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MoonDragon's Nutritional Guidelines For Pregnancy
FOOD GROUPS




Protein foods include both animal and vegetable foods. Animal protein foods supply protein, iron, riboflavin, niacin, vitamins B-6 and B-12, phosphorus, zinc, and iodine. Vegetable protein foods supply protein, iron, thiamin, folacin, vitamins B-5, and E, phosphorus, magnesium, and zinc.

ANIMAL (MEAT) PROTEIN FOODS

A serving is 2-3 ounces (60-90 grams) cooked (boneless) of the following unless otherwise noted:

    Bacon, 6 slices
    Beef: ground, cube, roast, chop
    Canned tuna, salmon, crab, etc., ½ cup
    Cheese (see milk list)
    Clams, 4 large or 9 small
    Crab
    Duck
    Eggs, 2
    Fish: fillet, steak
    Fish sticks, breaded, 4
    Frankfurters, 2
    Hog maws
    Lamb: ground, cube, roast, chop
    Lobster
    Luncheon meat, 3 slices
    Organ meats: liver, kidney
    Oysters, 10-15 medium
    Pigs' feet, ears, snouts
    Pork, ham: ground, roast, chop
    Poultry: ground, roast
    Rabbit
    Sausage links, 4
    Shrimp, scallops, 5-6 large
    Spareribs, 6 medium ribs
    Veal: ground, cube, roast, chop


VEGETABLE PROTEIN FOODS

A serving is 1 cup cooked unless otherwise stated:

    Canned garbanzo, lima, kidney beans
    Canned pork and beans
    Dried beans and peas
    Lentils
    Nut butters, 1/4 cup
    Nuts, 1/2; cup
    Sunflower seeds, 1/2 cup
    Tofu (soybean curd)
    Sweetbreads, heart, tongue


An alternate protein food is a combination of animal (70%) and vegetable (30%) protein foods.





MILK & MILK PRODUCTS

Milk and milk products constitute an exchange group of foods containing calcium, phosphorus, vitamin D, and riboflavin. In addition, these foods supply protein, vitamins A, F, B-6, and B-12, magnesium, and zinc. For some people, milk and milk products serve as primary sources of protein in the diet.

A serving is 8 ounces or 1 cup (240 ml) unless otherwise noted:

    Cheese: hard and semi soft (except blue, Camembert, and cream), 1-1/2 oz (42 g)
    Cheese spread, 2 ounces (56 g)
    Cottage cheese, creamed, 1-1/2 cups
    Cow's milk: whole, nonfat, low fat, nonfat dry reconstituted, buttermilk, chocolate milk, cocoa made with milk
    Cream soups made with milk, 12 ounces (360 ml)
    Evaporated milk, 3 ounces (90 ml)
    Goat's milk (low B-12 content)
    Ice cream, 1-1/2 cups
    Ice milk
    Instant breakfast made with milk, 4 ounces (120 ml)
    Liquid diet beverage, 5 ounces (150 ml)
    Milk shake, commercial 8 ounces (240 ml)
    Puddings, custard (flan)
    Soybean milk (low B-12 content)
    Yogurt


NOTE: Tofu is also a source of calcium; 1 cup tofu may be exchanged for one serving of the above foods.





GRAIN PRODUCTS

Grain products supply thiamine, niacin, riboflavin, iron, phosphorus, and zinc. This exchange group is divided into two parts: whole grain items, and enriched products. The enriched breads, cereals, and pastas provide significantly lower amounts of magnesium and zinc. For this reason, people should be urged to choose whole grain products.

    Whole grain items
    Brown rice, 1/2 cup
    Cereals, hot: oatmeal (rolled oats), rolled wheat, cracked wheat, wheat with malted barley, 1/2 cup cooked
    Cereals, ready to eat: puffed oats, shredded wheat, wheat flakes, granola, 3/4 cup
    Cracked and whole wheat bread, 1 slice
    Wheat germ, 1 tablespoon
    Enriched breads, cereals, and pastas


NOTE: Some state laws (such as California) requires that bread and bakery products be made with enriched flours. The following should comply with this requirement.

    Bread, 1 slice (all other forms)
    Cereals, hot: cream of wheat cream of rice, farina, cornmeal, grits, 1/2 cup
    Cereals, ready-to-eat, 3/4 cup
    Cornbread, 1 piece (2 inch [5 cm] square)
    Crackers, 4 (all kinds)
    Macaroni, noodles, spaghetti, cooked, 1/2 cup
    Muffin, biscuit, dumpling, 1
    Pancake, 1 medium
    Rice, cooked, 1/2 cup
    Roll, bagel, 1
    Tortilla, corn, 2
    Tortilla, flour, 1 large
    Waffle, 1 large





VITAMIN C-RICH FRUITS & VEGETABLES

Vitamin C-rich fruits and vegetables supply ascorbic acid. Fresh, frozen, or canned forms may be used, although vitamin C content of canned products is lower.

