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BUKU PANDUAN
NUTRISI KEHAMILAN 5J
Jumlah – Jadwal – Jenis – Jalur – Jaga

Disusun oleh
Aria Wibawa
Divisi Fetomaternal
Departemen Obstetri & Ginekologi
RSUPN dr. Cipto Mangunkusumo
FK Universitas Indonesia

Copyright © 2021
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untuk
para ibu
yang dari kandungannya
lahir anak sholeh dan sholehah..

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!
!
!
!

2
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3
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!
! Nutrisi 5J adalah upaya menjamin
! kebutuhan bahan nutrisi janin secara
! paripurna dengan mengantisipasi
! kesulitan.
!
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4
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&
&
& Jika ibu hamil hanya mengutamakan
& pemenuhan karbohidrat, maka artinya
&
telah
&
memenuhi kebutuhan dasar hidup janin,
& namun tidak cukup untuk kebutuhan
& perkembangan janin,
& karena hal tersebut memerlukan
&
& berbagai bahan nutrisi lainnya,
& terutama nutrisi esensial.

5
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&
&
&
& Jika ibu hamil hanya mengutamakan
suplemen
& vitamin dan mineral, maka artinya
& baru memenuhi sebagian dari kebutuhan
bahan nutrisi dan belum mencukupi
!
kebutuhan nutrisi esensial lainnya.
!
!
!

6
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9
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!
! 18,5) harus menambah ekstra kalori perhari
dengan komposisi makanan yang lengkap* agar
!
segera mungkin mencapai berat ideal dengan
! komposisi biokimia tubuh yang ideal.
!
mL*%*"*"&-0"2%*1[&+0"2*".$"2&%*5(D8,.5*#;&15D#0,";&
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10
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11
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&

& Hasil akhir dari ibu hamil yang kekurangan

& kalori adalah pertumbuhan janin terhambat,
&
kapasitas fungsi organ janin berkurang, dan
terjadi perubahan sistem metabolik dalam
&
tubuh janin sebagai respon adaptasi.
&

12
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13
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14
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15
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& Hitungan praktis menentukan
& jumlah kalori ibu hamil:
& MINIMAL 35 Kal/kgBB per hari
&
&
&
305,%$#& ,",& *.*-*8& #*(0-& .*"& ,-$6#*5*6,& 1*%0#& +*%*"& .*5,& (05(*2*,& (*8*"&
+*%*"*"&.*"&",-*,&%*-D5,">*J&

16
 Daftar Makanan dan Nilai Kalori
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17
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Sesuaikan porsi makan ibu hamil dengan

kapasitas perut, aktivitas fisik, dan kebutuhan
kehamilan, serta awasi kenaikan berat badan
untuk mendeteksi kecukupan kalori.

18
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23
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24
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Prisnsip pemenuhan jadwal makan adalah membuat

kadar glukosa dan bahan nutrisi lainnya
di sirkulasi ibu dalam kondisi stabil
sehingga kebutuhan janin selalu terpenuhi.

25
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"
"
Sesuaikanlah
" aktivitas (kerja) ibu dengan jadwal makan
yang direkomendasikan dalam kehamilan,
"
BUKAN jadwal makan yang menyesuaikan
"
dengan aktivitas ibu

26
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27
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28
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29
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&
Beragam lauk pauk dibutuhkan dalam
& jumlah yang memadai, diantaranya: telur,
& daging sapi, daging ayam, ikan laut
dalam, dan sayur hijau.
&
&

30
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"
Jangan
" tergantung hanya pada satu jenis bahan
makanan, karena tersedia berbagai pilihan bahan
"
makanan yang mengandung barbagai zat nutrisi
" untuk pemenuhan kebutuhan pjanin.

