NUTR 2050 Lecture Notes - Lecture 11: Gestational Diabetes, Birth Weight, Blood Sugar

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Mothers who smoke/use alcohol are at risk. Older and younger mothers are also at risk of complications. Helping women at risk: many don"t want help, may have other issues or concerns on their mind, providers need to be non-judgmental. Mothers 18 years or younger: nutritional needs greater for these mothers, pregnant adolescents need to worry about their own nutrients as well as ones for a growing fetus, lower required nutrients vs. 19+ year old women: Vitamin k: higher required nutrients vs. 19+ year old women: Zinc: other barriers for young mothers: Continue with prior lifestyle without awareness of need to change. Personal growth in addition to fetal growth. Increased likelihood of smoking/alcohol intake: increase calories by an additional 450kcal/day (for twins/triplets, potentially increased need for efa, iron, calcium, multiple foetuses increase risk of premature and low birth weight, different weight gain recommendations for twins. Physical abuse: risk factors for spousal abuse: Partner was exposed to spousal violence as a child.

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