Impact of nutritional deficiencies in pregnancy - On the foetus

Pregnancy is a stage when good nutrition is exceptionally important. Since the dietary requirements of almost all the minerals & vitamins increase they mostly have to be met through dietary intake and/or through supplements to avoid, avert insufficiencies, deficiencies and their impact of the growing foetus.

To avoid health implications linked with maternal under-nutrition consuming healthy food focussing on balanced nutrients is considered crucial for the overall development of the foetus.

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Micronutrient deficiency is a condition which occurs when a pregnant woman consumes enough food overall but does not consume enough of the specific micronutrients she needs to maintain the growth and pregnancy function/support systems.

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Consequences of certain baby friendly nutritional deficiencies :

DEFICIENCY OF

                  

IRON- Anaemia

RDA(Per day)   

38mg

 SIGNS EXPERIENCED

  • Weakness/tiredness
  • Decreased work performance
  • Falling sick often
  • Inflamed tongue

 EAT UP MORE ON

Dark Green leafy vegetables, Red meat, Whole pulses, tofu/paneer, Egg white, Dried figs, Dates, Raisins

 DO’S

One citrus fruit /day is required to enhance absorption, utilization of iron

 DON’T’S

  • Caffeine, tannin
  • Calcium foods with iron intake

PROBABLE EFFECT ON THE FOETUS

  • Low APGAR score
  • Low birth weight babies
  • Preterm labour
  • Reduced foetal iron store.

DEFICIENCY OF

CALCIUM

RDA(Per day) 

000mg

SIGNS EXPERIENCED

  • Numbness and tingling in the fingers
  • Muscle cramps
  • Convulsion
  • Lethargy & poor appetite
  • Abnormal heart rhythms

 EAT UP MORE ON

Milk & Milk products, Cabbage family, Leafy vegetables, Ragi, Oilseeds like sesame seeds

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 DO’S

sun exposure will help the production of Vit-D to increase calcium absorption

 DON’T’S

  • Iron-based food/supplement along with calcium

PROBABLE EFFECT ON THE FOETUS

  • Decreased foetal bone mineralization.
  • Elevated triglycerides levels
  • Impaired Cardiovascular function
  • Increased body fat percentage.

DEFICIENCY OF

VITAMIN A

RDA(Per day) 

3300-5000 IU

SIGNS EXPERIENCED

  • Poor resistance to infections
  • Bitot spots

EAT UP MORE ON

Liver, fish oils, milk, egg yolk, leafy vegetables, yellow and orange fruits and vegetables

 DO’S

Include fat to aid the absorption of vitamin A (a fat-soluble vitamin)

DON’T’S

  • Excess vitamin A in the form of supplements as the body can store it,  therefore hypertoxicity

PROBABLE EFFECT ON THE FOETUS

  • Inadequate placental size
  • Stillbirths
  • Congenital malformations
  • Congenital ocular defects
  • Dry skin

DEFICIENCY OF

BCOMPLEX  VITAMINS

RDA(Per day) 

---

SIGNS EXPERIENCED

  • Irritability
  • Mouth ulcers
  • Cracks at the corners of the mouth
  • Inflamed tongue
  • Numbness, tingling of the hands and feet

EAT UP MORE ON

Whole grains, cereals and millets, pulses, nuts and oilseeds, meat fish and poultry

 DO’S

Fermentation and germination enhances B complex vitamins

DON’T’S

Avoid

  • cooking foods in excess water
  • Excess boiling
  • Use of Soda
  • Discarding the vegetable stock

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  • Neural tube defects
  • Enlarged liver and spleen
  • Failure to thrive
  • Neonatal megaloblastic anaemia
  • Neonatal neurological problems.

VITAMIN D

800 IU

  • Bone pain, muscle
  • Weakness
  • Muscle spasm
  • Fragile & weak bones

Fatty fish, egg yolk, Shitake mushrooms, Milk products & sun exposure to the sun for 15–30 minutes Avoid

  • self- prescription of vitamin D supplements.
  • Increased risk of gestational diabetes, preeclampsia
  • Having infants small for their gestational age
  • Growth retardation and skeletal deformities.

To Know More: The Ultimate Indian Pregnancy Menu

VITAMIN C

40mg

  • Dry skin.
  • Splitting hair
  • Swelling and discolouration of gums.
  • Sudden bleeding from gum
  • Compromised immunity

Citrus fruits-Orange, Lime, Kiwi, Strawberry, Guava, Amla, Pineapple, Tomatoes, Grapefruit, Green or Red bell peppers. Recommended co-supplementation with iron supplements or food sources

  • Consumption of high fibre foods
  • Caffeine & tannins
  • Increased use of calcium supplements.
  • Poor brain development
  • Stunts foetal memory centre.
  • Affects the storage of foetal iron in the liver.

VITAMIN K

55 mu g

  • Haematuria,
  • Eye haemorrhage
  • Anaemia
  • Gum bleeding
  • Fractures

Cabbage family vegetables, Kale, Spring onions, Spinach, Turnip greens, Egg yolks, Strawberry Include healthy fats for supporting absorption.

  • Avoid if already on anti-epileptic drugs

Birth defects:

  • Under the development of the nose, mouth, mid-face.
  • Shortened fingers, cupped ears, and flat nasal bridge

EAT HEALTHY TO STAY HEALTHY!

Must Read: Pregnancy Platter

Frequently Asked Questions

What are the effects of nutritional deficiencies in pregnancy?

Nutritional deficiencies during pregnancy can affect both mother and baby. For the mother, it can lead to preeclampsia, anemia, low weight gain, or, in severe cases, even death. For the baby, it can lead to developmental delays, underdevelopment of organs, brain, or limbs, low birth weight, an increased risk of chronic health conditions, and stillbirth.

How does poor nutrition affect a fetus?

When the fetus does not get enough nutrition, it can lead to poor weight gain, low birth weight, delay in development, underdevelopment, chronic health conditions, and, in some cases, it can even lead to stillbirth.

What happens if baby doesn't get enough nutrients during pregnancy?

If the baby does not get enough nutrition during the pregnancy, its growth will be severely affected. Lack of iron can cause anaemia or poor blood circulation, which in turn can affect the development of the organs. Without vitamin A, eyesight can be affected. Similarly, deficiency of different nutrients can have different impacts.

What is lack of nutrients to the fetus?

The lack of nutrients to the fetus is known as IUGR – Intra Uterine Growth Restriction. When the fetus does not receive enough nutrients for optimal development and growth in the womb, it can lead to IUGR. This can happen due to poor maternal nourishment, multiple pregnancies, or early or closely spaced pregnancies.

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