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Pregnancy diet: Essential nutrients when you're eating for two

Protein — Promote growth

Protein is crucial for your baby's growth, especially during the second and third trimesters.

How much you need: 71 grams a day.

Good sources: Lean meat, poultry, fish and eggs are great sources of protein. Other options include dried beans and peas, tofu, dairy products and peanut butter.

FoodServing sizeProtein content
Poultry 3 ounces (85 grams) chicken breast 27.6 grams
Fish 3 ounces (85 grams) salmon 21.6 grams
Cottage cheese 1 cup (210 grams) low-fat cottage cheese 28 grams
Milk 1 cup (245 grams) skim milk 8.3 grams
Peanut butter 2 tablespoons (32 grams) creamy peanut butter 8 grams
Eggs 1 large hard-boiled egg 6.3 grams

Source: USDA National Nutrient Database for Standard Reference 2007

Iron — Prevent anemia

Your body uses iron to make hemoglobin, a protein in the red blood cells that carries oxygen to your tissues. During pregnancy your blood volume expands to accommodate changes in your body and help your baby make his or her entire blood supply. As a result, your need for iron nearly doubles.

If you don't get enough iron, you may become fatigued and more susceptible to infections. The risk of preterm delivery and low birth weight also may be higher.

How much you need: 27 milligrams of iron a day.

Good sources: Lean red meat, poultry and fish are good sources of iron. Other options include iron-fortified breakfast cereals, nuts and dried fruit.

FoodServing sizeIron content
Cereal 3/4 cup (24 grams) 100 percent iron-fortified ready-to-eat cereal 18 milligrams
Beans 1 cup (256 grams) boiled kidney beans 5.2 milligrams
Spinach 1/2 cup (90 grams) boiled spinach 3.2 milligrams
Meat 3 ounces (85 grams) beef tenderloin 3 milligrams
Poultry 3 1/2 ounces (100 grams) dark turkey 2.3 milligrams

Source: USDA National Nutrient Database for Standard Reference 2007

Prenatal vitamins typically contain iron. In some cases, your health care provider may recommend a separate iron supplement.

The iron from animal products, such as meat, is most easily absorbed. To enhance the absorption of iron from plant sources and supplements, pair them with a food or drink high in vitamin C — such as orange juice, tomato juice or strawberries.

Supplements — Ask your health care provider

Even if you eat healthfully every day, you may miss out on key nutrients. Taking a daily prenatal vitamin — ideally starting three months before conception — can help fill any gaps. Your health care provider may recommend special supplements if you follow a strict vegetarian diet or have a chronic health condition. If you're considering taking an herbal supplement during pregnancy, check with your health care provider first.

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References
  1. Dietary reference intakes (dris): Recommended intakes for individuals (vitamins) Institute of Medicine. http://www.iom.edu/Object.File/Master/21/372/0.pdf. Accessed March 13, 2009.
  2. Dietary reference intakes: Macronutrients. Institute of Medicine. http://www.iom.edu/Object.File/Master/7/300/Webtablemacro.pdf. Accessed March 13, 2009.
  3. Dietary supplement fact sheet: Folate. National Institutes of Health. http://dietary-supplements.info.nih.gov/factsheets/folate.asp#h3. Accessed March 13, 2009.
  4. Dietary supplement fact sheet: Iron. National Institutes of Health. http://dietary-supplements.info.nih.gov/factsheets/iron.asp#h4. Accessed March 13, 2009.
  5. Dietary supplement fact sheet: Calcium. National Institutes of Health. http://www.ods.od.nih.gov/factsheets/calcium.asp. Accessed March 13, 2009.
  6. Nutrition during pregnancy. The American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp001.cfm. Accessed March 13, 2009.
  7. Folic acid. March of Dimes. Accessed March 13, 2009.
  8. Calcium and pregnancy. March of Dimes. http://www.search.marchofdimes.com/cgi-bin/MsmGo.exe?grab_id=6&page_id=8388864&query=calcium&hiword=CALCIUMS+calcium+. Accessed March 13, 2009.
  9. What you need to know. March of Dimes. Accessed March 13, 2009.
  10. Zeratsky KA (expert opinion). Mayo Clinic, Rochester, Minn. March 27, 2009.
  11. Harms RW (expert opinion). Mayo Clinic, Rochester, Minn. May 18, 2009.
  12. Preventive services for adults. Bloomington, Minn.: Institute for Clinical Systems Improvement. http://www.icsi.org/preventive_services_for_adults/preventive_services_for_adults_4.html. Accessed May 18, 2009.

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May 23, 2009

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