• ask about pregnancy risk or intent

Pre-conception check

• state of woman’s health direct effect on health of foetus

• 30-50% unplanned

Nutrition

Folic acid

• ≤ 4 weeks before conception

• first 12 weeks of pregnancy

• reduces risk of neural tube defects

• daily supp of 800mcg folic acid

• higher doses 5mg/day for

  • previous neural tube defect,

  • fhx of neural tube defects,

  • anticonvulsant use

  • women with DM

  • obese

Iodine

• changes due to thyroid

• 150mcg of postassium iodate

Iron

• increase substantially after first trimester

Vit D

• lack of vit d adversely affect foetal bone and accumulation of newborn vit d stores

• rickets

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Prevent listeria

• thorouglhly cook food until piping hot and eat straight away

• wash uncooked vehes prior to eating

• avoid raw or cold pre-cooked seafood products

• Avoid deli foods such as ham, precooked chickn, othercold meats

  • meat spreads

  • pre-prepared salad

• avoid unpasterurised milk and soft cheseses

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Weight gain in pregnancy

• Low BMI

  • 12.5-18kg

• Normal

  • 11.5-16

• High

  • 7-11.5

• obese

  • ≥7