Optimal Diet and Nutrition for Healthy Pregnancy

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Diet and Nutrition for Healthy Pregnancy
Wellness Mama » Blog » Motherhood » Optimal Diet and Nutrition for Healthy Pregnancy

Oh, pregnancy…. that wonderful time when everyone offers unwanted advice and your body changes in ways you didn’t know possible. Since I’m now in the third trimester of pregnancy myself, and starting to really “feel” pregnant, I thought I would offer my own completely unsolicited advice for a healthy pregnancy. (If you’re pregnant, you are probably getting advice from the grocery store cashier, relatives, and complete strangers, so why not?). I am not a doctor, midwife, or medical professional, just another mom who has been there too!

This is only the fifth time I’ve been through all the joys of pregnancy (read about my previous pregnancies here), so I certainly don’t claim to have all the answers, but thought I’d share what I’ve learned along the way!

Healthy Pregnancy Begins Before Conception

From experience, I know that the best time to begin a healthy pregnancy regimen is before you conceive. Having a strong nutritional system in place not only increases your odds of healthy conception, but will also help your body handle the transitions of early pregnancy without all the discomfort.

For those struggling with achieving a pregnancy, optimizing diet and lifestyle factors can make a tremendous difference in successfully conceiving naturally.

Having positive dietary and lifestyle habits in place will also help minimize the discomforts of pregnancy and make sure baby is getting optimal nutrition as well.

Pregnancy Nutrition

Ensuring optimal nutrition during pregnancy is one of the best gifts you can give your baby. Doctors warn of the foods to avoid (cold cuts, excess caffeine, soft cheeses, alcohol, etc.) but few give detailed advice on what optimal pregnancy nutrition should look like.

I certainly had to navigate these waters myself during my first few pregnancies, and I’ve noticed that as my diet and health have improved, my pregnancies have gotten much easier.

Unfortunately, for many women, eating the best diet for baby during pregnancy requires forgetting all the conventional wisdom they’ve ever been told on health eating.

Low fat diet- not good!

“Healthy whole grains” – not so good either!

Keeping blood sugar stable with little carb snacks all day- not really!

A woman’s body is quite literally building an entire human being during pregnancy, and as such, she needs a lot of quality sources of all the things needed to support the human body- mainly proteins, fats, vegetables and fruits, and certain supplements she can’t adequately get from food. Eating right during pregnancy benefits not only baby, but mom as well… from balancing hormones to preventing stretch marks.

Foods to focus on during pre-conception, pregnancy and breastfeeding:

  • Protein: Most women need 80+ grams of protein every day for healthy pregnancy. Some research shows lower risk of preclampsia and other complications with adequate protein, and some women report less morning sickness when they consume this much protein.
  • Fats: This is often the biggest hurdle for many women, but consuming adequate fats is absolutely vital to baby’s organ and brain development. Women should focus on healthy sources like meat (including red meat), butter, eggs, olive/oil, coconut/oil, nuts, limited dairy, etc.
  • Vegetables and Fruits: Vegetables and fruits have a variety of vitamins, minerals and fiber that are helpful during pregnancy. Eating a varied diet including a lot of green leafy vegetables can also help raise Vitamin K levels.
  • Water: A woman’s blood volume actually increases during pregnancy and her body has to supply fluid to replenish the amniotic fluid the baby is in. Drinking enough water (usually around a gallon a day) can help fight off morning sickness and also helps prevent constipation and make sure mom and baby are properly hydrated.

Foods to avoid during pre-conception, pregnancy and breastfeeding

Supplements For Healthy Pregnancy

Supplement needs can vary by woman, and all supplements should be approved by a doctor or midwife to ensure safety during pregnancy. In general, pregnant women have higher nutrient needs and often supplements are the only way to get adequate nutrients.

