nach oben

Erschienen in:

2016 | OriginalPaper | Buchkapitel

13. Lebensführung und Ernährung in der Schwangerschaft

verfasst von : Clemens Tempfer, Elisabeth Krampl-Bettelheim

Verlag: Springer Berlin Heidelberg

Einloggen, um Zugang zu erhalten

Zusammenfassung

Eine evidenzbasierte Beratung über den Lebensstil in der Schwangerschaft ist nur teilweise möglich. Von erwiesenem Vorteil sind eine kontinuierliche medizinische Basisbetreuung, regelmäßige körperliche Aktivität, Nikotinabstinenz und eine gesunde Ernährung. Eine ausgewogene und gezielte Ernährung kann sowohl zum Wohlbefinden der werdenden Mutter als auch zur Gesundheit des Kindes beitragen. Eine fundierte Information der Schwangeren ist daher ein wichtiger Teil der Schwangerenbetreuung.

Vorheriges Kapitel Schwangerschaftsvorsorge

Nächstes Kapitel Antepartuale Überwachung

AAP/ACOG (2007) Guidelines for perinatal care. AAP/ACOG, Washington, DC

Antonangeli L, Maccherini D, Cavaliere R, Di Giulio C, Reinhardt B, Pinchera A, Aghini-Lombardi F (2002) Comparison of two different doses of iodide in the prevention of gestational goiter in marginal iodine deficiency: a longitudinal study. Eur J Endocrinol 147(1):29–34CrossRefPubMed

Asbee SM, Jenkins TR et al (2009) Preventing excessive weight gain during pregnancy through dietary and lifestyle counseling: a randomized controlled trial. Obstet Gynecol 113(2 Pt 1):305–312CrossRefPubMed

Barakat R, Ruiz JR et al (2009c) Type of delivery is not affected by light resistance and toning exercise training during pregnancy: a randomized controlled trial. Am J Obstet Gynecol 201:590.e1-6CrossRefPubMed

Berghella V, Klebanoff M et al (2002) Sexual intercourse association with asymptomatic bacterial vaginosis and Trichomonas vaginalis treatment in relationship to preterm birth. Am J Obstet Gynecol 187(5):1277–1282CrossRefPubMed

Betsi GI, Papadavid E, Falagas ME (2008) Probiotics for the treatment or prevention of atopic dermatitis: a review of the evidence from randomized controlled trials. Am J Clin Dermatol 9(2):93–103CrossRefPubMed

CARE (2008) Maternal caffeine intake during pregnancy and risk of fetal growth restriction: a large prospective observational study. Br Med J 337:a2332CrossRef

CDC (2009) Alcohol use among pregnant and nonpregnant women of childbearing age – Unites States 1991–2005. MMWR Morb Mortal Wkly Rep 58(19):529–532

Clapp JF 3rd (2008) Long-term outcome after exercising throughout pregnancy: fitness and cardiovascular risk. Am J Obstet Gynecol 199(5):489 e1-6CrossRefPubMed

Clapp JF 3rd, Simonian S et al (1998) The one-year morphometric and neurodevelopmental outcome of the offspring of women who continued to exercise regularly throughout pregnancy. Am J Obstet Gynecol 178(3):594–599CrossRefPubMed

Clapp JF 3rd, Lopez B et al (1999) Neonatal behavioral profile of the offspring of women who continued to exercise regularly throughout pregnancy. Am J Obstet Gynecol 180(1 Pt 1):91–94CrossRefPubMed

Cnattingius S, Signorello LB et al (2000) Caffeine intake and the risk of first-trimester spontaneous abortion. N Engl J Med 343(25):1839–1845CrossRefPubMed

Crowther CA, Crosby DD, Henderson-Smart DJ (2010) Vitamin K prior to preterm birth for preventing neonatal periventricular haemorrhage. Cochrane Database Syst Rev 1, CD000229PubMed

Czeizel AE (1996) Reduction of urinary tract and cardiovascular defects by periconceptional multivitamin supplementation. Am J Med Genet 62(2):179–183CrossRefPubMed

Czeizel AE, Dudás I (1992) Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. N Engl J Med 327(26):1832–1835CrossRefPubMed

De-Regil LM, Fernández-Gaxiola AC, Dowswell T, Peña-Rosas JP (2010) Effects and safety of periconceptional folate supplementation for preventing birth defects. Cochrane Database Syst Rev 6(10), CD007950

