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There's a lot of advice out there on what you *can't* eat during pregnancy. Here's what you can eat.
October 13, 2022
Dejan Ristovsk/Stocksy
We independently select and share the products we love—and may receive a commission if you choose to buy.
As soon as you see that faint positive line on a pregnancy test, the questions start rolling in. What are the best pregnancy foods? Or, more likely, which foods should I avoid during pregnancy? Some off-limits foods are a no-brainer: You should avoid alcohol and raw sushi and undercooked meats, but other foods you might regularly enjoy, like salmon, may still be A-OK per the latest research on eating fish in pregnancy.
Pregnancy marks a major physical change—your amazing body is busy growing a whole new human, and as a result, your nutrition needs will change, too. But gone are the days when “eating for two” was the rule of thumb. When it comes to pregnancy nutrition, you’ll want to focus on quality where you can—maximizing whole, unrefined foods, a variety of complex starches, lots of fruits and veggies, brain-boosting fats and plenty of protein. These will make up the building blocks for your developing baby and your own changing body over the next 10 months.
But if those new pregnancy symptoms mean you can only stomach plain bagels for the entire first trimester? Not to worry, mama. We’ve got tips for managing morning sickness and recommendations for the best prenatal vitamins to help you fill in any nutrient gaps.
Here’s what else you need to know about what to eat and what not to eat during pregnancy—plus evidence-backed tips on nutrition for pregnancy.
Related: The 10 most important foods to eat during pregnancy
So many pregnancy nutrition resources focus on the “don’t list” first—which can be kind of a bummer. As a board-certified and licensed nutritionist, I think it’s a mistake not to highlight all the foods you *can* eat during pregnancy. Here are the healthy foods for pregnancy to prioritize on your plate over the next three trimesters. Note that these lists are not exhaustive!
(Of course, filling your plate with these foods is one thing—but actually being able to stomach them when you’re in the throes of morning sickness is something else entirely. Read more about our best morning sickness remedies below.)
Complex starches are slow-burning carbohydrates that will stabilize your blood sugar over a longer period of time. (Read: more energy!) They’re also higher in fiber to keep everything moving—digestion slows the further along you get in pregnancy, meaning constipation can be an issue. Know also that carbs are a major building block for your little bean—now (or ever, really) is not the time to engage in any type of restrictive diet.
Aim for: 3 to 4 servings per day
Look for: Oats, quinoa, whole grain bread, sourdough bread, black rice, wild rice, lentils, black beans, chickpeas, peas, sweet potatoes, purple potatoes, popcorn
Related: The 10 most important foods to eat during pregnancy
I typically recommend pregnant women get upwards of 70 to 100 grams of protein per day (most adult women are typically getting 30 to 50 grams per day outside of pregnancy), as it’s another highly important macronutrient building block for this high-growth period. Animal-based proteins are a good source of iron, the need for which is increased in pregnancy. If you don’t eat animal protein, talk to your doctor about whether you might need an iron and/or B12 supplement to avoid the risk of iron-deficiency anemia.
Aim for: 8 to 9 ounces per day
Look for: Lean meats like chicken, turkey, lean cuts of beef, salmon, cod, halibut, tuna, sardines, anchovies, eggs, tofu, tempeh
Related: 5 ways to add protein to your pregnancy diet
Pregnancy is a time when you’ll really want to amp up your intake of fruits and vegetables, which are packed with nutrients and antioxidants to help your body handle the stress of pregnancy and growing a baby. Eat the rainbow and vary your intake as much as you can.
Aim for: 7 to 9 servings of vegetables and 2 to 3 servings of fruit
Look for: Tomatoes, strawberries, red peppers, raspberries, carrots, oranges, peaches, lemons, broccoli, spinach, arugula, asparagus, kale, romaine lettuce, apples, blueberries, blackberries, onions, white potatoes, cauliflower, mushrooms, squash
Related: 5 ways to clean up your pregnancy diet
Opt for full-fat dairy, which has both protein and good fats to help keep you full—and to help build baby’s growing brain. Plant-based fats, like avocados, olives, nuts and seeds, all make for easy snacks.
