How would you advise my 18-week pregnant wife to begin preparing for a healthy natural birth?

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My wife is pregnant for fist time, now she has 18 weeks pregnancy. I want her to have a natural birth.please would you advise her how to have a good preparing and maintaining her healthy. English or Thai language answers is ok. thanks.

Dear Sir,

It is my honor to answer this question. Please follow these instructions for preparing and maintaining good pre-pregnancy health.

When choosing your foods, look for healthy alternatives, choose your calories with care, and select quality over quantity. The recommended daily dietary intake is 2,400 kilocalories and 75 grams of protein.

Prenatal vitamin requirements:

Vitamin A 1,000 RE
Vitamin D 12.5 ug
Vitamin C 80 mg
Niacin 16 mg
Riboflavin 1.6 mg
Thiamin 1.5 mg
Vitamin E 12 mg
Vitamin B6 2.6 mg
Vitamin B12 4 ug
Calcium 1,200 mg
Phosphorus 1,200 mg
Iodine 175 ug
Iron at least 60 mg (In case of anemia need 200 mg/day)
Magnesium 500 mg
Zinc 20 mg
Folic acid 4 mg

If the iron requirement cannot be met by ordinary diet, supplementation is recommended.

These recommendations are vital for cell growth, and preventing fetal anomalies and miscarriage. For the woman whose weight is normal before pregnancy, gaining of 20 to 27 pounds appears to be associated with the most favorable outcome of pregnancy. In most pregnant woman this result may be achieved by eating a diet adequate in calories, protein, essential fatty acids, minerals and vitamins.

As your growing abdomen will affect your sense of balance, you should avoid walking on slopes. Also avoid risky moves such as bending over backward or other physical contortions that involve deep flexion or extension of joints, jumping, bouncing, sudden changes in direction or jerky motions.

Exercise is one of the important things to do during your pregnancy. Exercise the right way everyday and watch the clock — perform at least 30 minutes each day as too little exercise will not be effective. On the other hand, too much exercise can be debilitating. Discuss any exercise with your physician prior to beginning your exercise plan.

Last but not least, congratulations on being a daddy!!

Yaowaluk Rapeepattana, M.D.
Obstetrician and Gynaecologist
Samitivej Sukhumvit Hospital

Expecting Expats is the online resource for parents in and around Thailand.

We provide lifestyle and medical content to our visitors, with new content posted daily. Our lifestyle contributors are themselves expat moms who share their experiences and lessons learned through blog articles. We also provide medical content from our partner doctors at Samitivej Hospital in Bangkok, Thailand. Articles of interest span from before pregnancy through the toddler years and cover medical, behavioral and cognitive issues.

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