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!
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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. Aimee Avatar

    Hi, Katie!

    I just found out I’m pregnant (I’m still processing) and am one who loves coffee and drinks a lot of it. Usually 4-5 cups per day. I had 3 yesterday (just found out the night before last) as I’d read that 4 were a good cut-off. But you’re recommending no more than 1 cup/day. What sort of risks does it pose to the baby? I’d rather not give up my coffee, but definitely will if it will hurt my baby.

    Thank you for all you do! =]

    1. Wellness Mama Avatar

      Congratulations on your pregnancy! My research tells me that caffeine can contribute to low birth weight in babies, can cause you to become dehydrated (it’s a diuretic), and can suppress your appetite, which can lead to malnutrition for you and the baby. I would strongly suggest discussing the possible risks with your doctor and deciding based on that.

    2. Ashley Avatar

      I just read something last week that said coffee shouldn’t exceed 1-2 cups a day. I’ll drink it if I’m having a hard time keeping awake at work, but I’ve only had it once since I started drinking greens in the morning (Oriya’s Super Green Medley is especially amazing thanks to outstanding levels of Iron and important vitamins). I’ve also been making more of an effort to get to bed earlier or, at the very least, to accept that the sleep I got is the sleep I got and I’m not going to dwell on it. I’ve also been using the gemstone Carnelian as it has warming and energizing properties and I swear up and down it works.

      When I have habits to break, I find it helpful to ask myself why I do it and what I get from it. If coffee is about the ritual and pleasure, then chai tea and a tasty creamer may fit the same needs. If it’s about getting the caffeine because you’re tired, then maybe half caf/decaf or a cup of yerba mate would be a better substitute (an earlier bedtime is another great idea). If you know what coffee gives you, you can find some creative ways to get your fix in another way.

      Best of luck with the pregnancy! 🙂

  2. Monika Alexander Avatar
    Monika Alexander

    Hi!

    I was wondering about eating honey during pregnancy. I just found out that I am pregnant and like to drink just one not strong cup of coffee with a little splash of honey ( and butter, coconut oil.). I use raw, unfiltered honey, is that safe or should I stop using it?
    How about kombucha green tea (yogi brand)? Or raw kombucha drinks?
    Thanks for your help!
    Monika

    1. Katie - Wellness Mama Avatar

      I felt fine consuming honey while pregnant, since the risk is really just for babies under a year. A moms stomach has the necessary enzymes to break it down, but in babies who don’t yet have this, it can cause problems. Since everything is filtered through the mom’s intestines and the placenta, I was comfortable during pregnancy, but ask a doc to make sure if you aren’t comfortable with it. I also drank KOmbucha during pregnancy, but had been drinking it before so I felt comfortable continuing.

  3. Breanna Avatar
    Breanna

    I recently came across the wapf pregnancy diet and am trying to get started on it, as we plan to TTC in about two months. However, my OBGYN says I need to lose as much weight as I can before getting pregnant. I added it up, and without the fruits and veggies, or grains, it’s about 2,000 calories, 53g carbs, 143g fat, and 143g protein. I want to lose the weight, but want to be on the diet to prepare for pregnancy. What would be your recommendation?
    Thanks! 🙂

  4. Angie Avatar

    Hi Katie, I just learned last week that I’m pregnant (5 wks now) for the first time. I haven’t seen my doctor yet, but the nurse told me to get prenatal vitamins. I got some called “Raw Prenatal” from Garden of Life. They say they’re a raw whole food vitamin (organic as well). I read this post after all of that. Do you think these are OK? Also a question about magnesium…these have 38 mg. Can I still use oil topically? I don’t want to overdo anything. Thanks!

  5. Michelle Avatar
    Michelle

    Hi Katie, I am 12 weeks pregnant and have recently received some unfavorable results with my gut bugs. I am trying to cut sugar and have regular probiotics. I would like to take store brought (from the health food shop) kefir and fermented vegies, do you think this is safe? I am just concerned, because all the research up to now suggests that we should not have unpasteurized food. However due to my stool results i feel fermented foods and kefir might be necessary. I am also unsure about unpasteurized milk, butter and yogurt as I have been told I should have these also. Any help you could give me would be much appreciated. Thanks Katie. 🙂 Michelle.