"
"

31
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32
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33
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'%*"&=$"*&GD50"2&WRQQ&2&3AAY&
" ! /5D#0,"[&P`;`&2&
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"
! s,#*+,"&A[&9;a&+Z2&
" &
"
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" ! /5D#0,"[&PR;R&2&
! ^0+*%[&&Pa&2&
"
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" ! s,#*+,"&A[&d;b&+Z2&
! 7*-6,$+&`9d&+2&
"
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"

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! /5D#0,"[&9b&2&
" ! ^0+*%[&&d&2&
" &

"
"
BDD, bahan yang dapat dimakan

34
" P&1D#D"2;&R_d&2&
=*8$&GD50"2&WRQQ&2&3AA&Y&
" ! /5D#0,"[&c;a&2&
" ! ^0+*%[&&b;9&2&
! 306,&[&d;R&+2&
" ! I0"2[&R;`&+2&
" ! 7*-6,$+[&PPc&+2&
&
"
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" =0+10&/*6*5&GD50"2&WRQQ&2&3AA&Y&
! /5D#0,"[&PQ&2&
" ! ^0+*%[&&Pb&2&
" ! 306,&[&`&+2&
! I0"2[&P;P&+2&
" ! 7*-6,$+[&R9_&+2&
" &
R&1D56,;&aQ&2&
" 7*Z*"2&L0#0&GD50"2&WRQQ&2&3AA&Y&
! /5D#0,"[&PQ;d&2&
"
! ^0+*%[&&9_;`&2&
" ! 306,&[&b&+2&
! I0"2[&9;d&+2&
"
! 7*-6,$+[&9QP&+2&
" &

" R&Z*"2%,5;&ad&2& 7*Z*"2&?-+D".&/*"22*"2&&WRQQ&2&3AA&Y&

" ! /5D#0,"[&b&2&
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"
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" ! s,#*+,"&A[&99Q&+Z2&
" &
BDD, bahan yang dapat dimakan

35
" T.*+*+0&&WRQQ&2&3AA&Y&
! /5D#0,"[&RP&2&
"
! ^0+*%[&&9;P&2&
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! I0"2[&R;`a&+2&
"
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"
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" ! /5D#0,"[&RQ&2&
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" ! 306,&[&P;b&+2&
" ! I0"2[&R;9&+2&
! 7*-6,$+[&Rdd&+2&
" &
"
" I$6$&3$($%&&WRQQ&2&3AA&Y&
! /5D#0,"[&Pd;_&2&
" ! ^0+*%[&&`Q&2&
" ! 306,&[&Q;_&+2&
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" ! 7*-6,$+[&cQd&+2&
" &

"
" I$6$&3$($%&&WRQQ&2&3AA&Y&
9&-0+(*5;&_c&2&
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! ^0+*%[&&PQ;`&2&
" ! 306,&[&R;9&+2&
" ! I0"2[&`;R&+2&
! 7*-6,$+[&aaa&+2&
" &
BDD, bahan yang dapat dimakan

36
 BL@ $09H0I" #$%&'('" )'*+," ,'9+*" )37'+0" ='&'3-'%'"
4$%&'%"7$%3,",'9+*'%"8'3%0"
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+0"2*".$"2& "$#5,6,& +,%5D& %8$6$6">*& (06,;& 60"2;& .*"& %*-6,$+;&
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"
"
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"
" A*$"&7*#$%&50($6&WRQQ&2&3AAY&
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" !
! I0"2[&P&+2& ! I0"2[&Q;`&+2&
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BDD, &
! bahan yang dapat dimakan

37
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Pada trimester satu, tidak& diperlukan nutrisi dalam
& jumlah besar, namun diperlukan nutrisi lengkap
&
(beragam jenis nutrisi), terutama asam lemak dan
&
asam amino esensial.

38
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39
!
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! Komposisi makan yang lengkap
! adalah mengandung karbohidrat,
! protein, lemak, sayuran dan buah
!
!
!
!
!

40
/B8=<;D! 0:0C0E! =C;7D807=! _0F=C09! H09K! <;809K! DBN0D! ;9D;<!
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41
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42
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43
!
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Pada kehamilan,
makanan berbahan nutrisi campuran (mixed food)
lebih direkomendasikan dari pada
makanan berbahan nutrisi tunggal (single food)

!
!
!
!

44
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45
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&
& Jalur alternatif diberikan jika jalur alami
& tidak dapat memenuhi kebutuhan,
yaitu dengan pemberian
&
makanan pengganti (suplemen)
&
&

46
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! ! Hasil laboratorium
! ! Analisis status gizi
!
!
!

48
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& Libatkan orang-orang sekitar
& untuk membantu ibu hamil melaksanakan
& program makan yang sesuai rekomendasi.
&

50
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