What are the best vitamins to take while pregnant

Vitamins and other nutrients during pregnancy

During pregnancy your baby gets all necessary nutrients from you. So you may need more during pregnancy than you did before pregnancy.

Taking prenatal vitamins and eating healthy foods can help give you all the nutrients you and your baby need during pregnancy.

Make sure your prenatal vitamin has folic acid, iron and calcium in it. Most have the right amount of each of these.

Talk to your provider to make sure you get enough vitamin D, DHA and iodine each day.

Don’t take any supplements without your provider’s OK.

What are prenatal vitamins?

Prenatal vitamins are multivitamins for pregnant women or women who are trying to get pregnant. Compared to a regular multivitamin, they have more of some nutrients that you need during pregnancy. Your health care provider may prescribe a prenatal vitamin for you, or you can buy them over the counter without a prescription. Take a prenatal vitamin every day during pregnancy. If you’re planning to get pregnant, start taking prenatal vitamins before you get pregnant.

Your body uses vitamins, minerals and other nutrients in food to strong and healthy. During pregnancy, your growing baby gets all necessary nutrients from you. So you may need more during pregnancy than you did before. If you’re pregnant with multiples (twins, triplets or more), you may need more nutrients than if you’re pregnant with one baby. Your prenatal vitamin contains the right amount of nutrients you need during pregnancy.

If you’re a vegetarian, have food allergies or can’t eat certain foods, your provider may want you to take a supplement to help you get more of certain nutrients. A supplement is a product you take to make up for certain nutrients that you don’t get enough of in foods you eat. For example, your provider may recommend that you take a vitamin supplement to help you get more vitamin D, iron or calcium.

Which nutrients are most important during pregnancy?

All nutrients are important, but these six play a key role in your baby’s growth and development during pregnancy:

Folic acid
Iron
Calcium
Vitamin D
DHA
Iodine

What is folic acid?

Folic acid is a B vitamin that every cell in your body needs for healthy growth and development. Taking folic acid before and during early pregnancy can help prevent birth defects of the brain and spine called neural tube defects (also called NTDs). Some studies show that taking folic acid may help prevent heart defects and birth defects in your baby’s mouth (called cleft lip and palate).

Before pregnancy take a vitamin supplement with 400 mcg of folic acid every day.
Take a vitamin supplement with 400 mcg of folic acid each day, even if you’re not trying to get pregnant.
During pregnancy, take a prenatal vitamin each day that has 600 mcg of folic acid in it.

Check the product label to see how much folic acid is in it.

If you’re at high risk for having a baby with an NTD, talk to your provider about how you can safely take 4,000 mcg of folic acid each day to help prevent an NTD. Start taking 4,000 mcg at least 3 months before you get pregnant and through the first 12 weeks of pregnancy. You’re at high risk if:

You’ve had a pregnancy with an NTD in the past.
You or your partner has an NTD.
Your partner has a child with an NTD.

Don’t take several multivitamins or prenatal vitamins. You can get too much of other nutrients, which may be harmful to your health. Your provider can help you figure out the best and safest way for you to get the right amount of folic acid.

You can also get folic acid from food. Citrus fruits, green leafy vegetables and beans are all excellent sources of folic acid. Some foods are also enriched with folic acid, such as cereals, bread, rice and pasta.

What is iron?

Iron is a mineral. Your body uses iron to make hemoglobin, a protein that helps carry oxygen from your lungs to the rest of your body. You need twice as much iron during pregnancy than you did before pregnancy. Your body needs this iron to make more blood so it can carry oxygen to your baby. Your baby needs iron to make his own blood.

During pregnancy you need 27 milligrams of iron each day. Most prenatal vitamins have this amount. You also can get iron from food. Good sources of iron include:

Lean meat, poultry and seafood
Cereal, bread and pasta that has iron added to it (check the package label)
Leafy green vegetables
Beans, nuts, raisins and dried fruit

Foods containing vitamin C can increase the amount of iron your body absorbs. It's a good idea to eat foods like orange juice, tomatoes, strawberries and grapefruit every day.

Calcium (in dairy products like milk) and coffee, tea, egg yolks, fiber and soybeans can block your body from absorbing iron. Try to avoid these when eating iron-rich foods.

If you don’t get enough iron during pregnancy, you may be more likely to experience:

Infections.
Anemia. This means you have too little iron in your blood.
Fatigue. This means you feel really tired or exhausted.
Premature birth. This means your baby is born too soon, before 37 weeks of pregnancy.
Low birthweight. This means your baby is born weighing less than 5 pounds, 8 ounces.

