孕產(chǎn)婦個(gè)體化一日膳食安排指導(dǎo)常規(guī).doc

孕產(chǎn)婦個(gè)體化一日膳食安排指導(dǎo)常規(guī)孕產(chǎn)婦孕早期、孕中晚期、產(chǎn)褥期各期指導(dǎo)步驟與方法(1)計(jì)算孕前體重指數(shù)（BMI）孕前BMI=孕前體重（kg）/身高（m）2標(biāo)準(zhǔn)體重（kg）=身高cm-105(2)制訂孕期合理體重增長計(jì)劃孕前體重指數(shù)孕期體重增加(kg)孕早期(0-12周)孕中晚期(13-40周)18.5125-1822kg0.5 kg /W（0.4-0.6）18.5-23.9115-1615kg0.4 kg /W0.35-0.5 kg24.0-27.97-121kg0.3 kg/W(28.08-111kg(3) 計(jì)算每天食物總熱量按不同勞動(dòng)強(qiáng)度和孕前體重狀況選擇能量系數(shù)(kcal/kg)孕前體重指數(shù)勞動(dòng)強(qiáng)度臥床極輕體力勞動(dòng)輕(中)體力勞動(dòng)重體力勞動(dòng)舉例辦公室職員、教師、售貨員、鐘表修理工學(xué)生、司機(jī)、電工、外科醫(yī)生、體育活動(dòng)者農(nóng)民、建筑工、搬運(yùn)工、伐木工、冶煉工、舞蹈者18.520-25354045-5018.5-23.92030354024.0-27.915-2025303528.015202530孕早期一日熱量=目前體重能量系數(shù)孕中期一日熱量=基礎(chǔ)熱量(標(biāo)準(zhǔn)體重能量系數(shù))+200kcal 孕晚期一日熱量=基礎(chǔ)熱量(標(biāo)準(zhǔn)體重能量系數(shù))+200kcal哺乳期一日熱量=基礎(chǔ)熱量(是標(biāo)準(zhǔn)體重能量系數(shù))+500kcal注: （1）孕中晚期需要增加的200kcal可在基礎(chǔ)熱量的基礎(chǔ)上增加半份谷薯類,一份孕婦奶粉，一個(gè)雞蛋或一份魚、肉(50克),孕中期蛋白質(zhì)較孕早期增15克/日,孕晚期蛋白質(zhì)較孕早期增25克/日.（2）哺乳期需要增加的500kcal可在基礎(chǔ)熱量的基礎(chǔ)上增加2份魚、肉、蛋（100克）、2份奶、2份糧谷類。(3)制定一天膳食安排表（食物交換份法）孕早期方案：根據(jù)算出的熱量在下表中選擇一日食物交換份總量與各類分布：.各熱量層次全日食物量表(基礎(chǔ)熱量)孕早期各熱量層次全日各類食物量表熱量KCAL一日食物交換份份數(shù)谷薯類肉蛋豆類奶類蔬菜類水果類油脂類碳水化合物蛋白質(zhì)脂肪量兩份量(兩)份量ml份量斤份量兩份量湯匙份克%克%克%12001436332501.51141221795652.51645.5321300153.57332501.51141221875554.51645.53014001648332501.51141222075756.515.645.5281500174.59332501.51141222275958.515.245.526160018510332501.51141222476060.51545.525170019510442501.51141222475769.51651.5271800205.511442501.51141222675971.51651.525190021612442501.51141222876073.515.551.5242000226124450031141222965975155324210023612445003114122296578115.65925220024612445003224122296588615.959242300256.513445003224122313598815.65923.62400266.513555003224122333579716.56525250027714555003224122353589916.365242600287.5155550032241223735810115.765222700297.5156650032241223735711016.871242800307.5156650032241223945811116.47123孕中期方案：孕中期孕婦在基礎(chǔ)熱量上增加200kcal的食物,蛋白質(zhì)比孕早期增加15克/日，即在相應(yīng)的熱量上增加1份孕婦奶粉，1份蛋魚肉豆類, 半份谷薯類，得下表：基礎(chǔ)熱量(KCAL)總熱量粗略交換份總熱量谷薯類谷薯類肉蛋豆類肉蛋豆類奶類奶類蔬菜類蔬菜類水果類水果類油脂類油脂類基礎(chǔ)+200份數(shù)量(兩)份量(兩)份量(ml)份量(斤)份量(兩)份量(湯匙)份120014001614403.573.53.5500311410.50.513001500171530483.53.5500311410.50.5140016001816204.593.53.5500311410.50.5150017001917104.594450031141111600180020180051044500311411117001900211890510555003114111180020002219805.51155500311411119002100232070612555003114111200022002421606.513555003114111210023002623407146650031141112200240027243071466500322411123002500282520714665003224122240026002926107.515665003224122250027003027007.51577500322412226002800312790816775003224122270029003228808.517775003224122280030