FOOD REQUIREMENTS:

ORANGE:
They contain vitamin C and folic acid also contribute. Vitamin C is an natural antibiotic, helps prevent infection and also facilitates the absorption of iron. Other fruits rich in vitamin C include kiwi (has more than other citrus), mandarin, mango and apple. It is advisable to take three to four pieces of fruit daily, which provide a good amount of fluid, which is essential in pregnancy.

AVOCADO:
Very energy (depends on size, but only one can come to provide about 300 calories), the fourth of its contents are fats with a high percentage of monounsaturated fatty. In addition, we provide B6ny vitamin folic acid. With the pulp of the avocado salad can be prepared pasta sauces and stuffing and tickets.

SPINACH:
Although it is composed almost entirely of water. Spinach provides extraordinary amounts of nutrients and few calories, which is considered a very suitable food. Is especially recommended for pregnant women because of their high intake of iron and folic acid. It can be eaten in salads, raw and fresh, well washed, mixed with pieces of fruit, cheese and sesame seeds. Also accompanying steamed rice dishes, hot fudge or soft, with potatoes or oatmeal flakes.

RICE:
Nutritious and healthy, is rich in carbohydrates (essential for energy), B vitamins, vitamin E and fiber, especially rice. It is a highly digestible grain blending well almost everything.

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Safe and nutritious food FOR PREGNANCY:

MEAT:

The simplest and most effective way of meeting iron requirements (which increase during pregnancy), is through red meat such as beef. In addition to iron and protein, beef also provides vitamin B12 (which may lack pregnant women who make a vegetarian diet)
Pregnant women may turn to vegetarian tofu (or tofu) and seitan (wheat or gluten) to get your daily serving of protein. It is important to consult with a specialist to ensure that no gaps in your diet.

BANANAS:

They are rich in potassium, providing energy to combat fatigue in pregnancy and have a very good fiber. Although it is often eaten raw, they are delicious roasted.

Swiss Chard (Acelgas):

Swiss chard is an appropriate choice for a low-fat and high amount of nutrients provided (iron, folic acid, potassium, calcium, magnesium, vitamin C, vitamin E, vitamin A, proteins), which remain virtually once all done. It can also be eaten raw in salad. It also has fiber, which helps prevent constipation.

PAN INTEGRAL:

The pregnant woman should eat wheat bread because wheat bran is the fiber. In general, less fiber is consumed than necessary.

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To maintain good nutrition during multiple pregnancy is necessary to follow strict diet which includes:

* Eat calcium: It is important that pregnant women with multiple pregnancy in your diet consumed more milk or orange juice fortified with calcium, broccoli, sardines or other calcium-rich foods. A woman who is going to have more than one baby at a time, you need between 1600 and 2000 milligrams of calcium daily.
* Take folic acid: folic acid one month before and during the first three months of pregnancy helps reduce the risk of babies born with neural tube defect (such as spina bifida)
* Increase the intake of proteins: Proteins play many important functions in our body, are like the building materials used to make body tissues. This nutrient also acts as enzymes that regulate chemical reactions to ensure the growth and function of the body.
* Increase the supply of iron: Iron is important to maintain adequate levels of hemoglobin, the substance of red blood cells that delivers oxygen to tissues. Iron deficiency can cause anemia and multiple pregnancies is quite common to see such cases.

Anemia can cause loss of appetite and extreme fatigue during pregnancy, as well as an insufficient supply of oxygen to developing babies. Iron is absorbed more easily when combined with acidic foods such as yogurt and other vitamin C rich orange juice.

* You must increase the supply of nutrients such as zinc, copper and vitamins C and D. It is important to take prenatal vitamin supplements every day, but that does not mean you should take more than one dose of the supplement, with enough. An excess of vitamins can be harmful for babies.

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Among the main characteristics that identify multiple pregnancies are:

* Fatigue: The feel and need to sleep as fatigue is much greater in multiple pregnancies.

* Need to urinate: The pressure on the bladder is higher therefore the need to urinate increases.

* Constipation: This discomfort is common in pregnancy because the digestive system becomes sluggish.

* Presence of anemia: In multiple pregnancies, this is caused by iron demand by the mother as babies. The lack of iron causes fatigue, lightheadedness, dizziness, tachycardia, lethargy.

* Back pain is greater due to the weight of babies.

* Presence of hypertension and edema, caused by stress or anxiety.

* The blood loss are common in multiple pregnancies, although the causes are unknown. In this situation goes to the doctor as soon as possible.

* In a multiple pregnancy, weight gain is greater. In a twin pregnancy may be increased to 14 kilos, while in one of triplets can exceed 16 kilos. It is important to a healthy diet monitored by a professional.

* Insomnia: the reconciliation of the soil is usually more difficult toward the end of multiple pregnancies, due to the weight of the belly because it is difficult to find a comfortable position to sleep.

* Presence of previous contractions: are irregular but not to be confused with the real and painful regular contractions.

