1. Nutrition in pregnancy

1. Nutrition in pregnancy

Eating healthily during pregnancy is not difficult as long as you follow some basic principles. Make sure each meal has the correct balance of protein, carbohydrates and fats with plenty of fresh fruit and vegetables to provide adequate vitamins, minerals and fibre. Well-balanced meals can reduce cravings and dips in blood sugar while helping you to maintain a healthy weight throughout your pregnancy.

The eatwell plate shows how much of what you eat should come from each food group. This includes everything you eat during the day, including snacks.

Tommy's eat well

So, try to eat:

  • plenty of fruit and vegetables
  • plenty of bread, rice, potatoes, pasta and other starchy foods – choose wholegrain varieties whenever you can
  • some milk and dairy foods
  • some meat, fish, eggs, beans and other non-dairy sources of protein
  • just a small amount of foods and drinks high in fat and/or sugar

Try the Tommy’s “Stop and Swap” plan

Many of us eat too much saturated (bad) fat and too much sugar and not enough nutrient rich foods. Eating a healthy, balanced and varied diet throughout your pregnancy will help to keep you in tip top condition and ensure that your growing baby receives all it needs too. Think about making smart choices about what you eat and drink, for example by:

  • eating regularly so you don’t go hungry. Starting the day with breakfast is a good habit to get into.
  • aiming to swap bad fats for good fats i.e. plant and seed based oils rather than animal fats
  • aiming to swap sugary food and drinks for low sugar alternatives
  • trying to snack smartly on nutritious foods rather than low nutrient, calorie rich options.

STOP - Instead of...

SWAP - Try...

Sugary drinks

Squash, or juice containing sugar

Whole (full fat) milk

 

Water (still, sparkling or tap water)

Fruit or herbal tea

Sugar-free flavoured water

Sugar-free or low calorie (diet fizzy drinks

Sugar-free (or “no added sugar”) squash

Semi-skimmed, 1% or skimmed milk

Sugar (white or brown)

Cutting down the amount you use

Lower calorie sugar

Artificial sweeteners* (liquid, tablet or granulated)

Butter, jam, marmalade or honey** on toast

Lower-fat spread, reduced-sugar jam, sliced banana on toast

Cake or biscuits

Currant bun (no icing) or fruit loaf, oatcakes, wholegrain cereal bar or fruit

Crisps and savoury snacks

Unsalted nuts and seeds, breadsticks, low fat crackers or oatcakes

Speciality coffees (e.g. latte, cappuccino) made with full fat milk***

Hot chocolate, instant malt drinks

Decaffeinated coffees made with skimmed milk (known as “skinny”), or fruit/herbal teas

Ice cream

Frozen low-fat yoghurt

Breakfast cereals coated with sugar or honey

Traditional porridge oats or wholegrain cereals without sugar or honey coating, low sugar muesli

Sausages, burgers, nuggets, kebabs, pies or other processed meats

A lean cut of meat or chicken

Fish (oily or white)

Beans and pulses (e.g. reduced salt and sugar baked beans, chickpeas, kidney beans, lentils)

Takeaway or fast food chips

New or boiled potatoes, baked potatoes, oven chips made at home

Fatty cuts of meat i.e. streaky bacon, fatty mince, lamb chops, pork crackling

Lean mince, with fat strained off when cooking, trimmed cuts of meat, or try grilling rather than frying to help minimize fat content

Salt

Skip the salt when cooking and at the table or use salt alternatives, reduce the use of ready meals and processed meats which can be particularly high in salt

Full fat cheese (e.g. cheddar)

Half fat or reduced fat cheese, Edam or cottage cheese

Butter on bread

Lower-fat spread on bread. Look for those labelled “low in saturates” or “low in saturated fat” or “high in monounsaturates and polyunsaturates”

Butter, lard or ghee in cooking

Vegetable, olive or rapeseed oil

Yoghurt cream or coconut cream

Reduced-fat yoghurt, reduced-fat crème fraiche

Tinned fruit in syrup

Tinned fruit in juice, fresh or frozen fruit

  • *There are no specific recommendations on avoiding artificial sweeteners in pregnancy although some women may choose to avoid them
  • ** The Food Standards Agency recommends that honey is fine for pregnant women but not suitable for babies under a year old
  • *** The Food Standards Agency recommends that it’s best not to have more than 200mg of caffeine per day when you’re pregnant which is roughly equivalent to 2 mugs of instant coffee or 2 mugs of tea

Use the caffine calculator

Grace , 6 months pregnant:

“Me and my midwife chatted about eating healthier, and I’ve changed my bread. She said “Why not try wholegrain? You might enjoy it” – and I do!”

Planer download

Supplements to take during pregnancy

The importance of taking a daily folic acid supplement in pregnancy is mostly well understood, as is the need for midwives to check on your iron levels…however, much less is known about vitamin D. We’d like you to take on board our vitamin D message and start taking your supplements today! Talk to a Tommy’s midwife if you’d like to find out more about the importance of vitamin D in pregnancy.

