Eating well during pregnancy

It’s important for you and your baby that you have a well-balanced diet during your pregnancy.

No need to eat for two

It’s only in the last three months that you need to eat just a little bit more, but only around 200kcal extra, as your energy needs will increase during this time.  It’s good if that little bit extra comes from food high in protein, calcium or iron.

You may be more likely to become low in iron while you are pregnant, so it’s good to choose plenty of iron rich foods like red meat, pulses, wholegrain starchy food and fortified cereals, green leafy veg and dried fruit.  It’s also good to drink a small glass of fruit juice while eating foods rich in iron as it helps your body absorb the iron. Avoid drinking tea and coffee at mealtimes as it has the opposite effect and makes it harder for the body to absorb the iron.

Your appetite will change when you’re pregnant, so a healthy breakfast every day can help you avoid snacking later on in the day on foods that are high in fat and sugar.

Eating healthily often means just changing the amounts of different foods you eat so that your diet is varied, you don’t have to cut out all your favourites. It’s good to choose a diet based on the eatwell guide. Plenty of variety!

Eatwell guide

Choose something from each food group and this will make sure that you have a healthy balanced diet. You don’t need to do this for every meal, but try to get the balance right during the week.

Fruit and vegetables

  • Fresh, frozen, tinned, dried or a small glass of juice – aim for at least 5 portions each day. What’s in a portion? Well a portion is roughly what will fit in the palm of your hand.
  • Fruit and veg provide vitamins and minerals along with fibre which can help digestion and prevent constipation.

Starchy foods

  • Such as potatoes, bread, rice and pasta at each mealtime and as snacks. It’s good to choose wholegrain & higher fibre varieties. These are the foods which give us energy, with some vitamins and fibre helping to fill us up.

Protein foods

  • (Twice per day) pulses such as beans, peas and lentils, fish (twice a week) don’t forget oily fish such as salmon, mackerel or pilchards (once a week), eggs and meat.
  • There are some fish you should avoid in pregnancy, as explained on NHS Choices.

Dairy foods and alternatives

  • Milk, cheese and yoghurt all contain calcium which is important for developing healthy bones and teeth. It’s good to choose the lower fat varieties such as semi-skimmed milk, low fat yoghurts and reduced fat cheese which all still contain the same amount of calcium but not as much fat. If you choose a dairy alternative to milk and yoghurt, it is important to choose the calcium fortified unsweetened varieties.
  • There are some cheeses you should avoid in pregnancy, as explained on NHS Choices.

Oils and spreads

  • Some fat in the diet is important to ensure we get essential fat soluble vitamins, but we need to make sure we eat the correct type of fats and only use a small amount. Unsaturated oils such as rapeseed, olive or sunflower oils are healthier choices than saturated fats like butter and lard.  Swapping butter for a lower fat spread reduces your saturated fat intake.

Foods to eat less often and in small amounts

  • Food and drinks high in fat and sugar such as cakes, biscuits, chocolate, sweets, puddings, pastries, ice cream, jam, honey, crisps, sauces, butter, cream and mayonnaise.

 

Why should you avoid some foods during pregnancy?

There are some foods you should avoid eating during pregnancy because they could either cause food poisoning and/or harm your unborn baby. NHS Choices has further information available.

Alcohol

Experts still can’t agree on exactly how much alcohol – if any –  is completely safe for you to have while you’re pregnant, so the safest approach is not to drink at all while you’re expecting. NHS Choices has more information on alcohol intake whilst pregnant.

Supplements

Eating a healthy, varied diet will help you to get most of the vitamins and minerals you need. But when you are pregnant you will need to take a folic acid supplement. It’s recommended that you take:

  • 400 micrograms (mcg) of folic acid each day – you should take this from before you are pregnant until you are 12 weeks pregnant

The Department of Health also advises you to consider taking a vitamin D supplement containing 10mcg of Vitamin D. Vitamin D regulates the amount of calcium and phosphate in the body, which is needed to keep bones, teeth and muscles healthy.

Weight gain during pregnancy

It depends on what you weighed before you became pregnant.  Most women put on between 10 – 12.5kg (22 – 28lb) over the whole pregnancy. If you put on too much weight it can affect your health and increase your blood pressure, but it’s really important that you don’t try to diet. Eating a healthy varied diet and cutting down on fatty and sugary food and drink may help you to avoid gaining a lot of weight during your pregnancy. Find out more about weight gain during pregnancy from NHS Choices.


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Leicestershire Partnership NHS Trust runs a confidential secure text messaging service for parents of children aged 0-19 years called Chat Health. The service operates Monday to Friday between 9am and 5pm, excluding bank holidays. All texts will be responded to by a public health nurse (health visitor/school nurse) within 24 hours. Outside of the service working hours, you’ll receive a message back to inform you that your text will be responded to once the line reopens.

Should you require urgent health advice in the meantime, please contact your GP, visit an NHS walk-in centre or call NHS 111. For emergencies, dial 999 or visit A&E.

Leicester City: text 07520 615381

Leicestershire & Rutland: text 07520 615382

You can also call and speak to a public health nurse on our advice line, excluding appointments: 0300 3000 007

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