast tissue 1 to 1.3 kgs
Enlarged uterus 0.90 to 2.5 kgs
Stored fat for breastfeeding and delivery 2.5 kgs to 4 kgs
This comes up to a sum total of about 12 to 15 kgs. To gain the precise amount of weight a pregnant woman must follow the below tips:

  • Have about five to six short meals a day.
  • Consume short-eats like dry fruits, ice-creams, yogurt etc.
  • Use a peanut butter bread spread. It contains 100 calories and 7 grams of protein. You can use the peanut butter on crackers or celery also.
  • Add butter, cheese, margarine etc to your meals. It will make it delicious and will serve the purpose.

The above mentioned tips will not only make the mother and the baby healthy, but also ensure that the necessary amount of calories is consumed. All the expecting women have to remember only one thing that the future of their baby’s health depends on them and do the needful.

Top 10 Vegetarian Superfoods For Pregnant Women

They say 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 nurturing a new life within. Hence, your diet makes a remarkable impact on your health.

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.

While there are many foods that have tremendous nutritional benefits like Quinoa, Hemp Seeds, Sunflower Seeds, Brown Rice, Flax Seeds, etc. which may be difficult to accommodate in your daily diet; these are some simple superfoods that can be made a mandate to your regular diet to ensure your child’s healthy development.

1)Dairy in your Diet Diary

Essential Nutrients: Excellent source of proteins, calcium, zinc, vitamin B.

Health Benefits: Pivotal for development of bones and teeth, reduces risk of under-weight or pre-termed babies, reduced risk of osteoporosis in women at a later stage, production of hormones and enzymes, fights infection.

Include milk, yoghurt, soy milk, fortified products to deal with increased demand of calcium essential for child’s growth.

2)Affectionate Apricots

Essential Nutrients: Rich in folic acid, potassium, calcium, magnesium and 10% of RDA of iron.

Health Benefits: Dried apricots help to combat problems related to constipation and checks to normalize bowel movements.

Tasty for an in-between snack during your hunger pangs.

3)Broccoli For Bones

Essential Nutrients: Great sources of calcium, magnesium, folic acid, Vitamin C, potassium and excellent source of vitamin A, anti-oxidants

Health Benefits: Vital for child’s bone development, aids digestion, helps healing of bruises.

4)Blueberries and Strawberries

Essential Nutrients: Packed with Vitamin C and fibre.

Health Benefits: Protection against cell damage and cystitis, regeneration of new cells, a handful meets the RDA for folic acid everyday, prevents serious birthing effects.

5)Sweet Potato

Essential Nutrients: Various nutrients like vitamin C, fiber, vitamin B6, potassium, beta carotene, calcium, energy, vitamin A, copper, iron.

Health Benefits: An antioxidant, vital for bones, skin and eye development, copper helps better absorption of iron, helps in expanding blood volume, maintains healthy immune system.

Tip: Steaming works better than boiling.

6)Go Bananas over Bananas

Essential Nutrients: Rich in potassium, manganese, vitamin A, vitamin B6, vitamin C, energy, tryptophan, pectin.

Health Benefits: Right pick to reduce the common problem of fluid retention and nausea, normalizes blood pressure, promotes digestion and good sleep, shields against ulcers and stomach acids, reduces swelling in the body and improves circulatory system of the body.

7)Beans For The New Genes

Essential Nutrients: Packed with protein, iron, calcium, thiamine, and niacin.

Health Benefits: Includes ease of digestion, development of the placenta, baby’s brain and central nervous system, new blood production.

8)Power Of Pomegranate

Essential Nutrients: Rich in potassium, iron, vitamin C, vitamin A and vitamin E and anti-oxidants.

Health Benefits: Reduced risk of anemia, heals hemorrhoids, excellent for immune system, increases bone density, excellent for skin care.