Aim for: 4 to 6 servings per day
Look for: Cow milk, goat milk, almond milk, oat milk, coconut milk, kefir, yogurt, hard cheeses, avocado, avocado oil, butter, ghee, olives, olive oil, nuts, nut butters, chia seeds, pumpkin seeds, sunflower seeds, ground flax seeds
Honey, maple syrup, dark chocolate and coconut sugar are solid options when you’re wanting something sweet during pregnancy, as they boast nutritional benefits while also satisfying sweet cravings.
Look for: Sweets or baked goods made with honey, maple syrup, coconut sugar, molasses, dark chocolate.
Related: Motherly created the flexible pregnancy wellness class mamas have needed for so long
The silver lining when dealing with nausea and vomiting in pregnancy (NVP), better known as morning sickness? It can actually be a positive sign, as morning sickness is associated with a lower risk of miscarriage. But all that queasiness and throwing up can make eating a varied diet difficult to say the least.
Morning sickness can start as soon as 6 weeks of pregnancy and in some cases, can last until the second trimester, but it generally peaks around 9 weeks and starts to reduce around 14 weeks. In most cases, it’s completely gone by 22 weeks.
Related: Taking probiotics in early pregnancy may reduce morning sickness
Eating regular small meals, including a snack before you get out of bed in the morning (try keeping crackers or nuts in your nightstand drawer) can also help waves of nausea pass that might otherwise occur when your stomach is empty.
If you can’t seem to keep any food in your stomach and are constantly throwing up, you could have a condition called hyperemesis gravidarum and be at risk of dehydration. Talk to your doctor for treatment options.
Related: Have morning sickness? Here’s how to get the nutrition you need, according to a dietitian
Oatmeal with maple syrup, cinnamon, pecans and frozen raspberries
Whole-milk or plant-milk plain yogurt with frozen blueberries
Celery sticks with nut butter
Avocado chicken salad with sourdough toast
Butternut squash soup
Hard-boiled egg with olive oil and sea salt
Nuts, seeds and dark chocolate trail mix
Roasted salmon with asparagus
Wild rice with herbs
Related: 5 tips to combat pregnancy fatigue
Don’t overthink it: Drink water to thirst, or for a general goal, aim to imbibe roughly half your body weight in ounces. Tea, soups and watery vegetables (watermelon!) all count toward your hydration goals. You can also try adding electrolyte powders to your water, which may be helpful when exercising.
Related: How much water should a pregnant woman drink?
Foods to avoid in pregnancy tend to be any that are typically served undercooked or raw, unpasteurized or cured, or grown or prepared in conditions that might carry a risk of bacterial contamination.
Because pregnancy is a pseudo-immunocompromised state, your normal defenses against infection and illness, especially food-borne illness, are down. Pregnant women are 10 times more likely to get listeriosis, a severe infection caused by the food-borne bacteria, listeria, than non-pregnant women. Listeriosis can lead to miscarriage, stillbirth, or preterm labor.
Not everything raw will contain listeria, but since heat destroys it (along with other potentially pathogenic bacteria or parasites), it’s best to avoid uncooked foods to reduce your risk.
Additionally, alcoholic beverages, caffeinated beverages, certain medicinal herbs, cannabis and even CBD could have detrimental effects on the development of your fetus, so it’s best to avoid them altogether.
Read more: 10 foods to avoid during pregnancy (and why)
Here’s a quick breakdown of increased nutrient needs per trimester, from early pregnancy all the way to the third trimester.
In terms of caloric intake, things should generally stay the same from your pre-pregnancy diet. The fetus is still so small and weight gain is minimal in the first trimester, but make sure you’re meeting the daily recommended intake for folate (600 mcg per day), which can come from leafy greens, beans and legumes and fruit. If you’re taking a prenatal vitamin, most of your folate intake can come from your supplement.
Related: What to eat during the first trimester of pregnancy
They don’t call it “the honeymoon trimester” for nothing. You’re hopefully starting to surface from that early pregnancy nausea and fatigue, if you haven’t already, and your reward is increased energy. But all that energy burns off quickly, and the second trimester is a time of major growth for your little one, too. Aim to increase your calorie intake by approximately 300 to 350 calories per day during these months. Add more nuts, seeds and olive oil drizzles to your salads, incorporate more yogurt and hard cheese snacks, or a sliced apple and peanut butter if you’re on the go.
