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Pediatric Health
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Healthy nutrition starts before a child is born. Pregnant women need a balanced diet and should also take a prenatal vitamin containing folic acid, vitamin D, choline, and iron in amounts that will help protect the mother’s and baby’s health. After birth, breastfeeding or bottle feeding with a cow’s milk–based, iron-fortified infant formula is recommended to ensure adequate growth. Parents or caregivers should be educated on feeding cues to avoid underfeeding or overfeeding an infant. Other foods or drinks are not advised unless recommended by the health care professional, usually around 6 months of age. At this stage, an infants’ physical activity, such as supervised “tummy time,” should stimulate motor skill development (Hagan et al., 2017).
Nutritional and Dietary Supplementation during Pregnancy
Published in “Bert” Bertis Britt Little, Drugs and Pregnancy, 2022
In conclusion, iron supplements during pregnancy are definitely necessary. Folic acid supplements are also a universal necessity, despite ambiguous protection found by some authorities. The gravid vegetarian or one who is following a “fad” diet is a special concern and a nutritional assessment should be undertaken to assure adequate intake. Prenatal vitamins should probably be given, although there is no consensus on whether they are necessary. At RDA doses, such preparations will not cause harm and may be of benefit. Following Hippocrates, above all do no harm, prenatal vitamins should be given. Megadose regimens are clearly contraindicated.
Fetal Development and Maternal Diet
Published in Praveen S. Goday, Cassandra L. S. Walia, Pediatric Nutrition for Dietitians, 2022
Prenatal vitamins are recommended starting pre-pregnancy. It is recommended that women who are pregnant or who may become pregnant take a prenatal multivitamin with minerals daily to promote key nutrient consumption, particularly of folate, iron, vitamin A, vitamin D, calcium, and iodine.
Exploring Barriers to Access Prenatal Care Among Indigenous Mexican and Guatemalan Women in Washington State
Published in Women's Reproductive Health, 2023
Colleen Pacheco, Ileana Ponce-Gonzales, Marcela Suarez Diaz, Annette E. Maxwell
The majority of women in our sample had very positive attitudes about prenatal health care and thought that obtaining prenatal health care was very important for the baby’s and the mother’s health. Many women were also aware of the importance of a healthy lifestyle during pregnancy, such as eating a healthy diet and getting exercise. Fewer women volunteered that visiting a doctor and taking prenatal vitamins were important for pregnant women, but given that most women received prenatal care during their last pregnancy and given that most women considered a hospital as the ideal place to give birth, it appears that they value prenatal care, especially if they get help with overcoming structural barriers they face. This is consistent with a previous study in indigenous communities in Guatemala (Stollak et al., 2016) and in Mixteco and Zapoteco women in California (Maxwell et al., 2018).
The protective effect of prenatally administered vitamin E on behavioral alterations in an animal model of autism induced by valproic acid
Published in Toxin Reviews, 2021
Ahmad Alinaghi Langari, Akram Nezhadi, Halimeh Kameshki, Sobhan Mohammadi Jorjafki, Yasamin Mirhosseini, Mohammad Khaksari, Manzumeh Shamsi Meymandi, Masoumeh Nozari
Moreover, patients with chronic usage of valproic acid have low levels of antioxidants, such as vitamin E and glutathione peroxidase (Mabunga et al. 2015). The protective effect of vitamin E against VPA induced neural tube defects, hepatoxicity, and cytogenotoxicity have been shown in previous studies (Huang et al. 1996, Al Deeb et al. 2000; Baran, Yıldırım and Akkuş, 2004). It is worth noting that compensation of various vitamins and minerals deficiency is considered as the main component in the treatment of autism (Bjørklund et al. 2019). Also, there is some evidence that prenatal vitamin deficiency is associated with the risk of ASD; the relation between maternal vitamin status during pregnancy and ASD risk in offspring were reported for vitamin B12, folate, and vitamin D3 (Raghavan et al. 2018, Principi and Esposito 2020). In this respect, this study aims to evaluate the effects of prenatally-administered of vitamin E on behavioral alterations associated with valproic acid in an animal model of autism.
Diagnosing and treating postpartum uterine artery pseudoaneurysm
Published in Baylor University Medical Center Proceedings, 2018
Kathlyn Parr, Anisha Hadimohd, Adrianne Browning, Jason Moss
A 19-year-old gravida I para I Caucasian woman presented to the emergency department with heavy vaginal bleeding for the past hour. She was 6 weeks postpartum after undergoing a low transverse cesarean delivery. She reported the resumption of her normal menstrual cycle the previous week with spotting the last few days. On the day of presentation, she experienced a large amount of vaginal bleeding and weakness, which were unassociated with cramping, abdominal pain, fever, chills, headache, or dysuria. Current medications included oral iron and prenatal vitamins. Three weeks earlier she had experienced a similar episode of vaginal bleeding and received a transfusion of two units of packed red blood cells. She was also found to have appendicitis that was treated via a laparoscopic appendectomy.