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A multiple pregnancy requires special care most common other pregnancies do not need. This care does not end at birth babies, as many of these countries need special care and monitoring until the baby is stable. But not to worry, as it is often very common for a baby born in multiple births need to be treated in its early days.

As you know, many multiples are born prematurely and are usually very small, lightweight and little defense. Therefore, it is sometimes necessary that must be cared for in a neonatal intensive care unit, known as the NICU, until the infant stabilizes body temperature and can eat and breathe independently. Many other babies do not depend on a special care as completely healthy at birth, needing only a small control room monitored in a special care.

A multiple birth is usually always cause for celebration, however, the first two months after a multiple birth are often the most complicated and we must be prepared. Usually, a simple delivery often requires a period of adjustment due to the routines of continuous feeding of the baby, lack of sleep, almost exclusive dedication to the baby and have to combine it with the care of household chores. In the case of multiple births, these complications are multiplied as well. It is very important collaboration for the whole family for the care and adapt to the new situation at home is as bearable as possible.

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The mode of delivery in multiple pregnancy depend on the position in which they are babies in the womb. Most babies as we approach the day of his birth, are positioned upside down, creating a natural birth, but when there are more than one baby, may have different combinations, since one can be in place but the other does not, in this case there will be a cesarean.

In the case of vaginal delivery, the time between the birth of a baby and the other is usually less than an hour. In case the delivery is delayed more, the doctor must make a decision, probably the cesarean section.

At all times, the mother will be connected to a fetal monitor so the doctor can monitor the progress of each baby. In a multiple birth, babies tend to be smaller and this provides the impetus for leaving.

Like any birth, can cause problems with the umbilical cord, the position of the placenta and possible postpartum bleeding.

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The most important thing is prevention, so that all pregnant women be monitored with a midwife from the beginning of her pregnancy, the examinations that you ask your doctor and be aware of warning signs and symptoms (headache, excessive weight, vision, flashing lights and upper abdominal pain). If a patient has risk factors is important that your doctor tells you drugs are useful in preventing this disease, such as calcium, fish oil and others. It is also important a balanced diet.

Treatment

It is important that the diagnosis is made by a physician and assessed by laboratory tests. The behavior depends on the type of preeclampsia:

If preeclampsia is mild treatment at home is most important thing is rest and marked diet and antihypertensive.

On the other hand if preeclampsia is severe, the patient should be hospitalized and was hypertensive and drugs should indicate that prevent it, seizures (eclampsia). Must be serial laboratory studies to evaluate the severity of the disease and to treat complications time or if possible prevent them.

Of course, we must evaluate the fetus through ultrasonography and fetal well tests.

If the fetus is mature you have to terminate the pregnancy, either normal or cesarean delivery.

If you are not there to help mature their lungs mature through medicines and then performing the abortion.

The most important thing is prevention: Make adequate prenatal care, indicate if there are medications to prevent risk factors, treat it if it already exists to prevent and complicate progress and watch for warning signs and symptoms:

High blood pressure.

Excessive weight gain in a short time.

Swelling.

Headache.

Light Vision.

Upper abdominal pain.

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It is the most common medical conditions in pregnancy. May complicate eclampsia (seizures during pregnancy), HELLP syndrome (alteration in liver enzymes, low platelets and red blood cell destruction), pulmonary edema, renal failure, placental abruption, etc.

Signs – Symptoms

Preeclampsia occurs after the 20th week of pregnancy. It is characterized by:

High blood pressure (BP ³ 140/90 mmHg)

Edema (swelling) important

Weight gain greater than expected

Neurological symptoms: Headache, vision flashing lights, upper abdominal pain, reflexes excited.

Classification

According to the severity of symptoms and signs are classified as:

Mild preeclampsia: blood pressure is between 140/90 mmHg and 159/109 mmHg, and no neurological symptoms.

Severe preeclampsia: blood pressure greater than or equal to 160/110 mmHg, and there are neurological symptoms.

Risk Factors

There are factors that make a pregnant woman to have more risks than other to develop preeclampsia. These are: to be primigravida (first pregnancy), primigravida early (less than 16 years) or years (30 years), Obesity, black race, pre-pregnancy medical conditions such as hypertension, diabetes, kidney disease.

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Preeclampsia is a clinical syndrome characterized by multiple organ dysfunction hypertension, proteinuria, edema. Believed to be an endothelial disorder that results from poor perfusion of the placenta releases factors that damage the endothelium to activate the coagulation cascade or increase the sensitivity of the endothelium to pressor agents.

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How does a woman if she is pregnant? These are some signs that may occur in early pregnancy:

* Menstruation was suspended (although, especially among younger women, may take two or three months until that happens or until other symptoms).

* Your breasts swell and become more sensitive nipples darken and become larger during the preparatory process for the production of milk.

* You experience more sleep and more fatigue.

* They may feel some symptoms such as nausea, vomiting, dizziness

* Sometimes you feel increased desire to urinate.

* Dark spots can appear on the face and stomach.

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