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My 28-year-old patient was 22 weeks and 2 days along with a pre-pregnancy BMI of 24.3 at 130 pounds, which indicates a normal weight. However, because she ate a lot of fast food, she gained weight and is now 142 pounds, which puts her in a lower socioeconomic position. Because she cannot afford them, my patient does not take her prenatal vitamins, which may also be the cause of her weight increase.

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My patient should give up fast food completely because it can lead to substantial diabetes, which neither she or the unborn child should have. I would also prescribe her an affordable vitamin, like the prenatal vitamins, as she needs to take iron and folic acid supplements. She should also eat a lot of green foods, such as broccoli, kale, green apples, and green peas, as they are high in folate.

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As we recognize, my patient gained weight from eating fast food and not taking her prenatal vitamins. I advised her to avoid fast food and instead eat green foods because they are high in folate. I also prescribed her affordable dietary supplements, such as prenatal vitamins, because she could not afford them. She just had her baby at 39 weeks and 2 days gestation, which is excellent and very safe. Her one-year-old son, on the other hand, has no PMHx and was born naturally through vaginal birth. Her son weighs 7 pounds and 1 ounce and is being nursed with difficulty latching, no birth defect has been detected as of yet.

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Based on what I know from lactation/breastfeeding I would advise my patient to ensure she is eating properly, as previously discussed, because improper nutrition could lead to diseases that may impact the baby's ability to latch and extract milk. I would also advise her to make sure her and baby are both comfortable and be very close (skin to skin) in contact so they could have a connection if she chooses to breastfeed naturally. Regardless, the baby must be fed. Brest pumping as well is good although it takes time it would just be healthier for the baby. I would also recommend trying a formula that does not contain led, which is harmful to the baby's health. A formula such as Similac might be a more suitable option for the baby's comfort. resources I would give her are website@breastfeedingnetwork.org.uk, About Parents: Meet Our Team and Expert Review Board