Diet during pregnancy

Importance of nutrition during pregnancy - diet during pregnancy - Garbhasanskar- aahar ,

1. Healthy Mom, Healthy Baby


Nutrition as the Foundation of
Life
Throughout Pregnancy and
Beyond
-Dr Rupali Mahadik

2. Introduction
●
●
●
●
●
●
●

The importance of nutrition in achieving a healthy
pregnancy.

The specific roles of key nutrients that are especially
important during pregnancy.

The various factors that influence a pregnant woman’s
ability to obtain these key nutrients.

The implications of both overeating and under-eating
during pregnancy.

Ayurveda diet - Garbhini Paricharya ,Sutika
Paricharyaand its importance.

The importance of nutrition in post-partum

Diet for Intelligence
-Dr Rupali Mahadik

3. “Healthy Pregnancy”
•
•
One without physical or
psychological pathology in the
mother or fetus and…


Results in the delivery of a
healthy baby.

Position of the American Dietetic Association: Nutrition and lifestyle for a healthy pregnancy outcome. J Am
Diet Assoc 2002;102(10):1479-1490.
-Dr Rupali Mahadik

4. Healthy Baby, Healthy Adult


Fetal Origins of Adult Disease -

Its widely accepted that the risk of a number of chronic diseases in
adulthood such as insulin dependent diabetes mellitus, HTN & Coronary
heart disease may have their origin before birth.

Professor Dr. David Bruker presented research which shows low birth
weight may be linked to disease later in life.

He showed that lower birth weight and weight at one year are associated
with an increased risk of death from CHD and stroke.

It is important to keep the fetus nourished throughout pregnancy

-Dr Rupali Mahadik

5. The theory is that if nutrients are insufficient then they will be diverted
from organ development to more important areas like brain development.
During the time an organ is developing it needs to receive the correct
nutrition or it may never develop properly

FOAD HYPOTHESIS IS AN EYE-OPENER as it suggests that several
common degenerative diseases could be prevented by improving
maternal health nutrition.


-Dr Rupali Mahadik

6. Particulars
Body
weight
kg

Net Energy
Kcal/d

Protein g/d
Visible
Fat g/
day
Calcium
mg/d
Iron
mg/d
Sedentary work
55
1900

55
20
600 21
Moderate work 2230 25
Heavy work 2850 30
Pregnant woman +350 [phone]
Lactation
0-6 months

+600

+19 30
1200 21
6-12 months +520 +13 30
Macronutrients and Minerals
Recommended Dietary Allowances
for Indian Women

-Dr Rupali Mahadik

7. Particulars
Vit. Amg/d

Thia
min
mg/
d
Ribofla
vin
mg/d
Niacin
equival
ent
mg/d

Pyridox
in mg/
d
Ascorb
ic acid
mg/d
Dietar
y
folate
mg/d
Vit.
B
12
mg/
d
Mg
mg/d

Zn mg/
d

Retinol
b-
carotene
Sedentary
work


600 4800
1 1.1 12

2.0 40 200 1
310


10Moderate
work
1.1 1.3 14
Heavy work 1.4 1.7 16
Pregnant
woman
800 6400 +0.2+0.3 +2 2.5 60 5001.2


12
Lactation
0-6 months


950 7600

+0.3+0.4 +4

2.5
80 300 1.5
6-12 months +0.2+0.3 +3 2.5
Vitamins
-Dr Rupali Mahadik

8. What Are Pregnant Women Really Eating?
•
•
•
A prospective study of lower- to middle-income women had
these results:

Foods with poor nutrient density were major contributors
to energy, fat, and carbohydrates – such as biscuits,
muffins, whole milk, french fries, and fried potatoes.

Carbohydrates were mostly refined and low in dietary
fiber, including soft drinks, biscuits, muffins, and white
bread.

Median iron intakes were below recommended levels.
Siega-Ritz AM, Bodnar LM, Savitz DA. What are pregnant women eating? Nutrient
and food group differences by race. Am J Obstet Gynecol 2002;186:480-486.

