…DIETARY REFERENCE

INTAKES
MINERA VITAMIN
LS IRON S
FOLIC ACID
IODINE VITAMIN A
CALCIUM VITAMIN B12
ZINC BITAMIN B6
MAGNESIUM VITAMIN D
TRACE METALS
POTASSIUM
FLUORIDE
IRO
N

NON-PREGNANT

- 2g to 2.5g total iron

content
- 300mg iron store
PREGNANT
- 1000mg iron required for pregnancy
- 300mg to fetus
- 200mg excreted
- 500mg erythrocyte circulating

volume
- 27mg/d of elemental iron
- 60 to 100mg/d if:
- large mother
- multifetal gestation
- late supplementation
 MINERALS

CALCIUM
1000mg

ZINC
IODINE 11mg
Deficiency: poor appetite,
220mcg/d
suboptimal growth,
Iodine Deficiency: Cretinism
impaired wound healing
 MINERALS

POTASSIUM
Deficiency: Hyperemesis
TRACE Gravidarum
METALS FLUORIDE
Se, Cr, Mn Not altered in pregnancy
Role in enzyme functions
VITAMINS
Folic Acid

Vitamin A

Vitamin B12

Vitamin B6

Vitamin C

Vitamin D
VITAMINS

FOLIC
ACID/FOLATE/VIT B9 VITAMIN A
400-600 mcg 770mcg

Deficiency: Neural Tube Defects Surplus: Congenital Malformations

VITAMINS

VITAMIN B12 VITAMIN B6

(COBALAMIN) (PYRIDOXINE)
2.6mcg 2mg

Deficiency: increase risk of neural tube Doxylamine + B6 = helpful in N&V in

defects pregnancy
VITAMINS

VITAMIN C VITAMIN
15mcg
D
85mg
Deficiency: disordered skeletal
homeostasis, congenital rickets, fractures
in the newborn
PRAGMATIC NUTRITIONAL
SURVEILLANCE
01 02 03

Advise pregnant to eat Weight gain: 25 to

food in reasonable 35lbs
amount and salted to
taste
Ensure that food is
amply for
socioeconomically
deprived
PRAGMATIC NUTRITIONAL
SURVEILLANCE
04 05 06

Explore food intake to Recheck Hct or Hgb at

discover the occasional 28 to 32 weeks’
nutritional diet gestation

27mg elemental iron

Folate supplement

Iodine supplement