What is calcium?

Calcium is a mineral that helps your baby’s bones, teeth, heart, muscles and nerves develop. During pregnancy, you need 1,000 milligrams of calcium each day. You can get this amount by taking your prenatal vitamin and eating food that has a lot of calcium in it. Good sources of calcium include:

Milk, cheese and yogurt
Broccoli and kale
Orange juice that has calcium added to it (check the package label)

If you don’t get enough calcium during pregnancy, your body takes it from your bones and gives it to your baby. This can cause health conditions, such as osteoporosis, later in life. Osteoporosis causes your bones become thin and break easily.

What is vitamin D?

Vitamin D helps your body absorb calcium. It also helps your body’s nerves, muscles and immune system work. Your immune system protects your body from infection. Vitamin D helps your baby’s bones and teeth grow.

During pregnancy, you need 600 IU (international units) of vitamin D each day. You can get this amount from food or your prenatal vitamin. Good sources of vitamin D include:

Fatty fish, like salmon
Milk and cereal that has vitamin D added to it (check the package label)

What is DHA?

Docosahexaenoic acid (DHA) is a kind of fat (called omega-3 fatty acid) that helps with growth and development. During pregnancy, you need DHA to help your baby’s brain and eyes develop. Not all prenatal vitamins contain DHA, so ask your provider if you need to take a DHA supplement.

During pregnancy, it is recommended that women eat 8 to 12 ounces of seafood low in mercury each week. Good sources of DHA include:

Herring, salmon, trout, anchovies, halibut, catfish, shrimp and tilapia
Orange juice, milk and eggs that have DHA added to them (check the package label)

What is iodine?

Iodine is a mineral your body needs to make thyroid hormones, which help your body use and store energy from food. You need iodine during pregnancy to help your baby’s nervous system develop. The nervous system (brain, spinal cord and nerves) helps your baby move, think and feel.

During pregnancy, you need 220 micrograms of iodine every day. Not all prenatal vitamins contain iodine, so make sure you eat foods that have iodine in them. Ask your provider if you need to take an iodine supplement.

Good sources of iodine include:

Fish
Milk, cheese and yogurt
Enriched or fortified cereal and bread (check the package label)
Iodized salt (salt with iodine added to it; check the package label)

Last reviewed September, 2020

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: 2 February 2023
Media review due: 2 February 2026

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Best prenatal vitamins for 1st and 2nd trimester

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Publication date: 07/26/2018

THERE ARE CONTRAINDICATIONS. POSSIBLE SIDE EFFECTS. CONSULT A SPECIALIST BEFORE USEVitamin DVitamin EVitamin Svitamins of group BFor pregnant and lactating womenFor immunityCalciumMagnesiumOmega-3NauseaStrengthening of immunityZinc

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.

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:

Visit a gynecologist and consult with him, find out which vitamins pregnant women should take.
Pass blood tests for hormonal status and the presence of all necessary trace elements in the body.
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.

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.
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.
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.

All products Folic acid

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All products Calcium-D3 Nycomed

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All products Iodine

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All products Lutein

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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.
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.

All products Retinol acetate

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All products Retinol palmitate

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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.

All items Elevit Pronatal

20 Reviews

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Vitamins and pregnancy - articles from the specialists of the clinic "Mother and Child"

Kurbatskaya Olga Nikolaevna

Obstetrician-gynecologist

Lapino-1 Clinical Hospital "Mother and Child"

One of the most common questions that pregnant women ask their doctor is what vitamins should I take during pregnancy? Let's say right away whether expectant mothers need to drink pharmaceutical vitamins or not - there is no unequivocal answer to this question. Some doctors believe that the necessary nutrients should be obtained from natural products. Others are in favor of taking pharmaceutical multivitamins. It can only be said unequivocally that vitamins and microelements must necessarily enter the body of a pregnant woman. We will tell you which of them are most important for the expectant mother.

Folic acid

Other names for this vitamin are vitamin B ₉ or B _with. This vitamin is necessary for cell division and reproduction, so it is especially important in the first trimester of pregnancy, when all organs and systems of the child are being laid. Folic acid plays an important role in the synthesis of hemoglobin, and with its deficiency, anemia can develop. And folic acid also helps to reduce the likelihood of spinal defects in a child, takes care of the correct formation of his psyche and intellect. It is better to start taking folic acid three months before the planned conception, since a small supply of this vitamin will only be useful for both the expectant mother and the baby. If the pregnancy has come unplanned, then folic acid must be taken as soon as the woman finds out about her situation. On average, the dosage of this vitamin is from 0.4 to 0.8 mg per day.

