By Helen Baston; Jennifer Hall
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Additional resources for Antenatal
Vitamin D It is recommended that women take vitamin D supplement of 10 μg of vitamin D each day during pregnancy (Rothman et al 1995, NICE 2008). Vitamin D helps regulate the amount of calcium and phosphate in the body, which are required for the formation of bones and teeth (Food Standards Agency 2008a). 42 Swordﬁsh, marlin and shark These ﬁsh should not be eaten due to their high methylmercury content, which could aﬀect the nervous system of the developing fetus (Food Standards Agency 2008a).
A study (Kesmodel et al 2002) found an increasing risk of stillbirth with increasing moderate alcohol consumption. Smoking Both professionals and members of the public are well aware that smoking is hazardous to extra-uterine and intra-uterine health (Tobacco Information Campaign 2002). However, despite this knowledge, many pregnant women and their partners continue to smoke. They need support to give up and there are many local initiatives designed to provide advice and encouragement. Access to services depends on the midwife identifying the need for support and using her interpersonal skills to discuss the topic in a non-judgmental manner.
Leighton BL, Halpern SH: The eﬀects of epidural analgesia on labor, maternal and neonatal outcomes: a systematic review, American Journal of Obstetrics and Gynaecology 186(5):S69–S77, 2002. Lewis G, editor: Conﬁdential enquiry into maternal and child health. Improving the health of mothers, babies and children. Why mothers die 2000–2002. Midwifery summary and key recommendations, London, 2004, RCOG. Lewis G, editor: Conﬁdential enquiry into maternal and child health (CEMACH). Saving mothers’ lives: reviewing maternal deaths to make motherhood safer – 2003–2005.
Antenatal by Helen Baston; Jennifer Hall