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Pre-eclampsia: the food factor

by Pat Thomas
continued from page 3
Fighting stress

Stress can also play a big part in the development of pre-eclampsia. One recent Norwegian study found that women working in highly stressful and hectic work environments are nearly one and a half times more likely to develop pre-eclampsia than those who are not.

Stress raises catecholamine (stress hormone) levels. This in turn increases the production of free-radicals. Women working under these conditions might benefit from a nutritional programme designed to reduce free-radical damage, as well as instruction on stress-management, biofeedback or similar relaxation techniques.

What you can do

If you are at risk of pre-eclampsia, there are several positive things you can do, for example:

  • Eat well and eat a variety of foods.
  • Have an extra serving of a protein food each day
  • Cut back on “anti-nutrients” such as sugar and saturated fats.
  • Take a good quality multivitamin and mineral supplement and consider extra supplements of vitamins C and E (to bring your daily intake up to the effective level detailed above.
  • Unless you are very obese, do not restrict you weight gain while pregnant. Instead take advice about sensible eating during pregnancy
  • Drink to your thirst and salt to your taste
  • Investigate ways to relieve stress through yoga, tai chi, meditation or a regular massage.
References

Bassiouni BA et al, Maternal and fetal plasma zinc in pre-eclampsia, Eur J Obstet Gynecol Reprod Biol, 1979; 9: 75-80

Brewer T, Metabolic Toxaemia of Late Pregnancy, Keats/Thorsons, 1999

Bucher HC, Guyatt RJ, Effect of calcium supplementation on pregnancy-induced hypertension and pre-eclampsia: a meta-analysis of randomised controlled trials, JAMA, 1996; 275-1113-7

Chappell LC , Seed PT et al, Effect of Antioxidants on the occurrence of pre-eclampsia in women at increased risk: a randomised trial, Lancet, 1999; 354: 810-6

D'Almeida A, et al, Effects of a combination of evening primrose oil (gamma linolenic acid) and fish oil (eicosapentaenoic + docahexaenoic acid) versus magnesium, and versus placebo in preventing pre-eclampsia, Women Health 1992; 19:117-31

Enkin M et al, A Guide to Effective Care in Pregnancy and Childbirth, Oxford University Press, 1995

Olsen SF, Secher NJ, A possible preventive effect of low-dose fish oil on early delivery and pre-eclampsia: indications from a 50-year-old controlled trial, Br J Nutri, 1990; 64: 599-609

Steegers EA et al, Dietary Sodium Restriction During Pregnancy: A historical review, Eur J Obstet Gynecol Reprod Biol, 1991; 40: 83-90

Wergeland E, Strand K, Working conditions and prevalence of pre-eclampsia, Norway 1989, Int J Gynaecol Obstet, 1997; 58: 189-96

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