MATERNAL HEALTH

Nutrient requirements during the life stages of pregnancy and lactation are increased relative to women who are not pregnant or lactating. The energy requirements increase by an estimated 300 kcal/day during the second and third trimesters of pregnancy and by 500 kcal/day during lactation. In practice, most women require only approximately 200 additional kcal/day due to reduced levels of physical activity during pregnancy and to increased lipolysis of fat stores during breast-feeding. Relative to the increased energy requirement, the requirements for many micronutrients (vitamins and nutritionally essential minerals) are even higher during pregnancy and lactation