
Pregnancy is a time when women need to be especially mindful of their diet, as it can directly impact the growth and development of the infant. A healthy diet during pregnancy can help set up both mother and baby for success after birth. It is recommended that women consume an extra 100-300 calories per day, but this should come from a balanced diet of whole grains, fruits, vegetables, and protein, with minimal sweets and fats. In addition, it is important to ensure adequate intake of nutrients like folic acid, iodine, choline, calcium, vitamin D, potassium, and fiber. Pregnant women should also avoid alcohol, smoking, and reduce their intake of caffeine and certain types of seafood.
How should I change my diet when pregnant?
| Characteristics | Values |
|---|---|
| Calories | Pregnant women need 100-300 more calories per day, with the number varying across trimesters. |
| Carbohydrates | More than half of the diet should consist of carbohydrates, mostly from whole grains. |
| Protein | Lean meats, chicken, eggs, seafood, beans, lentils, nuts, seeds, tofu, and dairy are good sources of protein. |
| Vitamins and Nutrients | Fruits and vegetables are a good source of vitamins and nutrients. |
| Folic Acid | The U.S. Public Health Service recommends 400 micrograms (0.4 mg) of folic acid per day to reduce the risk of neural tube defects. |
| Iodine | Iodine is important for the baby's brain development. Use iodized salt and ask your doctor about iodine supplements. |
| Choline | Choline is also important for the baby's brain development. Sources of choline include low-fat and fat-free dairy, eggs, lean meats, seafood, beans, and lentils. |
| Calcium | Calcium is important for the mother and baby. |
| Vitamin D | Vitamin D is important for the mother and baby. |
| Potassium | Potassium is important for the mother and baby. |
| Fibre | Fibre is important for the mother and baby. |
| Alcohol | No amount of alcohol is safe during pregnancy. |
| Smoking | Quitting smoking lowers the risk of miscarriage and other serious health problems for the baby. |
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What You'll Learn

Increase your intake of folic acid, protein, iron, iodine, and choline
Folic acid is a critical component of any pregnancy diet. It is a nutrient that helps reduce the risk of neural tube defects, which are birth defects of the brain and spinal cord. Folic acid is most helpful during the first 28 days after conception, when most neural tube defects occur. However, since many women may not realize they are pregnant during this time, it is recommended that folic acid intake begins before conception and continues throughout the pregnancy. The U.S. Public Health Service recommends that women of childbearing age consume 400 micrograms (0.4 mg) of folic acid each day. Folic acid can be found in some vitamin supplements, as well as in dark, leafy green vegetables, legumes, fruits, and enriched breads, cereals, pastas, and grains.
Protein is another essential nutrient during pregnancy. It is a macronutrient that provides an important source of energy and helps repair parts of the body, such as the brain, muscles, and blood, which all undergo changes during pregnancy. Adequate protein intake also supports your baby's development, as amino acids are required for normal cell growth and function. The amount of protein you should eat depends on factors such as your stage of pregnancy, physical activity, and weight, but generally, pregnant women should aim for about 71 grams of protein per day. Protein-rich foods include meat, fish, eggs, dairy, grains, and legumes. While it is important to get enough protein, it is best to avoid low-carb, Keto, or Paleo diets, as these can leave you short on vital vitamins and minerals.
Iron is a key mineral that supports the increased blood volume during pregnancy and aids in the baby's growth and development. During pregnancy, the body also needs iron to make more blood to supply oxygen to the baby. Good sources of iron include meat, poultry, fish, beans, and dark green leafy vegetables.
Iodine is essential for the production of maternal and fetal thyroid hormones, which regulate the development of the fetal brain and nervous system. Iodine requirements increase during pregnancy to ensure an adequate supply to the fetus. Iodine can be found in iodized salt, seafood, dairy, and grain products. However, there is some evidence that excessive iodine intake during pregnancy may be risky, as the fetal thyroid is vulnerable to iodine excess. Therefore, it is important to monitor your iodine intake and consult with a healthcare professional.
