Prenatal vitamin alternatives
A Dietitian’s Picks of the 12 Best Prenatal Vitamins of 2022
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- Best prenatal vitamin subscription: Ritual Essential Prenatal Multivitamin
- Best prenatal vitamin for vegetarians: MegaFood Baby & Me 2 Prenatal Multi
- Editor’s pick of the best prenatal vitamin: FullWell Prenatal Multivitamin
- Best trimester-specific prenatal vitamin: Perelel Prenatal Packs
- Best prenatal supplement powder: Root’d Prenatal Multivitamin Fizzy Drink Mix
- Best prenatal vitamin with DHA: Nature Made Prenatal Multi + DHA
- Best gummy prenatal vitamin: SmartyPants Prenatal Formula
- Best chewable prenatal vitamin: Seeking Health Prenatal Essentials Chewable
- Best prenatal vitamin for morning sickness: New Chapter Perfect Prenatal Multivitamin
- Best prenatal with protein: Seeking Health Optimal Prenatal Protein Powder
- Best prenatal omega-3 supplement: Nordic Naturals Prenatal DHA
- Best prenatal choline supplement: Thorne Research Phosphatidyl Choline
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.
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 Food and Drug Administration (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
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).
Additionally, while it does contain omega-3 DHA, it lacks eicosapentaenoic acid (EPA), so it’s a good idea to take an additional EPA supplement.
Ritual vitamins are third-party tested for purity and accuracy.
What our tester says
I found Ritual’s Essential for Women Prenatal to be a great prenatal vitamin option. I appreciated the convenience of the subscription model and would recommend this supplement to people looking for a prenatal vitamin 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
- free of gluten and major allergens
- vegan
- non-GMO verified
- no artificial colors or fillers
Cons
- provides only 10% of recommended choline needs
- low in magnesium
- lacks calcium, vitamin A, and many B vitamins
- does not contain omega-3 EPA
Shop now at Ritual
Best prenatal vitamin for vegetarians
MegaFood Baby & Me 2 Prenatal Dietary Supplement- Price: $$
- Type: tablets
- Dosage: 2 tablets per day
- Included nutrients: thiamine, riboflavin, niacin, folate, biotin, pantothenic acid, choline, iron, iodine, zinc, selenium, copper, manganese, chromium, molybdenum, and vitamins A, B6, B12, D3, E, and K
Formulated with organic, plant-based ingredients, this prenatal vitamin is designed to be easily digestible and can be taken on an empty stomach.
It also contains many key nutrients for a healthy pregnancy, including iron, choline, folate, and vitamins B6, B12, and D3 (2).
The supplement is also certified gluten-free and doesn’t contain soy or dairy products. However, while it is vegetarian-friendly, it isn’t suitable for vegans.
Pros
- nutritionally well-rounded
- contains more than 50% of choline needs
- certified gluten-free
- third-party certified glyphosate residue-free
- tested for 125+ herbicides and pesticides
Cons
- lacks magnesium and omega-3 DHA and EPA
- contains only 600 IU of vitamin D
- not vegan-friendly
Shop now at MegaFood
Editor’s pick of the best prenatal vitamin
FullWell Prenatal Multivitamin- Price: $$$
- 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.
It’s considered one of the highest quality prenatals on the market and is the top overall pick of Jillian Kubala, MS, RD.
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 doesn’t 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 the product should be combined with a DHA and EPA supplement.
Each batch undergoes independent third-party testing for harmful contaminants, including heavy metals.
FullWell Prenatal Multivitamin is highly rated, with customers mentioning how easy it is to digest. Several also note that they’ve noticed increased energy levels since switching to this product.
Pros
- third-party tested
- certificate of analysis (COA) available upon request
- high in choline, magnesium, and vitamin D
- uses chelated minerals for optimal absorption
- easy to digest
- no artificial colors or fillers
Cons
- 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
Shop now at FullWell
Best trimester-specific prenatal vitamin
Perelel Prenatal Packs- Price: $$$
- Type: capsules
- Dosage: 1 pack per day, with food
- Included nutrients: thiamine, riboflavin, niacin, folate, pantothenic acid, choline, iron, iodine, magnesium, zinc, selenium, copper, chromium, boron, omega-3 DHA, omega-3 EPA, and vitamins A, B6, B12, D3, E, and K. Some packs also contain probiotics and calcium.
Perelel is a subscription service that delivers prenatal supplements tailored to the trimester of pregnancy you’re currently in.
For example, the First Trimester Prenatal Support Pack contains extra folate, as well as added B6 and ginger to combat nausea.
The company was founded by an OB-GYN, and each product is free of artificial additives and third-party tested for accuracy and purity.
Just keep in mind that the First Trimester pack includes five capsules, which may be difficult to tolerate if you have morning sickness.
Pros
- third-party tested
- customized based on stage of pregnancy
- contains DHA and EPA
Cons
- expensive
- provides only 22% of recommended choline needs
- multiple capsules may be difficult to tolerate, especially during the first trimester
Get started now at Perelel
Best prenatal supplement powder
Root’d Prenatal Multivitamin Fizzy Drink Mix
- Price: $$
- 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 water, juice, a smoothie, or another drink. This makes it a good choice for those who cannot tolerate swallowing pills or who get nauseated when taking multiple supplements per day.
