110 - pregnancy

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What percentage of women fall pregnant in first and second year of trying?
84% first year and 92% second year
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What % of couples experience problems getting pregnant?
15%
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Factors affecting fertility
Body weight, undernutrition, eating disorders, extreme exercise, caffeine, poor iron stores, achohol and smoking
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How does a low BMI affect fetility?
Irregular menstuation, low body fat stores of under 22%
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How does a high BMI affect fetility?
Not ovulating
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Why is obesity a problem with pregnancy?
Approx 50% women childbearing age are overweight, 15.6% of pregnant women are obese
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Why is being obese whilst pregnant of concern?
Higher risk of: impaired glucose tolerance, gestational diabetes, miscarriage and pre - eclampsia
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How much weight is a pregnant woman expected to gain?
10-12.5 kg
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What hormone causes women to feel ill during pregnancy and at what weeks does this occur?
Human chronic gonadotrophin for the first 12-16 weeks (50-90% feel nausea)
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How much folate should a women take preconceptually?
0.4 mg
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How much folate should a women take when pregnant?
0.5 mg folic acid plus 200 micro grams of folate = 5-7mg day
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What is iron needed for in pregnancy?
Foetus needs iron store for first 6 months and maternal RBC mass needed
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What does iron not need to be increased during pregnancy?
Woman not menstuating and enhanced reabsorbtion
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How many extra calories are required when pregnant?
200 Kcal
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How much additional protein is required when pregnant?
6g day = 51g/ D
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How much additional Vit C is required when pregnant?
10mg = 50mg
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How much additional riboflavin is required when pregnant?
0.3mg = 1.4mg
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What foods should a pregnant woman avoid?
High in vitamin A, limit fish due to mercury, limit caffeine to 200mg/d, no alcohol (Fetal alcohol syndrome) and avoid food poisoning hazards
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What stimulates lactation?
Suckling = Hypo telling anterior pituitary to produce prolactin = cells for milk producion
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What stimulates milk ejection?
Oxytocin from the Posterior pituitary
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How many litres of fluid do you need a day when lactating?
Over 2 litres
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How many more calories do you need a day when lactating?
450 - 570 Kcals
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How more calcium do you need a day when lactating?
550mg
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How more protein do you need a day when lactating?
11g
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How mmore Vit D do you need a day when lactating?
10 micro gram
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Card 2

Front

What % of couples experience problems getting pregnant?

Back

15%

Card 3

Front

Factors affecting fertility

Back

Preview of the front of card 3

Card 4

Front

How does a low BMI affect fetility?

Back

Preview of the front of card 4

Card 5

Front

How does a high BMI affect fetility?

Back

Preview of the front of card 5
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