Calcium

An expectant mother needs about 1200–1400 mg of calcium daily, while an ordinary woman needs 800–1000 mg of this trace element. Why? During pregnancy, the amount of calcium in the body of the expectant mother is significantly reduced, since it is also spent on the growth and development of the child. Especially a lot of calcium is needed in the third trimester, when the baby's skeleton is calcified. But calcium is needed not only for the growth of bones and teeth of a child - with its help, his nervous system, his heart, muscles, skin tissues, eyes, ears, hair and nails are formed. A pregnant woman needs calcium for the full functioning of the kidneys, the prevention of muscle pain, constipation, osteoporosis, caries and toxicosis. In addition, this trace element protects the expectant mother from stress and nervous overload.

Vitamin E

This vitamin is involved in the process of tissue respiration, it helps oxygen to penetrate into every cell of the body. At the same time, vitamin E is an excellent antioxidant: it protects cells from the formation of free radicals that can provoke various diseases. This protective function is especially important at the stage of embryo formation. In addition, vitamin E helps to normalize the hormonal balance of the body. In the early stages, it participates in the formation of the placenta, and also protects against abortion. The dose of vitamin E during pregnancy is 15 mg.

Vitamin E is found in vegetable oils, not less than this vitamin in lettuce, tomatoes, rose hips, parsley, spinach and peas. Some vitamin E is found in meat, eggs and milk.

Magnesium

Magnesium is involved in all metabolic processes, helps to cope with stress, normalizes the functioning of the cardiovascular system and blood pressure, and keeps blood vessels in good shape. Due to a lack of magnesium in the body, cramps in the muscles (usually in the calves) may appear. And since the uterus is also a muscular organ, with a lack of magnesium during pregnancy during gestation, the excitability of the myometrium increases, which leads to active uterine contractions. Therefore, with hypertension and the threat of abortion, magnesium is often prescribed.

Magnesium is rich in whole grains and whole grain breads, figs, almonds, seeds, dark green vegetables, and bananas.

iodine

Iodine is usually prescribed for pregnant women in the first trimester. Up to 16 weeks of pregnancy, the development of the child and the laying of all its organs and systems are "under the protection" of the mother's thyroid gland. And if a woman has little iodine, then this means that some system or organ of the baby may suffer. And even when the child’s own thyroid gland is formed and starts working, she can still take iodine only from the mother’s body. Its daily dose is 250 mg per day.

Iodine is easiest to get from seafood and sea or iodized salt. A lot of iodine is found in sea fish, seaweed, squid, persimmon, feijoa, dates, dried figs, dairy products and meat. However, iodine is destroyed by temperature effects, which means that after heat treatment, the amount of iodine in the products decreases sharply.

Iron

Iron is necessary primarily for the prevention of anemia. After all, it is part of hemoglobin, which carries oxygen throughout the body of the mother and child. In addition, iron is involved in protein synthesis, which is involved in the formation of muscle tissue. And iron deficiency can lead to increased uterine tone. The average daily dosage of iron is 30–60 mg. In some cases, if the woman's iron supply was initially reduced, the dosage may be higher.

Iron is found in meat, especially a lot of it in veal, turkey, hare, pork and beef. There is iron in plant foods, but from there it is absorbed much worse. Iron is best absorbed when taken together with vitamin C.

If a pregnant woman eats properly and varied, eats a lot of fruits and vegetables, then she may not need an additional complex of vitamins for pregnant women. It may be necessary to drink some vitamins separately, but this should be determined by the doctor. If, before pregnancy, a woman had signs of vitamin deficiency, she eats incorrectly or poorly, then multivitamins cannot be dispensed with.

Inset

Vitamin B ₉ (folic acid) is found in animal liver, spinach, asparagus, lentils, Brussels sprouts, beans and wholemeal flour. However, it is absorbed very poorly from food, no more than 50%. That is why it is prescribed to almost all pregnant women.

At one time, our body will not be able to absorb more than 500 mg of calcium. Therefore, you should not try to get the entire daily norm of this trace element in one meal. Try to eat foods containing calcium in small portions several times a day.

To increase the concentration of magnesium in tissues, vitamin B ₆ (pyridoxine) is needed, which facilitates its absorption and acts as a conductor of magnesium into the cell. Therefore, magnesium and vitamin B ₆ are often prescribed together.

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