Not eating during first trimester
In the first trimester, why do some women lose their appetite?
By: Parenting Desk New Delhi | August 8, 2021 5:25:02 pm
Covid during pregnancy linked to pre-term birth, says The Lancet study. (Photo: Pixabay)
By Dr Bharathi Ramesh
Pregnancy is the time when women need to be extra careful as they are not only responsible for their own health but also for their unborn baby. While this is a very special phase in a woman’s life, there can be a few hiccups in the nine-month journey that women must be aware of. It is often seen that newly pregnant women may lose their appetite in their first trimester, which is normal as their body undergoes several changes during pregnancy.
If pregnant women lose their appetite, they may experience a general disinterest in all foods or a lack of desire to eat. We need to keep in mind that appetite loss differs from person to person, and it can be from a few specific kinds of food. For pregnant women who lose their hunger and appetite, it can impact their first trimester and they may experience intense nausea.
Here are some reasons why women lose their appetite in the first trimester:
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Increase in sense of smell can cause lost in appettie. (spurce:Pixabay)
Sense of smell
During pregnancy, some women develop an increased sense of smell or sensitivity towards certain foods that may have strong flavours. Women with a sharp sense of smell can find some food items unappetising. It becomes difficult for those pregnant women to consume food with a smell they do not like, which leads to loss of appetite. The smell also at times induces nausea, which is another reason why they refrain from eating properly.
Increase in progesterone
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Increased progesterone delays gastric emptying that causes decreased appetite and causes constipation because of decreased intestinal motility.
Morning sickness
Morning sickness is a very common symptom seen across most pregnant women during their first trimester, and this is because of hormonal changes in their body. Pregnant women with morning sickness often get nausea and vomiting and these can have a major impact on their appetite.
Other causes for loss of appetite can be:
-
Worm infestation
-
Anemia
-
Nutritional deficiencies
-
Chronic gastritis
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How to treat loss of appetite in the pregnancy. (source:Pixabay)
How can pregnant women treat their appetite loss during the first trimester?
Pregnant women in their first trimester experiencing appetite loss often question how to get their eating back on track. Following are a few guidelines they can adopt if they are losing appetite:
Prioritise food and nutrition consumption
There are a few foods pregnant women can prioritise even if they do not feel like eating whole meals. This will help to ensure adequate nutrient intake for pregnant women and unborn babies. Following are a few steps pregnant women need to do for their food and nutrition consumption.
Also Read |Long-lasting Covid symptoms rare in children: Lancet study
Taking essential vitamins
Pregnant women should start taking prenatal vitamins at least a month before conception, or at a minimum, at the time of conception. This helps fill in temporary nutritional gaps.
Stay hydrated
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Pregnant women must make sure they consume enough liquids as it is more important than aiming for a certain caloric intake.
Take essential vitamins when face lost of appetite. (Photo: Pixabay)
Eat light
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Pregnant women can eat light if they do not feel like eating a lot. They can start with fruits such as bananas, which may also be easier on the stomach, and they can add yogurt for calcium and protein.
Avoiding strong-smelling foods
Pregnant women should avoid spicy and fatty dishes and fast food.
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Do not overeat
Pregnant women can eat six small meals a day as their body will probably let off hunger signals every two hours. It is prudent to break down the meals at regular intervals.
If they are still noticing low appetite during the first trimester of pregnancy, it is important for them to consult with their obstetrician to deal with these causes and increase their appetite. The importance of nutrition in how a pregnancy shapes up cannot be undermined. Thus, it is a good idea to seek help. The obstetrician may prescribe prenatal vitamins which contain a combination of vitamin B and antihistamine that helps to decrease nausea and increase appetite in pregnant women.
(The writer is Consultant Obstetrics & Gynecology, Motherhood Hospital, Banashankari, Bangalore.)
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First published on: 08-08-2021 at 05:25:02 pm
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Appetite changes and food aversions during pregnancy
Appetite changes and food aversions during pregnancy | Pregnancy Birth and Baby beginning of content6-minute read
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Key facts
- Appetite changes are very common during pregnancy and may affect weight changes.
- A food aversion is an intense dislike of a specific food, together with unpleasant physical symptoms when you see or smell a particular food.
- Eating for 2 during pregnancy is a myth. It is the quality not quantity of food that matters.
- When you are pregnant, your body needs certain vitamins, minerals and nutrients, including iron, folate and iodine.