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.
This product covers only 8% of the recommended amount of choline, so you’ll need to include plenty of choline-rich foods, such as eggs, in your diet or take a separate choline supplement. Also, it’s lower in vitamin D than many other products on this list and does not contain omega-3s.
Root’d supplements are third-party tested, and a COA is available on the company’s website.
Pros
- third-party tested
- 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
Shop now at Amazon
Best prenatal vitamin with DHA
Nature Made Prenatal Multi + 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.
Pros
- contains DHA and EPA
- affordable
- USP-verified
Cons
- does not contain choline
- contains only 1,000 IU of vitamin D
Shop now at Amazon
Best gummy prenatal vitamin
SmartyPants Prenatal Formula- 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. Just 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.
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
Shop now at Amazon
Best chewable prenatal vitaminSeeking Health Prenatal Essentials Chewable- Price: $$
- Type: chewable tablets
- Dosage: 2 tablets per day
- Included nutrients: thiamine, riboflavin, niacin, folate, biotin, pantothenic acid, calcium, iodine, magnesium, zinc, selenium, copper, manganese, chromium, molybdenum, betaine anhydrous, milk thistle extract, coenzyme Q10, zeaxanthin, boron, and vitamins A, B6, B12, D3, E, and K
Seeking Health Prenatal Essentials Chewables provide nutrients to support pregnancy in a chewable form. They’re a great option if you have trouble swallowing pills.
They also contain zero added sugars and are free of gluten, artificial colors and flavors, and common allergens such as peanuts and soy.
Pros
- third-party tested
- free of major allergens
- easy to consume
Cons
- lacks choline and omega-3 EPA and DHA
Shop now at Seeking Health
Best prenatal vitamin for morning sickness
New Chapter Perfect Prenatal Multivitamin- Price: $
- Type: tablets
- Dosage: 3 tablets per day
- Included nutrients: thiamine, riboflavin, niacin, folate, biotin, pantothenic acid, calcium, iron, iodine, magnesium, zinc, selenium, copper, manganese, chromium, molybdenum, and vitamins A, B6, B12, D3, E, and K
New Chapter Perfect Prenatal Multivitamin contains 100% of your daily iron needs but is designed to be gentle on your stomach.
The supplement also contains ginger, which may help ease queasiness.
This product is made from all non-GMO ingredients and is both kosher and vegetarian-friendly.
Pros
- NSF-certified
- contains ginger, which may be helpful for nausea
Cons
- does not contain choline
- lacks omega-3 DHA and EPA
- requires 3 pills per day
Shop now at Amazon
Best prenatal protein powder
Seeking Health Optimal Prenatal Protein Powder
- Price: $$$
- 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.
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
Shop now at Amazon
Best prenatal omega-3 supplement
Nordic Naturals Prenatal DHA- Price: $
- Type: softgels
- Dosage: 2 softgels per day
- Included nutrients: EPA, DHA, other omega-3s, and vitamin D3
If your prenatal vitamin doesn’t cover your omega-3 needs during pregnancy, then you’ll want to purchase a separate omega-3 supplement like this one from Nordic Naturals.
During pregnancy, it’s recommended that women take in optimal amounts of omega-3 fats, including DHA. Omega-3s are essential for fetal brain and neuron development (4, 5).
Even though current recommendations state that pregnant women should increase their daily DHA intake by 200 mg, some experts suggest that higher amounts may be necessary to maintain optimal blood levels of omega-3s during pregnancy (5).
Nordic Naturals Prenatal DHA provides 480 mg of DHA along with 205 mg of EPA, another omega-3 fat that’s essential to fetal development. The supplement also contains a small amount of vitamin D, another critical nutrient during pregnancy.
Keep in mind that this supplement isn’t vegan-friendly. However, Nordic Naturals offers a vegan prenatal DHA made with algal oil.
Nordic Naturals products are third-party tested for purity and potency, and customers can request a COA for all Nordic Naturals supplements on the company’s website.
Pros
- contains DHA and EPA
- includes 400 IU of vitamin D
- third-party tested
Cons
- not appropriate for vegans
Shop now at Amazon
Best prenatal choline supplement
Thorne Research Phosphatidyl Choline
- Price: $
- Type: gelcaps
- Dosage: 1 gelcap two or three times per day
- Included nutrients: choline
Choline is a nutrient that’s incredibly important during pregnancy and breastfeeding because it’s essential to fetal growth and development. However, many prenatal vitamins are missing or low in this key nutrient (1, 6).
If your prenatal contains a small amount of choline or none at all, consider taking a choline supplement such as this one from Thorne Research.
Thorne Research Phosphatidyl Choline covers 93% of choline needs during pregnancy in the form of phosphatidyl choline, the type of choline found in foods.
Thorne’s manufacturing facilities are third-party audited by NSF International, an organization that independently tests supplements for quality and potency and inspects manufacturing facilities.
Thorne also has an “A” rating from the Therapeutic Goods Administration (TGA), a regulatory agency run by the Australian Department of Health. Thorne products undergo four rounds of testing at in-house laboratories.