9)Goodness of Orange Juice

Essential Nutrients: Rich in potassium, fibre and vitamin C

Health Benefits: It increases the absorption of iron and calcium from your food, keeps you hydrated, prevent fatigue and tiredness, keeping your muscle function, fighting colds, metabolism and overall health in check, increases blood circulation in the placenta

10)Go Green with the GLV’s

Essential Nutrients: It contains calcium, iron, beta-carotene, lutein, Vitamin A, Vitamin C.

Health Benefits: Helps fight cancer, promotes nutritionally-dense breast milk, vital for normal birthing and child development.

Post Pregnancy Care

Post-pregnancy is a crucial phase of motherhood. Your responsibility doubles once you deliver your little one. Few things that have to be kept in mind after the delivery are to get enough rest and nutrition in order to be able to breastfeed and nursing your baby. This is the phase where you give your body ample of rest and follow a proper diet plan to recover properly.

Crash diet should not be an option because if you are breastfeeding, you will not have sufficient nutrition in your body to keep the breast milk flowing. A well-balanced diet must be followed which helps you in the process of recovering and keeps your body well-nutritional for your baby. However, if you are concerned about your weight and body shape, you can follow a diet which has excessive nutrients but low on calories.

Your choice of food must be based on the simple theory that you must consume food that is low in calories but bulk in quantity so that you are full like fruits, steamed vegetables, baked eats, whole- grains, pulses etc. Calcium is essential for you because the baby needs proper amount of breastfeeding. About four to five portions of calcium and protein rich food is necessary.

It has been researched that the mothers who breastfeed their babies lose weight at a comparatively faster pace because production of milk in the body helps in burning down about 500 calories a day. It is strictly advised by the doctors that newbie mothers should not put themselves on a weight-losing diet immediately after delivery. They need abundant amount of energy and strength for they have to nurse their new-born.

Few women are obsessed with the idea of losing weight post-pregnancy to retain their weight pre-pregnancy. And they end up going on a crash diet which results in the bad interest of both, the mother and the baby. Instead of taking up a stringent diet, going on a sensible diet that is fulfilling but low in fat will help in gaining better results. Newbie mothers are expected to nurture their babies first and then set goals to lose weight after pregnancy.

It is not impossible to lose weight post-pregnancy, but it is highly realistic to accept that it will take some time. If you want to go back to looking how you were before pregnancy, a well-balanced diet and good (not hectic) amount of exercises will be useful. But it might just take more than a couple of weeks to get there. So, be patient and follow a good routine of exercises to fetch your pre-baby body back backed by sufficient nutrients.

Importance of Folic Acid during the First Trimester

Every woman naturally pays special attention to her diet and lifestyle as soon as she discovers she is pregnant.While its important to eat healthy during pregnancy, it is particularly important to eat foods that provide all the necessary nutrients necessary to ensure normal development of the baby and the mother’s good health.

Folic acid is one such essential nutrient that is required right from the pre-conception period until the first trimester. Let us take a look at what folic acid is and the role it plays in ensuring a healthy pregnancy and baby.

Folic acid and its benefits

Folic acid is also known as folacin or folate. It is a B vitamin that naturally occurs in certain foods. It works along with vitamin B12 in generating healthy red blood cells in our body. Folic acid is essential for the healthy development of the unborn baby’s brain, spine and skull.

It is known to reduce the chances of the unborn baby developing neural tube defects likespina bifida. Spina bifida is a birth defect wherein the spine of the baby remains under-developed, causing some severe physical disabilities including paralysis.Folic acid can also help prevent many other birth defects like cleft palate (cleft lip) and heart defects by as much as 70%.

When you need it most?

It is during the first trimester (first 12 weeks) of pregnancy that your baby’s brain and nervous system are developing. It happens at a very fast pace and so makes it very vital that you have folic acid rich foods along with folic acid supplements during this time.

Majority of women have an unplanned pregnancy and do not realise they are pregnant until 4-6 weeks into their pregnancy. By this time most of the vital organs in the foetus have already begun to form. That is why, doctors recommend women of reproductive age and those trying for a baby to have a folic acid rich diet.

