No ‘crash dieting’, as this can have a negative impact on the baby.
No ‘eating for two’, as this will lead to unnecessary weight gain. A healthy pregnancy only requires about an extra 1,400 to 1,900 kilojoules a day during the second and third trimester, which is equivalent to a glass of milk or a sandwich.
Concentrate on diet quality rather than quantity.
Accommodate cravings, but don’t let them replace more nutritious foods.
Nutrients for which there are increased requirements during pregnancy include folate, iron, vitamin B12 and iodine.
Iron is required for oxygen transport in the body. Iron supplements can be advised by your doctor during pregnancy, but do not take them unless your doctor recommends them. Increasing vitamin C intake can help increase iron absorption from foods.
Folate is important three months before and in the first trimester of pregnancy to avoid neural tube defects (like spina bifida) in the baby. All women of childbearing age should eat high-folate foods (such as green leafy vegetables, fruits and legumes). If planning for pregnancy, it’s important to obtain 400 µg folate/ day and if you are pregnant, this increases to 600 µg/day. This can be obtained from a folate supplement and a diet high in folate-rich foods (remember to talk to your doctor first). It is now mandatory for all bread-making flour to be fortified with folic acid (a form of folate that is added to foods). This will help women reach their recommended intake of folate.
Iodine is important for normal growth and development of the baby. Iodine supplements are often advised during pregnancy to meet the increased needs, as food sources (such as seafood, iodised salt and bread) are unlikely to provide enough iodine. Talk to your doctor about this.
The recommended intake of calcium does not specifically increase during pregnancy. It is, however, very important that pregnant women do meet calcium requirements during pregnancy.
No one knows the safe limit of alcohol consumption during pregnancy. Recommendations are to not drink at all.
Pregnant women are advised to avoid foods that are associated with increased risk of the listeria bacteria (such as soft cheese and cold seafood) and to be careful with foods that are more likely to contain mercury (such as certain fish. such as flake). Listeria can seriously affect your growing baby.
Being physically active has many benefits. If you are active and fit, and are experiencing a normal pregnancy, you can remain physically active during your pregnancy. Otherwise, consult your doctor for advice.
Drink plenty of fluids.
Do not smoke – both direct and passive smoking is associated with growth retardation, increased risk of spontaneous abortion, stillbirths, placental complications and low birth weight.
Babies to 12 months
Give your baby foods that are rich in iron and zinc, such as iron-enriched infant cereals, pureed meats and poultry dishes, cooked plain tofu and legumes/soy beans/lentils. Iron-enriched rice-based cereals are frequently recommended as the first food to be introduced, as there is the additional benefit of a lower risk of an allergic reaction.
Foods can be introduced in any order, provided the texture is suitable for your baby’s stage of development. Foods range from fruits and vegetables (for vitamin and mineral content) to meat, poultry, fish and whole eggs..
Do not add salt, sugar or honey to your baby’s food. It is unnecessary.
Avoid cow’s milk as a drink in the first 12 months. Small amounts can be used in cereals and custards. All milk used should be pasteurised.
Whole fruit is preferable to fruit juice. Avoid juices and sugar sweetened drinks.
Put your baby to bed without a bottle, or take the bottle away when they have finished feeding to minimise long-term exposure of their teeth to sugar-containing liquids.
Avoid whole nuts, seeds or similar hard foods to reduce the risk of choking.
Introduce foods one at a time. Offer new foods once every three to four days to avoid confusion and to rule out food allergy and sensitivity.
Feed babies during any illness and feed up after illness. Give ample liquids if your baby has diarrhoea.
Occasional exposure of the skin to sunlight is usually enough to provide a baby’s vitamin D requirements, but this does vary from season to season and with skin colour.
Be as active as possible to encourage your appetite and maintain muscle mass.
Remain healthy with well-balanced eating and regular exercise.
Eat foods that are nutrient dense rather than energy dense, including eggs, lean meats, fish, liver, low-fat dairy foods, nuts and seeds, legumes, fruit and vegetables, wholegrain breads and cereals.
If possible, try to spend some time outside each day to boost your vitamin D synthesis for healthy bones.
Limit foods that are high in energy and low in nutrients such as cakes, sweet biscuits and soft drinks.
Choose foods that are naturally high in fibre to encourage bowel health.
Limit the use of table salt, especially during cooking.
Choose from a wide variety of foods and drink adequate fluids.
Share mealtimes with family and friends.
If a child is gaining inappropriate weight for growth, limit energy-dense, nutrient-poor snack foods. Increase your child’s physical activity. You could also limit the amount of television watching.
Tooth decay can be prevented with regular brushing and visits to the dentist. Avoid sugary foods and drinks, especially if sticky or acidic.
Ensure your child has enough fluids, especially water. Fruit juices should be limited and soft drinks avoided.
Reduced-fat milks are not recommended for children under the age of two, due to increased energy requirements and high growth rate at this age.
Be aware of foods that may cause allergic reactions, including peanuts, shellfish and cow’s milk. Be particularly careful if there is a family history of food allergy.
Make a deliberate effort to keep physically active.
Limit alcohol intake.
Reduce the amount of fats and salt in the daily diet.
Be careful to include foods rich in iron and calcium.
Establish healthy eating habits that will be carried on into later life.
Eat enough food – breastfeeding burns through extra kilojoules.
Eat foods that are nutrient dense – especially those foods that are rich in folate, iodine, zinc and calcium.
Eat and drink regularly – breastfeeding may increase the risk of dehydration and cause constipation. fluid needs are approximately 750 – 1000 ml a day above basic needs.
Women should continue to avoid drinking alcohol while breastfeeding.
Eat foods rich in calcium – such as milk or, if necessary, take calcium supplements as prescribed by a doctor.
Weight-bearing exercises – such as walking or weight training can strengthen bones and help maintain a healthy body weight.
A high-fibre, low-fat and low-salt diet – a diet high in phytoestrogens has been found to reduce many symptoms of menopause, such as hot flushes. Good food sources include soy products (tofu, soymilk), chickpeas, flax seeds, lentils, cracked wheat and barley.
A variety of wholegrain, nutrient-dense food – wholegrains, legumes and soy-based foods (such as tofu, soy and linseed cereals), fruits and vegetables, and low-fat dairy products.
The extra energy required for growth and physical activity needs to be obtained from foods that also provide nutrients, instead of just ‘empty calories’.
Takeaway and fast foods need to be balanced with nutrient-dense foods such as wholegrain breads and cereals, fruits, legumes, nuts, vegetables, fish and lean meats.
Milk, yoghurt and cheese (mostly reduced fat) should be included to boost calcium intake – this is especially important for growing bones. Cheese should preferably be a lower salt variety.
Adolescent girls should be particularly encouraged to consume milk and milk products.
Babies birth to 6 months
Breastmilk is preferred to infant formula where possible, as it contains many protective and immunological factors that benefit the baby’s development. Fruit juice is not recommended for babies under the age of six months.