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  Day 200: 6 months pregnant
(end second trimester)


In case of concerns or difficulties during pregnancy, a woman should always see a health professional at the local health center and go for antenatal care visits!


You are invited to register at the MindUp and come for visits regularly (preferably every 100 days)!

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 third 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 third trimester of pregnancy is about 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 + 2-3 extra snacks or a small extra meal

    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 third trimester it is recommended to take the following supplements:
    - Iron supplements: you might need to take these during the third 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


What to eat during the third trimester of pregnancy:

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Avoid the following during pregnancy
(because it can harm the baby):

  • Drinking alcohol

  • Smoking

  • Eating raw fish and meat, and unpasteurized dairy (can cause bacterial infection)

  • High daily caffeine intake (not more than 2 cups per day)

Video - weight gain during pregnancy

Video - the quantity of food during pregnancy

Preparing for delivery

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Video - delivery at a health care facility

Video - care after delivery

How to prepare for delivery:

  • Read about and watch the videos about breastfeeding
    - Benefits of breastfeeding for you and the baby
    - Benefits of breastfeeding directly after birth (in the first hour after birth)
    - Colostrum
    - What exclusive breastfeeding is and why it is so important in the first 6 months of life

  • Watch the videos about delivering at a health care facility

  • Prepare a bag for delivery at the local health center

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More information about:

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