These basic supplements are ones that are often beneficial during pregnancy:

  • Probiotics: Best obtained from high quality supplements, fermented foods, and beverages like water kefir and kombucha. Since a baby  is born with a sterile gut and then has his or her gut bacteria begin to develop based on the beneficial (or not) gut flora of the mother this is an important factor! Adequate Probiotics can also help reduce the risk of Group B strep, and have even helped get rid of Group B strep before delivery when probiotic supplements or organic plain yogurt are used vaginally.
  • Omega-3s, DHA, RHA– Adequate good fats are absolutely essential for baby’s development and it is difficult to get enough from diet. Supplementing high quality sources of these fats can help reduce risk of complications and give baby the necessary nutrients for good development. Sardines are a great food source.
  • Vitamin D– This article reports that “Compared to women who took 400 IU of vitamin D daily, those who took 4,000 IU were half as likely to develop gestational diabetes, pregnancy-related high blood pressure, or preeclampsia, Wagner says. They were also less likely to give birth prematurely.” Vitamin D needs vary, but many doctors are now suggesting at least 4,000 IU and up to 10,000 IU a day.
  • Folate– Well known for its preventative effects against spina bifida and other developmental struggles, folate is another important supplement. The current recommendation is 400 micrograms, though many doctors recommend 2,000 micrograms or more for optimal development, and folate is water soluble and difficult to overdose.
  • Iron– Anemia can cause serious complications during delivery, and is easy to prevent. If blood tests show that iron levels are low, iron supplements may be necessary, but things like cooking with cast iron pans, eating red meat/grass fed liver and eating a variety of fats and vegetables can help optimize iron levels. I personally much prefer to get this from food rather than supplements.

Herbs During Pregnancy

Consult with a qualified herbalist, midwife, or doctor before taking any herbs during pregnancy! This chart gives a basic breakdown of herbs that are helpful, and ones that should be avoided.

If your doctor or midwife approves, some herbs can be very beneficial during pregnancy. My favorite is to make a strong tea that I drink throughout pregnancy using the following herbs:

I blend these dried herbs and make a strong tea by putting 3/4 cup or more in a large glass jar and filling with boiling water and letting sit overnight. I strain, and keep iced in the fridge.

Red Raspberry Leaf:
Red Raspberry Leaf: it is an all-around excellent herb to use for pregnancy. It is a uterine tonic, anti-abortive, and helps prevent infection. Aids in preventing cramps and anemia. Prevents excessive bleeding during and after labor and will facilitate the birth process by stimulating contractions.

Peppermint:
Peppermint: after the first trimester, may be used to help digestion, soothe the stomach and overcome nausea. It is an all-over body strengthener and cleanser.

Alfalfa Leaf and Nettle Leaf:
Can will guard against excessive bleeding as they have vitamin K; will improve kidney function and help prevent hemorrhoids.

Weston A. Price Diet:

The Weston A. Price Foundation offers more detailed suggestions for diet during pregnancy and nursing, and I follow many of their guidelines, though I don’t include the grains in any form and am not always able to consume that much raw dairy. Always check with your own doctor or midwife to find out the best diet for you during pregnancy.

From the Weston A. Price website:

“1 quart (or 32 ounces) whole milk daily, preferably raw and from pasture-fed cows

4 tablespoons butter daily, preferably from pasture-fed cows

2 or more eggs daily, preferably from pastured chickens

Additional egg yolks daily, added to smoothies, salad dressings, scrambled eggs, etc.

3-4 ounces fresh liver, once or twice per week (If you have been told to avoid liver for fear of getting “too much Vitamin A,” be sure to read Vitamin A Saga)

Fresh seafood, 2-4 times per week, particularly wild salmon, shellfish and fish eggs

Fresh beef or lamb daily, always consumed with the fat

Oily fish or lard daily, for vitamin D

2 tablespoons coconut oil daily, used in cooking or smoothies, etc.

Lacto-fermented condiments and beverages

Bone broths used in soups, stews and sauces

Soaked whole grains

Fresh vegetables and fruits

Foods to Avoid

  • Trans fatty acids (e.g., hydrogenated oils)
  • Junk foods
  • Commercial fried foods
  • Sugar
  • White flour
  • Soft drinks
  • Caffeine
  • Alcohol
  • Cigarettes
  • Drugs (even prescription drugs)”

Interested in a more natural pregnancy?

Sign up for the world’s first pregnancy week-to-week series from a *natural* perspective! Created by my friend Genevieve from Mama Natural, the series shows you what’s up with baby, mama, and more each week. You’ll discover natural remedies for various pregnancy symptoms and prepare for your best and most natural birth!
Click the image below to get access now!

weekly pregnancy updates from a natural perspective - purple
Diet and nutrition options for staying healthy during pregnancy and nursing.

