Question

A 28 year old primigravida comes to the ANC OPD, how many additional Kcal will you recommend?
1. 200 kcal
2. 300 kcal
3. 500 kcal
4. 1000 kcal

Answer 1

Correct Answer - Option 2 : 300 kcal

Concept:

• During pregnancy, the metabolism and energy demand are highly increased.
• The caloric intake should increase at least 300 kcal/day.

Explanation:

• It is mainly to support fetal and maternal metabolism.
• Also needed for proper growth and development of the baby and placenta.
• In the first trimester, 1,800 calories per day are recommended.
• In the second trimester, the energy intake is at least 340 kcal and in the third trimester, it should be at least 452 kcal per day.
• The caloric intake varies from country to country.

There should be 10kg of weight gain in a healthy woman.