Saturday, January 23, 2010

An Article on Pregnancy and Lactating Women ... by Tamanna Shaikh (T.Y.B.A) 2010

Effect of Maternal Health on Pregnancy outcome



Maternal health refers to the health of women during pregnancy, child birth and the post par tum period. Thus,maternal is really important for the fetus to grow healthy in utres. the health of the infant till the child is being breast fed. Thus nutrition of the mother plays a vital role in the development of the fetus.

  • Nutrition of the mother

The state of the moter's health especially the reproductive system at the time when she is consived has a considerble influence on the growth of the fetus. The height and weight of the mother has it's influence on the child's height and weight and also in it's changes of survival stunning in mother cannot be overcome by a good diet in pregnancy and the some applied to reproductive efficiency. thus it is a better option to prepare for pregnancy should begin with good nutrition and health care at childhoodso that they can become a healthier mothers giving birth to healthier babies. it ha been known the height of the mother is closely related to birth weight and pregnancy out come. this was shown by a demonstrated in surveys of pri-natal mortality in U.K. these surveys has also revealed that there are more sgirt nithers in the lower socio economic groups, which means that inadequate nutrition and large number of illness prevent many girls in this social group from achieving optimal physique.Thus, child bearing of such mothers are at disadvantage. The survey has also shown that mothers who weight more than 68kgs. at conception and gain more than 13.6kgs. weight during pregnancy tend to have a lower and healthier babies with in a lower pre natal mortality than compared to mothers who do not weigh or gain less weight than above.
There are two factors of special significant for pregnant woman in the developing world that is in al traditional societies girls are married at a very young age or before menarche. Hence,child bearing also occurs earlier. So now it is agreed that major risk of low birth weight occurs with in two years of menarche. Now the baby or the fetus also needs nutrition and the growing mother also needs nutrients thus there is a competition as well as the hormonal changes of pregnancy may be significant factors in the short stature of women in many developing countries. In traditional societies even today women are considered as inferior in thier status. This is a reflected in high mortality rate of infant and a shorter life expectancy at birth for females as well as higher deficiency in women. Thus, the requirement of nutrition of mother is a very high than required by a non pregnant women.

  • Weight gain in Pregnancy
During pregnancy the mother gains a lot of weight ie; 12.5 kg's including 3.5 Kg's laid down as fat in the mother the weight gain is due to additional calorie ntake and the enlargement of the plasanta utres and breast as well as the fat storage near the hip in order to give energy during delivery and also help during lactation. All these enlargements growths and increase in the blood volume requires a lot of energy which will be acquired by the proper diet that meets the additional nutritive requirement.

  • Iron ans Folic Acid Requirement.
Iron requirement is high as compared to Folic acid. There is a loss of Iron in women and the child needs iron stores in his body that is provided to him by his mother.The requirement of iron increases in the first hald of the gestation. Iron stores in the body are in bone marrow but frequently the amount is not sufficient to meet the demand. If a women gets pregnant with less or no stores of iron then she is supposed to take a high dosage or intake of iron because iron helps in the synthesis of hemoglobin. Thus anemia is a common complication during pregnancy.
Maternal amenia is an increased risk of low birth-weight and prenatal death. The hemoglobin level in mothers play a vital role in the birth weight of the child and also still birth if the hemoglobin is very less.


  • Maternal Health
Preperation for pregnancy should be done before marriage or before thinking of conciving. Because as said earlier the health of the mother has direct reflection to the health of the fetus. If the mother is healthy and has a good height,weight the child also tend to have a good height and weight. Thus the baby is healthy during pregnancy/labour or at birth.


  • Effect on Placental Weight on Pregnancy
The placenta plays a very important role as all the nutrients are passed trough it and is being utilized by the fetus. A healthy placenta would help in a healthy child.A weak or a malnourished placenta may have reduced D.N.A. content and protein D.N.A. ratio. The weight of the placenta has it's efect on the chold because a malnourished placenta would not be able to properly provide full nutrients required by the fetus.

A heavy infection of the placenta with malasia parasite can interfere with the fatal growth of the child ie; the child may be still born. Chemo-prophylaxis with an anti malasia during pregnancy will not only ensure adequate placental funciton but also help protect the mother form anemia.

  • Nutrition During Pregnancy
The gestation period is a rapid growth period. The growth of the fetus and other developments take place to facilitate it's maintainance thorughout pregnancy and delivery of the child involve an increase in the nutritional requirement of a pregnant women.
The increase in the nutritional requirements of a pregnant women can be attributed to
  1. Rapid growth of fetus
  2. Development of the placenta
  3. Enlargemant of the maternal tissues
  4. Increase in the circulation of the blood colume
  5. Formulation of amniotic fluid
  6. Storage reserves
  7. Mineralization of the skeleton and bones

  • CONCLUSION
Human beings at all age groups require a balance diet that are benefitial to the health and well being of a person. A pregnant mother has a grater responsibility towards the health status during these periods her affects the baby's physical and mental development. Thus it is more improtant for a pregnant women to take care of her health than a non- pregnant women...