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. Linda Avatar

    Hello Katie,

    First off, thanks a lot for sharing such an awesome resource with us especially who are now pregnant. I am also a happily pregnant now. And I really try to be safe and eat safe and healthy to keep my unborn safe.

    Wish us luck (for me and my unborn)!

    Best-
    Linda

  2. Rebecca Cook Avatar
    Rebecca Cook

    Hello,
    I’ve just recently found out we’re expecting. It’s our first baby. (So excited!) I’m overweight and am currently on a low carb plan. Do you have any material that you recommend I read? I’m wanting to make sure that we are successful and the baby is healthy. I noticed that your article said you did something similar where you cut out most grains. Before this diet, I didn’t eat much in the way of grains anyway. Any help you can send my way is greatly appreciated.
    Thank you!

    1. sarah Avatar

      Rebecca,
      I’m in the same boat! I found an awesome community of low carb moms on facebook called Pregnant Atkids and through that group found a book called Real Food For Gestational Diabetes that goes through all the research on low carb diets in pregnancy (I haven’t been tested for GD yet, but I figured it’s good to be proactive and I was getting scared that I might do harm if I stayed low carb).

      So far, it’s the best resource I’ve found and the group of ladies in our fb group is really nice and supportive. It’s nice to connect with other moms that are struggling with the same things. (sorry I’m rambling)

  3. Sarah Avatar

    Hello. I recently graduated with a Bachelors Degree in Food and Nutrition with Dietetics Option and wanted to share my input. I believe there may be some terminology mix ups in the post and comments. CARBOHYDRATES are indeed healthy. Carbohydrates include sugars, starches, and fiber and are the main sources of glucose-our bodies fuel. WHOLE GRAIN sources are the most dense bio-available form. If you cut out all grains, it would be like trying to put water in your car instead of gasoline. This would be in contrast to HIGH GLYCEMIC foods, such as refined (white) starches and simple sugars (as opposed to complex sugars found in fruits, which are good.). These simple carbs do nothing for your system except cause a spike in the bodies biological reaction (insulin release), which some have argued as a possible cause of diabetes. In addition, I had a friend try to argue that on the Paleo diet, you get enough glucose from fruits and vegetables; you can if you eat very high amounts throughout the day. One commenter said she had been following a Paleo diet for some time but was fatigued– ding ding ding! This is because your body doesn’t have fuel. Most dieters feel better when starting a Paleo diet because they are simply cutting out the crap and upping their “clean” intake; when you give your body what it needs, it functions properly! But one must also think about the sustainability of a lifestyle- the long term effects eating a certain way will have. Another way around this fatigue issue is to take B12 supplements- but if one believes that you can get all the nutrients needed from an adequate diet, why would you need to supplement? In conclusion, you don’t have to stray away from WHOLE GRAINS (unless you have a condition). But DO try your best to limit, if not cut out, all processed carbohydrates (simple sugars and starches). I hope this clears up some concerns about diet!

  4. Nikki Avatar

    First off, let me just say that I LOVE your blog, it is by far my favorite. I feel like my crunchy little heart is supported here 🙂 My question is about Kombucha. I love the drink and the benefits but there has been and still is controversy around drinking it while pregnant. I want to continue to drink my kombucha and in my opinion it would be safe to do so but I’ve read a lot of articles that are conflicting. I just wanted to know what your thoughts and research and personal experience is with this. Thanks in advance 🙂

    Nikki

    1. Katie - Wellness Mama Avatar

      Thanks for reading 🙂 I’d definitely research and make sure you are comfortable with whatever you choose. I had been drinking it before pregnancy and felt comfortable consuming it during pregnancy but I’ve also seen research on both sides.

  5. Melia Avatar

    I simply want to tell you that I am newbie to blogs and certainly savored this web page. Almost certainly I’m want to bookmark your site . You really come with amazing writings. Cheers for sharing your web page.

  6. Angelina Mueller Avatar
    Angelina Mueller

    Hello!

    I am a former health nut who has fallen off the health wagon. I just found out I’m 8 weeks pregnant and am even more determined to get in shape now more than ever. I’m not over weight, just “soft” 🙂 do you think it is possible to get in shape during pregnancy so myself and my baby are healthy during/delivery or should I just focus on healthy eating? I don’t want to miss ANYTHING health wise while growing this baby, so any information you have, I would appreciate it. Your article about necessary supplements was very helpful! Is it ever too late to start taking these? I have been taking prenatal samples my doc gave me but my brother who works for a health food store is bring me a full prenatal lack with iron and DHA next week so I’ll be almost ten weeks. Thanks!!