003329708.517885003224122孕晚期方案：孕晚期孕婦在基礎(chǔ)熱量上增加200kcal的食物,蛋白質(zhì)比孕早期增加25克/日，得下表：基礎(chǔ)熱量(KCAL)總熱量粗略交換份總熱量谷薯類谷薯類肉蛋豆類肉蛋豆類奶類奶類蔬菜類蔬菜類水果類水果類油脂類油脂類基礎(chǔ)+200份數(shù)量(兩)份量(兩)份量(ml)份量(斤)份量(兩)份量(湯匙)份120014001614404.59445001.50.50.520.50.50.5130015001715304.59555001.50.50.520.50.50.514001600181620510555001.50.50.520.50.50.5150017001917105105550020.50.520.511160018002018006.5115550020.50.520.511170019002219806126650020.50.520.511180020002219806126650020.50.520.51119002100242160612665003114111200022002522506.5136650031141112100230026234071466500311411122002400272430714775003114111230025002825207.515775003114111240026002926107.515775003224111250027003027007.51577500322412226002800322880816885003224122270029003329708.517885003224122280030003329708.517885003224122產(chǎn)褥期哺乳婦女方案：產(chǎn)褥期婦女在基礎(chǔ)熱量上增加500kcal的食物,即在相應(yīng)的熱量上增加1份蛋魚肉豆類, 2份谷薯類，得下表：基礎(chǔ)熱量KCAL總熱量基礎(chǔ)+500交換份數(shù)總熱量谷薯類肉蛋豆類奶類蔬菜類水果類油脂類碳水化合物蛋白質(zhì)脂肪量兩份量兩份量ml份量斤份量兩份量湯匙份克%克%克%120017001917104.594450031141112360.552750.175490.257130018002018004.595550031141112360.524840.186550.275140019002118905105550031141112560.541860.182550.261150020002219805105550031141222560.517860.173650.295160021002320705.5115550031141222760.533880.170650.282170022002421606125550031141222960.548900.166650.270180023002623406.5136650031141223160.5401010.172710.273190024002724307146650031141223360.5531030.169710.262200025002825207.5156650031141223560.5651050.166710.253210026002926107.5157750031141223560.5451140.174770.265220027003027008167750031141223760.5571160.171770.256230028003127908167750032241223930.5631210.173770.248240029003228808.5177750032241224130.5731230.170770.240250030003329708.5178850032241224130.5561320.177830.251260031003430609188850032241224330.5661340.175830.244270032003531509.5198850032241224530.5751360.172830.237280033003632409.5199950032241224530.5591450.179890.247（5） 孕中期一日六餐膳食安排表在上述選擇好一日總熱量與食物交換份份量的基礎(chǔ)上，按早餐25%早點(diǎn)5%午餐40%晚餐25%晚點(diǎn)5%的原則進(jìn)行一日飲食安排餐次基礎(chǔ)熱量(KCAL)總熱量基礎(chǔ)+200交換份數(shù)谷薯類肉蛋豆類奶類蔬菜類水果類油脂類油脂類量(兩)份量(兩)份量(ml)份量(斤)份量(兩)份量(湯匙)份一日12001400163.573.53.5500311410.50.5早餐4211早點(diǎn)11午餐63205025午點(diǎn)晚餐4.521.5050.25晚點(diǎn)11一日1300150017483.53.55003114110.5早餐4211早點(diǎn)11午餐74205025午點(diǎn)晚餐421.5050.25晚點(diǎn)11一593.53.5500311410.50.5早餐421早點(diǎn)11午餐6.754205025025午點(diǎn)11晚餐4.2521.5050.250.25晚點(diǎn)11一59445003114111早餐4211早點(diǎn)11午餐7420505午點(diǎn)11晚餐4210505晚點(diǎn)211一日1600180020510445003114111早餐4211早點(diǎn)211午餐6320505午點(diǎn)11晚餐5310505晚點(diǎn)211一日1700190021510555003114111早餐5211早點(diǎn)211午餐6320505午點(diǎn)11晚餐6320505晚點(diǎn)211一511555003114111早餐5311早點