-Dr Rupali Mahadik

9. Pregnancy Outcomes and Maternal BMI
•
–
–
•
–
–
Low birth weight is primarily related to:
1
Low pre-pregnancy BMI (kg/m
2
)
Low gestational weight gain

These anthropometric factors reflect
inadequate food intake, which may be related
to:
2
Poverty
Cultural ideals of thinness

1. Ehrenberg HM, Dierker L, Milluzzi C, Mercer BM. Low maternal weight, failure to thrive in pregnancy, and
adverse pregnancy outcomes. Am J Obstet Gynecol 2003;198:1726-1730.
2. Moore VM, Davies MJ, Willson KJ, Worsley A, Robinson JS. Dietary composition of pregnant women is related
to size of the baby at birth. J Nutr 2004;134:1820-1826.
-Dr Rupali Mahadik

10. MACRONUTRIENTS

Provide Energy and Building Material
Incorporated into the central nervous system, brain, and
tissues of the fetus. Essential for proper brain growth and
development.
Essential
Fatty Acids
(EFAs)
Provides long-term energy for growth. Should contribute
< 30% of daily calories.
Fat
Provides energy for mother and fetus during pregnancy.Carbohydrate
Main “building block” for the body’s cells. Helps produce
extra maternal blood and energy stores.
Protein
Key Roles in the BodyNutrient
Worthington-Roberts B, Williams SR. Maternal nutrition and the outcome of pregnancy. Nutrition in
Pregnancy and Lactation, 4th ed. College Publishing: St. Louis, Missouri, 1989.
Kline DA. Macronutrient requirements during pregnancy. Today’s Dietitian Jan 2004:20-24.

-Dr Rupali Mahadik

11. VITAMINS

Promote Metabolism & Tissue Integrity
Promotes healthy skin and mucous membranes of the
gastrointestinal, urinary, and respiratory tracts.
Promotes vision and immunity. Assists with bone and
tooth growth.
Vitamin A
Promotes healthy gums, teeth, and bones. Enhances
iron absorption. Acts as an antioxidant.
Vitamin C
Key Roles in the BodyNutrient
Prevents the oxidation of unsaturated fatty acids, which
make up the structure of cell membranes.
Vitamin E
Helps create red blood cells. Needed for amino acid
metabolism, fatty acid metabolism, and protein
synthesis.
Vitamin B
6
Helps create red blood cells. Promotes normal growth
and maintenance of the nervous system.
Vitamin B
12
Needed for the production, repair, and functioning of
DNA. Needed to produce blood. Helps some enzymes
function.
Folic Acid/Folate
-Dr Rupali Mahadik

12. MINERALS
Promote -Structural Tissues &Organ System Development
Key Roles in the BodyNutrient
Helps form organs, skeleton, nerves, and circulatory organs.
Is a component of insulin and several enzymes. Helps
synthesize DNA, RNA, and proteins. Involved in wound
healing.
Zinc
Helps build strong bones and teeth. Helps regulate insulin
and blood sugar levels. Helps maintain acid-base balance.
Magnesium
Helps synthesize red blood cells. Helps prevent maternal
fatigue. Needed by enzymes that make amino acids,
collagen, hormones.
Iron
Helps build strong bones and teeth by promoting adequate
mineralization. Involved in muscle contraction & relaxation,
nerve functioning, blood clotting, blood pressure, and
immunity.
Calcium
-Dr Rupali Mahadik

13. Dietary Quality and Timing:

The First Trimester
•
•
•
–
–
–
–
Both the amount of a nutrient and its timing of intake are
extremely important to fetal development.

The first trimester is a time of rapid cell division, organ
development, and preparation for the demands of rapid fetal
growth that occur later in pregnancy.
Critical nutrients during this phase include:
Protein
Folic acid
Vitamin B
12
Zinc
King JC. Physiology of pregnancy and nutrient metabolism. Am J Clin Nutr 2000;71:
1218S-1215S.

