During pregnancy you need to make sure
that your diet is providing you with enough energy and with the right nutrients
for your baby to grow and develop, and for your body to deal with the changes
taking place.
Follow these three simple
steps:
Step 1: Eating more of the foods that
contain nutrients that are good for your and your baby’s
health
Step 2: Eating less of the foods that
contain nutrients that can be harmful to your or your baby’s
health
Step 3: Getting the balance right
between the amount and types of foods you eat and the amount of activity you do
to maintain a healthy weight
Also see our tips for dealing with morning sickness at the bottom of the page.
Step 1: Eating more of these
foods
- fruit and vegetables - aim to eat some 5 times a day - at
each meal, and as snacks – for fibre and general health
- fish - aim to eat twice a week, choosing
oily fish at least once a week. This is because they are a good source of omega
3 fats (but read below about fish to avoid). Other goods sources of these
healthy fats are rapeseed
oil, olive or omega
3 rich spreads, omega
3 enriched eggs, omega 3 enriched milk, nuts and seeds.
- wholegrains
- beans, lentils, wholegrain cereals, wholegrain bread, wholegrain rice and
pasta. The fibre in these foods
can help ease the bowel problems and constipation some women have in
pregnancy,
so try to have some every day.
- foods rich in
iron such as red meat, pulses, bread, green vegetables,
fortified breakfast cereals. (Although
liver contains a lot of iron, you should avoid eating it while you're pregnant).
- vitamin supplements - take a daily 400
microgram (mcg) folic acid supplement from the time you stop
using contraception until the 12th week of pregnancy. Folic acid has been shown to reduce the risk
of neural tube defects such as spina bifida. Also take 10 micrograms (mcg) of
vitamin D each day. If you receive Income Support or
Jobseeker's Allowance, you're entitled to some free vitamin supplements from
maternity and child health clinics.
- milk and dairy
foods - aim
to eat twice a day for essential calcium and
protein
Step 2: Avoiding or eating less
of these foods
When pregnant you are at more risk of
food poisoning, and some forms of food poisoning are dangerous to your baby, so
food hygiene is really important.
-
Don’t eat Camembert, Brie
or chevre (a type of goats' cheese), or others that have a similar
rind, and blue cheeses - these cheeses are made with mould and
they can contain listeria, a type of bacteria that could harm your unborn
baby.
Live or bio yoghurts, Probiotic drinks, fromage frais,
Creme
fraiche, Soured
cream and other cheeses (Hard cheese, such as Cheddar and
Parmesan, Feta, Ricotta, Mascarpone, cream cheese, Mozzarella, Cottage cheese
and Processed cheese, such as cheese spreads)
are all fine
-
Don’t eat any
pâté, including vegetable. This is because pate can contain
listeria
-
Don’t
eat any raw or partially cooked eggs, as they could give you
salmonella food poisoning – watch out for home made mayonnaise, salad dressing,
runny boiled eggs and custards.
Well-cooked eggs, and shop-bought mayonnaise, ice cream, salad
dressing are all fine
-
Don’t
eat any raw or undercooked meat because of the risk of food
poisoning -
make sure meat is cooked until it is piping hot all the way through and no pink
meat is left. Make
sure ready meals are heated until they are piping hot all the
way through. Always wash your hands after handling raw meat, and keep it
separate from foods that are ready to eat.
-
Avoid
liver products and supplements containing vitamin
A, as high leveles of vitamin A can be harmful to your
baby
-
Avoid
eating any
shark, swordfish and marlin, limit the amount of tuna you eat
to no more than two tuna steaks a week (weighing about 140g cooked or 170g raw)
or four medium-size cans of tuna a week (with a drained weight of about 140g per
can). This is because these fish are high in mercury, which can be harmful to
your baby.
-
Have no more than two portions of
oily fish a week. Oily fish includes fresh tuna (not canned
tuna, which does not count as oily fish), mackerel, sardines and trout. But remember that eating fish is good for
your health and the development of your baby, so don’t avoid eating it
completely (see step 1).
