KEHAMILAN DAN
TUMBUH KEMBANG
JANIN
Dr. Sella Zenita Sari, Sp.OG
RSUD BAYU ASIH
PURWAKARTA
INTERAKSI
ANTARA PERTUMBUHAN JANIN
POTENSI
GENETIK
MAUPUN
SUASANA
LINGKUNGAN
DALAM
RAHIM A. Barbara,2000
KALORI PROTEIN
• Fe • Asam folat
• Kalsium • Vitamin A
• Zinc • Vitamin B12
• Iodine • Vitamin B6
KEBUTUHAN • Vitamin C
• Kalium
GIZI • Natrium • dll
Indeks Massa Total Rerata pertambahan BB
Tubuh (Sebelum penambahan
hamil) BB Trimester 1 Trimestr 2&3
KENAIKAN kg/m2)
Perempuan + 300
2000 ml/ hari
ml/hari + 600-700
ml/hari VS
VS dewasa dewasa
Laki-laki (7 Gelas air
2500 ml/hari minum 250 (9 Gelas air
ml) minum 250 ml)
Hamil Menyusui
Vitamin A 770 μg 1300 μg
Vitamin Larut Vitamin D 15 μg 15 μg
Lemak Vitamin E 15 mg 19 mg
Vitamin K 90 μg 90 μg
Hamil Menyusui
Vitamin C 85 mg 120 mg
Thiamine 1,4 mg 1,4 mg
Vitamin Larut Riboflavin 1,4 mg 1,6 mg
Air Niacin 18 mg 17 mg
Vitamin B6 1,9 mg 2 mg
Asam Folat 600 μg 500 μg
Vitamin B12 2,6 μg 2,8 μg
Hamil Menyusui
Calcium 1000 mg 1000 mg
Sodium 1,5 mg 1,5 mg
Potassium 4,7 mg 5,1 mg
Mineral
Iron 27 mg 9 mg
Zinc 11 mg 12 mg
Iodine 220 μg 290 μg
Selenium 60 μg 70 μg
Hamil Menyusui
Bahan Karbohidrat 175 g 210 g
Makanan Protein 71 g 71 g
Pokok Serat 28 g 29 g
Dewasa Hamil Menyusui
Vitamin A 600 μg 900 μg 950 μg
(2.000 IU) (3.000 IU) (3.200 IU)
Vitamin Larut
Lemak Vitamin D 15 μg 15 μg 15 μg
(600 IU) (600 IU) (600 IU)
Vitamin E 15 mg 15 mg 19 mg
Vitamin K 90 μg 90 μg 90 μg
Vitamin Larut Air
Dewasa Hamil Menyusui
Vitamin C 75 mg 85 mg 120 mg
Thiamine (B1) 1,1 mg 1,4 mg 1,5 mg
Niacin (B3) 14 mg 18 mg 17 mg
Cegah preeklampsia,
menjaga kondisi
tulang dan gigi ibu
dan bayi
Ingat Micronutrient
ini…
Vitamin membantu
D penyerapan calcium
(bone; PE),
mencegah alergi dan
autoimun
Rokok
Kafein Alkohol
Hindari
Soda
Teh
Fact: Coklat
Teh dan Kopi
menurunkan
penyerapan Fe
(Zat Besi)
Watch Out!
Welcome to
Motherhood
1.Kominiarek, Michelle A, and Priya Rajan. “Nutrition
Recommendations in Pregnancy and Lactation.” The Medical
clinics of North America vol. 100,6 (2016): 1199-1215.
doi:10.1016/j.mcna.2016.06.004
2.Factors Leading to Diabetes May Contribute to Milk Supply
Problems for New Mothers.
Referensi https://www.cincinnatichildrens.org/news/release/2014/low-milk-
supply-diabetes-factors-05-05-2014
3.McGuire T. M. (2018). Drugs affecting milk supply during lactation.
Australian prescriber, 41(1), 7–9. doi:10.18773/austprescr.2018.002
4. Goodnight W, Newman R. Optimal nutrition for improved twin
pregnancy outcome. Obstet Gynecol 2009; 114:1121. DOI:
10.1097/AOG.0b013e3181bb14c8.
5. Berens P. Overview of the postpartum period: Physiology,
complications, and maternal care. Up to date. Oct 2019.
6.NIH (National Institutes of Health) office dietary supplements.
Vitamin D- Fact sheet for health professional.
https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/