Pros
- covers 93% of choline needs during pregnancy
- gluten-free
- certified by NSF and TGA
Cons
- not appropriate for vegans
- requires multiple doses per day
Shop now at Amazon
Having trouble deciding which prenatal is right for you? Here’s a quick look at how our top picks compare:
Price range | Good for | Daily dose | Third-party tested** | Vegan | Gluten-free | |
---|---|---|---|---|---|---|
FullWell Prenatal | $$$ | general pre- and postnatal health | 8 capsules | yes | yes | no |
MegaFood Baby & Me 2 | $$ | whole-food ingredients | 2 tablets | no | no | yes |
Nature Made Prenatal Multi + DHA | $ | people on a tight budget | 1 softgel | yes | no | yes |
Root’d Prenatal Multivitamin Fizzy Drink Mix | $$ | people who prefer a powdered supplement | 1 pack | yes | no | yes |
New Chapter Perfect Prenatal | $ | people with morning sickness | 3 tablets | yes | no | yes |
Seeking Health Optimal Prenatal Protein Powder | $$$ | people who need to bump up their protein intake | 1 scoop | yes | no | yes |
Nordic Naturals Prenatal DHA | $ | people who need additional omega-3s | 2 softgels | yes | no | yes |
Perelel Prenatal Packs* | $$$ | trimester-specific prenatals | 1 pack | yes | no | yes |
Ritual Essential Prenatal | $$ | bridging nutrient gaps in an otherwise balanced diet | 2 capsules | yes | yes | yes |
Seeking Health Chewable | $$ | people who prefer chewable tablets | 2 tablets | yes | no | yes |
SmartyPants Prenatal | $ | people who prefer gummy vitamins | 4 gummies | yes | no | yes |
Thorne Research Phosphatidyl Choline | $ | people who need additional choline | 2–3 gelcaps | in-house testing | no | yes |
*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.
Other nutrients to look for in a prenatal vitamin include iodine, vitamin D, choline, B vitamins, and calcium. It can also be a good idea to choose a product with omega-3 fatty acids (7).
If you have pregnancy complications or other health concerns, your 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
When shopping for a prenatal, there are a few things that you should look for.
A well-rounded prenatal should include a variety of nutrients that are in high demand during pregnancy, such as:
- B vitamins: 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 because choline plays an important role in placental and fetal development and the health of the pregnant person. Research suggests up to 95% of pregnant women 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).
- Minerals, including magnesium, iodine, and zinc: Needs for certain minerals, such as magnesium, calcium, zinc, and iodine, increase during pregnancy, so a good prenatal will cover some of these. Keep in mind that supplemental iron needs can vary from person to person, so iron should ideally be supplemented separately based on iron levels (7, 13).
- 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.
Finally, in addition to taking a prenatal supplement, following a nutrient-rich diet that provides the appropriate amount of calories and micronutrients that are in high demand during pregnancy can support your health and decrease the risk of certain pregnancy-related complications.
Nutrients often missing in prenatal supplements
Most prenatals contain all or most of the micronutrients needed during pregnancy.
However, many prenatals fall short in a few areas, which is why it’s important to do your research before purchasing a prenatal supplement.
In particular, prenatal supplements are often lacking in these nutrients that are important during pregnancy (1, 5, 10, 16):
- choline
- omega-3 DHA and EPA
- vitamin D
Since each pregnancy is unique, your doctor or a registered dietitian may suggest a specific prenatal supplement based on your health needs.
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.
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:
Included key nutrients | Missing key nutrients | Choline (% of the DV) | Vitamin D (% of the DV) | |
---|---|---|---|---|
FullWell Prenatal | • vitamin A • vitamin C • vitamin D • all B vitamins • choline • calcium • iodine • magnesium • zinc | • DHA • EPA | 55% | 667% |
MegaFood Baby & Me 2 | • vitamin A • vitamin C • vitamin D • all B vitamins • choline • calcium • iodine • zinc | • magnesium • DHA • EPA | 55% | 100% |
Nature Made Prenatal Multi + DHA | • vitamin A • vitamin C • vitamin D • all B vitamins • calcium • iodine • magnesium • zinc • DHA • EPA | choline | — | 167% |
Root’d Prenatal Multivitamin Fizzy Drink Mix | • vitamin A • vitamin C • vitamin D • all B vitamins • choline • calcium • iodine • magnesium • zinc | • DHA • EPA | 8% | 233% |
New Chapter Perfect Prenatal | • vitamin A • vitamin C • vitamin D • all B vitamins • calcium • iodine • magnesium • zinc | • choline • DHA • EPA | — | 167% |
Seeking Health Optimal Prenatal Protein Powder | • vitamin A • vitamin C • vitamin D • all B vitamins • choline • calcium • iodine • magnesium • zinc | • DHA • EPA | 45% | 333% |
Perelel Prenatal Packs* | • vitamin A • vitamin C • vitamin D • all B vitamins • choline • calcium • iodine • magnesium • zinc • DHA • EPA | — | 22% | 333% |
Ritual Essential Prenatal | • vitamin D • folate • vitamin B12 • biotin • choline • iodine • magnesium • DHA | • vitamin A • vitamin C • thiamin • niacin • vitamin B6 • pantothenic acid • calcium • zinc | 10% | 333% |
Seeking Health Chewable | • vitamin A • vitamin C • vitamin D • all B vitamins • calcium • iodine • magnesium • zinc | • choline • DHA • EPA | — | 167% |
SmartyPants Prenatal | • vitamin A • vitamin C • vitamin D • 7 B vitamins • choline • iodine • zinc • DHA • EPA | • pantothenic acid • calcium • magnesium | 10% | 200% |
*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.