- If your nausea prevents you from getting enough nutrition, or if you are vomiting, not able to keep food or fluids down or losing weight, see your doctor or maternal health nurse.
What are food aversions, and why does appetite change during pregnancy?
A food aversion is an intense dislike of a specific food, together with unpleasant physical symptoms when you see or smell a particular food. These reactions are usually triggered by emotions associated with food rather than the food itself. You might also experience food cravings (an intense urge to eat a specific food). While these appetite changes are quite common, they can make healthy eating during pregnancy a challenge.
Is it normal for my appetite to change during pregnancy?
It is normal to experience either a loss of appetite or a change in food preferences during pregnancy. This may play a part in how much your weight changes during pregnancy.
Food aversions are common, and around 6 in 10 people experience a food aversion while pregnant.
When are food aversions likely to start and end?
You can experience food aversions resulting from generalised nausea (also known as 'morning sickness') at any time of day, and it tends to peak between week 6 and week 14 of pregnancy.
For this reason, if you've gone off certain foods that are important for your diet, you can try again later in your pregnancy to see if the aversion has passed. If your nausea prevents you from getting enough nutrition, or you are vomiting, not able to keep food or fluids down or losing weight, it's time to see your doctor.
What food aversions are common?
Common food aversions include:
- alcohol
- coffee / tea
- meat
- fatty food
- spicy food
- eggs
What causes food aversions?
While the cause of food aversions during pregnancy isn't clear, hormonal changes could affect the food you enjoy, particularly early in your pregnancy. For example, human gonadotropin (also known as hCG) is a hormone produced during pregnancy. It can cause feelings of nausea, appetite changes and food aversion. Pregnancy can also cause a greater sensitivity to smell and taste, which can influence the foods you prefer to eat.
More research is needed to better understand why food cravings and aversions occur. Some reasons may include hormonal balance or protecting the unborn baby from harmful substances and/or nutritional deficiencies. This is to encourage good nutrition and growth in the pregnancy.
How can I eat well and have a healthy diet?
A healthy diet is important for both you and your baby. Eating for 2 during pregnancy is a myth. It is the quality not quantity of food that matters, and there is no need to eat twice as much. It is the quality not the quantity of food that matters most. Your diet should include a variety of the five food groups:
- vegetables and legumes
- breads and cereals
- milk, yoghurt and cheese
- meat, poultry, fish and alternatives
- fruit
During pregnancy, your body also needs plenty of water (8 to 10 glasses each day). You will also need extra vitamins, minerals, and nutrients to help your baby develop, including these:
- Folate (Folic acid) helps build your baby’s brain cells and prevents risk of the baby being born with a birth defect of the brain and/or spinal cord. This is especially important in the early stages of pregnancy. Folate-rich foods include green leafy vegetables, broccoli, legumes, oranges, avocado, or fortified breads and cereals.
- Iodine is also important for your baby’s growth and development. Choose foods that are sources of iodine, such as low-fat milk products, eggs, cooked fish and seafood. Foods that contain seaweed, such as sushi, are also a good source of iodine, but if you’re pregnant only eat sushi without raw fish, cold meat or egg, and that is freshly prepared. If you add salt to your food or in cooking, choose iodised salt. If you have a thyroid condition, seek advice from your doctor before taking an iodine supplement.
- Iron-rich foods are recommended during pregnancy. These include red meat, poultry, tofu, and iron-fortified cereals. Eating foods high in vitamin C such as oranges, kiwi fruit, capsicum and broccoli can help iron absorption. Do not take an iron supplement during pregnancy without first checking with your doctor. Too much iron can pose health risks to you and your baby. A blood test will help your doctor know if you need to take iron tablets.
If you develop an aversion to meat or another essential food, consider how you might substitute these for alternatives. For example, substitute meat for nuts.
It is also important to limit foods containing:
- saturated fats (biscuits, cakes, pies, butter and cream)
- added salt (processed meats, pickled fish, fast foods)
- added sugars (confectionary, sugar sweetened soft drinks, fruit juice and cordial)
Alcohol is not safe for developing babies, and not drinking alcohol is the safest option while you’re pregnant.
There are also certain foods you should avoid during pregnancy, so ask your doctor or maternal health nurse for more information.
Appetite changes during pregnancy are unlikely to harm you or your baby or significantly compromise your nutrition. If you are not sure which foods are most important for your diet, or you have no appetite for foods containing important nutrients, seek advice.