JUICES

    Orange, grapefruit, 4 ounces (120 ml)
    Tomato, pineapple, 12 ounces (360 ml)
    Fruit juices and drinks enriched with vitamin C, 6 ounces (180 ml)


FRUITS

    Cantaloupe, 1/2
    Grapefruit, 1/2
    Guava, 1/4 medium
    Mango, 1 medium
    Orange, 1 medium
    Papaya, 1/2 medium
    Strawberries, 3/4 cup
    Tangerine, 2 small


VEGETABLES

    Bok choy, 3/4 cup
    Broccoli, 1 stalk
    Brussels sprouts, 3-4
    Cabbage, cooked, 1-1/2 cups
    Cabbage, raw, 3/4 cup
    Cauliflower, raw or cooked, 1 cup
    Greens - collard, kale, mustard, Swiss chard, turnip greens, 3/4 cup
    Peppers, chili, 3/4 cup
    Peppers: green, red, 1/2 medium
    Tomatoes, 2 medium
    Watercress, 3/4 cup





VEGETABLES WITH FOLACIN

Leafy green vegetables are an exchange group containing folacin. In addition, these foods supply vitamins A, F, and B-5, riboflavin, iron, and magnesium.

A serving is 1 cup raw, or 3/4 cup cooked.

    Asparagus
    Bok choy
    Broccoli
    Brussels sprouts
    Cabbage
    Dark, leafy lettuce: chicory, endive, escarole, red leaf, romaine
    Greens - beet, collard, kale, mustard, spinach, Swiss chard, turnip
    Scallions
    Watercress





FRUITS & VEGETABLES WITH VITAMIN A

Other fruits and vegetables include yellow fruits and vegetables that supply significant amounts of vitamin A. Vitamin A is also found in outstanding amounts in the leafy green vegetable group. Other fruits and vegetables also contribute varying amounts of B complex vitamins, vitamin F, magnesium, zinc, and phosphorus.

A serving is 1/2 cup (fresh, frozen, or canned) unless otherwise indicated.

VEGETABLES

    Artichoke
    Bamboo shoots
    Bean sprouts: alfalfa, mung
    Beet
    Burdock root
    Carrot
    Cauliflower
    Celery
    Corn
    Cucumber
    Eggplant
    Beans: green, wax
    Lettuce: Endive
    Lettuce: Romaine
    Lettuce: Boston Bib, head
    Mushrooms
    Nori seaweed
    Onion
    Parsnip
    Peas
    Pea pods
    Potato
    Radishes
    Summer squash
    Sweet potato
    Winter squash
    Yam
    Zucchini


FRUITS

    Apricot, fresh, 1 large
    Nectarine, 2 medium
    Peach, fresh, 1 medium
    Persimmon, 1 small
    Prunes, 4 (also significant iron source)
    Pumpkin, 1/4 cup
    Apple, 1 medium
    Banana, 1 small
    Berries
    Cherries
    Dates, 5
    Figs, 2 large
    Fruit cocktail
    Grapes
    Kumquats, 3
    Pear, 1 medium
    Pineapple
    Plums, 2 medium
    Raisins (also significant iron source)
    Watermelon





NUTRITIONAL HANDOUTS FOR CLIENTS

Food Groups

Vegetable and animal protein foods, serving sizes, and food groups used to assist pregnant clients and their midwives in planning a balanced daily dietary intake of sufficient protein to prevent potential complications of pregnancy.
Sample Meal Patterns & Menu

Sample meal patterns and example menu to assist clients and midwife in planning healthy, nutritionally balanced meals and snacks.


Vegetarian Food Guide

Dietary guidelines and information about complimentary plant protein combinations for vegetarian-vegan diets with a description about types of vegetarian diets.


Nutritional Profile

Questions for clients to assess their own eating habits and to assist nutritional counseling by their midwife.


Protein Values of Common Foods

A list of protein foods with quantities needed to assist in assessments of protein intake.


Pregnancy Diet Intake Worksheet

A worksheet we use to assess daily dietary intake of clients. The client uses a sheet to keep track of everything she eats and drinks in a day, quantity consumed along with time and place she ate or drank her nourishment. These sheets are then gathered by the midwife for total nutritional analysis and assessment. Nutritional counseling assists clients in planning healthy dietary habits and preventing anemia, pre-eclampsia or toxemia, and other nutritionally-based problems.


Nutritional Analysis Index

Nutritional breakdown of various individual foods found in the various food groups. Included are links to fast food sources for nutritional analysis.


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