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Role of Nutrition in the First Trimester of Pregnancy

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When it comes to pregnancy, every household has different traditions that they follow or advice to make sure that the mother and child are both happy and healthy. Everyone wants the best for them, but sometimes all these advices can get a little overwhelming for the mother. She may be confused what to do and when to do them. She has to make changes in her lifestyle all while major changes are happening in her body as well.

What are these changes that occur in a pregnant mother?

Well, they are known as physiological changes which means changes that happen in her organ systems. Let’s find out what they are!

There are many organ systems in our body dies like cardiovascular, respiratory, alimentary, renal, urinary or gastrointestinal system. All of these systems are affected one way or the other by the Endocrine system.

The Endocrine System also known as the hormone system is responsible for the hormones like Progesterone, Oestrogen, and Thyroid Hormones among many. These hormones are particularly high during the first trimester and for a very good reason.

Progesterone is an important hormone that prepares your uterus for the egg to implant properly. It is also however responsible for the mood swings that come with pregnancy. Progesterone also acts as a muscle relaxant to prevent you from contractions and onset of early labour. However, progesterone with its muscle relaxant is also responsible for slowing down digestion in turn causing constipation.

Speaking of gastrointestinal changes, another symptom that occurs is gastroesophageal reflux (GERD). This happens because of the increased pressure of the growing fetus. Along with GERD, nausea and vomiting, commonly known as “morning sickness” also begin. The cause for this unknown but it correlates with the increase in the level s of progesterone, and another hormone known as human chorionic gonadotropin (hCG) which is responsible for the growth of the baby throughout pregnancy. To tackle the morning sickness, Click here.

Oestrogen maintains the lining of the uterus which is vital for the baby’s development. It is also known to increase blood flow which can have both pleasant and un-pleasant reactions. The increased blood flow is maybe what gives pregnant mothers the “pregnant glow” but it also makes the breast tender with ache.

As the blood flow is increasing due to progesterone, the blood vessels are dilating which causes blood pressure to decrease. In response to this, the cardiac output increases up to 20%. Meanwhile, sodium and water retention also occur causing swelling or oedema which in turn causes the total blood volume to increase.

If a mother already suffers uncontrolled high blood pressure, she is likely to suffer from a pregnancy complication called pre-eclampsia which also causes oedema thus masking the real issue. Close monitoring in such a case and detection of protein in the urine can distinguish the condition better and earlier to prevent any harm to the baby or the mother.

Thyroid Hormone like T3 and T4 also slightly increase in the first trimester of pregnancy along with Thyroxine- binding globulin (TBG) due to rise in oestrogen. This increase help support the neurodevelopment and bone development of the baby.

These are a gist of changes that occur in a pregnant mother’s body during the first trimester of pregnancy. And all of these changes have one and only one goal - support and maintain the growth and development of the foetus. And these first 3 months are as crucial for the mother as they are for the baby.

Now that we understand what changes occur in the mother’s body, what happens to the foetus’s growth?

 
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Ms. Vibha Hasija
Contributor
MSc (Foods, Nutrition and Dietetics);
P.G. Diploma in Dietetics and Applied Nutrition;
Registered Dietitian

 

A strong believer in the power of preventive and therapeutic nutrition, the role of holistic healing and the integration of Body, Mind and the Soul, Ms. Vibha Hasija is an academician (Department of Foods, Nutrition and Dietetics, College of Home Science, Nirmala Niketan, University of Mumbai) since 23 years. An expert in Clinical Nutrition and Dietetics and Nutritional Meal Planning, she is known for her powerful and highly effective teaching techniques in the field of Nutrition and Dietetics. She believes firmly in that – All changes happen first in the mind and this has been the guiding principle in her life as well as in applications in the field of Nutrition. Vibha has worked with her mentees in researching and creating Nutrition Communication Solutions and Educational Aids in the field of Clinical Nutrition which has won multiple awards including a National Award for Excellence in Innovation in Clinical Nutrition. She is a resource person for academic nutritional events and for talks on Health and Well Being. Associated with the Registered Dietitian Board of the Indian Dietetic Association as well as part of the executive committee of the Indian Association of Parenteral and Enteral Nutrition (Mumbai Chapter), she drives various nutrition education initiatives. An ardent poet and a prolific writer, she works to create a Health Mindset and make good health, good nutrition and lifestyle a human value. Through her Blog – Nutrition with Vibha, she is involved in making a positive difference to the nutritional and lifestyle choices of the community. With her mind on the multifaceted and multidisciplinary aspects of health and life, she brings her unique ideas to create a wave of Holistic Dietetic Choices. Through her unmistakable communication style of words and verses blended with evidence-based research, practicality and spiritual wisdom she dedicates herself to bettering the health of our Nation

Dr. Anuradha Mitra
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Dr. Anuradha Mitra (Head of the Department of Foods, Nutrition and Dietetics, College of Home Science, Nirmala Niketan) holds more than three decades of experience in the field of Foods, Nutrition and Dietetics both as an academician as well as in the field of Community Nutrition. She has been the Chairperson of the Adhoc Board of Studies of Home Science and the Research Recognition Committee of the University of Mumbai and is highly appreciated as a wonderful and wise teacher who opens up minds to the varied aspects of Nutrition and builds up a desire in her students to better the community with their contributions at the grassroot level especially to the vulnerable and marginalized. Her pioneering work in the field of Adolescent Nutrition as part of her Doctoral Thesis, wherein she has made a detailed study of over 2000 adolescent girls in Mumbai has won the Mumbai University Gold Medal for exemplary research in ‘Avishkar’, the Inter-university Research Fest.

Her special passion and forte lies in Product development; creative recipes that are a blend of the delicious, and the nourishing… Her unique recipe conceptions, adaptations and innovations have made her a sought-out expert by various top brands like Kelloggs, Tata’s Heinz and so on as well as by Government Organisations like Integrated Child Development Services (ICDS) for the underprivileged. Along with being a resource person for academic events she has presented papers both at national and international level, and judged a number of Recipe competitions.

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