Foods rich in folic acid are:

  • Oranges/ orange juice
  • Hard boiled eggs
  • Lean red meats
  • Brown rice
  • Black-eyed beans
  • Broccoli
  • Green leafy vegetables
  • Folic enriched foods like whole grain bread and cereals

(Talk to your obstetrician or pregnancy dietician for further advice)

Points to remember

  1. Do not boil vegetables as this dissolves the folic content in them. Steam or microwave instead.
  2. Overcooking vegetables can also destroy folate content.
  3. Ensure that you eat your multivitamins just before/after your meals to improve absorption.
  4. If you are going through any other medical treatment like that of epilepsy, diabetes, blood pressure, etc., consult your doctor to know how it can affect your pregnancy.
  5. Folic acid deficiency can cause anaemia.
  6. Folic acid rich foods alone cannot fulfil the daily requirement of folic acid during pregnancy and so, supplements recommended by your obstetrician should be taken on a daily basis.

After you have crossed your first trimester, you can discontinue eating folic acid supplements. However, there is no harm in continuing with the prescription even in the following trimesters.

Tips to sleep better during pregnancy

Enhance your pregnancy journey with expert tips on better sleep - Motherhood Hospital India.

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No matter how much you long to slip into your nightwear and catch up on some sleep, one of the greatest challenges many women face during pregnancy is getting comfortable, uninterrupted sleep.

A woman’s quality of sleep deteriorates during the first trimester due to a full bladder. You are more likely to go through emotional and physical stress-related to pregnancy during this stage. You might feel very sleepy during the day-time. The second and third trimester bring additional sleep problems as the growing baby adds pressure on the bladder. You might also suffer from heartburn, leg cramps and sinus congestion. The movement of your little one can also wake you up from sound sleep.

How to sleep better

  • Reduce the amount of water you drink during the evening. This will help reduce the frequency of the trips to the bathrooms at night.
  • Cut down on caffeinated beverages and foods such as chocolates, soda, tea and coffee.
  • Use pillows to give your tummy and back extra support. It can also help to place a pillow between your legs and sleep on your side. Some maternity stores sell pillows that are specially designed to enhance sleep in pregnant women.
  • You can promote good sleep by drinking a glass of warm milk or eating foods high in carbohydrates.
  • Avoid eating spicy foods and very heavy meals just before bedtime. Spicy foods may cause digestive problems like heartburn. If you are suffering from heartburn, eat smaller portions at regular intervals and eat the last meal 3-4 hours before bedtime.
  • Take a short nap during the day to avoid feeling very tired during the night. Avoid napping too late in the afternoon as this may interfere with your night-time sleeping routines.
  • If you are having a lot of trouble sleeping, try to practice relaxation techniques that help induce sleep. These include meditation, deep breathing, guided imagery or reflexology massages that are safe during pregnancy. If you do not have enough knowledge of these methods enrol for a class that gives specialized classes like Lamaze for pregnant women.
  • Sleeping on the left side helps promote blood and nutrient supply to your uterus and baby. It also helps your body eliminate waste and fluids. Make this sleeping posture a habit during early pregnancy as it will help sleep better during the later stages of pregnancy when your belly is bigger.
  • If your sleep is interrupted due to shortness of breath, try propping up your body with the help of a pillow.
  • Make your bedroom more sleep friendly. Keep noise and light out of the room. Use bedroom decor that you find most comfortable.
  • Follow a proper bedtime routine. Try to sleep during the same time every day to make sure you get enough rest. You can try taking a warm bath, listen to soothing music, or read a light-hearted book a few minutes before your bedtime.

These methods are sure to help you sleep better during pregnancy. If you still find yourself waking up at night once in a while, don’t fret! It’s perfectly natural to have a few nights of interrupted sleep.

For further details or queries , kindly contact us at tomotherhoodindia@gmail.com