-Dr Rupali Mahadik

14. •
Protein builds muscle, tissue, enzymes, hormones, and antibodies for mother and
baby.
During pregnancy-
0.5 g of protein during first trimester
6.9 g during second trimester
22.7 g during third trimester
Source of Proteins
· Lean Meat
· Eggs
· Nuts
· Dried beans
· Peas

Protein
-Dr Rupali Mahadik

15. ∙
∙
∙
∙
Folate is the natural version of folic acid. Folic acid, taken
throughout the pregnancy, reduces the risk of congenital
malformations and increases the birth weight


Some breakfast cereals are enriched with folic acid but
folate can be also found naturally in the following foods:

Palak
Mix sprouted beans
Broccoli
Oranges


Folate
800 mcg per
day 
Advise : Palak paneer and dal, provides 131 micrograms per 1/2
cup
-Dr Rupali Mahadik

16. Vitamin B6
•
•
•
–
–
–
–
–
Vitamin B6-( Pyridoxine) -Helps create red blood cells. Needed for
amino acid metabolism, fatty acid metabolism, and protein synthesis.
which can help to ease nausea.
Source of B6
Spinach, Red capsicum, broccoli,
potatoes, Soyabeans,
Chickpeas (Cholle),
Rajma, banana,
 Cashews, Pista and peanuts
-Dr Rupali Mahadik

17. Dietary Quality and Timing:
The 2
nd
and 3
rd
Trimesters
•
•
–
–
–
–
–
–
Energy intake is especially important since 90% of
fetal growth occurs during the last half of gestation.

Critical nutrients during this phase include:
Protein
Iron
Calcium
Magnesium
B vitamins
Omega-3 fatty acid, docosahexaenoic acid (DHA)
King JC. Physiology of pregnancy and nutrient metabolism. Am J Clin Nutr 2000;71:
1218S-1215S.

Kline DA. Macronutrient requirements during pregnancy. Today’s Dietitian Jan 2004:20-24.

-Dr Rupali Mahadik

18. ∙
∙
∙
∙
∙
∙

Mother as well as the growing fetus needs iron to meet the high demands of
erythropoiesis (RBC formation)
Too little iron can cause anemia, which makes mother look pale and feel
very tired-fatigue

Source:
Dark leafy vegetables –
Spinach
Jardalu(Dried appricot)
Soyabeans, Mushrooms
Rajma (Red kidney beans)
Chicken
Also include pumpkin, beetroot, Watermelon, grapefruit,
oranges, apples, banana, strawberries

One cup of beans provides 3.9 milligrams,
while 1/2 cup of cooked spinach gives you 3.2 milligrams.
-
Iron
27 milligrams per
day
-Dr Rupali Mahadik

19. ∙
∙
∙
∙
∙
∙

Vitamin C is found in many fruit and vegetables and is important during
pregnancy as it helps to keep mums immune system healthy while
helping baby develop healthy gums and tissues.
It also helps to absorb iron and will help prevent anaemia

Sources:
Strawberries
Melons
Oranges
Tomatoes
Leafy, green vegetables
Cabbage

Vitamin C
-Dr Rupali Mahadik

20. ∙
∙
∙
∙
∙


Pregnant women need around 1000mg of
calcium daily.
Calcium is essential, both during pregnancy and
lactation, for proper formation of bones and teeth
of the offspring, for secretion of breast-milk rich
in calcium and to prevent osteoporosis in the
mother
Good sources:
Milk
Dahi
Dark green, leafy vegetables
Dried beans and peas
Nuts and seeds

Advise:
Glass of milk, Raita in Lunch
Calcium
-Dr Rupali Mahadik

21. Omega 3 fatty acids
•
•
–
–
–
Omega 3 fatty acids, which are important for baby's brain
development.
Source
Walnuts(Akrod)
Fish Oils
Flax seed is called Jawas (जवस) in Marathi


 vitamin K
•
•
–
–
–
–
There are also foods that contain vitamin K, which helps your blood
to clot.
Source of Vitamin K:
Dark Leafy Greens 
Spring Onions
Broccoli
Cabbage 
Vitamin K is an important vitamin for birth.
-Dr Rupali Mahadik

22. ●
●
●
Water plays is crucial during pregnancy.
Not only does it carry vital nutrients from the foods you eat to
your baby, but it also helps prevent you from getting constipation,
excessive swelling, and urinary tract or bladder infections.
Pregnant women should drink at least six 8-ounce glasses,
especially in the third trimester when dehydration
can result in early labour.

