Nutrition for twins | Nourish with Melanie #90

Nutrition for twins | Nourish with Melanie #90


Being pregnant is exciting and scary.
Being pregnant with twins is doubly exciting… and scary. I’m sure that you’ve
got so many questions. If you’re wondering what is the best pregnancy
nutrition for twins, stay tuned! So today we’re very blessed to have the
wonderful Nichole Maroney. Welcome Nicole. Thank you. So Nicole can you tell us a
little bit about you and how you got into this area? Sure. I am passionate
about women’s health I love working with couples who are trying to conceive and
women who are already pregnant I found when I was pregnant everybody had an
opinion about my pregnancy. Even as a dietitian? Absolutely. I wasn’t specialising in pregnancy then so I wasn’t sure what I should be eating I found it quite difficult, there wasn’t a lot of reliable information out there. So now I get to go into work each day and help provide
advice for women, give them the confidence that they need to know that
they’re eating well they’re doing the best they can for their health and for
the health of their baby not just now but their future health as well. So it’s
great to know that I’m helping Mum’s to be but also having a bit of an impact
on the future generation as well. I have a private practice in the south-
east suburbs of Melbourne. I’ve had that for about 10 years. Oh wonderful. So Nicole, talking about mums having twins. So can
you tell us about some of the key nutrients that are just really important
for pregnancy full stop. Sure Energy is important during pregnancy is about getting enough calories or kilojoules in we want to make sure that mums trying to
gain enough weight to support her baby’s needs also extra protein. So protein is
important for baby’s muscle and organ growth and then there’s also some key
micronutrients or vitamins and minerals so we’re looking at folate, iron, iodine,
calcium, vitamin D, B12 and omega-3 fatty acids. So are these requirements then higher for mums who are having twins? They are.
There’s not a lot of scientific evidence out there specifically related for
pregnancy with twins so we don’t know the precise amounts but we do know that
because you’re carrying two children you have higher requirements. We recommend that you try to follow the healthiest pregnancy diet you can. Three meals a day to try and do the best you can.
Yeah okay and then what about in terms of nutritional supplements. So does a Mum who’s having twins, should she have different nutritional supplements
compared to a mum who’s having one baby? So some people think that if you
have one baby you take one multivitamin
and if you are having two you need to double your multivitamin for pregnancy. It’s
actually not the case having too many vitamin and mineral supplements could
actually be harmful. Women who are pregnant with twins are more likely two -to – four times more likely to have an iron deficiency anemia. Right. So they usually
would require extra iron supplements. Iron deficiency anemia is linked to
having preterm babies. So we want to make sure they are getting enough iron.
They’re also higher risk for having folate deficiency so sometimes we
recommend an extra folic acid supplement after around one milligram per day.
You also look at extra calcium, vitamin D possibly omega-3 fatty acids just based
on her diet and what her blood tests are saying So the key message there is
really about coming back and looking at the individual person as opposed to just
doubling straightaway because although you’ve got higher risk of some
deficiencies it doesn’t necessarily mean that you need double the amount of
everything. Absolutely. So Nicole, what about weight gain for Mums of twins. What does the research tell us there, is there any different than Mums
who are just having one baby? It is Melanie, so with pregnancy weight gain the Institute of Medicine has put out guidelines that women try to keep within
throughout their pregnancy so if you’re pregnant with one child and it’s based
on your pre-pregnancy BMI or your pre-pregnancy weight. A woman who’s in a healthy weight range before she gets pregnant then the recommendations are
that she gains between eleven and a half and sixteen kilograms throughout the
pregnancy. However if you pregnant with twins then that amount goes up to about
17 to 25 kilograms. A lot more weight. It’s about an extra 7 kilograms. What about the rate of that weight gain? Yeah the rate of weight gain is also been shown
to be important so women who are pregnant with twins they’re 60% more
likely to have those babies before they’re 37 weeks and the babies are
more likely to be a low birth weight. So we really want to make sure that women
gain as much of that weight earlier on in pregnancy… in that first two
trimesters. There was a study of around 650 twin babies born and they looked at
how much weight the woman had gained throughout her pregnancy and found that
the optimal outcomes for twin outcomes which was having a baby around over two
and a half kilos, that happened with women who were
gaining 11 kilograms by 24 weeks. so much earlier then. Absolutely. Two and a half kilos is so much smaller than then most babies most
babies are born at about three and a half kilos so you can see why it’s so
important for Mums to be gaining that weight so much earlier on in their
pregnancy. What about morning sickness does that have much of an impact for
mums like them in particular with trying to gain that extra weight for mums who are having twins? It does… every pregnancy is different so it’s not guaranteed that
a woman who’s having twins will have morning sickness. However women with
twins they have more pregnancy hormones going through their body so they’re much
more likely to get nausea and vomiting and that nausea vomiting tends to be a
bit worse than when you’re carrying a single child. So there’s a few tips that
I like to recommend we look at having regular meals and snacks throughout the
day and sipping on fluids through out the day. Carbohydrate snack early in
the morning tends to help people so a crackers before you get out
of bed can help. Cooking smells tend to make it a bit
worse so having cold food can help or if you’re lucky enough to have
someone cook for you that’s even better. Lots of great tips and if you want more
tips on dealing morning sickness check out our other
Nourished videos specifically around around morning sickness. So thank you so
much for joining us today Nicole, you’re a wealth of information particularly
when it comes to Mums who are having twins. So for you guys look I’d
really encourage you first of all to check out some of our other videos on
Nourish and then secondly I would love you to comment in the chat box below
what’s your biggest questions about nutrition for having twins? Because we’d love to answer those for you and help you out. So have a great
day and I look forward to seeing you in my next video.

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