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Therapeutic diet

Pregnancy nutrition plan

Support a healthy pregnancy alongside an existing medical condition.

Gestational diabetesPre-existing diabetesHypertension in pregnancyAnaemia

Principles

  • Folate, iron, iodine, calcium and vitamin D are the priority nutrients
  • Spread carbohydrate across meals and snacks in gestational diabetes
  • Food safety to avoid listeria, toxoplasma and high mercury
  • Appropriate weight gain for your starting BMI, not 'eating for two'

Include

  • Iron-rich foods with vitamin C
  • Dairy or fortified alternatives daily
  • Two portions of fish weekly, one oily
  • Wholegrain carbohydrate in measured portions

Avoid or limit

  • Alcohol; caffeine above about 200 mg daily
  • Unpasteurised dairy, soft mould-ripened cheese, pâté, raw egg and meat
  • Shark, swordfish, marlin; limit tuna
  • Liver and vitamin A supplements

A sample day

  • BreakfastEggs on wholegrain toast, milk
  • SnackYoghurt with berries
  • LunchLentil salad with greens, wholegrain bread
  • SnackApple with peanut butter
  • DinnerSalmon, sweet potato, broccoli
  • BedtimeMilk and an oatcake

Cautions

  • · Pre-existing diabetes needs specialist preconception care and much tighter targets.
  • · Severe vomiting needs medical treatment, not dietary advice alone.

Afya Companion offers education and self-help support. It does not diagnose, treat or replace care from your doctor, nurse, psychologist or dietitian. If something in your health changes, speak to your care team.

Afya Companion — You are not alone in your care journey. Education and self-help support; not a substitute for professional medical care.