De-Regil LM, Palacios C, Ansary A, Kulier R, Peña-Rosas JP (2012) Vitamin D supplementation for women during pregnancy. Cochrane Database Syst Rev 2, CD008873. doi:10.1002/14651858.CD008873.pub2PubMedPubMedCentral

Ericson A, Källén B, Aberg A (2001) Use of multivitamins and folic acid in early pregnancy and multiple births in Sweden. Twin Res 4(2):63–66CrossRefPubMed

Genzel-Boroviczeny O, Hachmeister A, von Kries R (1997) Unverändertes Risiko für Neuralrohrdefekte. Kinderarztl Prax 1:6–9

Glinoer D, De Nayer P, Delange F, Lemone M, Toppet V, Spehl M, Grün JP, Kinthaert J, Lejeune B (1995) A randomized trial for the treatment of mild iodine deficiency during pregnancy: maternal and neonatal effects. J Clin Endocrinol Metab 80(1):258–269PubMed

Godfrey K, Robinson S, Barker DJ, Osmond C, Cox V (1996) Maternal nutrition in early and late pregnancy in relation to placental and fetal growth. Br Med J 312:410–414CrossRef

Griggio MA, Luz J, Gorgulho AA, Sucasas CM (1997) The influence of food restriction during different periods of pregnancy. Int J Food Sci Nutr 48:129–134CrossRefPubMed

Haddow JE, Palomaki GE, Allan WC, Williams JR, Knight GJ, Gagnon J, O'Heir CE, Mitchell ML, Hermos RJ, Waisbren SE, Faix JD, Klein RZ (1999) Maternal thyroid deficiency during pregnancy and subsequent neuropsychological development of the child. N Engl J Med 341(8):549–555CrossRefPubMed

Hartmann S, Huch R (2005) Response of pregnancy leg edema to a single immersion exercise session. Acta Obstet Gynecol Scand 84(12):1150–1153CrossRefPubMed

Heasman L, Clarke L, Firth K, Stephenson T, Symonds ME (1998) Influence of restricted maternal nutrition in early to mid gestation on placental and fetal development at term in sheep. Pediatr Res 44:546–551CrossRefPubMed

Helland IB, Smith L, Saarem K, Saugstad OD, Drevon CA (2003) Maternal supplementation with very-long-chain n-3 fatty acids during pregnancy and lactation augments children’s IQ at 4 years of age. Pediatrics 111(1):39–44CrossRef

Henderson J, Kesmodel U et al (2007a) Systematic review of the fetal effects of prenatal binge-drinking. J Epidemiol Community Health 61(12):1069–1073CrossRefPubMedPubMedCentral

Henderson J, Gray R et al (2007b) Systematic review of effects of low-moderate prenatal alcohol exposure on pregnancy outcome. Br J Obstet Gynaecol 114(3):243–252CrossRef

Hofmeyr GJ, Lawrie TA, Atallah AN, Duley L (2010) Calcium supplementation during pregnancy for preventing hypertensive disorders and related problems. Cochrane Database Syst Rev 8, CD001059PubMed

Huch R (1996) Physical activity at altitude in pregnancy. Semin Perinatol 20(4):303–314CrossRefPubMed

Huch R (2001) Sport und körperliche Aktivität in den verschiedenen Lebensabschnitten der Frau. In: Beller FK (Hrsg) Brevier des Frauenarztes als Hausarzt der Frau. Pro Kongressverlag, Hofstetten, S 2

Jean D, Leal C et al (2005) Medical recommendations for women going to altitude. High Alt Med Biol 6(1):22–31CrossRefPubMed

Jensen DM, Ovesen P, Beck-Nielsen H, Mølsted-Pedersen L, Sørensen B, Vinter C, Damm P (2005) Gestational weight gain and pregnancy outcomes in 481 obese glucose-tolerant women. Diabetes Care 28(9):2118–2122CrossRefPubMed

Kalliomäki MS, Salminen TP et al (2001) Probiotics in primary prevention of atopic disease: a randomized placebo controlled trial. Lancet 357:1076–1079CrossRefPubMed

Kalliomäki MS, Salminen TP et al (2003) Probiotics and prevention of atopic disease: 4-year-follow-up of a randomized placebo controlled trial. Lancet 361:1869–1871CrossRefPubMed

Kametas NA, McAuliffe F et al (2003) Maternal cardiac function in twin pregnancy. Obstet Gynecol 102(4):806–815PubMed

Kartin D, Grant TM et al (2002) Three-year developmental outcomes in children with prenatal alcohol and drug exposure. Pediatr Phys Ther 14(3):145–153CrossRefPubMed