More information on changes in appetite
For more advice on food aversions or appetite loss in pregnancy speak to your:
- doctor
- midwife
- obstetrician
- accredited practising dietitian
Sources:
Epworth Hospital (Ask an Epworth midwife Your guide to early pregnancy), Royal Women Hospital Melbourne (Common concerns in early pregnancy), Queensland Health (During pregnancy), ACT Government (Good Nutrition in pregnancy), Australasian Society of Clinical Immunology and Allergy (Food Intolerance), University of Queensland (What the health: Why do women crave certain foods when they are pregnant), Australian Government (Healthy eating during your pregnancy), Science and Education Publishing (Psychological Factors in Food Aversions, Nausea, and Vomiting During Pregnancy), National Health and Medical Research Council (Australian guidelines to reduce health risks from drinking alcohol)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: July 2022
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Nutrition of a pregnant woman
So, your plans and decisions to give birth to a child have come true - you are pregnant! But this news causes you a double feeling: - on the one hand, a feeling of joy, and on the other hand, a feeling of certain fear and even fear of unknown trials for your life and the fate of the unborn baby. What will he be like? - healthy, beautiful, happy?...
And this largely depends on the woman herself, on what lifestyle she will lead during pregnancy and, most importantly, how she will eat.
Nutrition of a woman in different periods of pregnancy
The main thing in the menu of a future mother is variety. She should consume foods from all food groups: meat, fish, vegetables and fruits, dairy products, bread and cereals.
A woman's nutrition during pregnancy can be roughly divided into three periods (trimesters).
If before pregnancy a woman ate normally, felt comfortable, did not experience allergies to any products, then it is not worth changing her diet at an early stage of the first trimester of pregnancy.
During this period, all organs and systems in the child's body are formed, tissues are formed. The body needs complete proteins and vitamins: lean meat (rabbit, chicken, turkey), fish and seafood, dairy products. Be sure to eat rice, fresh or frozen vegetables, seasonal fruits. In the first trimester, many expectant mothers are still working. No matter how difficult it is to control your diet in the workplace, you need to do it - find time for a full breakfast and lunch.
In the first trimester of pregnancy, there is an active restructuring of the body and adaptation to a new state. During this period, it is recommended to switch to a low-calorie diet, which includes more fruits, juices, decoctions of dried fruits, including rose hips. At the very beginning of pregnancy, especially if toxicosis torments, more frequent, but less plentiful meals are recommended.
Always keep a hematogen, a bag of nuts or dried fruit in your pocket to have a snack on the street. If your condition does not allow you to eat regular food, you should pay attention to baby food. Baby products literally save expectant mothers suffering from severe toxicosis. These are boxed cereals, children's curds, cookies and fruit purees.
In the first trimester, special attention must be paid to the quality of products. Gradually abandon sauces, semi-finished products and canned food containing harmful chemical additives. Do not forget that the placenta freely accumulates and passes chemistry. The importance of products containing folic acid is great, without it intensive metabolism is impossible, its deficiency can cause developmental abnormalities. Folic acid is found in greens, nuts, white cabbage and broccoli, beets, legumes, and eggs.
According to nutritionists, the diet of pregnant women should be 300 kcal / day higher than that of non-pregnant women, but in the first trimester there is no need to increase the energy value of the diet at all; in the second trimester, an additional 340 kcal / day is required; in the third trimester - 452 kcal / day. Pregnant women generally get enough calories, and more than 80% of women achieve and even exceed the required weight gain. These extra calories benefit the fetus. An underweight woman should gain 16–20 kg during her entire pregnancy, an overweight woman about 7 kg, and a normal body weight of 11–12 kg.
In the second trimester there are active jumps in the height and weight of the baby and uterus, so the caloric content of the diet needs to be increased. It is desirable to eat more and better. At this time, the need for trace elements increases: iron, magnesium, zinc, selenium, calcium, potassium. The child creates his own "reserve" of trace elements using the mother's resource, which means that the mother should have enough of them for two.
Very often in pregnant women in the second trimester hemoglobin drops, this is a normal physiological phenomenon, if it is not threatening to health. You can increase hemoglobin by eating red meat, chicken, fish, dried fruits, pomegranates, green vegetables and fresh herbs, buckwheat, citrus fruits (oranges, grapefruits, pomelo, lemons), rosehip and berry infusions.