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.
They also recommend continuing to take a prenatal supplement after you’ve given birth, though there are several products on the market specifically designed for the postnatal period.
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 FDA doesn’t 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.
A Dietitian’s Picks of the 12 Best Prenatal Vitamins of 2022
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- Best prenatal vitamin subscription: Ritual Essential Prenatal Multivitamin
- Best prenatal vitamin for vegetarians: MegaFood Baby & Me 2 Prenatal Multi
- Editor’s pick of the best prenatal vitamin: FullWell Prenatal Multivitamin
- Best trimester-specific prenatal vitamin: Perelel Prenatal Packs
- Best prenatal supplement powder: Root’d Prenatal Multivitamin Fizzy Drink Mix
- Best prenatal vitamin with DHA: Nature Made Prenatal Multi + DHA
- Best gummy prenatal vitamin: SmartyPants Prenatal Formula
- Best chewable prenatal vitamin: Seeking Health Prenatal Essentials Chewable
- Best prenatal vitamin for morning sickness: New Chapter Perfect Prenatal Multivitamin
- Best prenatal with protein: Seeking Health Optimal Prenatal Protein Powder
- Best prenatal omega-3 supplement: Nordic Naturals Prenatal DHA
- Best prenatal choline supplement: Thorne Research Phosphatidyl Choline
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.
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 Food and Drug Administration (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
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).
Additionally, while it does contain omega-3 DHA, it lacks eicosapentaenoic acid (EPA), so it’s a good idea to take an additional EPA supplement.
Ritual vitamins are third-party tested for purity and accuracy.
What our tester says
I found Ritual’s Essential for Women Prenatal to be a great prenatal vitamin option. I appreciated the convenience of the subscription model and would recommend this supplement to people looking for a prenatal vitamin 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
- free of gluten and major allergens
- vegan
- non-GMO verified
- no artificial colors or fillers
Cons
- provides only 10% of recommended choline needs
- low in magnesium
- lacks calcium, vitamin A, and many B vitamins
- does not contain omega-3 EPA
Shop now at Ritual
Best prenatal vitamin for vegetarians
MegaFood Baby & Me 2 Prenatal Dietary Supplement- 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.
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
Shop now at MegaFood
Editor’s pick of the best prenatal vitamin
FullWell Prenatal Multivitamin- Price: $$$
- Type: capsules
- Dosage: 8 capsules per day
- Included nutrients: thiamine, riboflavin, niacin, folate, biotin, pantothenic acid, choline, calcium, iodine, magnesium, zinc, selenium, copper, manganese, chromium, molybdenum, potassium, inositol, betaine HCL, and vitamins A, B6, B12, C, D3, E, and K
FullWell Prenatal Multivitamin was designed by dietitian and fertility expert Ayla Barmmer.
It’s considered one of the highest quality prenatals on the market and is the top overall pick of Jillian Kubala, MS, RD.
Each serving covers 55% of recommended choline needs and provides 4,000 IU of vitamin D per dose. It also includes folate — or folic acid — in the form of methylfolate, which is a more absorbable form of the nutrient.
It doesn’t contain iron, but this may be a positive aspect for some because iron intake and needs differ from person to person during pregnancy. Also keep in mind that the product should be combined with a DHA and EPA supplement.
Each batch undergoes independent third-party testing for harmful contaminants, including heavy metals.
FullWell Prenatal Multivitamin is highly rated, with customers mentioning how easy it is to digest. Several also note that they’ve noticed increased energy levels since switching to this product.
Pros
- third-party tested
- certificate of analysis (COA) available upon request
- high in choline, magnesium, and vitamin D
- uses chelated minerals for optimal absorption
- easy to digest
- no artificial colors or fillers
Cons
- does not contain iron (though this may be a positive for some)
- should be paired with an omega-3 supplement containing DHA and EPA
- requires a dosage of 8 capsules per day
Shop now at FullWell
Best trimester-specific prenatal vitamin
Perelel Prenatal Packs- Price: $$$
- 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.
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
Get started now at Perelel
Best prenatal supplement 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 water, juice, a smoothie, or another drink. This makes it a good choice for those who cannot tolerate swallowing pills or who get nauseated when taking multiple supplements per day.
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.
This product covers only 8% of the recommended amount of choline, so you’ll need to include plenty of choline-rich foods, such as eggs, in your diet or take a separate choline supplement. Also, it’s lower in vitamin D than many other products on this list and does not contain omega-3s.
Root’d supplements are third-party tested, and a COA is available on the company’s website.
Pros
- third-party tested
- 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
Shop now at Amazon
Best prenatal vitamin with DHA
Nature Made Prenatal Multi + 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.
Pros
- contains DHA and EPA
- affordable
- USP-verified
Cons
- does not contain choline
- contains only 1,000 IU of vitamin D
Shop now at Amazon
Best gummy prenatal vitamin
SmartyPants Prenatal Formula- 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. Just 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.
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
Shop now at Amazon
Best chewable prenatal vitaminSeeking Health Prenatal Essentials Chewable- 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.