Related: What to eat during the second trimester of pregnancy
Baby’s growth is really picking up now, and you’ll need to match that with more calorie intake. Try to get an extra 400 to 450 calories per day through foods like smoothies, yogurt bowls topped with nuts and berries, oatmeal and other ways to sneak in more fiber. You might feel a bit more tired as sleeping becomes more difficult and middle-of-the-night wake-ups are becoming more common. Aim to incorporate more magnesium-rich foods like chickpeas and pumpkin seeds into your daily diet to help promote restful sleep.
Related: Nutrient-dense pregnancy smoothie
Aim to consume these important nutrients on the daily, but know that your prenatal vitamin should cover any gaps.
Related: Are you getting enough iron during pregnancy?
Related: Taking vitamin D during pregnancy may lower your baby’s risk of eczema
Related: Choline in pregnancy boosts kids’ attention – Motherly
Snacks are a pregnant woman’s secret weapon to fend off nausea, fatigue and general hunger, of course. Here’s a list of nutritionist-approved favorites.
Related: 14 first-trimester snacks you can actually stomach, according to a nutritionist
The short answer is yes, you do need to take a prenatal vitamin in pregnancy. Because pregnancy is a state marked by increased nutrient needs (so is breastfeeding, btw), prenatal vitamins can offer extra support in a convenient format.
Ideally, you’ll begin taking your prenatal vitamins six to 12 months before you start trying to conceive. If you’re on a faster timeline, even three months before you start trying is best (eggs take three months to mature, so it’ll take that long for you to get results). But if you’ve already started trying to conceive or are already pregnant, don’t worry. Just start taking a prenatal vitamin as soon as possible—it’s never too late.
A note on forms of folate: You’ve maybe heard of the highly common genetic variant known as MTHFR, which, if you have this variant, it’s widely assumed to mean that your body has trouble converting folic acid into its active form, L-methylfolate. The Centers for Disease Control and Prevention (CDC) says this is a myth: People with MTHFR variants can process all types of folate, including folic acid. Whether the prenatal you choose has folic acid or 5-MTHF, the methylated form, it doesn’t matter.
Related: Looking for the best prenatal vitamin? 7 reasons why your search stops here
Related: The 5 best prenatal vitamins, according to a nutritionist
Perelel’s ingenuity lies in the fact that it offers a different vitamin formulation for each trimester and beyond—this is brilliant, because each trimester comes with its own needs. Perelel’s core prenatal is OB-GYN formulated and divided into two doses, with additional separate supplement add-ons for each stage, like ginger and B6 in the first, calcium and magnesium in the second plus a probiotic in the third. They also offer complimentary recycling for pill sachets.
For mamas with pill fatigue or morning sickness, Needed’s prenatal vitamin powder can make getting your nutrients much easier to stomach. Needed also offers a capsule formulation and an optional iron add-on, so if supplementing iron isn’t for you, you can opt to omit. The powdered formula also means you’ll get 550 mg of choline (unheard of in a prenatal!).
I like Ritual’s ‘everything you need; nothing you don’t’ philosophy, which is a good mentality for pregnancy and baby gear in general. Their prenatal contains just the essentials with just 12 nutrients packed into a delayed-release capsule to promote good absorption. I love that it contains methylated B vitamins, bioavailable iron and 350 mg of DHA, an omega-3 fatty acid that’s necessary for fetal brain and eye development.
Read more about it here.
The Baby & Me prenatal from Innate Response contains food forms of several nutrients and comes in a divided dose. It’s naturopath-formulate and I’ve found it’s easier on the stomach than other prenatal tablets but still packs a major nutritional value.
Bird & Be’s gentle prenatal is easier on nauseated mamas than other supplements, as it contains just the basics—ideal if you have trouble keeping heavier-duty blends down. I especially appreciate that they include extra B6, which has been shown to help reduce morning sickness, and a whopping 300 mg of choline.
