Nutrition for a healthy pregnancy

“Eating for two” doesn’t simply refer to the quantity of food that you consume, but also to the fact that your baby eats what you eat, making nutritious food choices very important.  A balanced diet of healthy, wholesome foods will greatly support your baby’s growth and development to help him hit important milestones along the way.

Adequate intake of important nutrients is key to a healthy pregnancy and a healthy baby.  Here are some important nutrients to make sure you get enough of:

DHA (a type of Omega-3 fat) that nourishes your baby’s brain

Why is it important?

DHA is a key building block of your baby’s rapidly developing brain. Many scientists believe that DHA is most important for babies when the brain is rapidly developing—from the last trimester of pregnancy through the second year of life.  During this crucial phase, babies need a good supply of fats for growth. Your baby’s brain contains Omega-3 fat and most of that fat is DHA.

How much do I need?

Experts recommend* pregnant women should consume at least 200 mg of DHA a day.

* AFSSA (2010). “Opinion of the French Food Safety Agency on the update of French population reference intakes (ANCs) for fatty acids.”; FAO (2010). Fats and fatty acids in human nutrition: report of an expert consultation. Rome: 1-189; Brenna, J. T. and A. Lapillonne (2009). “Background paper on fat and fatty acid requirements during pregnancy and lactation.” Ann Nutr Metab 55(1-3): 97-122; Simopoulos, A. P., A. Leaf, et al. (1999). “Workshop on the Essentiality of and Recommended Dietary Intakes for Omega-6 and Omega-3 Fatty Acids.” J Am Coll Nutr 18(5): 487-489.

Where can I get it?

Your baby gets DHA from the foods you eat while pregnant.  But the amount of DHA your baby gets depends on how much is in your diet. To increase the amount of DHA your baby gets, try adding more fatty fish to your diet such as salmon or Atlantic mackerel, sardines, herring or eating foods like DHA-enriched eggs. You might also talk to your doctor about a DHA supplement.

Vary the types of fish you eat and follow advice from Health Canada to limit your exposure to environmental contaminants such as mercury.  Shark, swordfish, marlin, orange roughy, escolar and fresh and frozen tuna tend to contain higher levels of mercury.

Learn more about The Big Deal about DHA.

Folic Acid

Why is it important?

Folic acid is extremely important to your baby’s development. It is so important for a healthy pregnancy that doctors recommend women start taking it even before conception.

Folic acid:

• Helps support neural tube development.
• Promotes healthy cell division
• Required for a healthy nervous system
• Helps produce DNA and RNA
• Helps the body form red blood cells.

How much do I need?

Since it is difficult to get enough folate from food alone, Health Canada recommends taking a multivitamin containing 400 µg (0.4 mg) of folic acid every day at least 3 months before you get pregnant and continue throughout your pregnancy. While pregnant it is recommended you get 600 µg of folic acid per day. Make sure your supplement also contains vitamin B₁₂. Talk to your doctor or dietitian about which supplement is right for you.

Where can I get it?

In addition to taking your multivitamin, make an effort to eat more foods that are good sources of folate such as:

• Beans and Legumes
• Liver
• Nuts
• Dark green vegetables (spinach, kale, broccoli, asparagus)
• Orange juice
• Fortified cereals
• Enriched whole grain bread
• Wheat germ

Tips:

• Have legumes, such as beans or lentils, often.
• Eat at least 1 dark green vegetable, such as peas or romaine lettuce, each day.
• Include grain products fortified with folic acid each day, such as enriched bread or enriched pasta. Look for the term ‘folic acid’ in the ingredient list.

Iron

Why is it important?

Iron is an essential nutrient at every stage of life.

Iron:

• Essential component of hemoglobin, the protein that transports oxygen in the blood
• Needed for red blood cell formation and function
• Important for psychomotor and mental development in infants and children
• Helps support a healthy immune system

How much do I need?

During your pregnancy, your iron needs increase by 50%. This is because your blood volume increases dramatically to accommodate the growing nutritional needs of your baby.

While pregnant, doctors recommend you get 27 mg of iron per day.

To complement the iron you get from food, Health Canada recommends a daily multivitamin with 16-20 mg of iron throughout your pregnancy will help you have a healthy pregnancy. Check with your doctor or dietitian to ensure that your multivitamin contains the right amount of iron for you.

Where can I get it?

• Eggs
• Fish
• Meat
• Poultry
• Liver
• Whole and enriched grains
• Legumes
• Dark green or leafy vegetables (spinach, kale)

Tips:

• Your body absorbs the iron from meats, poultry and fish more easily than from plant-based foods.
• To help your body better absorb the iron from plant-based foods, eat them with foods that are high in vitamin C (such as berries, tomatoes, peppers, orange juice, citrus fruits, broccoli, cantaloupe, cauliflower, kale and potatoes).

Calcium

Why is it important?

Calcium:

• Helps your baby’s bones develop and mineralize
• Helps build strong healthy teeth
• Aids in blood clotting
• Assists nerve transmission

How much do I need?

During pregnancy, doctors recommend you get 1000-1300 mg of calcium per day.

Where can I get it?

• Milk, cheese, yogurt
• Broccoli, kale, spinach
• Beans, tofu, soymilk
• Calcium-fortified orange juice
• Canned sardines, salmon with bones

Tips:

• Vitamin D will help your body absorb calcium.

Vitamin D

Why is it important?

Vitamin D:

• Helps your body absorb calcium and phosphorus
• Aids in bone strengthening by helping deposit these minerals into your bones
• Helps maintain blood levels of calcium and phosphorus

How much do I need?

The dietary reference intake for pregnant women is 600 IU (15 µg) of vitamin D per day.

Because vitamin D is found in relatively few foods, but has so many important functions, talk to your doctor about whether or not you need more than 600 IU/day.

Where can I get it?

Your skin makes vitamin D from exposure to sunlight. Vitamin D occurs naturally in only a few foods (fatty fish, sun dried shiitake mushrooms) so it’s best to look for foods that have been fortified with vitamin D:

• Fortified cow’s milk and yogurt
• Fortified orange juice
• Fortified soy and rice beverages
• Margarine

Make Healthy Food Choices

• Plan your meals for the day in advance, so you can be sure you are getting all the nutrients you need. As you and the baby get bigger, you may not feel like eating 3 regular meals. Switch to 5 or 6 light and nutritious meals or snacks spread throughout the day.
• Refer to Canada’s Food Guide to find out what you need and how to balance your diet every day.

For expert advice and pertinent information for everything “baby” watch this Enfamil Amazing Milestone video – What Do You Need to Eat When you’re Pregnant?

This episode is all about food — what to eat, what not to eat, how much to eat and how to eat a balanced diet during pregnancy.

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