Marion McPhillips <strong>Infant</strong> Feeding Adviser, NHS Glasgow & Clyde(representing Scottish <strong>Infant</strong> Feeding Advisers Network)Judy Ormond Children’s Services Strategy Officer, WestDunbartonshire CouncilBarbara PurdieCommunity Development Worker, National ChildbirthTrustHelen RyallProgramme Manager <strong>for</strong> <strong>Maternal</strong> & <strong>Infant</strong> Health, NHSHealth Scotl<strong>and</strong>Natalie SmartNina TorbettCommunications Manager, NHS Health Scotl<strong>and</strong>Health Promotion Development Manager, Scottish Centre<strong>for</strong> Healthy Working LivesResearch, monitoring <strong>and</strong> evaluation sub-groupDr Julie Armstrong (Chair) Senior Lecturer in Public Health <strong>Nutrition</strong>, GlasgowCaledonian UniversityEden AndersonLa Leche LeagueRuth Astbury<strong>Infant</strong> Feeding Adviser, NHS Forth Valley (representingScottish <strong>Infant</strong> Feeding Advisers Network)Ruth Campbell<strong>Infant</strong> <strong>Nutrition</strong> Co-ordinator, Child & <strong>Maternal</strong> HealthDivision, Scottish GovernmentLouise Flanagan Public Health In<strong>for</strong>mation Manager, NHS Health Scotl<strong>and</strong>Dr Diana FlynnConsultant Paediatrician, NHS Glasgow & ClydeGavin MacCollAnalytical Services Division, Scottish GovernmentAnne MilneDiet & <strong>Nutrition</strong> Advisor, Food St<strong>and</strong>ards AgencyScotl<strong>and</strong>Alastair PhilpIn<strong>for</strong>mation Services Division, NHS National ServicesScotl<strong>and</strong>Judith TaitIn<strong>for</strong>mation Services Division, NHS National ServicesScotl<strong>and</strong>Joyce Thompson Dietetic Consultant in Public Health <strong>Nutrition</strong>, NHSTayside (representing NHS Public Health <strong>Nutrition</strong>Group)Dr Kate Woodman Public Health Adviser, NHS Health Scotl<strong>and</strong>
Appendix 3: Healthy eating advice <strong>for</strong> women prior to <strong>and</strong> during pregnancy<strong>and</strong> while breastfeedingWomen are advised to comply with general healthy eating advice be<strong>for</strong>e <strong>and</strong> duringpregnancy <strong>and</strong> while breastfeeding. In addition to eating a balanced diet there arespecific recommendations on vitamin supplements during these periods. The FoodSt<strong>and</strong>ards Agency Eat Well website provides advice on healthy eating <strong>and</strong> vitaminsupplementation <strong>for</strong> women who are planning a pregnancy, those who are pregnant<strong>and</strong> those who are breastfeeding www.eatwell.gov.ukDuring each of these periods women are advised to eat a variety of foods including:• plenty of fruit <strong>and</strong> vegetables (fresh, frozen, tinned, dried or a glass of juice);aiming <strong>for</strong> five portions a day• plenty of starchy foods such as bread, pasta, rice <strong>and</strong> potatoes; choosingwholegrain options• protein such as lean meat <strong>and</strong> chicken, fish, eggs <strong>and</strong> pulses (peas, beans<strong>and</strong> lentils)• at least two portions of fish each week including one of oily fish. No morethan two portions of oily fish each week, this includes fresh tuna, mackerel,sardines <strong>and</strong> trout• dairy foods such as milk, cheese <strong>and</strong> yogurt, which all provide calcium• small amounts of foods <strong>and</strong> drinks high in fat <strong>and</strong>/or sugar.In addition to the advice above, prior to pregnancy women are advised to:• increase their intake of foods rich in folate <strong>and</strong> to take a supplementcontaining 400 micrograms of folic acid each day, <strong>for</strong> at least three monthsprior to conception or from the time that contraception is stopped until the 12 thweek of pregnancy. Women who have (or their partner has) a neural tubedefect, those who have previously had a baby with a neural tube defect, thosewho have diabetes, epilepsy or coeliac disease are advised to take asupplement containing five milligrams of folic acid each day.• Avoid taking dietary supplements containing vitamin A or fish liver oils• limit their intake of tuna, <strong>and</strong> avoid shark, marlin <strong>and</strong> swordfish• avoid alcohol, but if they choose to have a drink, they should not drink morethan one to two units of alcohol once or twice a week <strong>and</strong> should not getdrunk.In addition to advice be<strong>for</strong>e pregnancy, during pregnancy women are advised to:• increase their intake of foods rich in folate <strong>and</strong> to take a supplementcontaining 400 micrograms of folic acid each day until the 12 th week ofpregnancy. Women who have (or their partner has) a neural tube defect,those who have previously had a baby with a neural tube defect, those whohave diabetes, epilepsy or coeliac disease, or a BMI above 30 are advised totake a supplement containing five milligrams of folic acid each day.• take a daily supplement containing ten micrograms of vitamin D throughoutpregnancy.
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• Indicators for Outcomes 6.9•
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Executive SummaryImproving the nutr
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IntroductionIn order to change infa
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important for the scope to go beyon
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1.6 In 2003, the Royal College of P
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1.17 The Healthy Start Scheme was i
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Chapter 2: Why is Maternal and Infa
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Birth Weight and Health2.10 A mothe
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her wider community. The factors ar
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2.31 Infant formula is manufactured
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Summary2.48 The diet and nutritiona
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Birth weight of infants born in Sco
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Breastfeeding at Birth3.23 Informat
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Figure 5: Breastfeeding at the 6-8
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3. Water should be added to the bot
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