Water

23. Energy Needs
During Pregnancy
•
–
–
–
•
•
Extra Energy Needs for Normal Weight Women:
1
First trimester ~ 0 kilocalories
Second trimester ~ 350 kilocalories
Third trimester ~ 500 kilocalories

There is great variability among pregnant women with regard to
energy costs during pregnancy related to differences in body size and
lifestyles.
1
Appropriate weight gain and appetite are better indicators of energy
sufficiency than the amount of kilocalories consumed.
2

1. Butte NF, Wong WW, Treuth MS, Ellis KJ, Smith EO. Energy requirements during pregnancy based on
total energy expenditure and energy deposition. Am J Clin Nutr 2004;79:1078-1087.
2. Position of the American Dietetic Association: Nutrition and lifestyle for a healthy pregnancy outcome.
J Am Diet Assoc 2002;102(10):1479-1490.

-Dr Rupali Mahadik

24. Gestational Weight Gain Patterns
•
•
Only 30 to 40% of women actually
gain weight within the
recommended ranges during
pregnancy.
1
Many women gain much more
weight than is necessary during
pregnancy, which is related to
postpartum weight retention.
2
1. Hickey CA. Sociocultural and behavioral influences on weight gain during pregnancy. Am J Clin
Nutr 2000;71:1364S-1370.
2. Position of the American Dietetic Association: Nutrition and lifestyle for a healthy pregnancy
outcome. J Am Diet Assoc 2002;102(10):1479-1490.

-Dr Rupali Mahadik

25. Conditions
That May Result in Inadequate Nutrient Intake
and Weight Gain During Pregnancy
•
•
•
•
•
•
–
–
•
Nausea and vomiting
Heartburn
Constipation
Food aversions – alcohol, caffeinated beverages,
and meats.
Food avoidances – milk, lean meats, pork, and liver.
Poor pre-pregnancy diet:
Inappropriate dietary patterns
History of frequent dieting, weight cycling, and/or eating
disorders
Excessive physical activity


King JC. Physiology of pregnancy and nutrient metabolism. Am J Clin Nutr 2000;71:1218S-1215S.
Position of the American Dietetic Association: Nutrition and lifestyle for a healthy pregnancy outcome. J Am Diet
Assoc 2002;102(10):1479-1490. -Dr Rupali Mahadik

26. Eating Strategies
•
–
–
–
–
–
Strategies that are recommended to
deal with some of these issues include:
Small, frequent meals and snacks
Adequate fiber intake
Adequate fluid intake
Avoiding an empty stomach
Choosing foods that are well tolerated

-Dr Rupali Mahadik

27. Conditions
That May Result in Excessive Weight Gain
During Pregnancy
•
•
–
–
•
Food cravings – dairy and sweet foods.
1
Psychological influences on eating behavior:
2
Reduced attempts to control food intake
Pregnancy legitimizes eating more
Reductions in physical activity
3
1. King JC. Physiology of pregnancy and nutrient metabolism. Am J Clin Nutr 2000;71:1218S-1215S.
2. Clark M, Ogden J. The impact of pregnancy on eating behaviour and aspects of weight concern. Int J Obes Relat
Metab Disor. 1999;23(1):18-24.
3. Butte NF, Wong WW, Treuth MS, Ellis KJ, Smith EO. Energy requirements during pregnancy based on total energy
expenditure and energy deposition. Am J Clin Nutr 2004;79:1078-1087.

-Dr Rupali Mahadik

28. Life in Balance
•
•
The risk of overweight due to excessive pregnancy weight gain
needs to be balanced against the risk of poor fetal growth
associated with inadequate weight gain.
1

Diet needs to be nutrient dense to supply sufficient nutrients to
the developing fetus, since fetal demands may double some
micronutrient requirements.
2

1. Position of the American Dietetic Association: Nutrition and lifestyle for a healthy pregnancy outcome. J
Am Diet Assoc 2002;102(10):1479-1490.
2. King JC. Physiology of pregnancy and nutrient metabolism. Am J Clin Nutr 2000;71:1218S-1225S
-Dr Rupali Mahadik

29. Garbhini Paricharya

•
I.
II.
Dietetic and certain other regimen advocated in Samhitas for pregnant women
are of great significance.

A Follow up of such regimen starting from first month of pregnancy till the day
of full term delivery,

fully takes care of the health of the mother, the growth and development of the
fetus and facilitates trouble free parturition.
also helps in elimination of major waste products of the body ,the metabolic
changes, gives the relaxness of genital and its surrounding viscera to
accommodate the gradual growth of the fetus and promotes the vigour
throughout the pregnancy.