Katie Wells Avatar

About Katie Wells

Katie Wells, CTNC, MCHC, Founder of Wellness Mama and Co-founder of Wellnesse, has a background in research, journalism, and nutrition. As a mom of six, she turned to research and took health into her own hands to find answers to her health problems. WellnessMama.com is the culmination of her thousands of hours of research and all posts are medically reviewed and verified by the Wellness Mama research team. Katie is also the author of the bestselling books The Wellness Mama Cookbook and The Wellness Mama 5-Step Lifestyle Detox.

Comments

188 responses to “Optimal Diet and Nutrition for Healthy Pregnancy”

  1. Rachel Avatar

    Okie doke, so my husband and I have been switching to a diet based off of what the WAPF says a pregnant women should eat. We aren’t all the way there, but grass Fed and raw are now common words in our home and the fclo is in the mail! About a week ago I knew something was up and the test showed we are pregnant! My questions are what do you think of sprouted grains and is the xyliltol in our toothpaste ok for me? Haha, I just made it and am enjoying it.s clean feeling! I noticed though that you posted that you stay away from it when pregnant….

  2. Maureen Muoneke Avatar
    Maureen Muoneke

    Zinc is essential for skin health, immune function and optimal reproduc- tive health . Good sources of zinc include meats, breakfast cereals, brightly coloured vegetables and fruit .

  3. Dave Borden Avatar
    Dave Borden

    I just filled my deep fryer with nice healthy grape seed oil, or so I thought. Your post opened my eyes to this oil. I’m looking for a good oil to replace it with in my deep fryer. I use it to make coconut flour battered chicken nuggets for my boys and occasionally homemade chips and french fries. What kind of oil would you recommend for this purpose?

  4. Leilani Avatar

    I am 18 weeks pregnant with my third child I’ve been told by my sister in-law to take raspberry leaf tea towards the end of my pregnancy I believe she said around either 34 or 36 weeks but I’ve read that some women drink it throughout pregnancy. How early can you start drinking it and how often?

  5. Jennifer Junot Avatar
    Jennifer Junot

    Which animal liver is best to consume? Which tastes best? How do you prepare it?
    Also, what is a good replacement for raw milk? My son has a dairy allergy and we just don’t keep it in the house. I would like to know for my pregnancy and for my son. Should I avoid the WAPD if I am unable to drink the raw mllk?

  6. Jamie LH Avatar

    Many of the herbs recommended for pregnancy eg nettle, alfalfa, oat straw are diuretics and can be dehydrating for those like me who have trouble getting enough fluids when pregnant. Are they nourishing? Yes. But it’s worth having all the info when mixing your preggy tea 🙂

  7. Jm Ji Brooks Avatar
    Jm Ji Brooks

    hi katie, we just found out we are pregnant today not sure how many weeks, but wanted to check in with you if i do need to buy a vitamin code prenatal vitamins on top of folate,probiotic,fermented cod liver and magnesium? planning to buy those as soon as possible.

  8. ashvy Avatar

    Thanks for your wonderful post. I am 11 weeks into my first pregnancy and have been lucky with not too many cravings nor sickness. I am following the Weston A Price recommendations as much as possible, but I was hoping you could dispel the beliefs on some of the foods that we are told we shouldn’t eat- mainly those of raw fish/ rare meat, seafood and certain cheeses. I would really struggle to have a hard boiled egg or a well cooked steak and absolutely love all cheeses. I have NEVER had food poisoning in my life (and that was even after drinking tap water in India), and my immune system seems pretty robust thus far….IF I knew they were coming from good sources (organic/ grass fed etc)- what is your take on these foods please?

  9. Chanel Brackett Avatar
    Chanel Brackett

    Your blog is fantastic! As you recommend, I am taking the Green Pasture Ferminted Cod Liver Oil Capsules (750 mg each). My question is, how many capsules (or mg) is optimal for pregnancy?