In the second trimester, a pregnant woman should limit the intake of smoked and fried foods, as well as salt in her diet. In no case should you limit the liquid. Pure water is the best drink for a pregnant woman, and water should be consumed up to 2-2.5 liters per day. Water is a natural drink for the body, it does not cause complications and has no contraindications. Edema is caused not by water, but by salt, which we not only add in its pure form, but also consume with canned food, mayonnaise, cheese, and sausage. The absence of salt is not harmful, it is naturally found in many products: vegetables, bread, so the diet will not remain completely without it. Excess salt disrupts metabolism.
During this period, you can increase the calorie content of food. Childbirth must be approached physically strong. It is better to eat meat and fish in the morning, for breakfast and lunch, and for dinner, prepare dairy and vegetable dishes: cheesecakes, stewed vegetables, cottage cheese and vegetable casseroles. It is necessary to minimize the intake of canned food, smoked meats, pickles and marinades, hot spices and fatty foods. Frequent walks in the air, physical activity are recommended.
In the third trimester, it is necessary to reduce the calorie content of foods at the expense of confectionery and flour products, eat less fatty meat, as well as cheese and sour cream.
By the end of this period, many experts advise pregnant women to give up meat altogether in order to increase tissue elasticity and prevent ruptures.
During the entire period of pregnancy, special attention should be paid to the combination of products. If you combine foods wisely, you can ensure more efficient absorption of food. If the food is digested poorly, then this can lead to rotting and fermentation of products and the formation of substances harmful to the body of the mother and child. In addition, the fermentation process is accompanied by gas formation, which can lead to flatulence (bloating) and discomfort. This is especially harmful in the last stages of pregnancy.
Try not to take the first, second and third course at the same time; this overflows the stomach and presses on the fetus, the food is poorly digested and poorly absorbed. Eat little and often. It is not recommended to eat immediately before starting work, a long walk, before charging and immediately after it; it is advisable to rest for 10 minutes before eating.
Eat only when you are hungry, try not to snack on the go. Follow the diet, eat at about the same time.
Proper preparation of food will help to maximize the useful substances contained in the products. Do not overcook food, try not to reheat the same dish several times, it is better to set aside only the portion that will be used. Cook in the most gentle way: baking, steaming, stewing. Avoid frying, boiling in large amounts of water, with this method of processing products, many useful substances are lost. If possible, do not cook for several days at once. Do not use aluminum cookware when cooking. Remember that for a pregnant woman, it is not calories that are important, but the quality of food, its naturalness, primarily a “living cell” (whole cereals, raw vegetables and fruits, fresh meat and dairy products).
What can harm the pregnant woman and the fetus
Smoking and alcohol – quit smoking from the first days of pregnancy, if you have smoked before, avoid "passive" smoking, and do not consume alcoholic beverages in any doses.
Lack of vitamins and microelements in the body - their absence or deficiency can lead to irreparable consequences. So, for example, iodine deficiency can lead to mental retardation of a child, folic acid deficiency - to severe fetal deformities, calcium deficiency - to a violation of the formation of the child's skeleton, iron deficiency - to anemia and a delay in the physical and neuropsychic development of the child. It is necessary to consult a doctor, perhaps he will recommend switching to iodized salt, as well as supplementing your diet with a vitamin-mineral complex and folic acid.
Excess weight is the risk of having a large child, which means the risk of complications during childbirth and the child's tendency to become obese at an older age.
The use of food additives (sauces, seasonings such as vegeta, bouillon cubes), exotic fruits, semi-finished products, carbonated drinks - the risk of allergies and anomalies in a child, unfortunately, increases.
Recommended for pregnant women:
- Do not eat hot dogs and other snacks containing meat that has not been heated on fire or boiled in boiling water.
- Avoid soft cheeses. Hard cheeses are safe.
- Do not eat raw frozen pies and meat pastes, seafood. Canned analogues are safe.
- Do not consume raw vegetables, unpasteurized juices, liver, meat, poultry and eggs that have not been sufficiently cooked. These products may contain Salmonella taxins.
- Limit sweets.
- In no case do not resort to starvation and various diets.
- Regularly monitor blood pressure and do not miss visits to the gynecologist.
Remember!
Your child's development and health depend on your diet and lifestyle during pregnancy!
What to eat during pregnancy and what not to eat - advice on proper nutrition
Table of contents:
- Nutrition in the first trimester
- Second trimester diet
- Diet in the third trimester
- Is it possible to prevent allergies in a child
- Foods not to eat during pregnancy
During pregnancy, it is very important to eat right: a balanced diet of the expectant mother is one of the sources of the necessary components for the proper development of the baby.