Importance
-Dr Rupali Mahadik

30. Enlightening the merits Acharya Charak quotes –

‘Evam kurvati hi arogya-bala-varna-samvahana-sampadam upetam
jnatinam shreshtam apatyam janayati’

If a pregnant woman is taken care of as advised, she will give birth to a
child who does not have any diseases – and parents will have -

DESIRED , EXCELLENT, HEALTHY CHILD possessing ALL QUALITIES and
LONG LIFE.

He will be superior to all in the race.


-Dr Rupali Mahadik

31. •
•
•

Paricharya-use of cold and sweet liquid diet and milk
Garbhini- during first trimester most women experience nausea and vomiting thus
cannot take proper diet.
Garbha- during first month Garbha is in Kalal form and so it needs stability,
Garbhaposhan is by only upasnehan nyaya

# Use of Cold and sweet liquid diet and milk will prevent dehydration caused by
vomiting and supply nourishment, besides the drugs of madhura group being anabolic
will help in maintenance of proper health of mother and fetus. Dravyas mentioned in
paricharya are mostly kaphavardhak and kapha is responsible for stability.
Garbhaposhan is by upasnehan nyaya and for this the 'udakkarmana' this karma of
kapha is useful.

First 3 months
-Dr Rupali Mahadik

32. ●
●
●

Paricharya- milk and butter by Charak and Ashtanga sangraha .Sushruta advise meat
soup
Garbhini- Nausea and Vomiting this symptoms get subsided and due to stability of
garbha feeling of heaviness is present in garbhini
Garbha- All body parts, anga pratyanga gets formed in garbha and there is increased
need of nourishment , both milk and butter are helpful for bruhan karma.

# 4th month onwards muscular tissue of fetus grow sufficiently requiring more protein
which is supplied by use of meat -Soup.

4th Month
-Dr Rupali Mahadik

33. •
•
•

Paricharya-the use of balya dravyas and ghruth are mentioned

Garbhini- becomes krush

Garbha-there is increased volume of rakta and mansa in garbha.

# to overcome the needs of fetus as well as mother Acharya has advised balya
dravyas like milk and ghruta.
Ghruta is agnideepak, that will help for kshudha vruddhi and ultimately will
increase intake
5th Month
-Dr Rupali Mahadik

34. •
•
•
•
Paricharya- Sushrut: Gokshur siddha ghruta or yavagu.
Charak & others: Madhura aushad
siddha ghrutha.

Garbhini- most women suffer from edema of feet and the other
complications of water accumulation.
Garbha- by this month there is formation of eyes,nose,
snayu,sira,roma,nails,skin ,hair 
Sushruta has mentioned BUDDHI.

# use of Gokshur a good diuretic will prevent water retention as well as
complications like PIH ,preeclampsia .
Ghruta is ideal for improving intelligence, memory and ingenuity, digestion, long
life and eyesight.

6
th
Month
-Dr Rupali Mahadik

35. •
•
•
•
Paricharya- Ghruta medicated with Pruthakparnyadi group of drugs.

Garbhini- klant lakshan is seen in the same period there is utpatti of kikissa.

Garbha- there is full development of fetus .

# the drugs of Pruthakparnyadi group are diuretic, anabolic, relieve emaciation
and suppress pitta and kapha ,their regular use in 7th month help in maintaining
health of mother as well as fetus.



7
th
Month
-Dr Rupali Mahadik

36. •
•
•
•
Paricharya- yavagu prepared from milk and also mentioned use of anuwasan basti
with Oil prepared with drugs of madhura group and vaginal oil tampoon.
Garbhini- Most women experience constipation in late pregnancy due to pressure of
gravid uterus over the bowels .
Garbha- there is Oja unstability, full development of fetus and weight gain.
Use of Basti in 8th month will relieve constipation, besides this will affect autonomous
nervous system governing myometrium and help in regulating their function during
labour 
Oil Tampoon softens the vaginal passage and destroy pathogenic bacteria so as to
facilitate easy labour and no infection to eyes of coming baby



