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choosing food to keep you and your baby healthy Healthy eating

Contents What should I be eating? 1 Is there any food I should avoid? 2 Should I avoid peanuts? 2 Do I need any vitamin supplements? 3 Do I need to eat more? 3 Do I need to drink more? 3 How can I lose weight? 4 Where can I get more information? 4 ifc1 ifc1

Breast milk provides all the nutrients a baby needs for healthy development in the first months of life. This booklet contains some practical advice on eating a varied and balanced diet to help keep you, and your baby, healthy when you re breastfeeding. What should I be eating? You don t need to follow a special diet when you re breastfeeding. But it s important for you and your baby that you eat a healthy balanced diet, which means you should try to eat a variety of foods including: plenty of fruit and vegetables aim for at least five portions of a variety a day (fresh, frozen, tinned, dried or a glass of juice all count) plenty of starchy foods, such as bread, pasta, rice and potatoes, to give you energy plenty of fibre found in wholegrain bread, pasta, rice, pulses (such as beans and lentils), and fruit and vegetables. After childbirth, some women experience bowel problems and find constipation particularly painful, but fibre helps with both of these some protein, such as lean meat and chicken, fish, eggs and pulses. Try to eat fish at least twice a week including a portion of oily fish, such as salmon or mackerel some dairy foods, such as milk, cheese and yoghurt, which contain calcium. These are also good sources of protein

Is there any food I should avoid? Eating fish, particularly oily fish, is good for your health. But don t have more than two portions of oily fish, or more than one portion of shark, swordfish or marlin a week. This is because of the low levels of pollutants in these fish. It s a good idea for us all to limit the amount of foods we eat that are high in fat and sugar. And we should be trying to have no more than 6 g salt a day. Remember that three-quarters of the salt we eat is already in the food we buy, such as some pizzas, pre-packed sandwiches, sauces and ready meals. So we can easily eat too much salt without realising it. Some breastfed babies seem to react to foods their mothers eat. If you think this is the case for your baby, talk to your GP or health visitor. But remember, it s normal for breastfed babies to have loose stools. Should I avoid peanuts? Peanuts are one of the most common causes of food allergy, affecting about 1 to 2% of people, and peanut allergy can cause severe reactions. Your baby may be at higher risk of developing a peanut allergy if you, the baby s father, brothers or sisters have a food allergy or other allergic conditions such as hayfever, asthma and/or eczema. If your baby is in this higher-risk group, you may wish to avoid eating peanuts and peanut products while you re breastfeeding and while you re introducing solid foods. You shouldn t give peanuts and peanut products to children who are at higher risk before they are three years old. If you think your child might be allergic to peanuts, speak to your GP. 2

Remember to eat! It can be difficult to find the time to eat properly when you re looking after a young baby, so remember to: keep meals simple, so they don t take too long to prepare make eating a high priority try eating smaller meals more frequently Do I need any vitamin supplements? While you re breastfeeding you should take supplements containing 10 micrograms (mcg) of vitamin D each day. If you re thinking about having another baby, don t forget to start taking 400 mcg of folic acid supplements every day. If you or your family get Income Support, Income-based Jobseeker s Allowance or Child Tax Credit, you may be able to get free vitamin supplements through Healthy Start. Check with your health visitor. You should be able to get all the other vitamins and minerals you need by eating a varied and balanced diet. Do I need to eat more? Most women s bodies are very efficient at making breast milk, so you don t need to eat for two. But, just like any other time, it s important for you and your baby that you eat a healthy balanced diet. Do I need to drink more? When you re breastfeeding it s important to drink plenty of fluid. We should all be drinking at least 6 to 8 glasses (1.2 litres) of fluid every day. It s a good idea to have a drink by your side before you settle down to breastfeed. Water, milk and unsweetened fruit juices are all good choices. If you feel thirsty, this means you re already dehydrated. If your urine is dark and has a strong smell, this is also a sign that you re not drinking enough. 3

Small amounts of whatever you re eating and drinking may pass to your baby through your breast milk. So it s a good idea to think carefully about how much alcohol and caffeine you re having. These may affect the baby in the same way they affect you. If you do have alcohol or caffeine, try to have them only occasionally, because having them regularly, or in large amounts, will affect your baby. If you or your family get Income Support, Income-based Jobseeker s Allowance or Child Tax Credit, you may be able to get free milk and food vouchers through Healthy Start. Check with your health visitor. How can I lose weight? It s not a good idea to try to lose weight while you re breastfeeding. This is because you need to keep up your energy levels and you might miss out on the nutrients that you and your baby need. The good news is that the extra fat laid down in pregnancy is used to make breast milk, so breastfeeding will help you get back into shape quicker. If you eat a healthy balanced diet, limit the amount of fat and sugar you eat (for example by cutting down on foods such as cakes and biscuits), and are physically active, this will help you to lose any extra weight you put on during pregnancy. Where can I get more information? You might find Birth to Five useful. Published by health departments in England, Wales and Northern Ireland, it s available free to first-time parents. Health Scotland provides Ready Steady Baby!, free to all pregnant women in Scotland. Speak to your midwife, health visitor or GP, or contact your local health promotion unit (or department in Scotland). Booklets on food and nutrition for different age groups are available from Food Standards Agency Publications. See the back cover for information about ordering. You can find out more about food at eatwell.gov.uk 4

eatwell.gov.uk/breastfeeding

For more information and advice about food, visit the Food Standards Agency s websites: eatwell.gov.uk food.gov.uk salt.gov.uk Food Standards Agency Publications To order copies of this or other publications produced by the Agency, contact Food Standards Agency Publications: tel 0845 606 0667 minicom 0845 606 0678 fax 020 8867 3225 email foodstandards@ecgroup.co.uk Published by the Food Standards Agency April 2002 Reprinted with amendments March 2008 Printed by Impress Print Services 75k Crown copyright 2002 Printed in England on paper comprising a minimum of 75% recycled fibre FSA/0453/0308 bc1 When you have finished with this publication please recycle it bc1