Nutritional supplement for pregnant and lactating women

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1 Nutritional supplement for pregnant and lactating women

2 Nutrition supplement The nutrition provides nutrient for: - the mother s body - the future baby kcal A good well-balanced diet is very important Some nutrients needs increase during pregnancy and lactation Often the usual diet does not cover those needs A nutritional supplement to cover extra nutritional needs of pregnant and lactating mothers In complement to her usual diet for the improvement of their nutritional status

3 kcal Energetic cost of pregnancy Energy is essential for the maintenance of the basal metabolic processes and for physical activity Increase of mother s basal metabolism IN PRACTICE (DRI) 2 nd quarter : ±340 kcal/d 3 rd quarter : ±452 kcal/d kcal kcal Constitution of mother s fat stocks Fetoplacental unit ± kcal/d 2 glasses of LADYMIL (480 ml) bring 378 kcal STD in Iran: kcal/100g => kcal/d

4 Proteins needs PREGNANCY Fetus growth Placental growth Increase of maternal blood mass Synthesis of amniotic fluid Building-up of stocks to be used during delivery & lactation LACTATION Milk production Maternal homeostasis

5 Proteins intake It is involved in tissue growth and repair PREGNANCY Adulte Pregnant Supplement DRI g/kg/d 1.1 g/kg/d g/kg/d A pregnant woman of 68 kg should receive additional protein supplement from 10.2 to 20.4 g per day. LACTATION Adulte Lactating Supplement DRI g/kg/d 1.3 g/kg/d g/kg/d A lactating woman of 60 kg should receive additional protein supplement from 22.4 to 32 g per day. Two glasses of LADYMIL bring 21 g of proteins covering the additional needs of pregnant and lactating woman STD Iran: g/100g LADYMIL: 23g/100g

6 mg per day Essential & semi-essential amino acids needs DRI pregnancy DRI lactation 1 glass of LADYMIL DRI grossesse DRI Lactation 1 verre de LADYMIL LADYMIL brings high biological value proteins covering the needs of pregnant and lactating woman in essential amino acids

7 Lipids needs Lipids provide Energy & Essential fatty acid Linoleic acid (ω6) Membranes flexibility Precursor of AA => allergic reactions mediation Some ω6 can be found in usual food but sometimes not in sufficient quantity for the mother Indispensible to the fetus and the mother But cannot be synthetized by the human body. It has to be brought by the diet. Beneficial for the vision Precursor of DHA Precursor of EPA Some ω3 can be found in usual food but sometimes not in sufficient quantity for the mother α-linolenic acid (ω3) Those essential fatty acids need to be supplemented to the usual diet in order to achieve an ideal status of the baby and mother

8 Lipids and essential fatty acids intake 20% 25% 35% Lipids in LADYMIL contribute to 25% of total energy intake as recommended by the DRI. Min DRI LADYMIL Max DRI STD Iran: 25 30% TE DRI (g/d) Adult Pregnant Lactating 2 glasses of LADYMIL Linoleic acid (ω6) g α-linolenic acid (ω3) g

9 Carbohydrates LACTOSE MALTODEXTRIN Excellent source of energy Promotes absorption of Calcium Easily digested Quick source of energy INULINE SUCROSE Dietary fiber promoting intestinal transit Promotes the growth of healthy intestinal bacteria => promotes absorption of the Ca Formula is more palatable (pregnant women can have their taste modified during pregnancy)

10 Calcium needs Fetus accumulates around 200 mg Ca per day during the 3 rd quarter of pregnancy mg Ca per day are secreted in breast milk during lactation The total DRI of calcium during pregnancy and lactation are not higher than those of a non pregnant or non lactating woman : 800 to 1300 mg/day BUT Many women do not usually consume this daily recommended amount of Calcium. => Dietary supplementation during pregnancy and lactation is useful. 2 glasses of LADYMIL bring 1080 mg of Calcium STD Iran for Ca: mg/100g / LADYMIL: 1200 mg/100g

11 Iron needs Pregnant women are notably sensible to iron deficiency because the expansion of: -maternal red cell mass -maternal blood loss -fetoplacental unit Estimation of iron losses during pregnancy (Hecberg et. al., 2000) Loss of 1015 mg Iron