While there isn’t a lot of data on their usage in pregnancy, probiotics are generally considered safe for use in pregnancy and lactation. “There is no reason they shouldn’t be used—they are going to stay in the gastrointestinal tract, not affect the baby in the uterus,” says Mary Jane Minkin, MD, an OB-GYN and clinical professor of Obstetrics, Gynecology and Reproductive Sciences at Yale University School of Medicine.
Probiotics may confer benefits throughout pregnancy and birth: They have been shown to prevent some infections in pregnancy and prevent preterm delivery, as well as be protective against morning sickness. A new study has found that taking probiotics may significantly reduce symptoms of morning sickness in the first and second trimester. If you are interested in taking a probiotic during pregnancy, be sure to talk about it first with your birth provider.
Related: Probiotics in early pregnancy may reduce morning sickness
Synbiotic+ is a daily three-in-one prebiotic, probiotic, postbiotic supplement that features two of the world’s most clinically studied strains, BB-12 and LGG, to help support gut, digestive and immune health.
This combination probiotic and prebiotic containing 24 clinically and scientifically studied strains was designed to promote whole-body health.
Formulated with 8 different pre-and probiotic strains, microflora, cranberry extract and yeast, Hers Start Women’s Probiotic doesn’t only help support gut health, it can also aid the immune system, urinary tract and overall wellness.
Containing two strains well-studied for vaginal health, L. rhamnosus (GR-1) and L. reuteri (RC-14), Pro-B is designed to effectively balance yeast and bacteria to maintain your vaginal microflora.
Pregnancy cravings often appear during the first trimester, peak during the second, and fizzle out during the third. Sweet foods are high on the list of the most-craved foods, as are savory foods like pizza or fried foods. Studies have estimated that anywhere between 50 to 90% of women experience food cravings during pregnancy, so they’re highly common, but experts don’t fully know why pregnancy cravings happen. They may be due to changing hormones, as a protective measure or to ward off a nutrient deficiency.
Read more: Are my pregnancy cravings normal? A dietician explains what you should know
Bland foods are the name of the game. Bagels, crackers, toast, bananas, rice, and similarly simple starches tend to be more appealing for those with morning sickness (better known as all-day sickness, generally speaking). Ginger and peppermint can help quell nausea in between meals, and research shows that vitamin B6 and probiotics may help to reduce morning sickness, too.
Read more: Have morning sickness? Here’s how to get the nutrition you need, according to a dietitian
When it comes to weight gain in pregnancy, understand that there’s a wide range of what’s normal. In clinical terms, your recommended weight gain in pregnancy is based on your pre-pregnancy weight and how many babies you’re carrying.
But rather than focusing on the numbers on the scale, focus instead on listening to your body’s hunger and fullness cues. If you have questions about pregnancy weight gain, your birth provider is your best resource.
Read more: Gestational diabetes may not be linked to pregnancy weight gain, study says
If your birth provider has diagnosed you with gestational diabetes, a type of diabetes that can occur during pregnancy, it means that your blood glucose level is elevated and your body isn’t producing enough insulin to stabilize it. Having gestational diabetes can sometimes affect birth outcomes for your baby and set you up for a higher risk of type 2 diabetes later in life, so it’s important to manage the condition by keeping your blood sugar stable the best you can. That looks like eating a combination of fiber-rich foods, lots of protein, fats and fruits and vegetables. But exercise and stress relief and sufficient sleep are also important for keeping your blood sugar under control. Talk to your birth provider for more tips.
Read more: 7 delicious recipes for mamas with gestational diabetes
Sources
The American College of Obstetricians and Gynecologists. Nutrition during pregnancy: FAQs. Updated March 2022.
Brown, JE & Lechtenberg E. Nutrition through the life cycle. 2017. Boston (Ma.): Cengage.
Office of Dietary Supplements. Dietary Supplement Fact Sheets: Health Professional Fact Sheets.
Mahan LK, Raymond, JL. Krause’s food and the nutrition care process. 2016. St. Louis (Mo.): Elsevier.
