Showing posts with label preparation for conception. Show all posts
Showing posts with label preparation for conception. Show all posts

Saturday, September 7, 2013

Countdown to TTC: Week 47


Eat More Produce



By this point I've had over a month to ease into this countdown business, and despite spending a few days having to pee every 10 minutes and waking up sore one morning from climbing about 20 flights of stairs the day before, so far I haven't challenged myself to make any major changes in my day-to-day life.  This week, I want to rock the boat a little more and really put health at the forefront of my efforts.  I am challenging myself to eat at least 4 servings of produce a day.  At least half should come from veggies, ideally more.  

Some aspects of what we should eat and how much of it we should eat are controversial, but I won't be spending too much time today discussing that issue.  Almost everyone agrees that eating a variety of vegetables (especially) and fruits is good for you, and the fresher the produce is and the more different kinds you consume the better.  You can also add environmental and nutrient benefits by shopping for locally-grown produce in many parts of the United States (just search Buy Fresh Buy Local and your state's name online to find information about farmer's markets and other local food resources).  This message is being vigorously promoted by the USDA's My Plate program, which suggests you fill half of your plate at each meal with fruits and veggies.  And the same message is also supported by leading nutrition researchers (who are not necessarily without bias but probably are under less direct pressure from the agricultural lobby), such as those at the Harvard School of Public Health who recommend a similar diet breakdown.  

This week, I used the handy calculator from the My Plate website to determine what is the recommended number of servings for someone of my age, size, and activity level who wants to progress toward a healthy weight.  My personal recommendation is to consume 6 oz of grain, 2.5 cups of vegetables, 2 cups of fruit, 3 cups of dairy, and 5.5 oz of protein daily.  Based on the most current nutrition research, I think the recommendation for my dairy intake is too high (see the Harvard School of Public Health's discussion about dairy and calcium for more information), but I am convinced that I should ideally be eating at least 4.5 cups of vegetables and fruits on an average day.  

The calculator further breaks down the proportion I should devote to vegetables of different varieties over the course of a week:  1.5 cups leafy greens (note that one "cup" of greens is actually 2 measured cups due to their volume), 5.5 cups orange/red vegetables (like carrots and tomatoes), 1.5 cups beans and peas, 5 cups starchy vegetables (like potatoes and lima beans), and 4 cups of other vegetables (such as onions, mushrooms, and green beans).  Unfortunately there is not much evidence provided to support the suggested breakdown, and the Harvard School of Public Health food guide suggests that starchy vegetables like potatoes shouldn't really count toward your daily vegetable intake, but I do appreciate the help trying to think of the different kinds of veggies I should be eating so I don't just get stuck in a rut of eating only spinach or only green beans.  In fact, I have a very hard time thinking of anything that isn't green as a vegetable, so the breakdown is pretty nice.  My only change would be to lower the allotment for starchy vegetables and redistribute the remaining portions to other categories (particularly leafy greens).  

So, this all seems very well and good, but unfortunately I like doing all the research a lot more than I enjoy actually trying to cram more produce into my day.  I know fruits and vegetables are supposed to be a large part of my diet, but usually when I start adding more than I would normally eat I just end up packing in more calories rather than replacing something with them.  For instance, I'll still have the same amount of rice and chicken at dinner, but now there's a cup of green beans too.  Anticipating this problem, the My Plate people have created corresponding dinnerware that visually shows you how much of your plate should be devoted to each of the food groups.  This would be a great idea for someone who likes to eat their foods in discrete categories, but I'm more of a mixed dish kind of person.  I often eat my foods in a sauce and all piled together on a plate.  Grains, proteins, and vegetables all go together but fruits are usually eaten separately, often not even in the same meal.  So how do I implement the My Plate idea if I can't see the ratios of the food groups?

Despite the intuitive plate rules, I have decided that the best thing for me is to actually count the servings.  This is not too difficult for me since I already track my calories on SparkPeople and can easily look over the day to see which foods were fruits and veggies.  It gets a bit dicey when I want to determine exactly how much of something counts as a serving, but generally I use these 3 rules for veggies:
  1. 2 cups = 1 serving fresh leafy vegetables
  2. 0.5 cup = 1 serving of cooked vegetables that reduce substantially when cooking  
  3. 1 cup = 1 serving of anything else (cooked or not)
These rules are simplistic, but I think they are true to the spirit of the thing.  With fruits I am more fast and loose.  One fruit is a serving unless it is especially small (e.g. plums, apricots, cherries), and then I just count about the amount that would make up a cup as a serving.  For dried fruits, half a cup is a serving.  I don't typically drink juice to get my fruit, but 6 oz is a serving by my accounting.  