8th and 9
th
Month

37. An Additional 300 Calories Isn’t Much!
Protein, Carbohydrate, Fat (Omega-3),
Fiber; Vitamins A, C, B
12
, E; Folic acid,
Magnesium
4 ounces salmon, medium
sweet potato, ½ cup
steamed broccoli
Protein, Carbohydrate, Fat, Fiber, Vitamin
B
6
, Vitamin E, Folic acid, Iron, Magnesium,
Zinc
2 slices whole wheat bread,
1 tbsp. peanut butter, ½
banana
Protein, Carbohydrate, Fiber, Vitamins B
6
,
B
12
, C; Folic Acid, Calcium, Iron,
Magnesium, Zinc
1 cup raisin bran, 6 ounces
skim milk, 4 ounces orange
juice
Protein, Carbohydrate, Fat, Fiber; Vitamin
A, Vitamin B
6
, Vitamin E, Folic acid, Iron
Whole wheat pita, ¼ cup
hummus, 12 baby carrots
Protein, Carbohydrate, Fiber, Vitamin B
12
,
Calcium
8 ounces low-fat yogurt
(sweetened), medium apple
Nutrients Provided300 Kcal Meal Equivalents
-Dr Rupali Mahadik

38. Garbhavati-Diet Chart
Timing Diet
5-6 am Ushapan,
Dainik Kriya-Aasan/Pranayam/walk/meditation
Breakfast-7-8 am seasonal fruit-apple,nashpati,chikko,banana,
Amrud
milk,palak soup
dry fruits- munnakka/Anjeer/khajur
Lunch- 11 am-12
noon
chapati,minimum oil-Green Vegetable,moong dal,
green vegetable soup,awala/green dhaniya
chutteny
Eve snacks- 3-4 pm seasonal fruit/ carrot (gajjar)juice/green tea
Dinner - 6pm-7pm roti/chappati ,min oil and spice prepared green
vegetable, salad or gehu ka dalia+ green
vegetable/curd/green vegetable soup

39. Beyond Pregnancy
•
•
•
•
Energy and nutrient needs continue to be elevated postpartum,
particularly in women who choose to breastfeed or who have
had a cesarean section.

The energy required for daily milk production is close to 560
kilocalories.
1

Protein, zinc, and vitamin C promote wound healing.
2

The inherent demands of a newborn are a challenge to the
new mother and her family!
1. Worthington-Roberts B, Williams SR. Lactation and human milk: nutritional considerations. Nutrition in
Pregnancy and Lactation, 4th ed. College Publishing: St. Louis, Missouri, 1989.
2. Baranoski S, Ayello EA. Wound Care Essentials Practice Principles, pp. 157-160. Lippincott Williams & Wilkins:
Philadelphis, PA; 2004.

-Dr Rupali Mahadik

40. •
•
In post natal period vital nutrients are lost from
Sutika ( Dhatukshaya) , she experiences
weakness with low digestive power. It is the
period to replenish the vital elements lost during
pregnancy .

Ancient Acharyas have mentioned special dietary
regimen which helps Sutika to regain her pre-
pregnancy status.

Sutika Paricharya
-Dr Rupali Mahadik

41. Aim
•
•
•
•
To restore the strength

To accelerate the involution process

To improve her immunity

To improve lactation.

-Dr Rupali Mahadik

42. Ahaar for first 3_7 days
Charak Sushruta Vagbhata Kashyapa
Snehapana
(Pipalyadi Dravyas)
Ushna gudodaka
(Pipalyadi Gana
Dravyas)
Snehapana
(Pipalyadi Dravya
with Saindhav)
Or
Ushna gudodaka /
Vatahar Kwath
with
Panchamoola
Mandapa.
Yavagupana
(Pipalyadi Gana
Dravyas)
Sneha or ksheera
Yavagu (
vidargansadhita
dravya)
Yavagu or
Ksheera Yavagu
pana ( pipalyadi or
Vidarigandhadu)
Sneha pan
Sneha Yavagu
(pippali Nagar etc
dravya lavana
rahita) 5-7 days
Peya Shneha yavagu
-Dr Rupali Mahadik

43. 7-11 days
Charak Sushruta Vagbhata Kashyapa
Swasthavritta
palan
Jangala Mansa
Rasa
2. Yava, kola,
kulathayusha
3. Shali Bhojan
1. Yusha pana
(Yava, kola,
kulathyadi
dravya)
2. Laghu
annapan
Yavagupana
(Lavan,Sneha
aushadhi yukta)
-Dr Rupali Mahadik
●
●
Yava - Good source of Fibre, copper, phosphorus, zinc and Vit E
Kola - calcium, phosphorus, Vitamin A & C has tranquilizing effect.