Pros
- third-party tested
- free of major allergens
- easy to consume
Cons
- lacks choline and omega-3 EPA and DHA
Shop now at Seeking Health
Best prenatal vitamin for morning sickness
New Chapter Perfect Prenatal Multivitamin- 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.
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
Shop now at Amazon
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.
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
Shop now at Amazon
Best prenatal omega-3 supplement
Nordic Naturals Prenatal DHA- Price: $
- Type: softgels
- Dosage: 2 softgels per day
- Included nutrients: EPA, DHA, other omega-3s, and vitamin D3
If your prenatal vitamin doesn’t cover your omega-3 needs during pregnancy, then you’ll want to purchase a separate omega-3 supplement like this one from Nordic Naturals.
During pregnancy, it’s recommended that women take in optimal amounts of omega-3 fats, including DHA. Omega-3s are essential for fetal brain and neuron development (4, 5).
Even though current recommendations state that pregnant women should increase their daily DHA intake by 200 mg, some experts suggest that higher amounts may be necessary to maintain optimal blood levels of omega-3s during pregnancy (5).
Nordic Naturals Prenatal DHA provides 480 mg of DHA along with 205 mg of EPA, another omega-3 fat that’s essential to fetal development. The supplement also contains a small amount of vitamin D, another critical nutrient during pregnancy.
Keep in mind that this supplement isn’t vegan-friendly. However, Nordic Naturals offers a vegan prenatal DHA made with algal oil.
Nordic Naturals products are third-party tested for purity and potency, and customers can request a COA for all Nordic Naturals supplements on the company’s website.
Pros
- contains DHA and EPA
- includes 400 IU of vitamin D
- third-party tested
Cons
- not appropriate for vegans
Shop now at Amazon
Best prenatal choline supplement
Thorne Research Phosphatidyl Choline
- Price: $
- Type: gelcaps
- Dosage: 1 gelcap two or three times per day
- Included nutrients: choline
Choline is a nutrient that’s incredibly important during pregnancy and breastfeeding because it’s essential to fetal growth and development. However, many prenatal vitamins are missing or low in this key nutrient (1, 6).
If your prenatal contains a small amount of choline or none at all, consider taking a choline supplement such as this one from Thorne Research.
Thorne Research Phosphatidyl Choline covers 93% of choline needs during pregnancy in the form of phosphatidyl choline, the type of choline found in foods.
Thorne’s manufacturing facilities are third-party audited by NSF International, an organization that independently tests supplements for quality and potency and inspects manufacturing facilities.
Thorne also has an “A” rating from the Therapeutic Goods Administration (TGA), a regulatory agency run by the Australian Department of Health. Thorne products undergo four rounds of testing at in-house laboratories.
Pros
- covers 93% of choline needs during pregnancy
- gluten-free
- certified by NSF and TGA
Cons
- not appropriate for vegans
- requires multiple doses per day
Shop now at Amazon
Having trouble deciding which prenatal is right for you? Here’s a quick look at how our top picks compare:
Price range | Good for | Daily dose | Third-party tested** | Vegan | Gluten-free | |
---|---|---|---|---|---|---|
FullWell Prenatal | $$$ | general pre- and postnatal health | 8 capsules | yes | yes | no |
MegaFood Baby & Me 2 | $$ | whole-food ingredients | 2 tablets | no | no | yes |
Nature Made Prenatal Multi + DHA | $ | people on a tight budget | 1 softgel | yes | no | yes |
Root’d Prenatal Multivitamin Fizzy Drink Mix | $$ | people who prefer a powdered supplement | 1 pack | yes | no | yes |
New Chapter Perfect Prenatal | $ | people with morning sickness | 3 tablets | yes | no | yes |
Seeking Health Optimal Prenatal Protein Powder | $$$ | people who need to bump up their protein intake | 1 scoop | yes | no | yes |
Nordic Naturals Prenatal DHA | $ | people who need additional omega-3s | 2 softgels | yes | no | yes |
Perelel Prenatal Packs* | $$$ | trimester-specific prenatals | 1 pack | yes | no | yes |
Ritual Essential Prenatal | $$ | bridging nutrient gaps in an otherwise balanced diet | 2 capsules | yes | yes | yes |
Seeking Health Chewable | $$ | people who prefer chewable tablets | 2 tablets | yes | no | yes |
SmartyPants Prenatal | $ | people who prefer gummy vitamins | 4 gummies | yes | no | yes |
Thorne Research Phosphatidyl Choline | $ | people who need additional choline | 2–3 gelcaps | in-house testing | no | yes |
*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.
Other nutrients to look for in a prenatal vitamin include iodine, vitamin D, choline, B vitamins, and calcium. It can also be a good idea to choose a product with omega-3 fatty acids (7).
If you have pregnancy complications or other health concerns, your 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
When shopping for a prenatal, there are a few things that you should look for.
A well-rounded prenatal should include a variety of nutrients that are in high demand during pregnancy, such as:
- B vitamins: 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 because choline plays an important role in placental and fetal development and the health of the pregnant person. Research suggests up to 95% of pregnant women 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).
- Minerals, including magnesium, iodine, and zinc: Needs for certain minerals, such as magnesium, calcium, zinc, and iodine, increase during pregnancy, so a good prenatal will cover some of these. Keep in mind that supplemental iron needs can vary from person to person, so iron should ideally be supplemented separately based on iron levels (7, 13).