  10. cdgilles Avatar

    Thank you for your blog! It has been a huge resource for my family and I in switching to ‘grain-free’ living. We had been trying for many months to get pregnant and after 2 months of eating grain free, taking FCLO and progesterone cream, we are expecting:) I have continued taking the FCLO, drinking bone broths daily, using the progesterone cream, eating tons of veggies and meat daily and lots of eggs:) We’re just starting to introduce fermented foods. I have some supplement questions though. I am taking the New Chapter prenatal and am wondering if it is necessary to take a prenatal while following a nutrient dense regimen? The prenatal also has 5,000 IU’s of Vitamin A and I wondered if I should be concerned about too much Vitamin A since I am also taking FCLO. If a prenatal isn’t necessary, I just want to make sure I am getting the nutrients and vitamins I need. (Sounds like I will definitely need to take Folate). Input???
    Also, I am continuing to apply the progesterone cream and am wondering if it is best to apply it once a day or twice? I am using the Natural Radiance one you have linked to and the bottle says to apply 1/4 tsp once a day.
    I would appreciate any nutrition and supplement input…. still feeling a bit nervous that I am missing any necessary nutrients for our developing little one. Thank you so much!!!!!

  11. Mina Avatar

    Thank you for this article. I’m very early in my pregnancy and looking for alternate nutrition info (I won’t see my midwife for several more weeks). Last year I went on Atkins for several months and was able to lose some stubborn weight. They always say you can’t do low carb diets while pregnant, but I disagree. To me, there is nothing inherently healthy about grains, and sugar is just terrible for you, all the time. I’m sure I’ll end up eating the random Panera’s Bear Claw (Mmmmmm….) but I really want to focus on protein, fat, and vegetables this pregnancy and see if I can’t come out on the other side healthier and more fit.

    Does the Weston A Price foundation give recomendations regarding raw salmon, like sushi grade salmon? I can’t stand cooked/smoked salmon, but the raw stuff is pretty good (any other sushi- yuck). Obviously conventional wisdom recommends nothing raw, ever.

  12. Anni Wilkko Avatar
    Anni Wilkko

    I just found out I’m pregnant with my first. I bought your book on healthy pregnancy. I’m wondering about the safety of eating fish eggs. I live in Finland and it is said here as a guide not to eat fish eggs. Most common fish eggs here are salmon eggs. It is not recommended because of the risk of listeria. What do you think of that? Is it safe to eat and how often? There are many items they don’t recommend to eat including liver at all. You say it’s ok to eat liver? I don’t like that much of liver but would eat it if its good for the baby. Typical liver food in Finland is liver casserole. It is ready bought. It has minced liver and rice. What do you think of xylitol? It is common here to eat gum.

    1. Wellness Mama Avatar
      Wellness Mama

      I personally feel comfortable eating liver and roe during pregnancy but you definitely need to research it and make sure you feel it is safe. I also avoid xylitol during pregnancy…

  13. Stacey Hadsock Avatar
    Stacey Hadsock

    I just found out I am about three weeks pregnant – only thing is I’m in Tanzania for another month, some of which I will be sleeping out in a tent in the bush for about ten days. I’m wondering what I can do to have optimum health through nutrition and safety. I do have prenatal vitamins, and cod liver fish oil capsules and folate pills (enough for the rest of my stay). But I don’t get as many fruits and veggies here, and we cook with sunflower oil. Also, I am off all wheat due to previous inflammation. Any advice?

  14. Liz Avatar

    Hello! I’ve read so many different things about raspberry leaf tea that I’m confused. Some say to only drink it in the third trimester, others say have 1 cup a day in the first, 2 a day in the second and 3 a day in the third, and others say go wild with as much as you like the whole pregnancy. Same with nettle leaf, some say its not recommended during pregnancy (which I personally think is rubbish).
    So can I drink as much as I like of both throughout pregnancy?