Choline is a vital nutrient that helps support a healthy pregnancy. It aids in the proper development of your baby's brain and spinal cord and may protect against neural tube defects. Choline is converted into a neurotransmitter that helps muscles contract and plays a role in brain development, including memory and thinking. While most prenatal vitamins do not include choline, it can be found in beef liver, eggs, and dairy products. However, it is important to note that liver should only be consumed in small servings during pregnancy due to its high vitamin A content, which can cause complications.
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Consume more whole fruits, vegetables, grains, and dairy
Eating a variety of whole fruits, vegetables, grains, and dairy products is essential for maintaining a healthy pregnancy and providing the necessary nutrients for your baby's growth. Here are some tips to incorporate these food groups into your diet:
Whole Fruits
Fruits are an excellent source of vitamins, minerals, and fiber, which aid in digestion and prevent constipation. Opt for whole fruits like apples, berries, oranges, mangoes, bananas, and dried fruit. Dried fruit, for example, is rich in calories, fiber, and various vitamins and minerals. It provides the same nutritional value as fresh fruit but in a more concentrated, compact form.
Vegetables
Vegetables provide a wide range of essential vitamins and nutrients. Include a variety of colourful veggies in your diet, such as broccoli, sweet potatoes, beets, okra, spinach, peppers, and dark leafy greens like kale or Swiss chard. Don't forget to wash your vegetables thoroughly to remove any traces of soil, which may contain parasites harmful to your unborn baby.
Whole Grains
Whole grains are a great source of complex carbohydrates and fiber. They also provide essential vitamins and minerals. Choose grains like brown rice, oats, millet, oatmeal, bulgur, quinoa, barley, and whole-wheat bread. You can easily incorporate whole grains into any meal, like a quinoa and roasted sweet potato bowl.
Dairy
Dairy products like milk, cheese, yogurt, and lactose-free options are important sources of calcium, protein, and other nutrients. Opt for low-fat or fat-free varieties whenever possible, such as semi-skimmed or skimmed milk and low-fat yoghurt. If you prefer dairy alternatives, choose unsweetened, calcium-fortified soy drinks and yogurts.
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Avoid alcohol, caffeine, and foods high in mercury
It is recommended that you avoid alcohol completely when pregnant. There is no known safe amount of alcohol to drink while pregnant. All types of alcohol can be harmful to your baby, including wine and beer.
Caffeine should also be limited to less than 200 milligrams per day. Regularly drinking more than this amount can increase the risk of pregnancy complications such as low birth weight and even miscarriage. Caffeine is found in tea, coffee, energy drinks, chocolate, soda, and some over-the-counter medicine.
Some fish contain small amounts of mercury, a metal that can harm your baby's development. Fish get mercury from the water they swim in and from eating other fish that contain mercury. By eating fish that contain mercury, you can pass the metal to your baby during pregnancy, which can cause brain damage and affect their hearing and vision. Fish that are high in mercury include shark, swordfish, king mackerel, and tilefish. Tuna should also be limited as it has more mercury than other fish. It is recommended to eat 8 to 12 ounces of fish per week that don't have a lot of mercury, such as shrimp, salmon, pollock, catfish, and canned light tuna.
It is important to note that a balanced diet during pregnancy should include a variety of healthy foods, such as fruits, vegetables, whole grains, lean proteins, and dairy.
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Take prenatal supplements
Taking prenatal supplements is an important part of pregnancy nutrition. Most healthcare providers or midwives will prescribe prenatal supplements before conception or shortly afterward to ensure that all your nutritional needs are met. However, it's important to remember that prenatal supplements do not replace a healthy diet.
Prenatal vitamins typically contain folic acid, which is crucial during pregnancy. Folic acid helps reduce the risk of neural tube defects, which are birth defects of the brain and spinal cord. It is recommended that you take 400 micrograms of folic acid daily, starting at least one month before pregnancy and continuing until the first 12 weeks of pregnancy. If you have already had a child with an NTD, your doctor may advise taking a higher dose of 4 milligrams daily, starting at least three months before conception and continuing for the first three months of pregnancy.