- 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.
Finally, in addition to taking a prenatal supplement, following a nutrient-rich diet that provides the appropriate amount of calories and micronutrients that are in high demand during pregnancy can support your health and decrease the risk of certain pregnancy-related complications.
Nutrients often missing in prenatal supplements
Most prenatals contain all or most of the micronutrients needed during pregnancy.
However, many prenatals fall short in a few areas, which is why it’s important to do your research before purchasing a prenatal supplement.
In particular, prenatal supplements are often lacking in these nutrients that are important during pregnancy (1, 5, 10, 16):
- choline
- omega-3 DHA and EPA
- vitamin D
Since each pregnancy is unique, your doctor or a registered dietitian may suggest a specific prenatal supplement based on your health needs.
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.
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:
Included key nutrients | Missing key nutrients | Choline (% of the DV) | Vitamin D (% of the DV) | |
---|---|---|---|---|
FullWell Prenatal | • vitamin A • vitamin C • vitamin D • all B vitamins • choline • calcium • iodine • magnesium • zinc | • DHA • EPA | 55% | 667% |
MegaFood Baby & Me 2 | • vitamin A • vitamin C • vitamin D • all B vitamins • choline • calcium • iodine • zinc | • magnesium • DHA • EPA | 55% | 100% |
Nature Made Prenatal Multi + DHA | • vitamin A • vitamin C • vitamin D • all B vitamins • calcium • iodine • magnesium • zinc • DHA • EPA | choline | — | 167% |
Root’d Prenatal Multivitamin Fizzy Drink Mix | • vitamin A • vitamin C • vitamin D • all B vitamins • choline • calcium • iodine • magnesium • zinc | • DHA • EPA | 8% | 233% |
New Chapter Perfect Prenatal | • vitamin A • vitamin C • vitamin D • all B vitamins • calcium • iodine • magnesium • zinc | • choline • DHA • EPA | — | 167% |
Seeking Health Optimal Prenatal Protein Powder | • vitamin A • vitamin C • vitamin D • all B vitamins • choline • calcium • iodine • magnesium • zinc | • DHA • EPA | 45% | 333% |
Perelel Prenatal Packs* | • vitamin A • vitamin C • vitamin D • all B vitamins • choline • calcium • iodine • magnesium • zinc • DHA • EPA | — | 22% | 333% |
Ritual Essential Prenatal | • vitamin D • folate • vitamin B12 • biotin • choline • iodine • magnesium • DHA | • vitamin A • vitamin C • thiamin • niacin • vitamin B6 • pantothenic acid • calcium • zinc | 10% | 333% |
Seeking Health Chewable | • vitamin A • vitamin C • vitamin D • all B vitamins • calcium • iodine • magnesium • zinc | • choline • DHA • EPA | — | 167% |
SmartyPants Prenatal | • vitamin A • vitamin C • vitamin D • 7 B vitamins • choline • iodine • zinc • DHA • EPA | • pantothenic acid • calcium • magnesium | 10% | 200% |
*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.
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.
They also recommend continuing to take a prenatal supplement after you’ve given birth, though there are several products on the market specifically designed for the postnatal period.
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 FDA doesn’t 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.
Do I need to take vitamins during pregnancy?
The question of whether it is worth taking vitamins during pregnancy is still one of the reasons for heated discussions. And not so much among doctors, but among visitors to various forums for expectant mothers on the Internet. The answer to this question from the "collective mind" usually has no semitones - either "yes" or "no". Arguments in a dispute are usually unscientific, but emotional.
Opponents of “chemistry” (most often this is how synthetic vitamins are called) refer to the experience of grandmothers, “who didn’t drink anything like that, gave birth in the field, and everything went without problems.” Adherents of the “according to science” lifestyle argue that there are no vitamins at all in vegetables and fruits on the shelves of our stores, therefore it is the intake of multivitamin preparations that will solve the problem of their deficiency in the baby and mother.
What do obstetricians and gynecologists and nutritionists say? First of all, let's immediately note that experts recommend only special complexes of vitamins and minerals for those who are planning a pregnancy or are already carrying a child. Some doctors advise individual vitamins and trace elements to be taken in such cases.
But pay attention, none of the experts talks about taking “just vitamins”. Both the set of useful micronutrients and their dosage in different trimesters of pregnancy are important here. After all, the formation of systems and organs in the embryo, and then in the fetus, occurs strictly according to a certain pattern and at certain time intervals. Sometime you will need more folic acid, and sometime more iodine and calcium. Modern vitamin and mineral complexes are designed taking into account the needs of the pregnant woman and the fetus in specific substances at each stage.
Is it necessary to take vitamins during pregnancy?
Another frequently asked question: "Why take folic acid before pregnancy?" There is a category of women who, without taking certain vitamins, cannot only bear a healthy baby, but even conceive it. This applies primarily to women who have a gene mutation that prevents the full absorption of folic acid (vitamin B9) and folates. And without “folka”, as it is often called on the Internet, the chances of the embryo to attach to the uterine wall are sharply reduced. If the bioavailability of folates is low, then this deficiency can lead to severe pathology of the nervous and vascular-cardiac system of the fetus. The outcome of such a pregnancy: either an early termination, or the appearance of a sick child. Are you sure you don't have this mutation? Did you do a special genetic study? It seems that most women will answer in the negative. But taking vitamin B9in the early stages almost completely eliminates such fatal complications.