44. After 12 days

Charak SushrutaVagbhata Kashyapa
1. Jangala Mansarasa

2. Jeevaniya, Madhura ,
Bruhaneeya dravy sadhita
annapan
1. Kulatha Yusha

2. Jangala Mansarasa.

3.Ghritha Bharjitashaka,
( Kushmanda,Mulaka,Earvaruka)
4.Snehana, Swedana , Ushna jal
sevan for 1 month
●
●
Kulatha - Good source of iron and manganese also antispasmodic
Earvaruka -Magnesium,potassium,silica, vitamin A, B C. and k

-Dr Rupali Mahadik

45. -Dr Rupali Mahadik

46. ❏
❏
❏
Stress,
Diet,
Toxins
may combine to have a harmful effect on intelligence. A study by
biostatistician Bernie Devlin, Ph.D., of the University of Pittsburgh, suggests that
Genes may have less impact on IQ than previously thought and that the
environment of the womb may account for much more."There is an antenatal
environment, too, that is provided by the mother."

Parents-to-be who want to further their unborn child's mental development
should start by assuring that the antenatal environment is well nourished, low-
stress, drug-free.

INTELLIGENCE
-Dr Rupali Mahadik

47. •
•
•
•
Healthy food-omega 3 fatty acids, folic acid

Stress removal-Emotional development and IQ of the baby can be
disrupted due to the parental stress before birth.

Playing music- baby is 23 weeks old, Soft and mild classic music are
appropriate for the mother as well as unborn baby. This also helps
the baby in the womb to remain calm. This will help build
concentration in a baby staying inside the mother’s womb.

Touching baby from outside-important way of stimulating a baby
and help in its brain development





Ways to develop

baby’s intelligence inside the womb

-Dr Rupali Mahadik

48. The fetal brain goes through several stages of development.
During the first trimester, the nerve cells form, but are not actually
developed as a brain. Impulses begin to fire without pattern or
direction.

Sensory organs and nerves are not developed at this point, so the
fetus does not feel pain.

During this time, it’s especially important to avoid chemicals and
dangerous substances.

 Healthy fats from natural foods and , folic acid  are especially
important since nearly 70% of the new tissues are fat based.

A unique window of opportunity: 5 months' gestation to 5 years of age
-Dr Rupali Mahadik

49. •
•
•
•
Nutritional deficiencies of folate cause neural tube defects
and several other diseases. 
Folate contents of brown rice varied substantially from 13.3
to 111.4 μg/100 g, whereas milled rice varied from 10.3 to
77.7 μg/100 g.
Healthy fats from natural foods are especially important
since nearly 70% of the new tissues are fat based  -
Ayurveda - milk, Butter, ghee , Rice gruel,

-Dr Rupali Mahadik

50. During the second trimester, nerve functions start to synchronize and
differentiate.

The sensory organ begin development, as do the nerves.

Sushruta has mentioned BUDDHI in 20-24 weeks of pregnancy

Acharya has advised balya dravyas like milk and ghruta IN 5
TH
month

Sushrut-Gokshur siddha ghruta or yavagu.
Charak & others: Madhura aushad siddha ghrutha.


Ghruta is ideal for improving intelligence, memory and ingenuity, digestion,
long life and eyesight. Ghruta is agnideepak




-Dr Rupali Mahadik

51. In Summary…
●
●
●
●
●
●
●
Critical nutrients are required in the right amounts at the right
time to achieve a “healthy progeny.”
The majority of women do not gain weight within the
recommended ranges during pregnancy.
Various factors influence eating patterns during pregnancy,
resulting in either inadequate or excessive intake of energy (i.e.,
kilocalories) and certain nutrients.
Studies show that pregnant women eat too many refined
carbohydrates and fat, and too little iron and fiber.
Meals and/or snacks should be healthy (nutrient-dense), tasty,
convenient, and economical.
Balanced Diet with necessary nutrients is a key to Healthy
Progeny.
Emphasize on Ayurveda -Preconception,garbhini paricharya and
Sutika paricharya
-Dr Rupali Mahadik

52. SAHI POSHAN DESH ROSHAN
-Dr Rupali Mahadik