Motherly 2022 ®
source
There's a lot of advice out there on what you *can't* eat during pregnancy. Here's what you can eat.
October 13, 2022
Dejan Ristovsk/Stocksy
We independently select and share the products we love—and may receive a commission if you choose to buy.
As soon as you see that faint positive line on a pregnancy test, the questions start rolling in. What are the best pregnancy foods? Or, more likely, which foods should I avoid during pregnancy? Some off-limits foods are a no-brainer: You should avoid alcohol and raw sushi and undercooked meats, but other foods you might regularly enjoy, like salmon, may still be A-OK per the latest research on eating fish in pregnancy.
Pregnancy marks a major physical change—your amazing body is busy growing a whole new human, and as a result, your nutrition needs will change, too. But gone are the days when “eating for two” was the rule of thumb. When it comes to pregnancy nutrition, you’ll want to focus on quality where you can—maximizing whole, unrefined foods, a variety of complex starches, lots of fruits and veggies, brain-boosting fats and plenty of protein. These will make up the building blocks for your developing baby and your own changing body over the next 10 months.
But if those new pregnancy symptoms mean you can only stomach plain bagels for the entire first trimester? Not to worry, mama. We’ve got tips for managing morning sickness and recommendations for the best prenatal vitamins to help you fill in any nutrient gaps.
Here’s what else you need to know about what to eat and what not to eat during pregnancy—plus evidence-backed tips on nutrition for pregnancy.
Related: The 10 most important foods to eat during pregnancy
So many pregnancy nutrition resources focus on the “don’t list” first—which can be kind of a bummer. As a board-certified and licensed nutritionist, I think it’s a mistake not to highlight all the foods you *can* eat during pregnancy. Here are the healthy foods for pregnancy to prioritize on your plate over the next three trimesters. Note that these lists are not exhaustive!
(Of course, filling your plate with these foods is one thing—but actually being able to stomach them when you’re in the throes of morning sickness is something else entirely. Read more about our best morning sickness remedies below.)
Complex starches are slow-burning carbohydrates that will stabilize your blood sugar over a longer period of time. (Read: more energy!) They’re also higher in fiber to keep everything moving—digestion slows the further along you get in pregnancy, meaning constipation can be an issue. Know also that carbs are a major building block for your little bean—now (or ever, really) is not the time to engage in any type of restrictive diet.
Aim for: 3 to 4 servings per day
Look for: Oats, quinoa, whole grain bread, sourdough bread, black rice, wild rice, lentils, black beans, chickpeas, peas, sweet potatoes, purple potatoes, popcorn
Related: The 10 most important foods to eat during pregnancy
I typically recommend pregnant women get upwards of 70 to 100 grams of protein per day (most adult women are typically getting 30 to 50 grams per day outside of pregnancy), as it’s another highly important macronutrient building block for this high-growth period. Animal-based proteins are a good source of iron, the need for which is increased in pregnancy. If you don’t eat animal protein, talk to your doctor about whether you might need an iron and/or B12 supplement to avoid the risk of iron-deficiency anemia.
Aim for: 8 to 9 ounces per day
Look for: Lean meats like chicken, turkey, lean cuts of beef, salmon, cod, halibut, tuna, sardines, anchovies, eggs, tofu, tempeh
Related: 5 ways to add protein to your pregnancy diet
Pregnancy is a time when you’ll really want to amp up your intake of fruits and vegetables, which are packed with nutrients and antioxidants to help your body handle the stress of pregnancy and growing a baby. Eat the rainbow and vary your intake as much as you can.
Aim for: 7 to 9 servings of vegetables and 2 to 3 servings of fruit
Look for: Tomatoes, strawberries, red peppers, raspberries, carrots, oranges, peaches, lemons, broccoli, spinach, arugula, asparagus, kale, romaine lettuce, apples, blueberries, blackberries, onions, white potatoes, cauliflower, mushrooms, squash
Related: 5 ways to clean up your pregnancy diet
Opt for full-fat dairy, which has both protein and good fats to help keep you full—and to help build baby’s growing brain. Plant-based fats, like avocados, olives, nuts and seeds, all make for easy snacks.