None of the doctors claims that synthetic vitamins are an alternative to the correct, balanced diet of the expectant mother. Vitamins "from the jar" - this is a necessary addition to the vitamins "from the garden." And it's great if a woman adheres to the recommendations for a healthy diet.
True, not everyone succeeds. And this is not at all about limited material resources that do not allow buying sea fish and seafood, fruits, vegetables and berries. A lot of women have all this in the refrigerator, but they just can’t eat it.
Some people experience a sudden change in taste habits and preferences during pregnancy. Remember O'Henry's wonderful story about how a young husband is looking for a peach in the middle of the night for his beloved wife? And when she brings it, she already wants . .. an orange? Should I take vitamins during pregnancy in this case? Of course, drink, because with such a “menu” it is difficult to maintain a balance in the supply of essential nutrients.
By the way, it is necessary to say about the legitimacy of comments about the reduction in the amount of vitamins and other useful substances in modern products. This is true in many respects. Modern agricultural technologies allow us to eat strawberries in the middle of winter, but are there many benefits from it? It is clear that both in the process of growing and in the process of transportation, it was repeatedly processed to maintain its attractiveness in the eyes of the buyer. In our country, winter is very long, and all green vegetables are brought from afar, and it is in them that the "folka" is located. It is obvious that upon arrival of spinach from far abroad, there is not much of it left there. Draw your own conclusions - do you need to drink vitamins during pregnancy?
Do you remember that our homeland is one of the iodine-deficient territories? Those. iodine in each of us is not enough even in a non-pregnant state, and when pregnancy occurs, iodine will be spent on the functioning of the thyroid gland of the fetus, and on the maturation of a full-fledged nervous system and laying the foundations of intelligence. Do you really refuse to take supplemental iodine?
In many cases, pregnancy occurs with symptoms of early toxicosis - nausea and vomiting. And if even a pregnant woman cannot swallow even a piece, then you cannot explain this to the baby inside. He will still satisfy his needs for protein, calcium, B vitamins, even if this requires depleting the mother's body. This is how sayings are born that, they say, "a child takes all the beauty from her mother." Of course, because the teeth begin to crumble, and the hair grows dull and falls out, anemia develops. Obviously, here vitamins are needed not only for the baby, but also so that the mother can safely carry the pregnancy and give birth without complications. Yes, and just look good and during pregnancy you want too.
You should not be guided by the advice of friends and well-wishers from the queue at the antenatal clinic to resolve doubts whether it is necessary to take vitamins during pregnancy, and which vitamin complex to choose. After all, each case is individual. Your doctor, who is aware of both your chronic diseases and the history of previous pregnancies, can help with this.
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WHO recommendations on nutrition for pregnant women: it is better to refuse dietary supplements
Pregnancy poses a difficult task for a woman. On the one hand, it is necessary to provide the fetus with a sufficient amount of vitamins for development, on the other hand, to save your hair and teeth, and on the third hand, not to gain excess weight.
The most difficult thing in this state is to maintain sanity, not to follow personal fears, grandmother's advice, not to take posts from photoshopped insta-moms seriously.
Pregnancy is a crucial stage in a woman's life, but not a disease. No special menu is required for pregnant women. If you eat a balanced and varied diet, after conception, the diet will not change much. Except for a few nuances, the World Health Organization's recommendations for expectant mothers are the same as General Nutrition Advice .
WHO recommends that pregnant women receive the full range of essential vitamins and minerals from their daily diet
WHO also states that during the period of gestation, a woman should gain at least 8 kg due to an increase in the fetus, uterus, mammary glands, body fat and blood volume. The larger the expectant mother, the higher the figure. Having a baby and weighing more than before pregnancy is normal. Six months is enough for 90% of women to return to pre-pregnancy parameters without strict diets and health risks.
First trimester
At the beginning of pregnancy, the diet may not differ from the usual. But during this period, expectant mothers have strange culinary preferences - they want either salty, or sour, or sweet. There is a hormonal restructuring of the body, and with it the threshold of sensitivity to different tastes changes. For example, the desire for sweets is a consequence of the increase in progesterone levels characteristic of pregnant women.
But you shouldn't blindly indulge your hormones. Excess salty and sweet foods are best avoided so as not to provoke swelling and not gain weight. Eating inedible items like chalk, which pregnant women sometimes want, is also not necessary.
There is no safe dose of alcohol
If there is a slight toxicosis, a balanced diet and fractional meals will help to overcome it: every 2-3 hours small portions of slightly warmed food, preferably grated.
Second and third trimesters
During this period, you will have to monitor nutrition a little more closely. The larger the fetus becomes, the greater the load on the mother's gastrointestinal tract, and the higher the likelihood of experiencing such unpleasant phenomena as heartburn and constipation.
To resist them, you will have to limit as much as possible desserts and other products that include tartrazine (colored sodas and sweet drinks, smoked meats, colored rema, chewing gums, sweets, caramel), canned food, strong coffee and black tea.
But fruits and vegetables should be included in all meals, including snacks. These foods are healthy in any form, but they are best eaten fresh, uncooked, and washed thoroughly before consumption. Excessively salty, sweet, fried fruits and vegetables in a large amount of fat should be avoided.