12 Iron needs Iron dietary supplementation is particularly important for: Pregnant teenagers Women with multiple pregnancies Women with abundant menorrhagia Women living in precarity Iron deficiency can have serious consequences for the mother and the baby Recommendations Adult woman Pregnant woman DRI USA 18 mg Iron / day 27 mg Iron / day ANC - France 16 mg Iron / day mg Iron / day 2 glasses of LADYMIL bring 23 mg of iron covering mostly the nutritional needs of pregnant women. STD Iran for Iron: mg/100g / LADYMIL: 26 mg/100g

13 Iodine needs During intra-uterin and neonatal period, the brain is exposed to iodine deficiency. WHY? The brain is developing quickly and needs thyroid hormones IODINE DAILY REQUIREMENTS IODINE CONTENT IN SOMME FOODS 220 mcg /d Sea fish Cow s milk Cereals 40 mcg/100g 15 mcg/100g 5 mcg/100g 290 mcg /d 2 glasses of LADYMIL bring 198 mcg of iodine, covering mostly the needs of pregnant and lactating women in complement to the regular diet STD Iran: µg/100g / LADYMIL: 220 µg/100g

14 Zinc needs Zinc is involved in more than 70 enzymatic reactions. There is no growth or cellular development without a proper zinc intake Zinc DRI recommendations Diet rich in animal products ZINC CONTENT IN USUAL FOODS Diet poor in animal products MEAT FISH 11 mg/d 15 mg/d 16 mg/d 23 mg/d 2-5 mg/100g 1-2 mg/100g

15 Zinc needs LADYMIL contains 12 mg Zn/100g. Two glasses/day bring the ideal dietary zinc complement. Zinc ANC recommendations Diet rich in animal products Diet poor in animal products 2 glasses of LADYMIL 11 mg/d 15 mg/d 16 mg/d 23 mg/d 11 mg/d STD Iran: mg/100g / LADYMIL: 12 mg/100g

16 Vitamins needs Vitamins needs are all increased during pregnancy. Additional needs in certain vitamins, such as vitamin A, C and B group, can be covered by a diversified diet. Contrariwise, needs in folic acid (B9) can be a problem as many women are deficient since the very beginning of the pregnancy.

17 Adult woman Pregnant woman Folic acid needs Folic acid is synthesized by plants, no endogenous synthesis => must be brought by the diet Recommended intake Additional needs to satisfy: Maternal tissue expansion (blood, uterus, ) Fetus growth and constitution of stocks Increase of folate metabolism linked to metabolic modifications during pregnancy mcg folate/day mcg folate/day STD Iran: µg/100g / LADYMIL: 550µg/100g 1 glass of LADYMIL brings 248 mcg of folate

18 Vitamin D needs Main roles of vitamin D Stimulates (re)absorption of Ca and P in the intestin and kidney Contribute to the homeostasis maintenance and proper bone mineralization Impact on metabolism and activity of immune system cells Low sun exposure Pregnancy during winter or beginning of spring Deficiency in endogenous vitamin D synthesis Vitamin D deficiency at the end of pregnancy French ANC recommendations Adult woman Pregnant woman Lactating woman 2 glasses LADYMIL 200 IU/day 400 IU/day 400 IU/day 324 IU = 81% of ANC STD Iran: IU/100g / LADYMIL: 360 IU/100g

19 How to prepare LADYMIL Easy to prepare Pour 10 level scoopfuls into 200 ml of cold or warm water to prepare one glass of approximately 240 ml of LADYMIL Recommended intake Pregnancy : 1-2 glasses per day since the first quarter Lactation: 1-2 glasses per day

20 Summary Specific energetic content covering the additional needs of pregnant and lactating women High biological value proteins covering the needs of pregnant and lactating women in essential and semi-essential amino acids Source of the essential fatty acid ω6 & ω3 for an optimal fetus development Enriched with dietary natural fiber to promote healthy gut microflora, improve transit time and limit constipation problems Brings 12 minerals & 13 vitamins covering the additional needs of pregnant and lactating women and avoiding deficiencies High quality formulation made with fresh ingredients and easy to reconstitute Different flavors: vanilla, chocolate and strawberry

21 Thank you for your attention

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