    1. Katie - Wellness Mama Avatar

      Hi Michelle… congrats on your pregnancy. I would absolutely check with your doctor or midwife to be sure, but personally, I felt comfortable consuming fermented foods and drinks and even raw milk while pregnant.

  6. Jas Avatar

    Hi! What do you think about eating raw quail eggs during pregnancy. I’m already in the 6 month and was recommended to eat raw quail eggs. As far as I know there is no risk of salmonella with them, but… Look forward to your reply!

  7. Blanca Avatar

    Hi Katty, I read your blog a lot because I learn a lot, I wish I had found you on my first pregnancy. I think I am pregnanat and if I do, which I am almost 100 o/o I am, I would like to buy your Wellness mama guide helthy pregnancy, however; I am wondering how is it updated on you most recent supplements recomendetins, etc. thank you Katty.

  8. Lilian Avatar

    Hi Katie,

    Have you got any experience with Ormus Supergreen from Sunwarrior and Vitamineral Green from HealthForce? Both have some greens you recommend here but also other herbs and I am not sure about its safety during pregnancy.

    Thank you 🙂

    Lilian

  9. Michele Avatar
    Michele

    Hello there! I just wanted to comment. I used to have an awful problem with energy. I went to a bread Beckers meeting at a home schooling convention. The interesting thing I learned is they had mills to buy flour in the Thirty’s and forties. Then they started removing the bran so the flour wouldn’t go rancid. Problem is, As with anything else, when things are processed or removed they just aren’t the same. Natural food can become its own poison. There are over a hundred vital nutrients vitamins and minerals we need to metabolize in fresh whole wheat flour.

    Glucose and gluten ate not properly digested after flour sits. After three days it has almost no nutritional value. The nutrients naturally occurring actually help digest it properly. It should be freshly grained each day or every other day. Oftentimes when people drink fresh milk they notice lactose intolerance is not a problem. The same goes for eating fresh grain. It was meant to be consumed freshly grained. In the bible there is reference to eat us this day our daily bread. Eating fresh wholesome food is vitally important to our bodies being nourished. Ironically enough, there is a book by Sam biser talking about how vital salt is in our diet. He speaks of Celtic or Himalayan salt having a over a hundred nutrients enzymes and minerals to help metabolize our food and vitamins. Natural sugar also is filled with nourishing nutrients. We need to get back to nature. If it wasn’t naturally created, we probably shouldn’t indulge on it.

  10. Kristina Avatar
    Kristina

    Just to clarify, do you take Vitamin D in addition to FCLO?
    If so how much of each do you recommend for someone who’s nursing?

    Thanks, I really love your website 🙂

    1. Katie - Wellness Mama Avatar

      I personally take about 5000 IU of D a day with a generous amount of topical magnesium, but Vitamin D is a very individualized thing, so I”d recommend a blood test and talking with a health care professional.

  11. Jessica Avatar
    Jessica

    Do you drink Kombucha during pregnancy? I get the Synergy and just wondered if you consider it safe for pregnancy and breastfeeding. Loving your blog! Thanks

  12. Heather Avatar
    Heather

    Hi there –

    Thank you very much for posting. I have eaten low carb for a long time now, and initially lost 60 lbs doing it! But aside from that it was my health and energy that I noticed the biggest improvement.

    I am now 4 weeks pregnant and i miscarried two time in the last year and half after having 2 very healthy babies. And I was initially trying to find any rational reason to explain these miscarriages – I was even thinking that it was because of my low carb lifestyle and excersize.

    At the same time though, low carb to me is this:

    6 small meals/day
    3 contain protein
    and all contain vegetables
    with some nuts and cheese
    I eat greek yogurt for breakfast and cottage cheese sometimes for snack
    plus I make low carb smoothies with unsweetened almond milk

    I realize now that how on earth could that be harming my baby?!

    lol

    Just wanted to share and thank you for sharing!