So now all that remains is for me to actually eat my fruits and veggies.  I started on that effort this week and haven't been entirely unsuccessful, but I have had to fudge the numbers a bit to get to 4 every day.  Through no fault of my own, our household had an unanticipated influx of leftover pizza this week that had me counting pizza sauce as a partial vegetable serving and of course the summer produce season is ending so it was hard to find veggies on sale at the grocery store.  I have been quite successful with the 2 servings of fruit a day, but I think it is much harder to pack in extra veggies.  They just don't make good snacks in my opinion - they need to go with something.  Plus, I know this is a bad excuse, but it's just so disappointing how quickly fresh fruits and vegetables go bad!

My creative solutions so far in this challenge have been to add spinach to my scrambled eggs, make a peach sauce to top my evening pancake snack instead of syrup (with some bonus sliced banana on top), and to add some yummy hummus to my ready-to-go foods stash (good thing beans can double count as veggies!).  I also bought some broccoli slaw so I can hide that in basically any sauce.  Plus, I always keep no salt added canned vegetables on hand, as well as fruits canned in juice and a supply of flash-frozen produce to keep it interesting. 

What about you?  Are you a produce-eating champ, or do you struggle to fit in fruits and veggies?  What tips and tricks do you have to boost your intake?  Have you found ways to make produce more portable or less work? 
 

For more in this countdown series, see last week's challenge about Taking the Stairs.

Friday, August 9, 2013

Countdown to TTC: Week 51


Hydrate Like a Pregnant Lady


Last week I prepared for conception (now in the not-so-distant future) by getting ready spiritually.  While I am continuing to read and pray, I also wanted to start doing something to get my body ready for the process.  I'm always hearing that the most physically demanding thing most women ever do is go through pregnancy and childbirth, and I definitely wouldn't say I'm in the best shape for such a marathon right now.  I have been on a journey for some time to eat healthier and get fit, but the actual weight loss and muscle gain associated with those changes have been minimal.  Now that I have a target date and a specific fitness challenge to prepare for, I am hoping to make some slow but positive change in the next 51 weeks.  When I go to the doctor for a preconception checkup, I want to be able to report that I've been doing everything I can to prepare for a healthy pregnancy.  

However, overhauling my life all at once seems like a stressful way to approach the situation.  I am starting early, so why not take things a step at a time, starting with something easy?  

The first "easy" task that came to mind was hydration.  It's simple, it's easily measurable, and it's important.  Plus, fluid intake needs increase significantly during pregnancy and low amniotic fluid is a common reason for term inductions.  I recently saw several episodes of A Baby Story and Baby's First Day on TLC in which women were induced at term for low amniotic fluid--a situation I'd like to avoid.  Admittedly, these inductions may not be necessary (see this great article on Science & Sensibility on the topic for more info), but it's also possible to reduce the risk of getting a diagnosis of low amniotic fluid in the first place by staying well-hydrated.  But apparently staying well-hydrated at term means drinking 2.5 liters (that's nearly 11 cups) of water per day!  So getting used to drinking plenty of water before getting pregnant seemed like a good idea.

Following that thought process, I set a goal for this week of drinking 8 glasses (64 oz) of water a day.  I am already a SparkPeople member, so tracking my water intake is as simple as clicking on an arrow each time I finish another cup.  Unfortunately, it turns out actually drinking that much water isn't as easy as I thought it would be.

I'm currently only on day 3 of this challenge, and so far I haven't met my goal.  Turns out I like to drink 5-6 glasses a day and anything more than that feels unpleasant.  It's not my ideal to have to pee every 30 minutes for half of the evening either (because I am trying to make up for not drinking during the day).  I'm sure I used to drink a lot more without issue at one time, but I have gotten into bad habits in the years since I went off to college and no longer had a ready supply of cool, filtered water and ice.  But I think by the end of the week I'll have achieved my 8 glasses a day and figured out some strategies to make it less challenging.  And I guess eventually one's body must become used to the better hydration and keep some of it in longer!  Here's what I've tried so far:

  1. Buy a water bottle that keeps liquid cold for a long time and doesn't sweat.  I decided to go with the Trudeau Cool Off 24-Ounce Hydration Bottle because it is fairly affordable, has air insulation that prevents sweating, includes a straw so it doesn't spill all over you when you drink out of it but can still be closed, and comes in a cute pink color.  I drink a lot more using this than I do with smaller bottles, even though it is a bit large for carrying around.  And the fact that the water stays cold really helps. 
  2. Figure out a good way to track your intake.  You think you will know how much you are drinking, but I found that method leads to extreme overestimation on my part.  The water bottle I got holds exactly 3 cups of liquid, so that way I know if I drink all of it and fill it 3 times during the day, I have exceeded my goal.  I also recommend using a ticker or counter throughout the day so you don't start fudging the numbers come evening.  As I said earlier, I like the one on the SparkPeople nutrition tracker.
  3. Distribute your consumption throughout the day!  This is my main problem--I think I am drinking at work but I get distracted and then realize I have only had one cup of water in 5 hours.  If you are then determined to make up for it the rest of the day, you will find yourself in the same bladder-busting situation I did.  