Aim for: 4 to 6 servings per day
Look for: Cow milk, goat milk, almond milk, oat milk, coconut milk, kefir, yogurt, hard cheeses, avocado, avocado oil, butter, ghee, olives, olive oil, nuts, nut butters, chia seeds, pumpkin seeds, sunflower seeds, ground flax seeds
Honey, maple syrup, dark chocolate and coconut sugar are solid options when you’re wanting something sweet during pregnancy, as they boast nutritional benefits while also satisfying sweet cravings.
Look for: Sweets or baked goods made with honey, maple syrup, coconut sugar, molasses, dark chocolate.
Related: Motherly created the flexible pregnancy wellness class mamas have needed for so long
The silver lining when dealing with nausea and vomiting in pregnancy (NVP), better known as morning sickness? It can actually be a positive sign, as morning sickness is associated with a lower risk of miscarriage. But all that queasiness and throwing up can make eating a varied diet difficult to say the least.
Morning sickness can start as soon as 6 weeks of pregnancy and in some cases, can last until the second trimester, but it generally peaks around 9 weeks and starts to reduce around 14 weeks. In most cases, it’s completely gone by 22 weeks.
Related: Taking probiotics in early pregnancy may reduce morning sickness
Eating regular small meals, including a snack before you get out of bed in the morning (try keeping crackers or nuts in your nightstand drawer) can also help waves of nausea pass that might otherwise occur when your stomach is empty.
If you can’t seem to keep any food in your stomach and are constantly throwing up, you could have a condition called hyperemesis gravidarum and be at risk of dehydration. Talk to your doctor for treatment options.
Related: Have morning sickness? Here’s how to get the nutrition you need, according to a dietitian
Oatmeal with maple syrup, cinnamon, pecans and frozen raspberries
Whole-milk or plant-milk plain yogurt with frozen blueberries
Celery sticks with nut butter
Avocado chicken salad with sourdough toast
Butternut squash soup
Hard-boiled egg with olive oil and sea salt
Nuts, seeds and dark chocolate trail mix
Roasted salmon with asparagus
Wild rice with herbs
Related: 5 tips to combat pregnancy fatigue
Don’t overthink it: Drink water to thirst, or for a general goal, aim to imbibe roughly half your body weight in ounces. Tea, soups and watery vegetables (watermelon!) all count toward your hydration goals. You can also try adding electrolyte powders to your water, which may be helpful when exercising.
Related: How much water should a pregnant woman drink?
Foods to avoid in pregnancy tend to be any that are typically served undercooked or raw, unpasteurized or cured, or grown or prepared in conditions that might carry a risk of bacterial contamination.
Because pregnancy is a pseudo-immunocompromised state, your normal defenses against infection and illness, especially food-borne illness, are down. Pregnant women are 10 times more likely to get listeriosis, a severe infection caused by the food-borne bacteria, listeria, than non-pregnant women. Listeriosis can lead to miscarriage, stillbirth, or preterm labor.
Not everything raw will contain listeria, but since heat destroys it (along with other potentially pathogenic bacteria or parasites), it’s best to avoid uncooked foods to reduce your risk.
Additionally, alcoholic beverages, caffeinated beverages, certain medicinal herbs, cannabis and even CBD could have detrimental effects on the development of your fetus, so it’s best to avoid them altogether.
Read more: 10 foods to avoid during pregnancy (and why)
Here’s a quick breakdown of increased nutrient needs per trimester, from early pregnancy all the way to the third trimester.
In terms of caloric intake, things should generally stay the same from your pre-pregnancy diet. The fetus is still so small and weight gain is minimal in the first trimester, but make sure you’re meeting the daily recommended intake for folate (600 mcg per day), which can come from leafy greens, beans and legumes and fruit. If you’re taking a prenatal vitamin, most of your folate intake can come from your supplement.
Related: What to eat during the first trimester of pregnancy
They don’t call it “the honeymoon trimester” for nothing. You’re hopefully starting to surface from that early pregnancy nausea and fatigue, if you haven’t already, and your reward is increased energy. But all that energy burns off quickly, and the second trimester is a time of major growth for your little one, too. Aim to increase your calorie intake by approximately 300 to 350 calories per day during these months. Add more nuts, seeds and olive oil drizzles to your salads, incorporate more yogurt and hard cheese snacks, or a sliced apple and peanut butter if you’re on the go.
