Health-and-Nutrition/C2/Pre-pregnancy-health-and-nutrition/English

Visual Cue	Narration
Title slide	Welcome to the Spoken Tutorial on pre-pregnancy nutrition.
Collage: Veg and non-veg foods Image: Pre-pregnant woman	In this tutorial we will learn about-Nutritional requirements during reproductive age and pre-pregnancy period.
Image: muscle	Let us first begin with Protein:
Image: muscle tissue Image: cell repair Image: growth and development Image: joint Image: healthy liver Image: immunity Image: provides energy	Protein is required for growth and maintenance of muscle tissue It aids in cell repair and bone development as well as for joints, Helps in improving immunity and maintaining a healthy liver, And, also provides energy
Image: digestive system and body Image: breakdown of toxins Image: maintain blood sugar Image: carry signal to and fro to the brain	Protein forms chemicals which helps in - digestion, break down of toxins in the body maintaining blood sugar and carrying signal to and from the brain
Image:Diminished growth of fetus for its age Image: poor height and high risk of infection Image: poor memory and motor skills in baby Group Image: infection in baby with viruses	Deficiency of protein leads to - diminished growth of fetus for its age, poor height, memory and motor skills in the baby, along with high risk of infection
Image: wrinkled skin Image: hairfall Image: tiredness and weakness Image: frequent infection in adults Image: muscle loss	In adults it leads to - Wrinkling of skin, Hair fall, Tiredness and weakness, Frequent infections and Muscle loss
Group image: hair, nails and skin	Another protein called Keratin is an important part of -hair, nails and skin
Image: collage of protein rich foods Image: 22 green and red dots for amino acids Image: 9 red dots for amino acids	Interestingly, The Protein is made up of different substances called amino acids There are in total 22 Amino acids Out of which 9 amino acids have to be taken from the diet
Image: complete protein non veg collage Image: incomplete protein veg collage	Let us now look at the two types of Protein which are - The Complete protein and The Incomplete protein
Image: complete protein collage of non veg foods while editing	All 9 Amino acids mentioned earlier are present in animal proteins. That is why animal proteins are called complete proteins.
Image: collage of pulses Image: collage of cereals Image: collage of pulses	On the other hand, In plant based proteins- some of these 9 necessary Amino acids are in lesser amounts For example, cereals are low in Lysine while pulses are low in Methionine
Image: combination of grains and pulse	It is therefore important to consume different plant proteins together in combinations For example, Grains and pulses should be consumed in a combination as they both will provide enough quantities of necessary Amino acids
Image: fats droplet Image: Good health	Now we will learn about another important nutrient - Fat Good fats from foods are important for good health
Image: body with blue dots indicating fat Image: collage of omega-3 fatty acid rich food	There are some fats that cannot be produced by the body Like - Omega-3 fatty acids Hence they should be taken from the diet
Image: heart Image: inflammation in body Image: pregnant woman Image: low birth weight baby Image: intelligence in baby	These fats maintain heart health. Reduce inflammation in the body And can help to improve the chances of getting pregnant They also reduce the risk of premature birth of the baby And increase intelligence of the baby
Image: group image of eye, cell growth, fertility and immune system	After learning about protein and fat, we will now learn about vitamin-A
Image: eye health Image: cell growth Image: increases chances of pregnancy Image: immune system	Vitamin-A helps to maintain healthy eyes , It regulates cell growth, increases the chances of pregnancy and Improves immunity during pre-pregnancy period
Image: strength and health of woman	Like Vitamin A, the entire Vitamin B-complex plays a crucial role in- Strength and health of women in all stages of life.
Image: vitamin B-6 rich food sources collage	Among all the B-Vitamins, we will first look at Vitamin B-6- pyridoxine
Image: nervous system Image: brain development	Vitamin B6- Pyridoxine is required For functioning of the nervous system, Thereby improving the brain development
Image: pregnancy related nausea	* Also, it may provide relief from pregnancy related nausea.
Group image: anemic cells, NTD, infertility, miscarriage	Yet another nutrient is, Vitamin B12-
Group Image: anemia Image: Neural tube defects Image: add arrows to indicate spine and central nervous system of baby while editing Image: first month of pregnancy	Which along with folate & choline helps to prevent - Anemia and Neural tube defects Neural tube defects are birth defects that - affect the spine and central nervous system of the baby, which are formed during the first month of pregnancy
Image: neural tube Image: brain and spine	Note that, A neural tube is a part of the foetus that develops into the brain and spinal cord.