Vitamin D

You must make sure you have enough vitamin D to protect your baby from deficiency, which can cause rickets (weak bones).

The best way to get vitamin D is sunlight. Just 15 minutes in the sunlight, two or three times a week, during the summer months, can produce enough. But remember your sun protection as your skin can be more sensitive in pregnancy.

Only a few foods, such as eggs, and oily fish contain vitamin D naturally; though it is added to some brands of cereals and margarines.

The Department of Health recommends that pregnant and breastfeeding women take a 10 micrograms (10mcg) supplement of vitamin D each day.

Folic acid

An essential B vitamin that helps in the early formation of your baby’s nervous system. Lack of folic acid can cause spina bifida, where the baby’s spine doesn’t close up properly.

Take a folic acid supplement every day, especially pre-conception and during the first 12 weeks of pregnancy. Good food sources of folic acid include broccoli, green beans, oranges, asparagus, peas, chickpeas and brown rice – but keep taking the supplements too as it's almost impossible to get enough from food alone.

Iron

Iron is found in red meat, pulses (beans), bread, green vegetables and some breakfast cereals.

If you’re eating food containing iron, try to have some food or drink containing vitamin C (such as sweet potatoes, peppers or a glass of orange juice) at the same meal and avoid tea and coffee at meal time to help your body absorb iron.

If your body is low in iron your doctor or midwife may advise you to take iron supplements.

For more expert information visit http://www.tommys.org, call the Tommy’s PregnancyLine to speak to a midwife or email info@tommys.org

Quit Smoking

Back to Tommy’s plan >>

Comments

@ ourlittle Mayo and salad cream are fine as long as they are pasteurised I.e stuff you buy off the shelf. Not anything that is fresh I.e in the fridge as may contain raw egg. As for healthy snacks try whole grain bread sticks with your 'low fat' salad cream :)
I'm running out of ideas of healthy snacks which don't have nuts or lots of salt. I'm not a big fan of fruit especailly bananas I hate them. Any ideas? Also can I have mayonaise and salad cream some say you can others say you can't!!!
Important advice. Following a lot already :-)
thanks for this i eat most of these food already, so am on a good track ;)
Not been very good with eating healty, will actualy i'm finding it quite dificult. Can anyone give me some advice?
hi am sean ive spit up with my girlfreind and we r haveing 3 baby boys and we are struggling to bye baby stuff and thay are due sum time next month please can u help me thanks sean
I am nearly in my third trimester,ive just started taking pregnacare as it contains other vitamins,i'm not sure wether i should also take iron tablets.i've also been advised to drink hot milk before going to sleep.
Does anyone know how much water to drink as im managing 3 meals a day and not lots of water maybe 3 pints a day?!
I eat pretty healthy anyway, am also taking sanatogen mother to be tablets. Feel a bit worried as have only started taking them a week ago. is this ok?
I m taking pregnacare , it contains 400 microgram of folic acid , is it the Recommended amount of folic acid? Do I need to take more folic acid tablets?
Very useful information
I was under the impression you only had to take folic acid for the first 12 weeks of pregnancy and i'm worried now as I haven't taken it for 14 weeks. I have just had a tablet from the packs I had left over. Any opinions or advice on this would be a help. Thanks, Kim.
i can't eat well the little food i take vommit everything out, please help me. I agree with eating less fatty foods.
i always watch my weight and eat healthy so i havent really changed much to my diet,i really love eating oranges at the moment so i think thats a good thing.
It's all common sense really, eat healthy & keep active, balance everything out with the odd treat along the way! I usually have a sweet tooth but in this pregnancy I can't stop eating savoury things! I agree though- sweeteners are far worse than white sugar.
I agree with violetgirl, artificial sweetners, half fat cheese, contain many more chemicals and do not satisfy you, so you will end up eating more, should just eat normal but less of it, not too much fats, sugars etc
I disagree with the guidelines above that say to eat artificial sweeteners instead of sugar. Sweeteners are much much worse for you and your baby than sugar
Thanks, I don't eat most of what you've listed anyway, women are always watching their weight, pregnant or not
thanks im doing well so far and so I should, anyway as part of my religious beliefs I need to make up for missed days of fasting and I have chosen the short days as I have fasted during long days twise during pregnancy and my ffriend insists that I am not to continue what shall I do? I am currently wks intp pregnancy.
I am doing a lot of these. Although I dont eat lots of sugary foods, I cant see why eating them moderately would do any harm. My grandma had a serious sweet tooth, had 8 perfectly healthy kids and lived until she was 88 years old. She definitely didnt have a perfect diet along with a lot of elderly people I know who are still battling on at 80+
Glad I do a lot if this already, just need to get used to sweetener instead of sugar!
Some very good points here. Am pleased I am already doing a lot of the bits discussed above.
Eating healthy was always important for me that is why I always cook my meals, only sometimes because of pragnancy can`t `stop eatng cakes :-)))