(diǎn)211午餐6320505午點(diǎn)11晚餐6320505晚點(diǎn)211一日1900210023612555003114111早餐5311早點(diǎn)211午餐7420505午點(diǎn)11晚餐6320505晚點(diǎn)211一日20002200246.513555003114111早餐5311早點(diǎn)211午餐7420505午點(diǎn)1晚餐6320505晚點(diǎn)211一日2100230026714665003114111早餐5311早點(diǎn)211午餐8430505午點(diǎn)211晚餐7420505晚點(diǎn)211一日2200240027714665003224111早餐5311早點(diǎn)211午餐8543105午點(diǎn)211晚餐8552105晚點(diǎn)211一日2300250028714665003224122早餐6.5311051早點(diǎn)211午餐8430505午點(diǎn)211（干果類晚餐7.542105晚點(diǎn)211一日24002600297.515665003224122早餐6.5311051早點(diǎn)211午餐9530505午點(diǎn)211（干果類晚餐7.542105晚點(diǎn)211一日25002700307.515775003224122早餐6.5311051早點(diǎn)211午餐9530505午點(diǎn)211（干果類晚餐8.543105晚點(diǎn)211一日2600280031816775003224122早餐6.5311051早點(diǎn)211午餐10630505午點(diǎn)211（干果類晚餐8.543105晚點(diǎn)211一日27002900328.517775003224122早餐7.5411051早點(diǎn)211午餐10630505午點(diǎn)211（干果類晚餐8.543105晚點(diǎn)211一日28003000338.517885003224122早餐7.5411051早點(diǎn)211午餐10630505午點(diǎn)211（干果類晚餐8.543105晚點(diǎn)3111（5） 孕晚期一日六餐膳食安排表在上述選擇好一日總熱量與食物交換份份量的基礎(chǔ)上，按早餐25%早點(diǎn)5%午餐40%晚餐25%晚點(diǎn)5%的原則進(jìn)行一日飲食安排餐次基礎(chǔ)熱量(KCAL)總熱量基礎(chǔ)+200交換份數(shù)谷薯類肉蛋豆類奶類蔬菜類水果類油脂類油脂類量(兩)份量(兩)份量(ml)份量(斤)份量(兩)份量(湯匙)份一日1200140016459445001505052050505早餐320505早點(diǎn)11午餐5532025025午點(diǎn)11晚餐4522025025晚點(diǎn)11一日1300150017459555001505052050505早餐4210505早點(diǎn)11午餐5532025025午點(diǎn)11晚餐5532025025晚點(diǎn)11一日1400160018510555001505052050505早餐4210505早點(diǎn)11午餐5532025025午點(diǎn)11晚餐5532025025晚點(diǎn)11一日15001700195105550020.50.520.511早餐3.5210.5早點(diǎn)11午餐6.754202505午點(diǎn)11晚餐5.753202505晚點(diǎn)11一日16001800206.5115550020.50.520.511早餐4.5310.5早點(diǎn)11午餐5.753202505午點(diǎn)11晚餐5.753202505晚點(diǎn)211一日17001900226126650020.50.520.511早餐4.5310.5早點(diǎn)211午餐6.753302505午點(diǎn)11晚餐5.753202505晚點(diǎn)211一5136650020.50.520.511早餐4.5310.5早點(diǎn)211午餐6.754202505午點(diǎn)11晚餐6.753302505晚點(diǎn)211一日19002100246.513665002114111早餐5311早點(diǎn)211午餐7330505午點(diǎn)11晚餐7420505晚點(diǎn)211一日20002200256.513665003114111早餐63111早點(diǎn)211午餐7420505午點(diǎn)11晚餐7330505晚點(diǎn)211一日2100230026714665003114111早餐63111早點(diǎn)211午餐8430505午點(diǎn)11晚餐7420505晚點(diǎn)211一日2200240027714775003114111早餐63111早點(diǎn)211午餐8430505午點(diǎn)11晚餐8430505晚點(diǎn)211一日23002500287.515775003114111早餐74111早點(diǎn)211午餐8430505午點(diǎn)11晚餐8430.505晚點(diǎn)211一日24002600297.515775003224111早餐6.5311051早點(diǎn)211午餐9530505午點(diǎn)22晚餐7.533105晚點(diǎn)211一日25002700307.515775003224122早餐6.5311051早點(diǎn)211午餐9530505午點(diǎn)211（干果類晚餐8.543105晚點(diǎn)211一日2600280032816885003224122早餐6.5311051早點(diǎn)211午餐10630505午點(diǎn)211（干果類晚餐9.544105晚點(diǎn)211一日27002900338.517885003224122早餐7.54110