Pregnant? Diet Changes to Make Right Now
And because the first trimester is one of the most important periods of your baby's development, now really means now.
But it doesn't have to be hard or overwhelming. Here are some simple diet changes that will help make pregnancy a happy and healthy time for both of you!
Pick out a prenatal
"The earlier you get on a prenatal vitamin, the better,"says Frances Largeman-Roth, RD, author of Feed the Belly: The Pregnant Mom's Healthy Eating Guide, "because the nutrients in it are essential to the development of your baby's spinal cord and nerves."
In fact, doctors recommend starting a prenatal vitamin as soon as you begin trying to conceive, if possible. But if you haven't yet, get to the pharmacy now. While prenatal vitamins are available by prescription, there are also many inexpensive options over the counter.
Just check the label to make sure that it has 30 milligrams of iron and 600 to 800 micrograms of folic acid, advises Roth.
Focus on folic acid
Folic acid is a powerhouse nutrient in pregnancy that has been proven to dramatically reduce the risk of serious birth defects and helps with the normal development of all the cells in the body.
Women who are at greater risk for birth defects, for instance those taking anti-seizure medications, will need a prescription for a prenatal with a higher amount of folic acid, says Carl P. Weiner, MD, professor and chair of obstetrics and gynecology at the University of Kansas School of Medicine in Kansas City and coauthor of The Complete Guide to Medications During Pregnancy and Breast-feeding.
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Manage morning sickness
And if your nausea is so severe that you cannot keep your prenatal (or much food) down, Dr. Weiner advises talking with your doctor about anti-nausea medication. You should also tell your doctor about any other vitamin supplements you are taking to avoid taking more than the recommended amount of any one nutrient in pregnancy.
Fortify with folate
Other foods are fortified with folate to increase the levels women eat and reduce their chance of having a baby with a birth defect. Enriched choices include cereals (Largeman-Roth likes Total, which comes with 400 micrograms per serving), bread, pasta, and flour (look for the word “enriched” or “fortified” on the label).
Eat your iron
Eating an iron-rich piece of produce along with a good source of vitamin C will help you absorb more iron. Squeeze a little lemon juice on your steamed spinach or into your lentil soup or add some sliced red peppers to a spinach salad. Finally, fortified cereal, which is also rich in iron, is a good shortcut to getting your daily fill.
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Become an iron woman
Pick emergency power foods
- Lentils (protein, fiber, and folic acid)
- Eggs (protein, omega-3s, iron, and choline)
- Asparagus (folic acid)
- Citrus fruits (folic acid and vitamin C)
- Greek yogurt (protein and calcium)
- Lean meats (iron and protein)
- Salmon (protein, calcium, and omega-3 fatty acids)
- Mango (beta-carotene, an antioxidant vital for skin and eye cell growth and immune function)
- Fortified milk (calcium and vitamin D, which helps absorb it)
That's because there are genetic and other factors that can influence how much damage alcohol can do to a developing fetus. Which is why, says Dr. Weiner, "the safest approach is to avoid alcohol completely during pregnancy," which is the official recommendation of American Congress of Obstetricians and Gynecologists (ACOG).
Dr. Weiner says that caffeine can, in rare instances, cause an irregular fetal heart rate, but your consumption would need to be very high, and the problem is not life-threatening and can be treated by stopping the caffeine intake.
ACOG concluded that less than 200 milligrams daily (one to two cups of coffee or three caffeinated sodas) does not raise health risks in pregnancy.
Don't eat for two
That's because gaining too much weight in pregnancy can have an adverse effect on a baby by increasing his or her lifelong risk of obesity, heart disease, and diabetes. In fact pregnant women only need 300 extra calories daily (a cup of milk and a half sandwich).
"That really is a challenge for pregnant women," says Largeman-Roth, "because you need a lot of extra nutrients and you can't get them all into that extra 300 calories. So, you need to be smart about your food choices all day."
Keep it colorful
So work to add as many colors as you can to your diet each day. Your goal should be 5 to 9 daily servings.
"A salad at lunch will knock a lot of those out," says Largeman-Roth. And don't limit yourself to fresh. Dried and frozen fruits and vegetables are also full of antioxidants. "Sprinkle dried fruit into cereal in the morning or toss it in your yogurt for a mid-afternoon snack," she suggests. Add two frozen veggies to dinner and you've done a great job that day.
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Fall for fish
Great sources include salmon, canned light tuna (not albacore, which is high in mercury), catfish, anchovies, sardines, herring, trout, Pollock, cod and shrimp. Stay away from sushi (which can carry harmful bacteria) and swordfish, tilefish, king mackerel and shark (which are highest in mercury).
Forage for healthy fats
For a power breakfast, grab a hardboiled egg and a slice of fortified whole-wheat toast. Or try sprinkling walnuts or flax seeds on your morning oatmeal or adding flaxseed oil to a citrus-fruit smoothie.
Keep up your calcium
Great choices include skim milk (300 mg per cup), plain yogurt (400mg per cup), cheese (200mg per ounce), fortified orange juice (350 mg per cup), and tofu (200 to 420 mg in 4 ounces).
Try one of these calcium-rich recipes.
Get to know choline
You need 450 milligrams daily and can find it in eggs (250 mg per egg), soy-based foods (a half cup of roasted soybeans offers 107 mg), pork chops (97 mg in a 4-ounce chop), cauliflower (60 mg per cup), wheat germ (sprinkle it over your cereal!), and liver.
Steer clear of listeria
But in pregnancy the illness they causelisteriosiscan lead to miscarriage, preterm delivery, low birthweight, and even stillbirth. If you simply must have that turkey sandwich, heat the deli meat until steaming, which will kill off the bacteria. And it's important to thoroughly wash all fruits and vegetables before eating them raw.
Cook meat well
"If you've never been a person who's actually checked the internal temperature of meat when you cook it, now is the time to start," advises Largeman-Roth. "Make sure you are cooking everything to its proper temperature."
Avoid raw fish and raw eggs and raw egg products (no licking the mixers when you make cookies!) and order burgers and steaks well done when you go out.
Fill up on fiber
Largeman-Roth advises aiming for 28 to 30 grams of fiber daily, which is easier to get than it sounds. Two ounces of almonds has 6 grams, while a cup of black beans (already offering you iron and folate), packs 15. Largeman-Roth likes Kashi Go Lean cereal, which will start your day with a third of your fiber needs met.
The Institute of Medicine recommends that pregnant women drink 10 cups (2.4 liters) of water daily, which Largeman-Roth admits can be a struggle. She recommends buying a pretty glass to keep at your desk, or, if you're driving around all day, a water bottle you really like. And make sure it is easy to clean.
"And if you find you're getting really bored with just water, add lemon, cucumber, or herbs such as mint or basil to make it more appetizing. Teas, juices, and even fruits and vegetables can also help you get to your goal.