  13. Mirah Avatar

    Hi katie Im hoping you can answer this question for me.
    I have pretty much been eating kind of a cleaner diet. Mostly meat, veggies yes occasionally grains but for the most part meat, veggies, fat ect.. I was taking a prenatal supplement in powder form but then discovered i didnt like some of the ingredients in the powder. I found out i was pregnant about a couple weeks ago and i switch to the Westons diet plan. You said you took FCLO throughout your pregnancy. How much did you take. Ive been reading a lot of contradicting things on vitamin A and am kind of nervous because I have been eating lots of meats and eggs and stuff and was taking the FCLO which is also high in vitamin A apparently. And before I stop taking the powder form of vitamins that said it had about 5000 iu vitamin A, what was your experience with this issue while pregnant did you still eat this way? I read in one of your comments that you even said too much vitamin A can cause issues, how do we know how much is too much? Can you help. Now Im wondering if Ive been consuming too much and if Ive maybe hurt my baby unknowingly by doing so. I feel like when i just ate the way I did back then even while pregnant i didnt have all these concerns about food and eating healthy and stuff. All my kids were born healthy and perfect now i feel like im worrying about this.
    I dont know how often you look at these comments but i hoping you will see this one and can answer here or in my email.

  14. Bethany T Avatar
    Bethany T

    Is raspberry leaf tea safe to drink through all stages of pregnancy? I am in the first trimester (and an avid tea drinker), so I am looking for a tea I could drink daily to replace my usual green tea. I saw that Raspberry leaf can cause uterine contractions? I just don’t want to go into early labor or anything? Thanks!

  15. Michelle Avatar
    Michelle

    I have a question about the Fermented Cod Liver Oil. My nutritionist said to be careful taking it during pregnancy because of the high levels of Vitamin A. I’ve heard this a few times, that too much vitamin a can cause problems. My biggest reason for wanting to take the FCLO is because I am having major dental problems again. I am 21 weeks pregnant with my third child. Both my other pregnancies I’ve had problems and lost teeth. I’m in a lot of pain and don’t really know what to do so this doesn’t keep happening. Do you think the FCLO is still safe? How much should I take a day? Do you have any other suggestions for dental pain while pregnant?

    Thanks,
    Michelle

    1. Wellness Mama Avatar

      I took FCLO during my pregnancies, but if your nutritionist has expressed concerns, it’s best to follow the advice of your medical practitioners. Perhaps they can suggest a healthy dose that will satisfy both of you. In the meantime, you might consider avoiding foods that are high in phytic acid, and consuming even more mineral rich foods to support your oral health.

    2. Rebecca Avatar
      Rebecca

      Have you ever tried oil pulling? I just found out I am pregnant with my third (unexpected) and I have really really sensitive teeth during pregnancy. I didn’t start oil pulling until after my second child and just for the last few years but I cannot recommend it enough and it is truly helping during this pregnancy.

  16. sowji Avatar

    Hi,
    I am 25 weeks pregnant, When you will suggest take raspberry red leaf tea, Since i learned it helps faster labor?

    appreciate your answer.

    Sowji

  17. Janice Avatar

    Hi! Just came across your site and I can’t stop reading. =) Do you have any suggestions on good water kefir products? Thanks!

  18. Mirah Avatar

    Hi after a recent miscarriage I’m currently trying to eat as healthy as possible and incorperate this diet as a pre pregnancy diet before trying to conceive again. Although i have read that many people with milk allergies are able to drink and eat raw milk and cheese, i don’t have the means of getting it and am not interested in consuming any dairy even raw, except for maybe eggs. Is there any other milk i can drink that would have the same benefit maybe almond milk or something?

  19. alisha Avatar

    What about unpasteurized raw local organic honey? Is it safe during pregnancy?

  20. Allison Avatar

    Question on the raw dairy – 1 qt per day is really quite cost prohibitive here in San Diego. It’s about $15/gal from what I remember correctly. I can see doing 1 gal a week maybe, but 1 qt a day seems excesive (purely from budgetary concerns). Local farms charge about the same as store bought raw, grassfed dairy. So I’m curious – why exactly is 1 qt reccommended? Is it the calcium? Is there something else I can eat or supplement with in addition to (or instead of) so much milk? Thank you! Such helpful info…

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