  7. Nabila Avatar

    What do you think about about taking FCLO with a prenatal vitamin? Im concerned aout too much vit A and D…my doctor has recommended preg vit folic 5 even though i am quite healthy and eat a relatively clean diet. I also wanted to take a magnesium plus calcium supplement to help with my moods but she said the prenatal has everything although it has less than 50 mg in it. Im quite confused at this point any suggestions would be helpful!

    Also if I take FCLO thoughout the pregnancy would my baby still need the vitamin K shot???

    1. Katie - Wellness Mama Avatar

      I personally opted for the FCLo even over prenatals and also took folate (not ever folic acid) and L-MTHF and ate a really nutrient dense diet. I’d definitely do your own research and find out what you are comfortable with though.

  8. Nabila Avatar

    How much of the FCLO in capsules do you recommend taking during pregnancy? I also bought the Vitamin Butter+FCLO blend which I assume should be alright too…? I most defenitely get brain fog when pregnant and I am hoping I can avoid it next time.

  9. Quinn Avatar

    Thank you! This is my first pregnancy, I have been brewing kambucha for a few months. Is it safe during pregnancy? How can you make sure the alcohol levels are low?

  10. Mea Avatar

    Hi All!

    I am a few weeks pregnant and terribly tired already. I have a diagnosis of Fibromyalgia and I eat a gluten free and mainly dairy free diet. I am concerned about proper nutrition with my current diet, as well as having enough energy for my husband, son, work, and other life thingies…

    Any ideas for foods and natural energy remedies? I have researched a few things…but wanted to know if anyone has personally experienced this.

    Thanks,

    Mea

  11. Teresa Avatar

    I’m curious about the WAPF recommendations for a pregnancy diet. Just counting the milk, butter, eggs and coconut oil it is already over 2,000 calories. That’s not even counting a leafy green salad, beef, seafood, liver and everything else that is recommended. I know that a calorie is not just a calorie, fat is good, etc etc (I get it) but it seems to me that you would gain quite a bit of weight eating this diet throughout your pregnancy. Even if the weight gain is from nutrient dense foods isn’t it still not a great idea to gain TOO much weight during pregnancy? I haven’t seen this addressed anywhere and I’m curious on people’s opinion.

  12. Lauren Cuthbertson Avatar
    Lauren Cuthbertson

    What about organic sprouted grains during the first trimester? It is something I am recommending to pregnant clients who can only keep carbs down. I figured it was a healthier option to saltines and crackers.

    1. Jessica Avatar
      Jessica

      It’s scary that you have clients but are getting your information from a blog!

  13. Catherine Avatar
    Catherine

    Hi,

    Is it safe to eat raw egg yolk in shakes when pregnant? I thought you could only have hard boiled egg yolk?

  14. laura govanus Avatar
    laura govanus

    Im wondering if anyone has advice. Im 5 weeks pregnant and am starting the challenge but I think I need to be dairy free egg free and possible stay away from night shades for awhile to figure out my allergies. My one year old seems to have picked up some on my allergies and I really desire to get enough healthy foods for us in order to avoid all of our allergies. I already fear im not getting enough nutrition and fear cutting other stuff out
    Does anyone have advice for me?

  15. Christie Avatar
    Christie

    Hi Katie,
    I was wondering if you take or recommend taking a daily prenatal vitamin? In my past pregnancies I have always been told to take them so I did. I am pretty new to trying a more natural way of living and just wanted your thoughts on taking them along with the other supplements you’ve mentioned and which one is best if you do take them! Thanks so much! I appreciate your time! 🙂

  16. Allyse Avatar
    Allyse

    I wanted to ask if you take a regular prenatal at all or just the supplements stated above?

  17. dawn Avatar

    Hi, I am 8 weeks pregnant after trying for 3 years. I was eating a paleo/ aip diet for about 2 years before getting pregnant. Now that I’m pregnant I have a love/hate relationship with food. I have a bit of stomach sickness but my big issue is the food. All the things i ate and enjoyed before are unappealing now and I crave all the bad food except sweets yuck. Why is this happening? All I want to do is eat healthy and my body is craving garbage like fastfood.

  18. Jessica Avatar

    Hi! I just found out I’m pregnant and had just started following your supplement suggestions so I am currently taking Gelatin, Magnesium, Vitamin D, FCLO, and I just ordered Folate but I am wondering what you use to supplement iron. I have heard of iodine. Do you suggest that? If so, what kind and how? I have learned so much for you and appreciate all the research you do! Thanks!

  19. Georgette Trujillo Avatar
    Georgette Trujillo

    What about raw honey? Having trouble finding information on the safety of it during pregnancy. Also have read and heard from many people that kombucha is not safe during pregnancy due to it coming from a fungus making it different than others. I just found out I am pregnant and in the past have had a lot of trouble with my hypothyroidism during my pregnancies resulting in major weight gain. Any information on this would be helpful, love your blog????

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