    🙂

  15. Aaren Avatar

    Hi there!
    I am nearly 13 weeks pregnant with my second baby. I’m a type 1 diabetic with a bit of kidney damage and retinopathy. My daughter was born 6 weeks early due to my development of preeclampsia. During my last pregnancy, I suffered from hormone induced migraines that caused me to be hospitalized 4 times. I would like to avoid those things this time around.
    I started taking alfalfa capsules and eating sprouts when I found out about my retinopathy (apparently eating alfalfa sprouts has cured people of macular degeneration). The capsules did well for me, but I couldn’t figure out how to eat the sprouts without then suffering from severe hypoglycemia. I also started taking handfuls of vitamins A, E and D, alpha lipoic acid, fish oil, and lysine. I then discovered systemic enzymes. After taking them for three weeks, vision in my left eye went from 20/400 to 20/80, my blood pressure went from being around 140/90 to (consistently) 118/70 and I needed to reduce my insulin dosage 50%. Now that I’m pregnant, systemic enzymes make me sick. I was hopeful they’d help prevent migraines and preeclampsia. My blood pressure has shot up again and the headaches have started already. I read the posts about protein and preeclampsia, so I’m going to try that. And I’m thinking of upping my vitamin D and alfalfa. Any other suggestions??

  16. Kathleen Batalden Smith Avatar
    Kathleen Batalden Smith

    Hi Katie, I’m taking FCLO and high vitamin butter oil daily and I’m 7 weeks pregnant. This is my first pregnancy in which I’m taking these supplements, and I’m worried about hemorrhaging from too much FCLO and not enough of the ARA animal fats (as WAPF cautions in their program for optimal pregnancy). I eat a good amount of eggs and good quality beef/pork/chicken (no liver). Do you know if the butter oil also provides those ARA fats to address the risk of hemorrhaging? I don’t want to stop taking FCLO, but the risk of hemorrhaging is scary…

    THANK YOU for doing all that you do; I don’t know where I’d be without your blog 🙂

    1. Wellness Mama Avatar
      Wellness Mama

      I always just stop taking it in the last few weeks of pregnancy and make sure to eat liver 2x/week to keep levels up. I also take alfalfa at the end of pregnancy and I”ve always had very little bleeding… Congrats!

      1. Grace Avatar

        How do you take alfalfa? I had a horrible time with my second pregnancy and passing clots in the weeks following birth. I’m pregnant again about 10 weeks along. When did you start taking alfalfa?

        1. Wellness Mama Avatar
          Wellness Mama

          I’ve taken both capsules or chlorophyll liquid and added dried alfalfa to my pregnancy tea….

      2. Jill Swanson Avatar
        Jill Swanson

        Could you share a link our a bit more information on fclo and hemorrhaging? I’m 33 weeks along in my third pregnancy and never heard this before! Thank you!

      3. Adele Hoffman Avatar
        Adele Hoffman

        How do you manage to eat liver 2x’s a week? Do you have good recipes Cow or chicken livers? Need some guidance in this area

  17. Toni Stoothoff Avatar
    Toni Stoothoff

    I just found out I am pregnant yesterday. We are very excited, but nervous. I had a miscarriage last year on Valentine’s Day. I have PCOS and hypothyroidism. I have been having cramps for the past week. I do not have any bleeding. Has anyone ever had this? I have a dr appt on Friday.

  18. sarah Avatar

    I struggled with getting pregnant for years. I took fertility drugs to get pregnant with my first 3, and sadly I miscarried the 2nd and 3rd babies. I then took fertility drugs for the first 6 months of 2012 and got absolutely nowhere. I gave up on trying, then in Sept last year I discovered this blog and completely changed my diet and lifestyle. At the beginning of Dec, we got a huge surprise! I am now 16 weeks pregnant with our second daughter. this really, really works!

    1. Wellness Mama Avatar
      Wellness Mama

      Thank you so much for sharing your story and congrats on your pregnancy!

  19. Michele B Avatar
    Michele B

    Hello. We are trying to conceive our 3rd child. Can you help me with what supplements I should start now to start conceiving in about a month? Cod liver oil with a multi vitamin with a folate supplement and vit D supplement? Is that too much. This does tend to get overwhelming but I am 35 so I want to do this right since I am getting up there in age. Thank you!

  20. Jess Avatar

    You mention taking folic acid in this post but in a more recent post mention folate NOT folic acid because it is synthetic. Which do you recommend?

    1. Wellness Mama Avatar
      Wellness Mama

      I just updated the post… I wrote this before I learned about the difference, but you are absolutely right that folate is better…

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