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Pregnancy Week by Week : Week 28 (part 3) - ABO Incompatibility

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5. Your Nutrition

New intake guidelines have been released for vitamin D. A person should take in about 600IU each day of the vitamin. Super-high levels, such as 2000IU/day, are not recommended.

You can get your vitamin D from various food sources, including milk, eggs, beef liver and some fish, or by supplementation, such as vitamin-D fortified cereals. The FDA has also approved a program to allow most cheeses to be fortified with up to 20% of the daily allotment for the vitamin. Other foods are also fortified with vitamin D, such as some orange juice, yogurt and margarine. Be sure to get enough vitamin D during pregnancy—it’s good for baby’s bones.

What Kinds of Foods Should You Eat?

You may be wondering what kinds of foods to eat and what to delete from your diet during this stage of your pregnancy. Look at the chart below for some guidance.

Foods to Eat

Servings per Day

 

 

Dark green or dark yellow fruits and vegetables 1
Fruits and vegetables with vitamin C (tomatoes, citrus) 2
Other fruits and vegetables 2
Whole-grain breads and cereals 4
Dairy products, including milk 4
Protein sources (meat, poultry, eggs, fish) 2
Dried beans and peas, seeds and nuts 2

Foods to Eat in Moderation

 

Caffeine 200mg
Fat limited amounts
Sugar limited amounts

Foods to Avoid

 

Anything containing alcohol  
Food additives, when possible

6. You Should Also Know

Nutrisystem and Jenny Craig Meal Plans

Many women have lost weight following eating plans that provide the consumer with prepackaged foods and meals. Two of the most popular are Nutrisystem and Jenny Craig. Pregnant women want to know if they can continue to eat these foods and follow the meal plans during pregnancy.

Taking vitamin D may help relieve seasonal affective disorder (SAD), which can make you feel anxious, tired and sad during the winter months. Ask your healthcare provider about taking vitamin D during pregnancy.

Both of these programs recommend a pregnant woman not follow their food plans because calories are too restricted. The plans do not supply enough calories for you to stay healthy and for your baby to grow and to develop during your pregnancy.

After baby’s birth, if you breastfeed, you need a healthful, higher-calorie diet than these plans offer because it takes extra, nutritious calories to make breast milk. If you decide not to breastfeed or when you’re finished breastfeeding, one of these plans may help you lose unwanted pounds.


Third-Trimester Tests

In your third trimester, you may undergo various tests to determine how you and baby are doing as labor and delivery get nearer. Below is a list of some of the common assessment tests a healthcare provider may order. Included is the week where an in-depth discussion appears for each of these tests:

• group-B streptococcus (GBS) infection test

• ultrasound in the third trimester

• home uterine monitoring

• kick count

• Bishop score

• nonstress test

• contraction-stress test

• the biophysical profile

Twenty-eight weeks of gestation is a time when many healthcare providers initiate or repeat certain blood tests or procedures. Testing for gestational diabetes may be done at this time.

ABO Incompatibility

Blood groups are designated as types A, B, AB and O. They are sometimes called the major blood groups. Blood tests are performed at the beginning of pregnancy to determine ABO type and screen for the presence of antibodies (antibody screen).

ABO incompatibility is a type of blood-group difference, similar to Rh incompatibility. ABO incompatibility can cause a disease in a newborn that destroys baby’s blood cells (hemolytic disease). Type A-and-B incompatibility is the most common cause of the problem in a newborn.

The situation occurs when the mother has type O blood and her partner has type A, B or AB blood, and together they conceive a baby with type A or B blood. The mother can produce antibodies that destroy the baby’s blood cells. An affected baby may have jaundice or anemia when it is born; these can both be easily treated in nearly all cases.

If you are Rh-negative, you will probably receive an injection of RhoGAM at this point in pregnancy. This injection keeps you from becoming sensitized if baby’s blood mixes with yours. RhoGAM protects you until delivery.

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