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Dietary Fiber Important in Pregnancy

Eating more fiber during the first trimester of pregnancy seems to reduce the risk of developing preeclampsia, says a report in the American Journal of Hypertension.

Picture of a pregnant woman eating a salad

Preeclampsia is a potentially fatal condition characterized by elevated blood pressure.

The finding appears to be another good reason for pregnant women to maintain good fiber intake, one expert says.

"There's not really a downside to taking more fiber," notes Dr. Jennifer Wu, at Lenox Hill Hospital in New York City. "Many women suffer from constipation in pregnancy, and it can only help that. If you can increase your fiber anyway for constipation, it may also decrease preeclampsia."

Fiber Linked to Lower Blood Pressure

There are other benefits to increasing fiber intake, including lowering blood pressure.

According to the Preeclampsia Foundation, some 5 percent to 8 percent of women experience the dangerous condition during pregnancy. The only way to end preeclampsia is to deliver the baby - obviously a more reasonable strategy the further along a pregnancy has progressed.

Risk factors for the condition include obesity, a family history of type 2 diabetes and/or hypertension, depression, anxiety, diet low in fruits and vegetables, and low levels of physical activity.

The findings seem to corroborate previous findings on the subject from somewhat smaller studies.

For this study, more than 1,500 pregnant women in Washington State filled out a 121-item questionnaire listing the types of food they ate, both before they conceived and during the early weeks of their pregnancy.

Women who consumed 21.2 grams a day or more of fiber were 72 percent less likely to develop preeclampsia compared with women who ate less than 11.9 grams a day, the researchers found.

Two Slices of Whole Grain Bread

Triglyceride concentrations were lower and levels of HDL or "good" cholesterol concentrations were higher in women consuming more fiber, the study notes.

It was not clear if the authors adjusted for other dietary factors and weight.

The authors, from the Swedish Medical Center and the University of Washington School of Public Health and Community Medicine in Seattle, note that adding an extra 5 grams of fiber a day was associated with a 14 percent reduction in the risk of developing preeclampsia.

Consuming two slices of whole-grain bread daily would be the equivalent to adding 5 grams of fiber a day, they say.

Always consult your physician for more information.

 

 

Prenatal Care Important

As soon as a woman discovers she is pregnant, she should establish a schedule of prenatal care with her physician for the entire duration of the pregnancy.

For normal pregnancies without significant complications, prenatal exams are usually scheduled as follows: every month from the 1st week through the 28th week, every two weeks from the 29th week through the 36th week, and weekly from the 37th week until delivery.

This schedule may vary depending on your personal medical condition and your physician's preference.

Additional prenatal care may be necessary if there are any preexisting medical conditions (i.e., diabetes) present in the mother and/or if complications arise while carrying the baby to term.

The goal of prenatal care is not only to provide the best care for the pregnant woman and the unborn child, but also to prepare the mother-to-be for the delivery of a healthy baby.

During prenatal visits, tests are performed on both the mother and the baby to assess any potential risks, to treat any maternal or fetal complications, and to monitor the growth and development of the fetus.

In addition, counseling and guidance are provided regarding various aspects of pregnancy, including weight gain, exercise, nutrition, and overall health.

A typical prenatal visit may include any/all of the following:

  • weight measurement
  • blood pressure measurement
  • measurement of the uterus to check for proper growth of the fetus
  • physical examination of the mother to identify problems or discomforts (i.e., swelling of the hands and feet)
  • urine test to measure sugar and protein levels, which can indicate diabetes or preeclampsia (a condition characterized by pregnancy-induced high blood pressure, protein in the urine, and swelling due to fluid retention)
  • fetal heart rate measurement
  • prenatal screening tests (i.e., blood tests to check for anemia)

Always consult your physician for more information.

Last Modified On: 10/01/2008

MCGHealth, Augusta GA