Image: group image of three collage with rich sources of folate, vitamin B12 and choline rich food	Hence, it is important to have enough Folate, Vitamin-B12 and Choline in the body before getting pregnant.
Image: anemic cells Image: infertility add cross mark while editing Image: miscarriage	Deficiency of vitamin B-12 also leads to Anemia, infertility and miscarriage.
Image: group image	Now, we will learn about another important nutrient - Folate
Image: cell development Image: arrows on cells and between lungs to other organs while editing	Folate which is also known as Vitamin-B9, helps the body to make healthy new cells. These cells carry oxygen from the lungs to all parts of the body.
Image: anemia Image: brain and spine	Deficiency of folate in pregnant mothers leads to Anemia and defects of the brain and spine called Neural Tube Defect
Image: neural tube defects group image	Note that: Neural Tube Defects has been explained earlier in the same tutorial.
Image: Rbc Image: fetal growth	We will now learn about the role of IronIron is required for formation of Hemoglobin in the blood and for fetal growth.
Image: high blood pressure Image: LBW baby Image: miscarriage	Low levels of hemoglobin in pregnancy can lead to High blood pressure during pregnancy Preterm delivery Low birth weight baby and Miscarriages
GIF : Rbc moving Image: anemic cells	Apart from this Hemoglobin helps to transport oxygen to other tissues and cells Low levels of Hemoglobin or iron leads to Anemia.
Image: menstrual cramps Image: worms infestation Image: collage of iron food sources Image: poor absorption Image: peanut with yellow layer	Moreover, Iron may be low in women Due to - Monthly menstruation, Worm infestation Diet low in Iron and Poor absorption due to Phytic acid and Oxalates in the food
Image: collage of all cooking methods Image: soaking Image: sprouting Image: roasting Image: fermentation	In order to decrease Phytic acid and Oxalates And to increase absorption of nutrients, use pre-cooking methods like - Soaking, Sprouting Roasting and Fermentation
Image: tiredness Image: breathlessness GIF: Heart palpitation Image: Pale skin	Signs of Iron deficiency Anemia are- Tiredness and lack of energy Breathlessness Increase in heart rate Pale skin
Image: collage of vitamin C sources Image: vitamin-C and immunity Image: woman with yellow outline	Remember , With Iron, always consume Vitamin-C rich foods as it will help in iron absorption Vitamin-C also enhances immunity and thus reduces infections.
Group Image: bones and vit-d Image: building healthy bones Gif: fetus requires calcium Image: development of bones Image: development of teeth	Next we will learn the importance of Calcium & Vitamin DIt is suggested to consume Calcium as it helps in development of bones The fetus requires Calcium for bone and teeth development.
Image: strong and porous bone Image: spine for absorption of calcium	Low levels of Calcium can cause weak bones However, remember that- Vitamin-D is required to absorb calcium in the body.
Image: vitamin D exposure Image: clock Image: clock	The best way to obtain Vitamin-D is- exposure to sunlight between 11.00 am to 3.00 pm for 15 to 20 mins
Image: brain development	Next, we will learn about Choline.
GIF: brain development Image: memory and attention in the baby	Choline is important for brain development of the babyAs it enhances memory and attention span.
Image: fatty liver Image: miscarriages Image: neural tube defects	Deficiency of Choline leads to- fatty liver in adults Miscarriages and Neural tube defects in fetus - which is mentioned earlier in this tutorial
Image: zinc	Let’s move ahead and learn the importance of Zinc,
Image: improves immunity Image: cell growth Image: building DNA and protein Image: healing of wounds Image: fertility Image: fetal development	Zinc is important for immunity and cell growth It helps in making genetic material and protein in the body It helps in healing of wounds. Also it contributes to ovulation and fertility in women And it is important for growth of the fetus
Image: affect sense of taste Image: sense of smell Image: placenta Image: placental cord	Note that - Lack of dietary Zinc can affect - the sense of taste and smell. delay the growth of placenta: which is the cord that transports nutrients from mother to the fetus.