Related: What to eat during the second trimester of pregnancy
Baby’s growth is really picking up now, and you’ll need to match that with more calorie intake. Try to get an extra 400 to 450 calories per day through foods like smoothies, yogurt bowls topped with nuts and berries, oatmeal and other ways to sneak in more fiber. You might feel a bit more tired as sleeping becomes more difficult and middle-of-the-night wake-ups are becoming more common. Aim to incorporate more magnesium-rich foods like chickpeas and pumpkin seeds into your daily diet to help promote restful sleep.
Related: Nutrient-dense pregnancy smoothie
Aim to consume these important nutrients on the daily, but know that your prenatal vitamin should cover any gaps.
Related: Are you getting enough iron during pregnancy?
Related: Taking vitamin D during pregnancy may lower your baby’s risk of eczema
Related: Choline in pregnancy boosts kids’ attention – Motherly
Snacks are a pregnant woman’s secret weapon to fend off nausea, fatigue and general hunger, of course. Here’s a list of nutritionist-approved favorites.
Related: 14 first-trimester snacks you can actually stomach, according to a nutritionist
The short answer is yes, you do need to take a prenatal vitamin in pregnancy. Because pregnancy is a state marked by increased nutrient needs (so is breastfeeding, btw), prenatal vitamins can offer extra support in a convenient format.
Ideally, you’ll begin taking your prenatal vitamins six to 12 months before you start trying to conceive. If you’re on a faster timeline, even three months before you start trying is best (eggs take three months to mature, so it’ll take that long for you to get results). But if you’ve already started trying to conceive or are already pregnant, don’t worry. Just start taking a prenatal vitamin as soon as possible—it’s never too late.
A note on forms of folate: You’ve maybe heard of the highly common genetic variant known as MTHFR, which, if you have this variant, it’s widely assumed to mean that your body has trouble converting folic acid into its active form, L-methylfolate. The Centers for Disease Control and Prevention (CDC) says this is a myth: People with MTHFR variants can process all types of folate, including folic acid. Whether the prenatal you choose has folic acid or 5-MTHF, the methylated form, it doesn’t matter.
Related: Looking for the best prenatal vitamin? 7 reasons why your search stops here
Related: The 5 best prenatal vitamins, according to a nutritionist
Perelel’s ingenuity lies in the fact that it offers a different vitamin formulation for each trimester and beyond—this is brilliant, because each trimester comes with its own needs. Perelel’s core prenatal is OB-GYN formulated and divided into two doses, with additional separate supplement add-ons for each stage, like ginger and B6 in the first, calcium and magnesium in the second plus a probiotic in the third. They also offer complimentary recycling for pill sachets.
For mamas with pill fatigue or morning sickness, Needed’s prenatal vitamin powder can make getting your nutrients much easier to stomach. Needed also offers a capsule formulation and an optional iron add-on, so if supplementing iron isn’t for you, you can opt to omit. The powdered formula also means you’ll get 550 mg of choline (unheard of in a prenatal!).
I like Ritual’s ‘everything you need; nothing you don’t’ philosophy, which is a good mentality for pregnancy and baby gear in general. Their prenatal contains just the essentials with just 12 nutrients packed into a delayed-release capsule to promote good absorption. I love that it contains methylated B vitamins, bioavailable iron and 350 mg of DHA, an omega-3 fatty acid that’s necessary for fetal brain and eye development.
Read more about it here.
The Baby & Me prenatal from Innate Response contains food forms of several nutrients and comes in a divided dose. It’s naturopath-formulate and I’ve found it’s easier on the stomach than other prenatal tablets but still packs a major nutritional value.
Bird & Be’s gentle prenatal is easier on nauseated mamas than other supplements, as it contains just the basics—ideal if you have trouble keeping heavier-duty blends down. I especially appreciate that they include extra B6, which has been shown to help reduce morning sickness, and a whopping 300 mg of choline.
