DEAR DR. BLONZ: My husband and I will be trying to start a family next year. We are both in good health, with no chronic ailments or genetic issues. My diet is fine, but not ideal. I have managed to control my sweet tooth, but I admit I periodically have to rely on fast food at work. Which vitamins and minerals play the biggest role in the baby's development? -- A.P., Atlanta
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DEAR A.P.: A developing fetus relies on its mother to have all the needed nutrients in her blood for its use as directed by its unique set of genetic instructions. Each nutrient required to construct and operate its biological systems will be called upon at the proper time.
Here are a few tips on nutritional needs during pregnancy, and a cautionary note.
Following conception, one of the first elements to develop is the nervous system, which communicates vital directions and feedback. This development can occur before a woman even knows she's pregnant. Folic acid plays a key role and must be present at sufficient levels during the first few weeks after conception.
Spina bifida, a congenital disorder in which one or more of the vertebrae of the spinal column fail to develop correctly, is a result of a folate deficiency during the first few weeks of pregnancy. The U.S. Public Health Service therefore recommends that all women of childbearing age should consume at least 400 micrograms of folic acid daily, and increase to 600 mcg during pregnancy.
Iron is needed as the fetal blood supply develops. Sufficient iron stores should be present in the mom-to-be to cover the first months of the baby's life, during which its primary food source is often iron-poor breast milk. The RDA for iron rises to 27 mg during pregnancy.
Calcium and vitamin D are critical for bone development. Calcium absorption doubles during pregnancy, and vitamin D is needed for calcium absorption and utilization. The RDA for calcium is 1,200 milligrams, and the RDA for vitamin D is 10 micrograms.
Another key is water. Recommendations are to drink 8 to 12 glasses of water and other fluids daily during pregnancy. Throughout pregnancy, a woman's blood volume increases by 50 percent. Water is also the base of the amniotic fluid in which the fetus lives and develops.
Your health professional should have informational resources. For more information on eating right during pregnancy, see b.link/7a5l36ef. Food safety for mothers-to-be is also important, so check out this FDA article at b.link/ygb3qlm.
Finally, alcohol consumption is another concern. The developing fetus does not yet have a liver to break down alcohol, and its presence can lead to serious developmental problems. The best advice is that there is no safe time during pregnancy to consume alcohol. (Check out this article from the Centers for Disease Control and Prevention at b.link/u4zdve8.)
Wishing you the best as you move toward the family way.
Send questions to: "On Nutrition," Ed Blonz, c/o Andrews McMeel Syndication, 1130 Walnut St., Kansas City, MO 64106. Send email inquiries to questions@blonz.com. Due to the volume of mail, personal replies cannot be provided.