Image: affects growth of embryo Image: results in LBW	Lack of Zinc also - affects the growth of embryo And results in low birth weight baby
Image: salt ( iodine) Image: thyroid gland	Another significant nutrient that we will look at, is, Iodine-'Iodine' is required by the body to maintain normal levels of thyroid hormone, which are produced by the Thyroid gland
Image: miscarriage Image: stillbirth Image: congenital abnormalities like- Image: cleft lip Image: cleft palate Image: low birth weight baby Image: stunted growth Image: mental retardation	Deficiency of Iodine in mother leads to- Increased risk of miscarriage and stillbirth of the baby And it can also lead to-Birth deformities Low birth weight Stunted growth and Mental retardation in the baby
Image: nervous system Image: prevents cramps and Image: migraine headache	Magnesium is another nutrient which helps to calm the nervous system. It prevents cramps and migraine headaches by relaxing the blood vessels in the brain
Image: blood pressure Image: maintains rhythm of heart Image: DNA production Image: bone development	It also maintains healthy blood pressure and rhythm of the heart It helps in production of genetic material and enhances bone development
Image: healthy nutrition for healthy pregnancy Group image: alcohol Image: miscarriage Image: weak embryo Image: tobacco	Apart from a healthy nutrition for a healthy pregnancy -,It is important to avoid Alcohol as it can lead to miscarriage or weak embryo. Other things to be avoided are- Tobacco
Group image: Cigarettes, Drugs, Self medication Group Image: Sugar, tea and coffee, junk food	Cigarettes Drugs Self medication Excessive use of sugar, Tea and coffee, Junk food and sweetened beverages
Image: female reproductive system Image: adverse effects on pregnancy	As these substances can affect reproductive health and have adverse effects on pregnancy.
image: woman on weighing scale	Note that, It is also important to manage weight before becoming pregnant,
Image: underweight women Image: low birth weight baby Image: 8 months calendar indicating 7 and 8 months	Underweight women give birth to small babies or preterm babies Which are born during 7 to 8 months of pregnancy
Image: radiant warmer	Such babies are at highest risk of premature deaths.
Image: women with increased weight and glucometer and bp Image: neonatal baby with complications	However, on the other hand, Women with increased weight have - high risk of gestational diabetes and blood pressure. Also, it can lead to neonatal complications.
Image: consulting a healthcare provider	Therefore, women should consult a healthcare provider to maintain a healthy weight before getting pregnant.
Image: collage of cereals, non-veg food, pulses, nuts, eggs, vegetables, dairy	Along with this, it is very important to consume a healthy, well-balanced diet - containing vegetarian and/or non-vegetarian foods
Collage: Nonveg foods Collage: dry fish	Remember, that all non-veg foods are rich in - protein, omega-3 fatty acids, vitamin B-12, vitamin B-9 zinc, iron , calcium, choline and Vitamin-D
Collage: Pulses, millets, cereals, nuts	Along with animal derived food, plant derived foods,* Pulses, millet, cereals, nuts and seeds will help in formation of- Immune system, Muscles, Bones,
Collage: Pulses, millets, cereals, nuts Collage: Fruits and vegetables	liver, hair, skin , eyes and brain.
Group Image: collage while editing Image:Milk Image: Curd Image: Cheese Image: paneer	Apart from these, dairy products will also aid in the formation of bones and teeth of the baby
Collage: Leafy vegetables Collage: Oil seeds	Alternately, Leafy vegetables and seeds are also rich in - Calcium helps in the formation of bones and teeth of the baby
Collage: Food sources of Vitamin C	Like leafy vegetables, Fruits are also rich in Vitamin-C and they help in- improving immunity, absorption of Iron and prevent infections
Collage: Beans, nuts, seeds	For fertility of the woman and growth of the baby-Beans, nuts and seeds should be consumed along with other non-veg food.
Collage: Dairy products	Various non-veg foods like Fish, dairy, eggs help to- maintain normal thyroid hormone, Improve growth and prevent physical defects
Collage: Food sources of Magnesium	Nuts and seeds are rich in magnesium and are essential for- Functioning of nervous system and prevention of leg cramps
Slide: Acknowledgement slide	This brings us to the end of this tutorial on- Pre-pregnancy Nutrition. Thank you for joining.

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