Important messages:
 

• Antenatal care (ANC):
  - It is important to go for ANC to screen for potential complications and treat problems as they arise during pregnancy
  - Go for your ANC visit(s) at the local health center in the second trimester of your pregnancy
   

• First 1,000 days and the prevention of stunting:
  - The first 1,000 days covers the period of 9 months pregnancy + first 24 months of life
  - During this period children grow at very high speed: they triple their weight, almost double their height, and their brain makes millions of connections
  - This period is crucial for helping children to reach their full potential
  - Even before birth, the fetus is at risk if the mother lacks essential nutrients needed for the brain, bone, and organ development of the baby
  
  Note: most stunting (low height-for-age) happens in this critical period and is almost always irreversible!
   

• Adequate weight gain is important during pregnancy:
  - A woman gains around 11-16 kg during pregnancy
  - Normal weight gain during the second trimester is 0.5 kg per week until delivery
  - To see if you gain weight adequately during pregnancy, it is important to yet your weight measured regularly at the local health center or MindUp
  - During the second trimester you need more energy and therefore it is recommended to eat 3 meals + two extra healthy snacks
  
  Note: if you are not gaining weight adequately, try to track down the cause: are you eating enough? are you experiencing nausea? 
   

• Eating healthy and staying physically active during pregnancy is important for the development of the baby’s brain and organs
   

• During the second trimester it is recommended to take the following supplements:
  - Iron supplements: you might need to take these during the second trimester when you have a higher risk of maternal anemia (as per your health care provider). Iron prevents a low-birth-weight of the baby and preterm birth but it's also important for your strength, especially for delivery and to build up the reserves in the baby
  - Vitamin A supplementation: is only recommended for pregnant women in areas where vitamin A deficiency is a severe public health problem, to prevent night blindness
  
  Note: Take the supplements always with or after a meal and with lots of water. Eating a piece of fruit or drinking a glass of juice together with the supplements can help to absorb the micronutrients better (because it contains vitamin C). Iron and folic acid supplements can give some side effects (such as constipation) in the first few days after starting.  
   

• When you are experiencing nausea, you can do the following things:
  - Eat small meals frequently
  - Eat a healthy snack
  - Eat something before getting up in the morning 
   

• Good hygiene is important, especially during pregnancy

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