What about you?  Do you have any suggestions on how to drink more water?  Any pregnancy stories about hydration?   What do you think I should do in the next 50 weeks to prepare for conception?

Saturday, August 3, 2013

Countdown to TTC: 52 Weeks of Preparation


Week 52:  Pray Like a Mom

I am still planning to post the remainder of my Countdown to TTC Checklists, but a more pressing issue has inspired me to start writing another series.  DH and I are finally ready to start trying to conceive...one year from now!  Although we've always wanted a family and just celebrated our 3-year wedding anniversary, the timing just hasn't been right.  We are both graduate students on an uncertain completion timeline.  But it looks almost definite that DH will be finished within the next 2 years (maybe in only a year) and I am confident I can wrap up by then as well if I have a sufficient incentive (like a massive baby belly and a fierce desire to stay home with my newborn). That means a TTC start date one year from now would allow us to get pregnant no sooner than both of us should be wrapping up our studies--and because of the academic job market we would already know about DH's job by then too.  On the other hand, we are well aware that things don't always work out like we plan and we want to trust God for His timing, so we are approaching this decision prayerfully.

By now it is probably clear that I like to approach challenges with organization and thoughtful preparation, and this one is no different.  I downloaded my countdown clock which is ticking away in the corner of my computer right now (check out TimeLeft if you want to start your own -- the first countdown is free)  and now I am ready to start preparing for whatever God and my body have in store.

At first I struggled with what to do my first week, since it would set the tone for the rest of the year.  Should I do something easy, to smooth the way and make me feel capable of seeing through the other 51 weeks?  Should I go with something health-related since one of my biggest goals is preparing for a healthy pregnancy with minimal complications?  Then I realized that of course the first thing I should do, really any time I am preparing for such a big life change, is pray!  I want these habits I take on each week to extend throughout TTC and pregnancy, and being prayerful and connected with God should be first and foremost among those.  Everything about becoming a parent can be scary and stressful, but if I am getting my strength from my Creator, the one who formed me in the womb, I know I will have peace and assurance throughout the process.

So, this week I combed the Old and New Testaments for verses about conception, birth, parenthood, children, and God's sovereignty over them all.  I am planning to read at least one verse every day for the next year and meditate on it, as well as praying for God's guidance.  Below are some of the verses I found that most spoke to me: 



God, the Creator:  As you do not know the path of the wind, or how the body is formed in a mother's womb, so you cannot understand the work of God, the Maker of all things.  --Ecclesiastes 11:5 


God's Timing:  Commit everything you do to the Lord. Trust Him, and He will help you. Be still in the presence of the Lord, and wait patiently for Him to act.  --Psalms 37:5,7 

Infertility:   He settles the barren woman in her home as a happy mother of children. Praise the Lord.  --Psalms 113:9 

Preconception Health:  And the angel of the Lord appeared to the woman and said to her, “Behold, you are barren and have not borne children, but you shall conceive and bear a son. Therefore be careful and drink no wine or strong drink, and eat nothing unclean, for behold, you shall conceive and bear a son. No razor shall come upon his head, for the child shall be a Nazirite to God from the womb, and he shall begin to save Israel from the hand of the Philistines.”  --Judges 13: 3-7 

In the Womb:  For you formed my inward parts; you knitted me together in my mother’s womb. I praise you, for I am fearfully and wonderfully made. Wonderful are your works; my soul knows it very well. My frame was not hidden from you, when I was being made in secret, intricately woven in the depths of the earth. Your eyes saw my unformed substance; in your book were written, every one of them, the days that were formed for me, when as yet there was none of them.  --Psalms 139:13-16 

Childbirth:  A woman, when she is in labor, has sorrow because her hour has come; But as soon as she has given birth, she no longer remembers the anguish, For joy that a child has been born into the world.  --John 16:21 

Parental Instruction: Fix these words of mine in your hearts and minds; tie them as symbols on your hands and bind them on your foreheads. Teach them to your children, talking about them when you sit at home and when you walk along the road, when you lie down and when you get up.  --Deuteronomy 11:18-19

 

What about you?  Do you have any favorite inspirational words for prospective mommies and daddies?  What are you or did you do as you counted down to trying to conceive?  What do you think I should do in the next 51 weeks?