ABC | Volume 112, Nº5, May 2019

Guideline Brazilian Fetal Cardiology Guidelines – 2019 Arq Bras Cardiol. 2019; 112(5):600-648 Figure 6.1 – Food pyramid. FOOD PYRAMID GUIDELINES FOR CONSUMPTION OF POLYPHENOL-RICH FOODS DURING THE THIRD TRIMESTER OF PREGNANCY, IN ORDER TO AVOID DUCTAL CONSTRICTION Avoid consumption Consume in moderation Consume freely AVOID CONSUMPTION Foods with high concentrations of total polyphenols per 100 g or per 100 ml, which are contraindicated or which do not have nutritional benefits during pregnancy = dark chocolate, coffee, yerba mate, and tea. CONSUME IN MODERATION Foods with concentrations over 30 mg, which may be consumed in moderation, in accordance with the portions established below: • Lettuce: consume no more than 10 medium-sized leaves/day • Red/purple plums, unpeeled: consume no more than 1 small unit/day • Blackberries/mulberries: consume no more than 1/2 cup/day • Red apples, unpeeled: do not eat the peel • Oranges/orange juice: do not consume • Papaya: consume no more than 1 slice/day (formosa variety) • Strawberries: consume no more than 2 larges units/day • Red/purple/pink grapes/grape juice: do not consume • Olive oil: consume no more than 1 teaspoon/day • Raw beets: consume no more than 2 tablespoons/day • Green herbs: consume no more than 12 teaspoons/day CONSUME FREELY Foods with concentrations below 30 mg per 100 g = other fruits and vegetables which are not mentioned in the middle of the pyramid, bread and starches in general, cereals, dairy products, meat, and eggs. 624