While there isn’t a lot of data on their usage in pregnancy, probiotics are generally considered safe for use in pregnancy and lactation. “There is no reason they shouldn’t be used—they are going to stay in the gastrointestinal tract, not affect the baby in the uterus,” says Mary Jane Minkin, MD, an OB-GYN and clinical professor of Obstetrics, Gynecology and Reproductive Sciences at Yale University School of Medicine.
Probiotics may confer benefits throughout pregnancy and birth: They have been shown to prevent some infections in pregnancy and prevent preterm delivery, as well as be protective against morning sickness. A new study has found that taking probiotics may significantly reduce symptoms of morning sickness in the first and second trimester. If you are interested in taking a probiotic during pregnancy, be sure to talk about it first with your birth provider.
Related: Probiotics in early pregnancy may reduce morning sickness
Synbiotic+ is a daily three-in-one prebiotic, probiotic, postbiotic supplement that features two of the world’s most clinically studied strains, BB-12 and LGG, to help support gut, digestive and immune health.
This combination probiotic and prebiotic containing 24 clinically and scientifically studied strains was designed to promote whole-body health.
Formulated with 8 different pre-and probiotic strains, microflora, cranberry extract and yeast, Hers Start Women’s Probiotic doesn’t only help support gut health, it can also aid the immune system, urinary tract and overall wellness.
Containing two strains well-studied for vaginal health, L. rhamnosus (GR-1) and L. reuteri (RC-14), Pro-B is designed to effectively balance yeast and bacteria to maintain your vaginal microflora.
Pregnancy cravings often appear during the first trimester, peak during the second, and fizzle out during the third. Sweet foods are high on the list of the most-craved foods, as are savory foods like pizza or fried foods. Studies have estimated that anywhere between 50 to 90% of women experience food cravings during pregnancy, so they’re highly common, but experts don’t fully know why pregnancy cravings happen. They may be due to changing hormones, as a protective measure or to ward off a nutrient deficiency.
Read more: Are my pregnancy cravings normal? A dietician explains what you should know
Bland foods are the name of the game. Bagels, crackers, toast, bananas, rice, and similarly simple starches tend to be more appealing for those with morning sickness (better known as all-day sickness, generally speaking). Ginger and peppermint can help quell nausea in between meals, and research shows that vitamin B6 and probiotics may help to reduce morning sickness, too.
Read more: Have morning sickness? Here’s how to get the nutrition you need, according to a dietitian
When it comes to weight gain in pregnancy, understand that there’s a wide range of what’s normal. In clinical terms, your recommended weight gain in pregnancy is based on your pre-pregnancy weight and how many babies you’re carrying.
But rather than focusing on the numbers on the scale, focus instead on listening to your body’s hunger and fullness cues. If you have questions about pregnancy weight gain, your birth provider is your best resource.
Read more: Gestational diabetes may not be linked to pregnancy weight gain, study says
If your birth provider has diagnosed you with gestational diabetes, a type of diabetes that can occur during pregnancy, it means that your blood glucose level is elevated and your body isn’t producing enough insulin to stabilize it. Having gestational diabetes can sometimes affect birth outcomes for your baby and set you up for a higher risk of type 2 diabetes later in life, so it’s important to manage the condition by keeping your blood sugar stable the best you can. That looks like eating a combination of fiber-rich foods, lots of protein, fats and fruits and vegetables. But exercise and stress relief and sufficient sleep are also important for keeping your blood sugar under control. Talk to your birth provider for more tips.
Read more: 7 delicious recipes for mamas with gestational diabetes
Sources
The American College of Obstetricians and Gynecologists. Nutrition during pregnancy: FAQs. Updated March 2022.
Brown, JE & Lechtenberg E. Nutrition through the life cycle. 2017. Boston (Ma.): Cengage.
Office of Dietary Supplements. Dietary Supplement Fact Sheets: Health Professional Fact Sheets.
Mahan LK, Raymond, JL. Krause’s food and the nutrition care process. 2016. St. Louis (Mo.): Elsevier.
Motherly 2022 ®
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