Fresh vegetables should be present in the daily diet of pregnant women
Unpasteurized juices are not recommended
It is also important to diversify the diet with whole grains, not forgetting to monitor the low content of salt and sugar in them. Read labels carefully: products should be whole grains, with a lot of dietary fiber and a minimum of other additives.
High progesterone levels slow down intestinal motility and often cause constipation. For pregnant women and everyone else, WHO recommends consuming 20-35 g of fiber per day. Moreover, it is important to get it from food, and not from food supplements.
The daily norm of dairy products for expectant mothers is 500 ml. It is better to distribute it evenly over all meals.
Cheese and yogurt are healthy snack options when a full meal is not possible
Preference should be given to dairy products with a low fat content, but not completely fat-free. Milk and its derivatives contain proteins, vitamins and calcium, which is indispensable for dental health. By using them regularly, expectant mothers reduce the risk of caries and other oral diseases.
Women who are expecting a baby can visit the dentist, although it is not desirable. We have already written about how dental treatment is carried out during this period. By the way, the second trimester is the only time during pregnancy when you can do professional cleaning.
But it is better, of course, to prepare for pregnancy and visit the dentist in advance.
UHT milk is recommended during pregnancy to avoid allergies.
The diet should also contain unprocessed meat - a source of animal protein and amino acids. It is better to refuse sausages, sausages, salami, pate.
Processed red meat (which contains 99% of sausages) is on the WHO list of carcinogens. Regular consumption of such meat contributes to the progress of many diseases - colon cancer, pancreas, atherosclerosis, stimulates high blood pressure, insulin-like growth factor.
WHO recommends eating eggs and fish as alternative sources of animal protein. The latter should be present on your table at least twice a week. Eggs should be eaten 1-2 per day after thorough heat treatment.
Fatty fish (anchovies, salmon, herring, mackerel) - the best source of omega-3 polyunsaturated acids with a reduced content of mercury. They are necessary for the formation of the nervous system of the baby and reduce the risk of premature birth.
Legumes and nuts are an excellent source of plant-based protein, fiber and amino acids
However, these healthy foods should be consumed in moderation. Legumes, like cabbage, are high in soluble fiber and can cause bloating. Do not eat them by force if you experience discomfort.
Legumes are a vegetable alternative to meat
Vitamins
In the near-medical literature, there are often recommendations to take vitamin complexes and dietary supplements during pregnancy. But don't forget:
An excess of vitamins is more harmful than a deficiency
A balanced diet before and during pregnancy can provide a woman's body with essential nutrients. As a rule, there is no need for additional intake of vitamin-mineral complexes (except for pumping money out of you, of course). The exception is folic acid, which reduces the risk of developing neural tube pathologies in the fetus. You need to start taking it 2-3 months before conception, and finish after 12 weeks of pregnancy.
Partial folic acid can be obtained from food: nuts, liver, dark green leafy vegetables, citrus fruits, salads. But for pregnant women, this amount is not enough, so additional drugs are needed.
It is equally important to maintain sufficient levels of vitamin D. The human body produces it on its own under the influence of ultraviolet radiation from cholesterol contained in the skin or receives it from food - oily fish and eggs. Vitamin D is necessary for the formation of bones and teeth of the unborn baby, it is involved in the proper metabolism of calcium, the functioning of the immune and nervous systems.
Research confirms that taking vitamin D during pregnancy reduces the risk of preterm labor, high blood pressure, and underweight babies. However, not all women need it, but only those who have this trace element in short supply. For most, it is enough to monitor nutrition, walk daily and be physically active. Sunlight synthesizes the right amount of vitamin D.
Iron and zinc supplements can also do more harm than good. It is important for pregnant women to get these substances, but with a normal diet, they are sufficiently supplied to the body with food. In addition, an excess of iron often causes discomfort to a woman, causing constipation.
Regular iron and vitamin D supplementation is recommended by WHO for people in countries with systemic malnutrition and where there is a high risk of developing parasitic diseases.
99% of the necessary vitamins and minerals a woman's body receives during pregnancy from regular food.
during pregnancy, the female body receives from ordinary food.
Vitamin A supplementation can be dangerous. To get enough of it without harming the body, you need to eat orange, red vegetables (pumpkin, carrots, etc.) and fruits along with fats. For example, in salads or soups with vegetable oil dressing, in the form of fresh juice with cream. Only in this combination, the required amount of vitamin A is absorbed, and the excess is excreted from the body.
As for other dietary supplements, there is no scientifically proven evidence of their benefits for the health of the mother and unborn baby.
Additional intake of vitamin-mineral complexes is justified in cases
The decision to prescribe drugs is made by the doctor. The self-activity of expectant mothers, instead of benefit, can lead to the development of a fetus that is too large, subsequent cesarean, allergic reactions, and other unpleasant consequences.
WHO insists that a complete balanced diet is sufficient for the normal functioning of a pregnant woman and the development of the baby's internal organs. The heart, liver, lungs, respiratory tract, dentoalveolar system - everything is formed at the expense of the resources of the mother's body.
In addition to nutrition, you need to monitor your well-being and be in touch with your doctor. Well, if you have any questions about your teeth, Stoma's Visit is at your service.
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