Preconception Health Practitioner’s Handbook (6) – How to adjust the diet before pregnancy

  In a modern city where there is an excess of nutrition and problematic foods, society is generally advocating healthy eating. Books and knowledge about nutrition and health can be found in abundance, but many people still don’t know how to eat, and counseling about nutrition is always a constant theme in preconception health clinics.  Many foreigners who have just arrived in China often have a newly learned greeting that says, “Have you eaten today?” It is true that the people’s food is the sky, and China has a very long food culture, not only to be nutritious, color, aroma and taste, but also a lot of nourishing and conditioning medicine is the best with Chinese characteristics. The sky, “the elephant” said “the sky is healthy”, that is, the heavenly way just healthy running endlessly, “food for the sky” is also reflected in the importance of diet on human health. However, the sky, “I Ching” is called “Qian”, Qian Gua six lines are said to be the dragon, but the situation is different, Qian Gua remind us that “with nine, see the group of dragons without a head, Ji.” The six dragons are the same dragon, but at different stages, there will be different performance, so we can not treat anything only one way.  As a preconception health practitioner, besides telling people a reasonable diet to go with it, it is more important that we should tell people how to choose the right diet for themselves at different stages in response to the changes in their physique and situation. Therefore, it is recommended that when teaching foreigners greetings in the future, it is better to teach them to say “Did you eat right today?”  The best remedy is in your kitchen. Many couples preparing for pregnancy mistakenly believe that they need to take a lot of supplements before pregnancy, and often blindly take some health supplements, such as multivitamin tablets, deep-sea cod liver oil, Liu Wei Di Huang Wan, bird’s nest and so on. And I need to correct them: “There is no need to take any health supplements except for the need to supplement folic acid, the best pharmacy is in your kitchen.”  Eat more green vegetables to supplement folic acid Dietary folic acid is mainly taken from green vegetables, however, in a survey of people in Shanghai and surrounding areas, the amount of folic acid that can be taken from diet can only reach 0.1mg, while our body needs 0.4mg per day. therefore, taking 0.4mg of folic acid per day from the first trimester of pregnancy is necessary not only to prevent the occurrence of neural tube malformation, but also for some Not only can it prevent the occurrence of neural tube malformations, but also some congenital large malformations of the body and congenital heart disease, and men taking the right amount of folic acid can also help improve the vitality of sperm.  Some couples can still take folic acid seriously every day when they first start to prepare for pregnancy, but after taking it for four or five months and still not completing their conception plan, they gradually can’t stick to it, and the baby often arrives without your knowledge, so they are nervous, worried and regretful, but it won’t help anymore. The demand for folic acid is greater as we enter pregnancy, and we generally recommend increasing it to 0.8mg after pregnancy. Multivitamins, domestic is more appropriate Multivitamin tablets are not inaccessible, but many of us couples think that the brands brought back from abroad or imported are better, in fact, any multivitamin complex formula is designed according to the nutritional survey of the local population, and the diet structure of foreigners is very different from ours. The dietary structure of foreigners is very different from ours, so even if you want to take them, it is more reasonable to choose our domestic formulas.  The content of vitamin A in cod liver oil is often high, and too much vitamin A before and during early pregnancy can have an impact on embryonic development. Liou Wei Di Huang Wan is a proprietary Chinese medicine with the effect of nourishing Yin and warming the kidneys, however, people who have a cold and damp constitution often have loose stools and diarrhea after taking it. In this month’s clinic, I met a woman who had not had her period for two months after taking bird’s nest. Therefore, if you need to adjust your constitution through medication or health products, it is recommended that you use it in moderation under the diagnosis and guidance of a medical professional.  Our nutrition and health practitioners are often accustomed to recommending the data of the “Balanced Nutritional Diet for Chinese Residents” as an example, which is of course the most classic theoretical basis for guiding our diet structure. The latest version is from 2007, which can be found on the Internet. However, some of our lovely “nerds” get these data and think they have found the “secret palace recipe”, and every day they weigh a few taels of fish and poultry, and a few taels of vegetables ……, without thinking about it. The same Chinese residents, northerners and southerners have different eating habits, men and women are different, fat and thin is also different, these data is only a reference, we must be based on their own eating habits, their own body mass index, digestive and absorption function of the gastrointestinal and other conditions after a comprehensive analysis, to calculate the proportion and amount of their own diet structure, that is the most reasonable. But we can not everyone is a nutrition expert, such a complex calculation is impractical, in addition to consulting their own nutrition physician, there are now some very good professional nutrition software has been released, we just need to learn a little under the guidance of a professional nutritionist, or very easy to use.  The “four basic principles” of preconception diet are generally the same as the nutritional requirements of preconception and early pregnancy, and it is recommended that we should follow the following “four basic principles”: First, to correct nutritional imbalances, you should first consult with a nutritionist before preparing for pregnancy, and make a comprehensive assessment of your nutritional status. Before preparing for pregnancy, you should first consult a nutritionist to have a comprehensive understanding of your nutritional status, and if necessary, you can have some relevant examinations and tests.  Secondly, we should arrange our diet reasonably, so as to match coarse and fine grains, meat and vegetables, and not to be partial or picky in eating.  The third is to strive to achieve a standard weight. Excess or deficient nutrition is understood to affect only the growth and development of the fetus and is likely to lead to pregnancy complications.  The fourth is to develop healthy eating behavior, according to the eating plan first to plan each meal food, do not overeat, each meal can be controlled at seven or eight minutes full, while pay attention to chew slowly, prolong the eating time.  In addition, food safety and food hygiene is also very important, try to go to large supermarkets to choose brand and quality assurance of ingredients, try to eat fresh organic vegetables and fruits in season.  People are food-oriented, nutrition is important, and reasonable nutrition is even more important. As the old saying goes, “As the sky moves, a gentleman should strive for self-improvement”. To act in accordance with heaven is to follow the laws of science; to be self-improvement is to follow the attitude of science. We hope that every couple preparing for pregnancy can achieve their nutritional management goals.