4 курс / Акушерство и гинекология / Покусаева_В_Н_Патологическое_увеличение_массы_тела_при_беременности

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ПРИЛОЖЕНИЕ А

Смоленская государственная медицинская академия Кафедра акушерства и гинекологии курсом пренатальной диагностики

АНКЕТА ДЛЯ ОЦЕНКИ ПИЩЕВОГО ПОВЕДЕНИЯ ПРИ

БЕРЕМЕННОСТИ И ПОСЛЕ РОДОВ

ПИТАНИЕ до беременности: 2, 3, 4, 5, 6 и > раз в сут., Перекусы между приемами пищи, еда на ночь (< 2 часов до сна).

Использовала «жесткие» диеты продолжительностью более недели со значительным похуданием: никогда, 1-2 раза, чаще 2 раз.

Количество приемов пища: до выхода в дородовой отпуск___ раз в день, в дородовом отпуске___ раз в день

Обычный завтрак. До беременности: Каша, творог, бутерброды и чай/кофе, «плотный» завтрак.

Во время беременности: Каша, творог, бутерброды и чай/кофе, «плотный» завтрак. После родов: Каша, творог, бутерброды и чай/кофе, «плотный» завтрак.

300