Klett M, Ohlig M, Manz F, Tröger J, Heinrich U (1999) Effect of iodine supply on neonatal thyroid volume and TSH. Acta Paediatr Suppl 88(432):18–20CrossRefPubMed

Kramer MS, McDonald SW (2009) Aerobic exercise for women during pregnancy. Cochrane Database Syst Rev 4, CD000180

Leverett DH, Adair SM, Vaughan BW, Proskin HM, Moss ME (1997) Randomized clinical trial of the effect of prenatal fluoride supplements in preventing dental caries. Caries Res 31(3):174–179CrossRefPubMed

Liesenkötter KP, Göpel W, Bogner U, Stach B, Grüters A (1996) Earliest prevention of endemic goiter by iodine supplementation during pregnancy. Eur J Endocrinol 134(4):443–448CrossRefPubMed

Lumey LH (1998) Compensatory placental growth after restricted maternal nutrition in early pregnancy. Placenta 19:105–111CrossRefPubMed

Lumley J, Oliver SS et al (2004) Interventions for promoting smoking cessation during pregnancy. Cochrane Database Syst Rev 4, CD001055PubMed

Mahomed K (2000) Iron supplementation in pregnancy. Cochrane Database Syst Rev 2, CD000117PubMed

Makrides M, Crowther CA (2001) Magnesium supplementation in pregnancy. Cochrane Database Syst Rev 4, CD000937PubMed

McAuliffe F, Kametas N et al (2002) Respiratory function in singleton and twin pregnancy. Br J Obstet Gynaecol 109(7):765–769CrossRef

McAuliffe F, Kametas N et al (2004) Respiratory function in pregnancy at sea level and at high altitude. Br J Obstet Gynaecol 111(4):311–315CrossRef

Merialdi M, Carroli G, Villar J, Abalos E, Gülmezoglu AM, Kulier R, de Onis M (2003) Nutritional interventions during pregnancy for the prevention or treatment of impaired fetal growth: an overview of randomized controlled trials. J Nutr 133(5 Suppl 2):1626S–1631SPubMed

Moore LG, Niermeyer S et al (1998) Human adaptation to high altitude: regional and life-cycle perspectives. Am J Phys Anthropol 27:25–64CrossRefPubMed

Mori R, Ota E, Middleton P, Tobe-Gai R, Mahomed K, Bhutta ZA (2012) Zinc supplementation for improving pregnancy and infant outcome. Cochrane Database Syst Rev 7, CD000230PubMed

Neilson JP, Mutambira M (1989) Coitus, twin pregnancy, and preterm labor. Am J Obstet Gynecol 160(2):416–418CrossRefPubMed

NICE (2008) Clinical guideline anenatal care

Olson HC, Streissguth AP et al (1997) Association of prenatal alcohol exposure with behavioral and learning problems in early adolescence. J Am Acad Child Adolesc Psychiatry 36(9):1187–1194CrossRefPubMed

Parazzini F, Chatenoud L, Bettoni G, Tozzi L, Turco S, Surace M, Di Cintio E, Benzi G (2001) Selected food intake and risk of multiple pregnancies. Hum Reprod 16(2):370–373CrossRefPubMed

Perkins RP (1979) Sexual behavior and response in relation to complications of pregnancy. Am J Obstet Gynecol 134(5):498–505CrossRefPubMed

Pop VJ, Kuijpens JL, van Baar AL, Verkerk G, van Son MM, de Vijlder JJ, Vulsma T, Wiersinga WM, Drexhage HA, Vader HL (1999) Low maternal free thyroxine concentrations during early pregnancy are associated with impaired psychomotor development in infancy. Clin Endocrinol (Oxford) 50(2):149–155CrossRef

Puckett RM, Offringa M (2000) Prophylactic vitamin K for vitamin K deficiency bleeding in neonates. Cochrane Database Syst Rev 4, CD002776PubMed

Quinn VP (2000) Prenatal smoking intervention in managed care settings: the Kaiser Permanente Southern California prenatal smoking project. Tob Control 9(Suppl 1):I61CrossRefPubMedPubMedCentral

Ray JG, Meier C, Vermeulen MJ, Boss S, Wyatt PR, Cole DE (2002) Association of neural tube defects and folic acid food fortification in Canada. Lancet 360(9350):2047–2048CrossRefPubMed

Read JS, Klebanoff MA (1993) Sexual intercourse during pregnancy and preterm delivery: effects of vaginal microorganisms. The vaginal infections and prematurity study group. Am J Obstet Gynecol 168(2):514–519CrossRefPubMed