In addition to folic acid, prenatal vitamins usually contain iron, which is essential for making the extra blood needed during pregnancy. While you can obtain iron from iron-rich foods such as beans, lentils, enriched breakfast cereals, and lean meat, you may still need a supplement if your iron levels are low. Your doctor or midwife will advise you to take iron supplements if necessary.
While prenatal vitamins typically contain vitamin D, it is often in insufficient quantities. Vitamin D is important for regulating calcium and phosphate levels in the body, which are crucial for the development of your baby's bones, teeth, and muscles. If your vitamin D levels are low, your doctor may recommend taking a separate vitamin D supplement.
Choline is another critical nutrient during pregnancy, as it plays a vital role in your fetus's brain development and may help prevent certain birth defects. Unfortunately, choline is not found in most prenatal vitamins, and your body may not produce enough to meet the increased demands during pregnancy. To ensure adequate choline intake, include choline-rich foods in your diet, such as chicken, beef, eggs, milk, soy products, and peanuts.
It is important to take only the recommended amount of prenatal vitamins each day, as some ingredients, such as vitamin A, can be harmful to your baby at higher doses. Always read the label and consult your doctor or midwife for personalized advice.
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Exercise regularly
Exercise is a great way to get your body ready for a healthy pregnancy and can be safely continued throughout. Staying active during pregnancy gives you more energy and helps you feel better physically and mentally. It strengthens your body and can even help make labour easier.
If you are healthy and your pregnancy is normal, it is safe to continue or start regular physical activity. However, it is important to discuss exercise with your obstetrician-gynaecologist (ob-gyn) during your early prenatal visits. They can advise you on what activities you can do safely and whether you need to decrease the intensity of your workouts. If you are new to exercise, start out slowly and gradually increase your activity. Begin with as little as 5 minutes a day and add 5 minutes each week until you can stay active for 30 minutes a day. If you were very active before pregnancy, you can keep doing the same workouts with your ob-gyn’s approval, but be mindful that you may need to increase your calorie intake if you start to lose weight.
Pregnancy causes hormonal changes that relax the ligaments supporting your joints, making them more mobile and vulnerable to injury. Therefore, it is important to choose exercises that take these changes into account. Avoid jerky, bouncy, or high-impact motions that can increase your risk of injury. Exercises that are considered safe during pregnancy include walking, swimming, water workouts, stationary bicycling, modified yoga, and modified Pilates.
Pregnant women should aim for at least 150 minutes of moderate-intensity aerobic activity every week. A practical way to monitor your exercise intensity is the "talk test". If you can hold a conversation while exercising, you are usually not overexerting yourself. Overexertion can lead to complications and should be avoided. Warning signs of a potential problem include regular painful contractions, vaginal bleeding, dyspnea on exertion, dizziness, headache, chest pain, or calf pain. If these symptoms occur, stop exercising and consult your physician immediately.
It is important to stay hydrated before, during, and after your workout to prevent overheating and dehydration. Wear loose-fitting clothing and exercise in a temperature-controlled room. Avoid standing still or lying flat on your back as much as possible, as this can cause blood to pool in your legs and feet and put pressure on a large vein that returns blood to the heart.
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Frequently asked questions
It's recommended that you eat 100-300 more calories per day during pregnancy. This number varies depending on the stage of pregnancy, with 0 extra calories in the first trimester, 340 in the second, and 450 in the last trimester.
You should eat a mix of healthy foods from each food group, including fruits, vegetables, whole grains, proteins, and low-fat or fat-free dairy.
You need more of certain nutrients during pregnancy, including protein, iron, folic acid, iodine, and choline. It's also important to get enough calcium, vitamin D, potassium, and fiber.
Yes, you should avoid alcohol, smoking, and drugs during pregnancy as they can be dangerous for your baby. You should also limit your intake of caffeine, sweets, and fatty foods.
Healthy snacks during pregnancy include Greek yogurt or cottage cheese with fruit, nuts, and low-fat dairy options.











































