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  Frequently Asked Questions:

Diet and Nutrition

Q. Thank you so much for your advice previously. I hope you don't mind me asking you questions, but I don't want to book in to the doctor every time I have a question, and it is difficult to contact her otherwise.

I have just read that you shouldn't have licorice when you are pregnant. Is this true? Because I eat a bit of licorice and still have been during my pregnancy, is this bad?

Also I know soft cheeses like camembert, brie etc should be avoided during pregnancy because of listeriosis. Is Philadelphia cheese included in this as a soft cheese?

A. The precaution against licorice refers to the use of licorice extract or the powdered root. In this form, it is not recommended during pregnancy due to the risk of premature birth, fluid retention and increased blood pressure. The amount of pure licorice in the type that is sold as a sweet is not that high. If a woman were to eat it to excess so that the amount she was consuming exceeded 20 grams of pure licorice a day then she would be putting herself and her baby at risk. As you can imagine, that would be a huge amount of licorice to get through. You can continue to enjoy the occasional licorice without concern.

Philadelphia cheese is made from a completely different process to camembert and brie and does not have the same risk. It is quite safe to eat during your pregnancy.
   
Q. Thanks for your advice on spas during pregnancy. I now have another question. What types of fish are safe/not safe to eat when pregnant and how much?
A. Fish is generally considered a highly nutritious and beneficial food source. It is a good source of protein, high in Omega 3 fatty acids and low in fat. It is also considered a "brain food". Unfortunately, it has been discovered that some fish contain a level of mercury that makes them unacceptable for childbearing women and children. According to various sources, the fish that should be avoided due to their high levels of mercury are Swordfish, shark, king mackerel, tilefish and marlin. Other references also include tuna, sea bass, (remember the great Patagonian tooth fish chase?), halibut, pike mahi mahi, cod, pollack and white croaker as fish to be avoided. Fish and seafood that are considered safe include farmed trout, prawns, flounder, salmon, blue crab and haddock. The recommendation as to how much varies from two to four serves a week. Raw seafood such as oysters and sushi should be avoided while pregnant due to the low risk of bacterial infection. By avoiding fish that may contain a high level of mercury, you should be able to eat and enjoy it without undue concern for your baby's wellbeing. I have included a link that has additional information. http://www.cfsan.fda.gov/~dms/admehg3.html
 
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