During gestation, the fetus accumulates 1 g/day of magnesium, and pregnant women should
have sufficient quantities of magnesium to prevent leg cramps and pre-‐eclampsia. Nuts,
wholegrain products and dark-‐green leafy vegetables are sources of magnesium.
During pregnancy, the maternal blood volume increases, resulting in a higher glomerular
filtration rate, in which the water and electrolyte balance is maintained by compensatory
mechanisms. Strict reduction of sodium in the diet during pregnancy is not recommended, nor
is use of diuretic agents. It is advisable to cut down on salt in the diet and to use iodized salt.
The recommended quantity is 1.5–2.3 g of sodium per day, equivalent to 4–5 g of cooking salt.
This quantity of salt and an adequate volume of liquids ensure a sufficient blood volume for
preventing dehydration and premature contractions. Most people consume significantly more
salt than recommended, most of which is in food (added salt constitutes only a small part);
therefore, it is recommended that the use of cooking salt during pregnancy be restricted.
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5.6.16 Zinc
As a deficit of zinc does not immediately trigger mobilization of zinc from the maternal skeletal
system, zinc deficit sets in rapidly. This can result in congenital malformations and impaired
brain development. Red meat, seafood and unrefined cereal products are dietary sources of
zinc.
5.7 Water
The volume of liquid required per day is 2–2.5 L, mostly in the form of water. The volume
should be increased gradually as the pregnancy progresses and the expectant mother gains
weight. During the last months of pregnancy, the volume required increases by 300 mL/day.
The volume depends on the body mass of the woman: the recommended amount of water
(from both food and drink) is 35 mL/kg body weight per day and in no case lower than 1.5 L/day.
More water is required in hot weather and during strenuous physical work. An adequate
volume of water not only ensures the vital functions but also reduces the risks for urinary
infections, urinary calculi and constipation.
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