For a pregnant woman, "eating for two" should not mean "eating twice as much", but "eating twice as good". Proper nutrition during pregnancy is important not only in terms of the health of the unborn child. This will help you feel better, be less tired, prevent you from gaining extra pounds, and help you quickly get in shape after giving birth. Here are some helpful tips 1 :
- Eat small, frequent meals.
- Drink plenty of fluids.
- Eat a varied diet, eat meat, fish, poultry, eggs, dairy products, cereals, soups, fruits, vegetables, grains.
- If you are experiencing nausea, you can try to satisfy your hunger with dry salted crackers and biscuits.
- Avoid fatty foods, fried, spicy, smoked and sweet.
It is also important to know that changes occur in the body of a pregnant woman in each trimester, so the diet at different times will be different. What foods do you and your baby need?
Nutrition in the first trimester
Generally, there is little to no weight gain in the first and second months of pregnancy, while in the third month one or two kilograms are added to the weight. During this period, you need to eat nutritious foods, and the more varied your diet, the better. First of all, these are vegetables rich in folic acid: broccoli, Brussels sprouts, spinach, asparagus, avocados, lentils, red beans. There is a lot of it in flax and sunflower seeds and nuts: almonds, peanuts, hazelnuts. Folic acid is especially important in early pregnancy as it helps build the baby's major organs such as the heart and brain 2 .
At this stage, it is important to eat fish and meat - sources of iron, which support the formation of the brain and contribute to the development of intelligence. It is important to remember that these products must necessarily undergo heat treatment: eating them raw can lead to toxoplasmosis, helminthiasis 3 .
Many women in the first trimester of pregnancy suffer from nausea. One way to alleviate the situation is to eat little and often throughout the day, avoiding large meals.
Reduce your intake of saturated fats such as butter and cream as early as the first trimester to avoid gaining extra pounds.
Try to replace sweets with fruits. They contain vitamins and minerals that both you and your baby need. And they are rich in fiber, which helps the normal functioning of the intestines.
Diet in the second trimester
In the second trimester, a woman begins to gain weight, on average adding about five kilograms in three months. During this period, the bones of the unborn baby begin to form. That is why it is so important to eat foods rich in calcium. First of all, it is dairy - yogurts, cheeses, cottage cheese, kefir and so on. When choosing yogurt, give preference to natural ones - they do not contain dyes and sugar. Vitamin D is needed to absorb calcium better, so try to get out in the sun more often 4 .
The need for folic acid is still high in the second trimester. So stick with the green vegetables and other foods on your first trimester list.
The baby gets bigger and presses on the intestines of the expectant mother - this is how constipation occurs. Therefore, doctors advise drinking plenty of non-carbonated water and eating more fiber, which improves digestion. In particular, oatmeal or wheat bran will help with constipation.
Another common problem in pregnant women is heartburn. Avoid fatty and spicy foods (this also applies to pregnant women who do not suffer from heartburn), eat often, but little by little, chew thoroughly and do not go to bed immediately after eating.
Iodine ensures the functioning of the thyroid gland and the normal development of the baby's brain 5 . The easiest source is iodized salt. In addition, a lot of iodine is found in seafood.
Diet in the third trimester
During the third trimester, a pregnant woman gains about six kilograms, so by the end of pregnancy, the weight increases by an average of 12 kg.
Compared to the previous trimester, the diet should not change dramatically, but an additional 200 kcal per day should be added to the previous diet.
As the child grows and develops, the body needs more vitamin C and even more fibre.
Vitamin C helps the body absorb iron from foods. The main source of vitamin C is fruits. An orange or half a grapefruit for breakfast, a couple of kiwis for an afternoon snack, apples, pears, grapes, watermelon - and you have received a daily dose of 6 .
With the approach of childbirth, it is worth increasing the intake of iron, vitamins and antioxidants in the body, which will help you get in shape after the birth of your baby.
Putting Mom during a tender factor. However, in Russia, 70-80% of women suffer from a lack of vitamins, regardless of the season of the year 7 . Vitamin-mineral complexes will help to fill the lack of vitamins and minerals in the mother's diet.
Is it possible to prevent allergies in a child
So far, scientists have not figured out how to prevent food allergies in a child during pregnancy.