-
Avoid eating raw
shellfish, because of the risk of food poisoning. Well-cooked
shellfish,
including prawns are fine.
-
Don’t drink too much
alcohol – either stop altogether, or have no more than 1 or 2
units of alcohol, once or twice a week. A unit is half a pint of standard
strength beer, lager or cider, or a pub measure of spirit. A glass of wine is
about 2 units and alcopops are about 1.5 units.
-
Don’t have too much
caffeine – in coffee, tea, cola and energy drinks (and some
cold and flu medicines). Too much caffeine increases the risk of the baby having
a low birth weight, and of miscarriage. The maximum you should have is 300mg per
day, which is 3 mugs of instant coffee (100mg
each) or 3 cups of brewed coffee (100mg
each) or 6 cups of tea (50mg
each) or 8 cans of cola (40mg
each) or 4 cans of energy drink (80mg
each) or 8 (50g) bars of plain chocolate
(50mg each) or 16 bars of milk chocolate (25mg
each).So, a bar of plain chocolate
plus 3 cups of tea, a can of cola and a cup of coffee in a day, would reach the
300mg limit.
Step 3: Maintaining a healthy
weight
Different women gain different amounts
of weight during pregnancy, but as a rule you should gain a minimum of 1
stone 1lb (6.8kg). If you gain
more than about 1 stone 11lb (11.4kg), you are probably putting on weight that
is not helping your baby - unless you were underweight before pregnancy.
If you gain too much weight in
pregnancy it can affect your health and increase your blood pressure. But it is
important for your baby and you to be getting plenty of nutrition when you are
pregnant, so it’s not a good idea to ‘diet’. However, following our healthy
eating advice below should help with slowing down excessive weight gain.
If you're concerned that you are
gaining weight too quickly or too slowly, please get advice from your GP or
midwife.
Here is some general advice for maintaining a
healthy weight gain:
-
Eat regular
meals - breakfast, lunch and dinner, plus healthy snacks.
-
Eat starchy
carbohydrates at each meal – potatoes, bread, pasta,
rice, etc. If you are gaining
weight too quickly you may need to cut down your portion
sizes.
-
Eat protein foods
at each meal – meat, fish, eggs, cheese, beans or lentils, soya or Quorn. Choose low fat versions unless you are not
gaining weight fast enough.
-
Fill up on plenty of nutritious
fruit and vegetables
-
Cut
down on fatty foods, such as fried foods, chips,
snack foods, crisps and full-fat spreads – unless you are not gaining weight
fast enough.
-
Cut
down on sugary foods, such as sugary drinks, sweets
and puddings.
-
Keep as
active as you
can.
-
If you are finding it hard to put
on weight, try to make yourself
eat small amounts regularly –
have 6 small meals a day, and eat what you can manage, however little. Drinking milky drinks, and adding olive oil
and cheese to your food can help to increase the calories in what you do manage
to eat. Get more advice from your GP or midwife or dietitian, if you are
struggling to eat well. Read more about eating to gain weight
here.
Help with morning sickness
Morning sickness is common in the
first trimester of pregnancy – it affects up to 85% of women. Below are some
tips that might help.
Eating or having a nutritious
drink every 2-3 hours can help, so keep snacks like sandwiches, fruit juice,
milk drinks or fruit handy.
Eating 6 small meals a day can be
just as nutritious as 3 main meals a day, and may help to alleviate the nausea
and sickness.
Other useful things to
try:
- To eat
some dry bread, crackers, biscuits or cereal first thing in the morning – even
before getting out of bed
- To
avoid drinking with a meal, but to drink between meals
instead
- To
avoid trying to eat large meals – eat small and often
instead
- Suck
something sour like a slice of lemon
- Avoid
greasy and spicy food is they make you feel sick
- Get as
much fresh air as possible
- Get
lots of rest
- Keep
away from smells – keep your house well ventilated, and get someone else to cook
if possible, or bring you food cooked elsewhere
- Slowly
sip a fizzy drink when feeling nauseous
- Try
food and drink containing ginger, as ginger sometimes relieves nausea
Page added: March 2008