Roffe C, Sills S, Crome P, Jones P (2002) Randomised, cross-over, placebo controlled trial of magnesium citrate in the treatment of chronic persistent leg cramps. Med Sci Monit 8(5):CR326–CR330PubMed

Romano R, Jannini EA, Pepe M, Grimaldi A, Olivieri M, Spennati P, Cappa F, D'Armiento M (1991) The effects of iodoprophylaxis on thyroid size during pregnancy. Am J Obstet Gynecol 164(2):482–485CrossRefPubMed

Rumbold A, Crowther CA (2005) Vitamin C supplementation in pregnancy. Cochrane Database Syst Rev 18(2), CD004072

Schneider KTM, Bung P et al (1993) An orthostatic uterovascular syndrome – a prospective, longitudinal study. Am J Obstet Gynecol 169(1):183–188CrossRefPubMed

Sexton M, Hebel JR (1984) A clinical trial of change in maternal smoking and its effect on birth weight. JAMA 251(7):911–915CrossRefPubMed

Siega-Riz AM, Adair LS, Hobel CJ (1994) Institute of medicine maternal weight gain recommendations and pregnancy outcome in a predominantly Hispanic population. Obstet Gynecol 84(4):565–573PubMed

Smith EJ, Lui S et al (2009) Pharmacologic interventions for pregnant women enrolled in alcohol treatment. Cochrane Database Syst Rev 3, CD007361PubMed

Sood B, Delaney-Black V et al (2001) Prenatal alcohol exposure and childhood behavior at age 6 to 7 years: I. dose-response effect. Pediatrics 108(2):E34CrossRefPubMed

Spohr HL, Steinhausen H-L (1996) Alcohol, pregnancy and the developing child. Cambridge University Press, Cambridge

Stade BC, Bailey C et al (2009) Psychological and/or educational interventions for reducing alcohol consumption in pregnant women and women planning pregnancy. Cochrane Database Syst Rev 2, CD004228PubMed

Thaver D, Saeed MA, Bhutta ZA (2006) Pyridoxine (vitamin B6) supplementation in pregnancy. Cochrane Database Syst Rev 2, CD000179PubMed

van den Broek N, Dou L, Othman M, Neilson JP, Gates S, Gülmezoglu AM (2010) Vitamin A supplementation during pregnancy for maternal and newborn outcomes. Cochrane Database Syst Rev 11, CD008666PubMed

Vandraas K, Vikanes A, Vangen S, Magnus P, Støer N, Grjibovski A (2013) Hyperemesis gravidarum and birth outcomes-a population-based cohort study of 2.2 million births in the Norwegian Birth Registry. BJOG 120(13):1654–1660, Sep 10 [Epub vor Druck]CrossRefPubMed

Weigel RM, Weigel MM (1989) Nausea and vomiting of early pregnancy and pregnancy outcome. A meta-analytical review. Br J Obstet Gynaecol 96(11):1312–1318CrossRefPubMed

Weissgerber TL, Wolfe LA et al (2004) The role of regular physical activity in preeclampsia prevention. Med Sci Sports Exerc 36(12):2024–2031CrossRefPubMed

WHO (1999) International Consultation on Environmental Tobacco Smoke (ETS) and Child Health. WHO, Geneva

Wisborg K, Kesmodel U et al (2003) Maternal consumption of coffee during pregnancy and stillbirth and infant death in first year of life: prospective study. Br Med J 326(7386):420CrossRef

Woodby LL, Windsor RA et al (1999) Predictors of smoking cessation during pregnancy. Addiction 94(2):283–292CrossRefPubMed

Young GL, Jewell D (2002) Interventions for leg cramps in pregnancy. Cochrane Database Syst Rev 1, CD000121PubMed

Zamudio S, Droma T et al (1993) Protection from intrauterine growth retardation in Tibetans at high altitude. Am J Phys Anthropol 91(2):215–224CrossRefPubMed

Zlatnik FJ, Burmeister LF (1982) Reported sexual behavior in late pregnancy. Selected associations. J Reprod Med 27(10):627–632PubMed

Titel: Lebensführung und Ernährung in der Schwangerschaft
verfasst von: Clemens Tempfer
Elisabeth Krampl-Bettelheim
Verlag: Springer Berlin Heidelberg
Buch: Die Geburtshilfe
Print ISBN: 978-3-662-45063-5

Electronic ISBN: 978-3-662-45064-2

Copyright-Jahr: 2016
DOI: https://doi.org/10.1007/978-3-662-45064-2_13

Springerpflege

Zusammenfassung

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten