Best vitamins for pre pregnancy

Vitamins, minerals and supplements in pregnancy

Eating a healthy, varied diet in pregnancy will help you get most of the vitamins and minerals you need.

But when you're pregnant, or there's a chance you might get pregnant, it’s important to also take a folic acid supplement.

It's recommended that you take:

• 400 micrograms of folic acid every day – from before you're pregnant until you're 12 weeks pregnant

This is to reduce the risk of problems in the baby's development in the early weeks of pregnancy.

It is also recommended that you take a daily vitamin D supplement.

Do not take cod liver oil or any supplements containing vitamin A (retinol) when you're pregnant. Too much vitamin A could harm your baby. Always check the label.

You also need to know which foods to avoid in pregnancy.

Where to get pregnancy supplements

You can get supplements from pharmacies and supermarkets, or a GP may be able to prescribe them for you.

If you want to get your folic acid from a multivitamin tablet, make sure the tablet does not contain vitamin A (or retinol).

You may be able to get free vitamins if you qualify for the Healthy Start scheme.

Find out more about the Healthy Start scheme.

Folic acid before and during pregnancy

It’s important to take a 400 micrograms folic acid tablet every day before you're pregnant and until you're 12 weeks pregnant.

Folic acid can help prevent birth defects known as neural tube defects, including spina bifida.

If you did not take folic acid before you conceived, you should start as soon as you find out you're pregnant.

Try to eat green leafy vegetables which contain folate (the natural form of folic acid) and breakfast cereals and fat spreads with folic acid added to them.

It's difficult to get the amount of folate recommended for a healthy pregnancy from food alone, which is why it's important to take a folic acid supplement.

Higher-dose folic acid

If you have a higher chance of your pregnancy being affected by neural tube defects, you will be advised to take a higher dose of folic acid (5 milligrams). You will be advised to take this each day until you’re 12 weeks pregnant.

You may have a higher chance if:

• you or the baby's biological father have a neural tube defect
• you or the baby's biological father have a family history of neural tube defects
• you have had a previous pregnancy affected by a neural tube defect
• you have diabetes
• you take anti-epilepsy medicine
• you take anti-retroviral medicine for HIV

If any of this applies to you, talk to a GP. They can prescribe a higher dose of folic acid.

A GP or midwife may also recommend additional screening tests during your pregnancy.

Find out about epilepsy and pregnancy.

Vitamin D in pregnancy

You need 10 micrograms of vitamin D each day and should consider taking a supplement containing this amount between September and March.

Vitamin D regulates the amount of calcium and phosphate in the body, which are needed to keep bones, teeth and muscles healthy. Our bodies make vitamin D when our skin is exposed to summer sunlight (from late March/early April to the end of September).

It's not known exactly how much time is needed in the sun to make enough vitamin D to meet the body's needs, but if you're in the sun take care to cover up or protect your skin with sunscreen before you start to turn red or burn.

Vitamin D is also in some foods, including:

• oily fish (such as salmon, mackerel, herring and sardines)
• eggs
• red meat

Vitamin D is added to some breakfast cereals, fat spreads and non-dairy milk alternatives. The amounts added to these products can vary and might only be small.

Because vitamin D is only found in a small number of foods, whether naturally or added, it is difficult to get enough from foods alone.

Do not take more than 100 micrograms (4,000 IU) of vitamin D a day as it could be harmful.

You can get vitamin supplements containing vitamin D free of charge if you're pregnant or breastfeeding and qualify for the Healthy Start scheme.

Information:

There have been some reports about vitamin D reducing the risk of coronavirus (COVID-19). But there is currently not enough evidence to support taking vitamin D solely to prevent or treat COVID-19.

If you have dark skin or cover your skin a lot

You may be at particular risk of not having enough vitamin D if:

• you have dark skin (for example, if you're of African, African Caribbean or south Asian origin)
• you cover your skin when outside or spend lots of time indoors

You may need to consider taking a daily supplement of vitamin D all year. Talk to a midwife or doctor for advice.

Iron in pregnancy

If you do not have enough iron, you'll probably get very tired and may suffer from anaemia.

Lean meat, green leafy vegetables, dried fruit, and nuts contain iron.

If you'd like to eat peanuts or foods that contain peanuts (such as peanut butter) during pregnancy, you can do so as part of a healthy, balanced diet unless you're allergic to them or your health professional advises you not to.

Many breakfast cereals have iron added to them. If the iron level in your blood becomes low, a GP or midwife will advise you to take iron supplements.

Vitamin C in pregnancy

Vitamin C protects cells and helps keep them healthy.

It's found in a wide variety of fruit and vegetables, and a balanced diet can provide all the vitamin C you need.

Good sources include:

• oranges and orange juice
• red and green peppers
• strawberries
• blackcurrants
• broccoli
• brussels sprouts
• potatoes

Calcium in pregnancy

Calcium is vital for making your baby's bones and teeth.  

Sources of calcium include:

• milk, cheese and yoghurt
• green leafy vegetables, such as rocket, watercress or curly kale
• tofu
• soya drinks with added calcium
• bread and any foods made with fortified flour
• fish where you eat the bones, such as sardines and pilchards

Vegetarian, vegan and special diets in pregnancy

A varied and balanced vegetarian diet should provide enough nutrients for you and your baby during pregnancy.

But you might find it more difficult to get enough iron and vitamin B12.

Talk to a midwife or doctor about how to make sure you're getting enough of these important nutrients.

If you're vegan or you follow a restricted diet because of a food intolerance (for example, a gluten-free diet for coeliac disease) or for religious reasons, talk to a midwife or GP.

Ask to be referred to a dietitian for advice on how to make sure you're getting all the nutrients you need for you and your baby.

Find out more about healthy eating if you're pregnant and vegetarian or vegan.

Healthy Start vitamins

The Healthy Start scheme may be able to help you buy food and milk if you're pregnant or have a child under 4 years old and receive certain benefits, or you’re pregnant and under 18.

If you’re eligible, you’ll be sent a Healthy Start card which you can use to buy certain types of milk, infant formula, fruit and vegetables.

You can also use your card to get free vitamins.

If you're not eligible for the Healthy Start scheme, some NHS organisations still offer the vitamins for free, or sell them. Ask a midwife about what's available in your area.

More information:

• Read more information about Healthy Start, or apply for a Healthy Start card, on the Healthy Start scheme website
• Read more about getting vitamins on the Healthy Start scheme website

Video: Should I take supplements during my pregnancy?

In this video, a midwife explains which supplements you can take during pregnancy.

Media last reviewed: 5 February 2020
Media review due: 5 February 2023

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A Dietitian’s Picks of the 12 Best Prenatal Vitamins for 2023

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Healthline only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

• Best prenatal vitamin subscription: Ritual Essential Prenatal Multivitamin
• Best personalized subscription prenatal: Care/of Prenatal
• Best prenatal for vegetarians: MegaFood Baby & Me 2 Prenatal Multi
• Best comprehensive prenatal vitamin: FullWell Prenatal Multivitamin
• Best trimester-specific prenatal vitamin: Perelel Prenatal Packs
• Best prenatal powder: Root’d Prenatal Multivitamin Fizzy Drink Mix
• Best prenatal with DHA: Nature Made Prenatal Multi + DHA
• Best prenatal gummies: SmartyPants Prenatal Formula
• Best chewable prenatal: Seeking Health Prenatal Essentials Chewable
• Best prenatal for morning sickness: New Chapter Perfect Prenatal Multivitamin
• Best prenatal protein powder: Seeking Health Optimal Prenatal Protein Powder
• Best vegan-friendly prenatal: Natalist Prenatal Daily Packets

Between morning sickness, fleeting cravings, and random aversions, getting good nutrition during pregnancy can be tough. Plus, even if you’re eating a balanced diet, the increased nutrient demands during pregnancy are difficult to meet with diet alone.

Enter: prenatal vitamins. They’re an easy way to fill any gaps and support both your body and your baby’s growth and development.

Whether you’re looking for something that will stay put when morning sickness hits or you just want something that tastes good, we rounded up 12 great options to consider.

When choosing the best prenatal vitamins, we considered the following factors:

• Nutritional content: We included products that are specifically formulated to meet the nutritional demands of pregnancy.
• Ingredients: We looked for supplements that are made from high quality ingredients and free of artificial additives and preservatives.
• Testing: We included products that undergo testing for purity and potency, ideally by a third-party organization.
• Reviews: The products listed below have mostly positive online reviews.
• Vetting: All the supplements on our list have been vetted to ensure that they align with Healthline’s brand integrity standards and approach to well-being. You can read more about our vetting process.

A note on price

General price ranges are indicated below with dollar signs ($–$$$). One dollar sign means the product is rather affordable, whereas three dollar signs indicate a higher cost.

Most of these vitamins are packaged to contain 30 servings — about a month’s worth. Some may be sold in 60- or 90-serving packages.

We based the price ratings on the approximate monthly cost for each product:

• $ = under $30
• $$ = $30–$40
• $$$ = over $40

Best prenatal vitamin subscription

Ritual Essential Prenatal Multivitamin

• Price: $$
• Type: capsules
• Dosage: 2 capsules per day
• Included nutrients: folate, biotin, choline, iron, iodine, magnesium, boron, omega-3 DHA, and vitamins B12, D3, E, and K

Created by women for women, Ritual Essential Prenatal Multivitamin provides 12 key nutrients to help support you and your baby before, during, and after pregnancy.

Specifically, the prenatal offers more than 100% of your daily needs for folate, vitamin D, and vitamin B12. It also includes docosahexaenoic acid (DHA) omega-3 from algae, so it’s a suitable option for those following a vegan diet.

As a bonus, the lemon-scented capsules are designed to be easier on your stomach than some other supplements, so you can take them with or without food.

Just keep in mind that one serving provides only 10% of the recommended amount of choline, a nutrient that’s essential for fetal health and development, so it’s still important to include sources of choline, such as eggs, in your diet (1).

Shop now at Ritual

What our tester says

I found Ritual’s Essential for Women Prenatal to be a great prenatal vitamin option with traceable ingredients.

While I occasionally experienced the “fishy burps” that can come with taking a DHA supplement, overall I found the vitamin’s taste and smell to be quite neutral.

To round out my daily routine, I also took Ritual’s Essential Daily Protein Shake Pregnancy and Postpartum. I try to eat a mostly plant-based diet, so I chose this powder because it provides a complete amino acid profile along with an extra boost of choline for pregnancy.

— Catherine Conelly, Healthline Editor II

Pros

• third-party tested
• formulated to be easy to digest
• contains DHA
• vegan, non-GMO verified, and free of gluten and major allergens
• no artificial colors or fillers

Cons

• provides only 10% of recommended choline needs
• not as comprehensive as others on our list

Best personalized subscription prenatal

Care/of Prenatal

• Price: $
• Type: tablets
• Dosage: 3 tablets per day
• Included nutrients: folate, biotin, pantothenic acid, choline, calcium, iron, iodine, magnesium, zinc, selenium, copper, chromium, potassium, boron, silica, mixed tocopherols, and vitamins A, C, D3, E, B6, B12, and K2

Care/of is a subscription supplement service that provides personalized product recommendations and creates a supplement routine tailored to your needs.

This prenatal supplement contains 22 essential vitamins and minerals to support a healthy pregnancy and is formulated to be gentle on your stomach and easy to absorb.

It’s also delivered in daily packs for added convenience and is vegetarian-friendly, gluten-free, non-GMO, and free of major allergens.

While it does not contain omega-3 DHA and EPA, you can easily add an omega-3 supplement to your Care/of daily pack.

Shop now at Care/of

Pros

• third-party tested
• gluten-free, non-GMO, and vegetarian-friendly
• easy to digest and absorb
• affordable
• option to add an omega-3 DHA and EPA supplement to your subscription

Cons

• lacks omega-3 DHA and EPA
• provides only 20% of choline needs

Best prenatal for vegetarians

• Price: $$
• Type: tablets
• Dosage: 2 tablets per day
• Included nutrients: thiamine, riboflavin, niacin, folate, biotin, pantothenic acid, choline, iron, iodine, zinc, selenium, copper, manganese, chromium, molybdenum, and vitamins A, B6, B12, D3, E, and K

Formulated with organic, plant-based ingredients, this prenatal vitamin is designed to be easily digestible and can be taken on an empty stomach.

It also contains many key nutrients for a healthy pregnancy, including iron, choline, folate, and vitamins B6, B12, and D3 (2).

The supplement is also certified gluten-free and doesn’t contain soy or dairy products. However, while it is vegetarian-friendly, it isn’t suitable for vegans.

Shop now at MegaFood

Pros

• nutritionally well-rounded
• contains more than 50% of choline needs
• certified gluten-free
• third-party certified glyphosate residue-free
• tested for 125+ herbicides and pesticides

Cons

• lacks magnesium and omega-3 DHA and EPA
• contains only 600 IU of vitamin D
• not vegan-friendly

Best comprehensive prenatal

• Price: $$$
• Type: capsules
• Dosage: 8 capsules per day
• Included nutrients: thiamine, riboflavin, niacin, folate, biotin, pantothenic acid, choline, calcium, iodine, magnesium, zinc, selenium, copper, manganese, chromium, molybdenum, potassium, inositol, betaine HCL, and vitamins A, B6, B12, C, D3, E, and K

FullWell Prenatal Multivitamin was designed by dietitian and fertility expert Ayla Barmmer, and it’s one of the most comprehensive prenatal vitamins on the market.

Each serving covers 55% of recommended choline needs and provides 4,000 IU of vitamin D per dose. It also includes folate — or folic acid — in the form of methylfolate, which is a more absorbable form of the nutrient.

It does not contain iron, but this may be a positive aspect for some because iron intake and needs differ from person to person during pregnancy. Also, keep in mind that this product should be combined with the company’s DHA and EPA supplement.

FullWell Prenatal Multivitamin is highly rated, with customers mentioning how easy it is to digest. Several also say they’ve noticed increased energy levels since switching to this product.

Shop now at FullWell

Pros

• third-party tested; certificate of analysis (COA) available
• high in choline, magnesium, and vitamin D
• uses chelated minerals for optimal absorption
• easy to digest
• no artificial colors or fillers

Cons

• expensive, especially when paired with the company’s omega-3 supplement
• does not contain iron — though this may be a positive for some
• should be paired with an omega-3 supplement containing DHA and EPA
• requires a dosage of 8 capsules per day

Best trimester-specific prenatal vitamin

• Price: $$$
• Type: capsules
• Dosage: 1 pack per day, with food
• Included nutrients: thiamine, riboflavin, niacin, folate, pantothenic acid, choline, iron, iodine, magnesium, zinc, selenium, copper, chromium, boron, omega-3 DHA, omega-3 EPA, and vitamins A, B6, B12, D3, E, and K. Some packs also contain probiotics and calcium.

Perelel is a subscription service that delivers prenatal supplements tailored to the trimester of pregnancy you’re currently in.

For example, the First Trimester Prenatal Support Pack contains extra folate, as well as added B6 and ginger to combat nausea.

The company was founded by an OB-GYN, and each product is free of artificial additives and third-party tested for accuracy and purity.

Just keep in mind that the First Trimester pack includes five capsules, which may be difficult to tolerate if you have morning sickness.

Get started now at Perelel

Pros

• third-party tested
• customized based on stage of pregnancy
• contains DHA and EPA

Cons

• expensive
• provides only 22% of recommended choline needs
• multiple capsules may be difficult to tolerate, especially during the first trimester

Best prenatal powder

Root’d Prenatal Multivitamin Fizzy Drink Mix

• Price: $$
• Type: drink mix
• Dosage: 1 packet (5 grams) per day
• Included nutrients: thiamine, riboflavin, niacin, folate, biotin, pantothenic acid, choline, calcium, iodine, magnesium, zinc, selenium, copper, manganese, chromium, molybdenum, sodium, potassium, lutein, Root’d organic superfood blend, Root’d probiotic and digestion blend, and vitamins A, B6, B12, C, D3, E, and K

Root’d Prenatal Multivitamin Fizzy Drink Mix is a powdered prenatal supplement that you can easily mix into any beverage. This makes it a good choice for those who cannot tolerate swallowing pills or feel nauseous taking multiple supplements.

The powder has a delicious lemon-berry taste and is sweetened with stevia, not sugar. For this reason, it’s a safe choice for those who need to monitor their blood sugar during pregnancy, such as people with diabetes or gestational diabetes.

Each packet of flavored powder provides 25 vitamins and minerals, including important nutrients necessary to promote health during pregnancy, such as folate, choline, and vitamin D.

Shop now at Amazon

Pros

• third-party tested; COA available
• free of added sugar
• powder form that may be easier for some people to use

Cons

• low in choline and lower in vitamin D than some others on this list
• possible stevia aftertaste that some may dislike

Best prenatal with DHA

• Price: $
• Type: softgels
• Dosage: 1 softgel per day
• Included nutrients: thiamine, riboflavin, niacin, folate, biotin, pantothenic acid, calcium, iron, iodine, magnesium, zinc, omega-3 DHA, omega-3 EPA, and vitamins A, B6, B12, D3, E, and K

This liquid softgel multivitamin combines DHA with folate, iron, and other essential nutrients to help you meet the nutritional demands of pregnancy.

Nature Made Prenatal Multi + DHA is third-party tested by U.S. Pharmacopeia (USP) and has more than 33,000 mostly 5-star reviews online.

Plus, it’s one of the most affordable and easiest-to-find options on our list.

Shop now at Amazon

Pros

• contains DHA and EPA
• affordable
• USP-verified

Cons

• does not contain choline
• contains only 1,000 IU of vitamin D

Best prenatal gummies

• Price: $
• Type: gummies
• Dosage: 4 gummies per day
• Included nutrients: thiamine, riboflavin, niacin, folate, biotin, choline, iodine, zinc, selenium, sodium, inositol, omega-3 DHA, omega-3 EPA, and vitamins A, B6, B12, D3, E, K1, and K2

SmartyPants is a popular and easy-to-find supplement brand that offers a great option if you prefer gummy vitamins.

Specifically, the prenatal supplement features the omega-3s EPA and DHA, along with other important nutrients such as folate and B12.

Like most other gummies, this one doesn’t contain iron, which some people may prefer. Be sure to ask your doctor for a recommendation for an iron supplement if needed.

Keep in mind that a serving of 4 gummies contains 6 grams, or 1 1/2 teaspoons, of added sugar. Therefore, the supplement might not be the best choice for people trying to manage their blood sugar levels, such as those with gestational diabetes.

Shop now at Amazon

Pros

• contains EPA and DHA
• easy to eat
• third-party tested

Cons

• contains 6 grams of added sugar per serving
• low in choline
• lacks certain nutrients, such as magnesium

• Price: $$
• Type: chewable tablets
• Dosage: 2 tablets per day
• Included nutrients: thiamine, riboflavin, niacin, folate, biotin, pantothenic acid, calcium, iodine, magnesium, zinc, selenium, copper, manganese, chromium, molybdenum, betaine anhydrous, milk thistle extract, coenzyme Q10, zeaxanthin, boron, and vitamins A, B6, B12, D3, E, and K

Seeking Health Prenatal Essentials Chewables provide nutrients to support pregnancy in a chewable form. They’re a great option if you have trouble swallowing pills.

They also contain zero added sugars and are free of gluten, artificial colors and flavors, and common allergens such as peanuts and soy.

Shop now at Seeking Health

Pros

• third-party tested
• free of major allergens
• easy to consume

Cons

• lacks choline and omega-3 EPA and DHA

Best prenatal for morning sickness

• Price: $
• Type: tablets
• Dosage: 3 tablets per day
• Included nutrients: thiamine, riboflavin, niacin, folate, biotin, pantothenic acid, calcium, iron, iodine, magnesium, zinc, selenium, copper, manganese, chromium, molybdenum, and vitamins A, B6, B12, D3, E, and K

New Chapter Perfect Prenatal Multivitamin contains 100% of your daily iron needs but is designed to be gentle on your stomach.

The supplement also contains ginger, which may help ease queasiness.

This product is made from all non-GMO ingredients and is both kosher and vegetarian-friendly.

Shop now at Amazon

Pros

• NSF-certified
• contains ginger, which may be helpful for nausea

Cons

• does not contain choline
• lacks omega-3 DHA and EPA
• requires 3 pills per day

Best prenatal protein powder

Seeking Health Optimal Prenatal Protein Powder

• Price: $$$
• Type: protein powder
• Dosage: 1 scoop per day
• Included nutrients: protein, carbs, fat, thiamine, riboflavin, niacin, folate, biotin, pantothenic acid, choline, calcium, iron, iodine, magnesium, zinc, selenium, manganese, chromium, molybdenum, sodium, potassium, inositol, betaine HCL, CoQ10, red raspberry, ginger, taurine, acetyl-L-carnitine, L-carnosine, milk thistle extract, tocopherols, lutein, zeaxanthin, boron, and vitamins A, B6, B12, C, D3, E, and K2

Seeking Health Optimal Prenatal Protein Powder is a comprehensive prenatal supplement that packs 15 grams of highly absorbable pea protein isolate per 1-scoop (43. 8-gram) serving.

Protein is necessary for fetal growth and development and for your health during pregnancy, so it’s important to take in optimal amounts of this nutrient each day while you’re pregnant (3).

Because you can mix this powder into smoothies and other beverages, it may be easier to tolerate than pills or capsules when you’re experiencing nausea.

In addition to protein, this supplement contains a variety of vitamins and minerals, including 45% of the recommended intake of choline and 2,000 IU of vitamin D.

Shop now at Amazon

Pros

• third-party tested
• provides 15 grams of protein per serving
• vegetarian-friendly
• easy to take

Cons

• does not contain omega-3s
• expensive
• includes only 15 servings per container
• contains 4 grams of added sugar per serving

Best vegan-friendly prenatal

Natalist Prenatal Daily Packets

• Price: $$$
• Type: capsules
• Dosage: 5 capsules per day
• Included nutrients: thiamine, riboflavin, niacin, folate, biotin, choline, calcium, iron, iodine, magnesium, zinc, selenium, omega-3 DHA, and vitamins A, C, D, E, B6, B12, and K2

Natalist Prenatal Daily Packets are a doctor-formulated, vegan-friendly supplement designed to help round out your diet and provide essential nutrients for pregnancy, including iron, omega-3 DHA, and vitamin D.

In addition to being third-party tested, these prenatal vitamins are free of artificial ingredients and available in convenient daily packets

However, each pack includes five capsules, which might not be ideal for those who have morning sickness or difficulty swallowing pills.

Shop now at Natalist

Pros

• third-party tested
• vegan-friendly, non-GMO, and free of gluten and major allergens
• free of artificial colors, preservatives, and flavors
• contains omega-3 DHA

Cons

• expensive
• lacks omega-3 EPA
• provides only 27% of choline needs
• requires 5 capsules per day

Having trouble deciding which prenatal is right for you? Here’s a quick look at how our top picks compare:

*First Trimester pack includes an additional folate supplement, which offers 278% of the DV for people who are pregnant or breastfeeding.

**Third-party testing refers to testing by a third-party laboratory to ensure purity and potency of a product.

During pregnancy, your needs for vitamins, minerals, and trace elements increase significantly in order to support your health and the health and growth of the developing fetus (7).

For example, folate needs increase by 50% and iron needs increase by 150% (8, 9).

These and many other nutrients are essential for fetal and placental growth and the general health of the pregnant person, which is why they’re needed in larger amounts during pregnancy.

Taking a prenatal vitamin that contains all the nutrients needed to support a healthy pregnancy can help reduce the risk of deficiencies and ensure you’re getting the vitamins and minerals you need to keep yourself and your baby healthy.

In fact, most experts recommend taking a prenatal supplement for at least 3 months before becoming pregnant to ensure adequate stores of key nutrients, such as folate.

Keep in mind

While prenatal supplements can certainly help fill gaps in your diet, they’re not a one-way ticket to superhuman health throughout your pregnancy.

It’s important to read nutrition labels and balance your intake of vitamins and minerals with a well-rounded, nutrient-rich diet.

A dietitian who specializes in nutrition during pregnancy can help you design a diet based on your preferences and specific health needs.

If you have pregnancy complications or other health concerns, a doctor might recommend a prescription prenatal supplement. Otherwise, you can find over-the-counter supplements at your local pharmacy or online.

While many products are available, you’ll want to choose a prenatal supplement that includes all the vitamins and minerals needed to support a healthy pregnancy.

Important nutrients in a prenatal vitamin

A well-rounded prenatal should include a variety of nutrients that are in high demand during pregnancy, such as:

• B vitamins, including folate: Your body needs eight different B vitamins. During pregnancy, your needs for these nutrients increase. Most prenatal supplements include all eight B vitamins, but some include only a few. At a minimum, a prenatal should include B12, folate, and B6 (7).
• Choline: Choline needs increase significantly during pregnancy, as choline plays an important role in placental and fetal development. Research suggests up to 95% of pregnant people don’t consume enough choline. A well-designed prenatal should cover at least some of your choline needs (1).
• DHA and EPA: You need more of these fatty acids during pregnancy because they’re important for fetal brain development. Some prenatals contain them, but most don’t. Most pregnant people take a separate DHA and EPA supplement, like a fish oil or algal oil supplement (4, 5).
• Vitamin D: Although the current recommended vitamin D intake during pregnancy is 600 IU — the same as for people who aren’t pregnant — needs during pregnancy are estimated to be much higher, at about 4,000 IU per day. Most prenatals contain much less, so you may need an extra vitamin D supplement (10, 11, 12).
• Iron: Needs for iron increase during pregnancy. However, as iron intake varies greatly from person to person, iron should ideally be supplemented separately based on iron levels (7, 13).
• Magnesium, calcium, iodine, and zinc: Needs for these minerals also increase during pregnancy, so a good prenatal will cover all or most of these (7).
• Vitamins A and C: Vitamin A is necessary for fetal eye and organ development, immune system function, and more. Vitamin C is necessary for fetal and maternal health, and maintaining optimal levels could help reduce your risk of complications such as preeclampsia and preterm birth (14, 15).

These are just some of the nutrients that are in higher demand during pregnancy. A well-rounded prenatal will provide the additional nutrients your body needs during pregnancy, but it should be used as a supplement to, rather than a replacement for, a balanced diet.

Complete your prenatal supplement routine

Even the best prenatal vitamins often lack choline, omega-3s, and/or vitamin D (1, 5, 10, 16).

Therefore, it may be best to consider purchasing additional supplements as needed to fill in any gaps in your diet that your prenatal vitamin does not cover.

You can check out our roundups of the best choline, vitamin D, and fish oil supplements for more options, but here are a few dietitian-recommended products:

• Thorne Research Phosphatidyl Choline: Manufactured by a reputable company, this supplement covers 93% of choline needs during pregnancy in the form of phosphatidyl choline, the type of choline found in foods.
• Pure Encapsulations Vitamin D (Vegan) Liquid: This easy-to-take liquid supplement is third-party tested and vegan-friendly.
• Nordic Naturals Prenatal DHA: This third-party tested supplement provides sustainably sourced DHA and EPA omega-3s, as well as an extra dose of vitamin D.

While many nutrients are essential, as explained above, your needs for some nutrient increase during pregnancy. These include calcium, iodine, magnesium, zinc, omega-3 DHA and EPA, all eight B vitamins, and vitamins A, C, and D.

Here is a quick look at which of these key nutrients our top picks contain or lack, as well as the amount of choline and vitamin D per serving:

*First Trimester pack includes an additional folate supplement, which offers 278% of the DV for people who are pregnant or breastfeeding.

Keep in mind that our list also includes Nordic Naturals Prenatal DHA and Thorne Research Phosphatidyl Choline, which may be helpful if your selected prenatal vitamin does not provide adequate amounts of omega-3s and/or choline.

Why are prenatal vitamins important?

During pregnancy, the need for micronutrients increases significantly. Health experts recommend taking a prenatal supplement before, during, and after pregnancy in order to meet your nutrient needs.

When should I start taking prenatal vitamins?

Experts recommend taking a prenatal supplement containing folate for at least 3 months before becoming pregnant.

Supplementing with folate — which is found in prenatal vitamins — before conception significantly reduces the chances of neural tube irregularities such as spina bifida (7).

A baby’s neural tube, which will develop into both the brain and the spinal cord, develops during the first month of pregnancy. That could happen before you even realize you’re pregnant.

If you aren’t already taking a daily prenatal vitamin, start taking one as soon as you find out you’re expecting. You’ll continue taking your prenatal vitamin every day during your pregnancy.

Experts also recommend continuing to take a prenatal supplement after you give birth, though there are also several products on the market specifically designed for the postnatal period.

This is because your body needs extra nutrients to support healing after delivery and requires more nutrients during breastfeeding. In fact, needs for many nutrients are even higher during breastfeeding than during pregnancy.

Do prenatal vitamins have any side effects?

Some people may feel nauseated after taking prenatal vitamins. If you’re having difficulty tolerating your prenatal, your doctor may recommend a different form of prenatal nutrients, such as a powder or chewable supplement.

Taking your prenatal vitamins with food or in the evening may be helpful if you’re experiencing bouts of morning sickness.

You may also experience constipation, especially if you’re taking a prenatal vitamin with large amounts of iron.

Be sure to drink lots of water and increase the fiber in your diet. You’ll also want to get regular exercise. Ask your doctor for advice if constipation becomes an issue.

Is it OK to take prenatal vitamins if you are not pregnant?

Yes, it’s OK to take prenatal supplements if you’re not pregnant. In fact, experts recommend taking prenatal supplements for at least 3 months before becoming pregnant.

Do prenatal vitamins help you get pregnant?

Research shows that prenatal supplements have a beneficial impact on fertility, including increasing the chance of becoming pregnant and decreasing the time it takes to become pregnant (17).

What’s more, nutrient deficiencies can impact your ability to conceive and have a healthy pregnancy.

For example, deficiencies in vitamin D, vitamin B12, and folate can impact your ability to become pregnant (17, 18, 19, 20).

Additionally, supplementing with a well-rounded prenatal that includes methylated folate and B12 may improve the effectiveness of assisted reproductive technology treatment (21).

Are prenatal vitamins FDA-approved?

While it sets strict standards for the labeling of supplements, the Food and Drug Administration (FDA) does not regulate supplements the same way that it does medications (22).

This means that the FDA doesn’t oversee the actual production and ingredients of prenatal vitamins.

This is why it’s best to choose a product that has been third-party tested to ensure that your prenatal vitamin contains the types and amounts of ingredients that it claims to on the label.

Are prescribed prenatals better than store-bought ones?

While prescription prenatals are available, they aren’t necessarily better than prenatal vitamins that you can purchase over the counter.

In fact, there are several high quality prenatal supplements that don’t require a prescription. However, one of the benefits of having a prescription prenatal is that your insurance may cover some or all of the cost.

Regardless of whether you opt for an over-the-counter or prescribed prenatal, what’s most important is that you choose a supplement that’s formulated to meet the unique nutritional demands of pregnancy.

Taking a prenatal supplement is recommended for all pregnant people. A well-rounded prenatal supplement can help you meet your nutrient needs before, during, and after pregnancy.

The prenatal products listed above are trusted by experts and can help ensure you’re getting the recommended amount of nutrients to keep you and your little one healthy.

Why you should trust us

Every brand and product on our list has been reviewed by registered dietitians and vetted to ensure that it aligns with Healthline’s brand integrity standards and approach to well-being. Each product in this article:

• adheres to allowable health claims and labeling requirements, per FDA regulations
• is manufactured in facilities that adhere to current good manufacturing practices established by the FDA
• is produced by a medically credible company that follows ethical, legal, and industry best standards
• is made by a company that provides objective measures of trust, such as having its supplements validated by third-party labs

Best prenatal vitamins for 1st and 2nd trimester

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Publication date: 07/26/2018

Article content

• Why should pregnant women take vitamins?
• What vitamins should pregnant women take?
• What vitamins do pregnant women need?
• The best vitamins for pregnant women: expert reviews

Why should pregnant women drink vitamins?

According to the book "Vitamania" by science journalist Katherine Price, the era of the popularity of vitamin supplements began in 1940. Its origin was facilitated by a number of discoveries of various substances - in high concentration they could treat scurvy and a number of other dangerous conditions. Taking advantage of the situation, the pharmaceutical business immediately began to massively launch vitamin complexes and various supplements for sale. Vitamins for pregnant women are especially useful - they allow you to saturate the body and improve the physiological state of a woman. nine0003

Let's see what prenatal vitamins are for. Many women believe that vitamins must be taken:

• before pregnancy
• when carrying a child

However, experts are not so unambiguous. Some doctors are sure that the body will independently determine the lack of substances and take them from the diet of a woman, others argue that a lack of vitamins can adversely affect the formation of the embryo.

It is better to stick to the golden mean:

1. Visit a gynecologist and consult with him, find out which vitamins pregnant women should take.
2. Pass blood tests for hormonal status and the presence of all necessary trace elements in the body.
3. Based on the results of the tests, the doctor will determine which vitamins the pregnant woman needs and will prescribe accordingly.

Many women take vitamins on their own, even before pregnancy. This is a completely acceptable tactic, vitamin complexes are harmless in most cases. But with an excess of substances, negative consequences are possible. In particular, if a woman has accumulated a lot of iron, she will feel worse:

• nausea
• constipation
• increased concentration of platelets in the blood

What vitamins should pregnant women take?

It is better to consult a specialist and get tested. Laboratory tests will determine the lack of certain elements, on the basis of which the doctor will make recommendations.

Vitamins are essential during pregnancy. The peculiarity of this condition is the formation of a new organism inside the woman. For its development, microelements and nutrients are taken from the main organism - from the mother. At some point, there will be a shortage of elements, which will lead to a deterioration in well-being:

• Lack of vitamin D and calcium will lead to brittle nails, hair, destruction of tooth enamel.
• Lack of magnesium and potassium will lead to convulsions, night awakenings due to spasm of the calf muscles.
• Lack of thiamine (vitamins of group B) leads to a violation of the mental state, in acute cases, psychosis is possible.

Vitamins are also important during lactation - if a woman took them during pregnancy, it is better to continue taking useful trace elements during lactation. nine0003

What vitamins do pregnant women need?

Let's find out which vitamins are best for pregnant women in the 1st, 2nd and 3rd trimesters separately.

Prenatal vitamins. 1st trimester

• Folic acid or vitamin B9. Promotes the full development of the cardiovascular and nervous systems of the fetus. With its lack, miscarriages are possible.
• Iodine. It is necessary to ensure the normal functioning of the thyroid gland of a woman. Its deficiency leads to mental disorders of the fetus and mother, to disorders of the endocrine system. nine0016
• Vitamins B. Contribute to the full development of the embryo. In particular, B12 is needed for the absorption of folic acid, it prevents anemia.
• Zinc. Its absence leads to underdevelopment of the systems and organs of the fetus, as well as to loss of hair and teeth in the mother.
• Calcium. It is necessary for the formation of the skeletal system of the child, as well as to prevent problems with bone tissues, teeth and nails in the mother.
• Vitamin A. Its use is recommended under medical supervision. An overabundance of the vitamin leads to malformations. nine0016
• Rutin. Strengthens the vascular system, avoids swelling in the second and third trimester. The additive contributes to the elasticity of the capillary walls, reducing stagnation in the venous channels.
• Lutein. Allows a pregnant woman to avoid potential retinal problems and maintain her vision. Also, the supplement has a positive effect on the intellectual development of the child.

If you are interested in the question of which prenatal vitamins to take in the first trimester, contact your gynecologist and ask them to refer you to the appropriate tests. nine0003 All products Folic acid

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Vitamins for pregnant women. 2nd and 3rd trimester

So, what vitamins for pregnant women in the 2nd and 3rd trimester will help maintain the health and improve the development of the child?

• Tocopherol or vitamin E. It is a natural antioxidant, takes part in tissue respiration. Its lack leads to the development of painful sensations in the muscles, to weakness and even to miscarriages. nine0016
• Cholecalciferol or vitamin D3. It is produced under ultraviolet light, so a pregnant woman should often walk under the sun. Improves the absorption of calcium and phosphorus.
• Retinol or Vitamin A. Beneficial effect on general nutrition and development of the embryo. With a lack of this vitamin, a child is born with a lack of weight, and anemia can be diagnosed in the mother.

Otherwise, you should also take the prenatal vitamins described above for the 1st trimester during the 2nd and 3rd trimesters. nine0003 All products Retinol acetate

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The best vitamins for pregnant women: expert reviews

pay attention to the recommendations of gynecologists. You should look at the complexes of minerals and vitamin supplements designed specifically for women who are carrying a child.

So, what vitamins are needed for pregnant women? Experts often recommend:

• Multi-Tabs Perinatal. The complex consists of vitamins and dietary supplements, especially for pregnant women. The composition does not contain sugar, preservatives and chemical dyes. The composition is carefully selected, the complex itself is as natural as possible.
• Elevit Pronatal. The composition of the drug includes a high content of folic acid, magnesium, calcium and iron. But there is no iodine in the complex.
• Femibion ​​NatalCare I. Can be used before and during pregnancy. Contributes to the proper development of the fetus, improves metabolism and enhances the functions of the immune system. nine0016

20 Reviews

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The best vitamins for pregnant women - Anna Luban on vc.ru

During pregnancy, women need to maintain the quality of their nutrition at a high level. At this time, you need to eat foods rich in vitamins and minerals. It is especially important to monitor the level of consumption of vitamins A, C, D, E, K, as well as micro and macro elements - iron, iodine, zinc, folic acid. nine0003

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Experts recommend taking vitamins and micro and macro elements in the form of vitamin complexes during this period. When choosing a drug, you should pay attention to the composition and manufacturer.

Vitamin complexes for pregnant women should contain from 100% to 200% of the daily value of vitamins and micro and macro elements.

To date, there are many different vitamin complexes for pregnant women on the market. You can choose the right drug by examining the rating of vitamins for pregnant women. nine0003

TOP 12 best prenatal vitamins

A unique vitamin and mineral complex that contributes to the proper development of the main organs of the child - the heart and brain. It is high in iron, calcium, magnesium and folic acid. Combined with other drugs for pregnant women, for example, Magne B6. The composition does not contain iodine, so the supplement is prescribed to patients with an allergic reaction to it. After the start of the application, many women note a reduction in hair loss, and in some cases, the problem is reduced to zero. nine0003

Benefits

• Easy to take;
• Improves the condition of nails, reduces hair loss;
• A positive effect in the form of an increase in mood and an improvement in well-being is observed already in the second week of taking the remedy.

Disadvantages

• Not everyone likes the taste of the drug;
• There are side effects and some contraindications. nine0016

Contains 11 vitamins and 9 minerals that are vital for the harmonious formation and development of the child, including vitamins: A, C, D, folic acid, iron, zinc, iodine, selenium and others. It acts as a prophylactic that prevents abnormal development of the fetus. It is recommended at the stage of preparation for conception for the prevention of defects in the neural tube of the fetus and pathologies of the thyroid gland of the mother and fetus. Prevents and replenishes the lack of elements both during pregnancy and during breastfeeding. nine0003

Benefits

• Carefully balanced composition;
• Can be taken when planning a pregnancy, as well as after birth - during breastfeeding;
• Actively participates in the formation of all organs, skeleton and tissues of the unborn child;
• Completely natural composition without dyes and preservatives;
• Easy to take, just one tablet per day. nine0016

Disadvantages

• Sometimes causes increased nausea with toxicosis and allergic reactions in the form of a rash.

A complete multivitamin with 100% of the recommended daily allowance of vital nutrients. The product helps the normal development of the brain and organs of vision. Folic acid actively contributes to the correct and proportional growth of the child. The composition contains iron, with the active participation of which oxygen is delivered to the fetus in the required amount. Includes a liquid gel with Omega-3 fatty acid, which is responsible for the formation of the organs of vision, has a positive effect on the development of the fetal brain. nine0003

Benefits

• Contains all essential vitamins and minerals;
• Well absorbed by the body;
• A positive effect is quickly noticeable.

Disadvantages

• High price;
• It is problematic to find in free sale.

The positive qualities and balance of the composition of the complex are noted by many gynecologists. The drug is prescribed both in the early stages of preparation for pregnancy, and at the time when it becomes necessary to combat toxicosis, vitamin deficiency and hair loss problems. Available in the form of small tablets in three colors - pink, blue and cream. Each of them is an independent balanced vitamin-mineral preparation that has a pronounced effect on the body. The components in the tablet are compatible and easy to digest. nine0003

Advantages

• Vitamins and minerals are divided among themselves taking into account the peculiarities of their assimilation by the body;
• Reasonable price.

Disadvantages

• Individual intolerance to the components.

One of the newest vitamin and mineral complexes. It has a high content of folic acid, which will be useful for women who become pregnant in the autumn-winter period. The iron included in the composition together with vitamin D prevents the development of anemia. Magnesium is involved in many metabolic reactions, helps to relax muscles, improve blood flow. In addition, the product formula includes the necessary daily dose of iodine. nine0003

Advantages

• High-quality drug, which is quite affordable;
• The positive effect is noticeable within a few days after the start of treatment;
• Small tablets are easy to swallow;
• Often prescribed for nursing mothers.

Disadvantages

• Difficult to find on sale. nine0016

Vitamin complex Pregnomama (old name Pregnoton Mama) is an effective care for the health of the expectant mother and her baby. When creating the drug, modern scientific knowledge and innovative technologies were used. The supplement contains 16 essential components for the health of the child and mother, which are enclosed in one capsule. It combines: extrafolate (ExtrafolateTM) - a highly active form of folic acid, liposomal iron (LipoferTM) does not cause discomfort from the gastrointestinal tract, Omega-3 at a dosage recommended for pregnant women, iodine and 12 more vitamins and minerals. nine0003

Benefits

• Just the essentials - nothing more, Omega-3, folates and an easily digestible form of iron in the composition;
• Take only 1 time per day.

Disadvantages

• Large capsules.

The composition of the complex is designed so that the body of a pregnant woman receives absolutely all the substances necessary for feeding her and the child. Women who take these vitamins almost never experience problems such as split or falling hair, brittle nails, and flaky skin. The components have a positive effect on the health and development of the child, support the well-being and immunity of the expectant mother. nine0003

Benefits

• Small tablets are easy to take;
• Contains all the necessary nutrients not only for the child, but also for the expectant mother;
• Available from pharmacies.

Faults

• Except for the high cost was not found.

Used throughout pregnancy, as well as at the planning stage and during lactation. It is a well balanced vitamin and mineral complex. Each tablet contains 10 trace elements and 7 vitamins, contains a high dosage of "soft" iron, calcium, folic acid and magnesium citrate, which ensures the normal development of the nervous system and the fetal bone skeleton. Multivitamin Prenatal prevents an increase in pressure and toxicity, but first of all, it has a positive effect on the healing of a woman's hair and skin. The product consists exclusively of natural ingredients. nine0003

Benefits

• Proven brand with high performance additives;
• Safe balanced composition;
• Non-allergenic;
• Improves well-being by preventing drowsiness and fatigue.

Disadvantages

• Very large tablets;
• May cause nausea during the first trimester. nine0016

A multi-nutrient, whole food complete product specifically designed to meet the needs of pre-conception and pregnancy women to support both the mother and her fetus. Contains extracts of 20 organic fruits and vegetables, provides the body with vitamins, antioxidants and nutrients.

Benefits

• Raw whole food supplement; nine0016
• Contains live probiotics and enzymes;
• Free of binders and fillers.

Disadvantages

• High cost.

Suitable for supporters of herbal vitamins. The product is available in the form of two types of dragee: with iron and iodine for morning use and with calcium for evening use. Natural vitamins are produced in the Altai Territory, contain extracts and extracts of medicinal fruits and plants. The complex is combined with other drugs and vitamins, does not cause hypervitaminosis. nine0003

Benefits

• 100% natural;
• Promotes the normalization of the gastrointestinal tract and the prevention of constipation;
• No contraindications;
• Dragees are easy to chew.

Disadvantages

• Poor packaging;
• The package is not enough for a monthly course. nine0016

Balanced composition, contains a comprehensive set of vitamins and minerals for pregnant and lactating mothers. The complex is often prescribed in case of any problems: with malnutrition, calcium deficiency, anemia, vomiting and placental disorders. Each Vitrum tablet contains 13 vitamins and 8 minerals that work together to complement each other. Multivitamins normalize almost all metabolic processes in the body of the mother and the baby growing in the womb. nine0003

Benefits

• Doses meet recommended medical guidelines;
• Contains a large amount of vitamins;
• Well absorbed.

Disadvantages

• In rare cases, allergic reactions to the components of the drug.

Budget version of a full-fledged vitamin and mineral complex for expectant mothers. Created taking into account the diet of Russian women, for the prevention of fetal malformations and the successful course of pregnancy. It contains 11 vitamins and 7 minerals. The special production technology of the complex ensures the compatibility of the components in one tablet. nine0003

Benefits

• Safe, inexpensive vitamins;
• Available in all pharmacies;
• Non-allergenic.

Disadvantages

• They do not cover all the needs of the expectant mother.

What vitamins do pregnant women need

A special line of vitamins has been created for women who are expecting a baby. During this period, multiple changes occur in the body and it is important not only to carry the fetus and ensure its comfortable and proper development, but also to maintain the health of the woman in labor. nine0003

I trimester

Is the most important. In the first days after conception, the expectant mother may not be aware of the “interesting situation”, which can lead to malformations of the embryo. At this stage of formation, vessels, internal organs, the cardiac and nervous systems begin to form.

For the first trimester it is necessary to take:

• Vitamin A - supports the proportional and balanced development of the fetus, the elasticity of the mother's skin.
nine0031 Vitamin B6 - forms the stability of the central nervous system, improves the absorption of magnesium, prevents anxiety and night cramps.
• Vitamin B9 (folic acid) is necessary not only for cell division, but also for DNA synthesis, the formation of the neural tube of the embryo.

II trimester of pregnancy

This is the time of active growth of the fetus, the formation of its internal organs.

Recommended for use:

Vitamins of group B - its deficiency is critical for the full functioning of the nervous system of the mother and her unborn child, it protects against late toxicosis, provides the synthesis of vital amino acids, and prevents possible malformations. Vitamin C is very important for fetal development. It strengthens the immune system, strengthens the membrane wall of vascular cells, protects them from thrombosis. Vitamin D - is involved in the formation of immunity and the skeleton of the unborn child. Increases the body's defense against the invasion of pathogens, improves visual acuity and maintains maternal health. Vitamins A and E are responsible for the production of collagen for the skin, reduce the risk of stretch marks due to the rapidly growing mother's belly. nine0003

III trimester

In this period of a woman's life, the baby grows and becomes viable.

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