The best way to meet you and your baby's nutritional needs is to eat a wide variety of nutritious foods.
These should include:
Bread, cereals, rice, pasta and noodles – preferably wholegrain or wholemeal
Vegetables and legumes
Fruit
Milk, yoghurt, hard cheese – preferably low fat
Meat, fish, poultry, cooked eggs and nuts
During pregnancy your body needs extra vitamins, minerals and nutrients to help your baby develop. The best way of getting these vitamins is through your diet.
Folate
Folate, a B vitamin, is important for your baby’s development during early pregnancy because it helps prevent birth abnormalities like spina-bifida. If you have a family history of neural tube defects you should consult your doctor.
The best way to make sure you get enough folic acid is to take a daily folic acid supplement of at least 400 micrograms (μg) one month before becoming pregnant and during the first three months of pregnancy.
It is also important to eat foods that have added folic acid or are naturally rich in folate. Foods with folic acid added to them (fortified) include some breakfast cereals, breads, juices, and food drinks. Check the nutrition information panel on the package to find out how much folate is present.
Pregnancy increases your need for iron. Your baby draws enough iron from you to last it through the first five or six months after birth so it’s vital that you consume more iron while pregnant. The recommended daily intake (RDI) of iron during pregnancy is 22mg per day. Some women may require 27mg per day.
Good sources of iron include:
lean beef
duck (with skin removed)
chicken
fish
green vegetables such as broccoli, cabbage and spinach
cooked legumes such as chick peas, lentils, kidney and lima beans
Eating foods high in vitamin C will also help you to absorb iron. Try drinking a glass of orange juice when eating green vegetables or lean beef. You also need to watch out for caffeine. Tea, coffee and cola all reduce the body’s absorption of iron.
Calcium
Calcium is essential to keep bones healthy and strong. During the third trimester of pregnancy, your baby needs a large amount of calcium as they start to develop and strengthen their bones.
If you’re not getting enough calcium in your diet, the calcium needed by your baby will be drawn from your own bones. To prevent this happening and the risk of osteoporosis later in life make sure you are getting enough calcium in your diet for both of you.
The recommended daily intake of calcium during pregnancy is 840mg per day. Some women may need up to 1000mg/day. Dairy foods, such as milk, hard cheese and yoghurt, and calcium fortified soy milk are excellent sources of calcium.
Omega 3
Omega 3 is important for the development of the central nervous system, brain growth and eye development in your baby before and after he or she is born.
Good Omega 3 foods include oily fish like salmon, trout, herring, anchovies and sardines. Omega 3 is also found in chicken, eggs, canned tuna and flaxseed oil.
When you’re pregnant, hormonal changes in your body lower your immune system which can make it harder to fight off illness and infections. Preventing foodborne illness and protecting yourself from other food risks during pregnancy is extremely important.
Safety tips to prevent foodborne illness:
Keep cold food cold and in the fridge (below 5° Celsius) and hot food steaming hot (above 60° Celsius) before serving. This will stop the growth of food poisoning bacteria. Separate raw and cooked food and don’t use the same utensils, especially cutting boards and knives, for both.
Defrost frozen food in the fridge or microwave. Never on the bench or in the sink. Keep utensils and your kitchen clean.
Cook food thoroughly. Cook poultry and minced meats until well done, right through to the centre. No pink should be left visible and all juices should be clear. And remember, the best way to prevent the spread of bacteria is to always wash and dry your hands thoroughly before and after handling food.
Listeria
Listeria is a type of bacteria found in some foods which causes a serious infection called listeriosis. It can take up to six weeks for the symptoms to occur and if transmitted to your unborn baby can lead to miscarriage, infection of your newborn and stillbirth. The best way to avoid this is through hygienic preparation, storing and handling of food.
Ideally, you should eat only freshly cooked food and well-washed, (freshly prepared) fruit and vegetables. Leftovers can be eaten if they are refrigerated promptly and kept no longer than a day.
These mostly chilled, ready to eat food should be avoided altogether:
Soft and semi-soft cheese
Cold cooked chicken
Cold processed meats
Prepared salads Raw seafood
Soft serve ice-cream Unpasteurised dairy products
Paté
Salmonella
Salmonella can cause nausea, vomiting, abdominal cramps, diarrhoea, fever and headache. Pregnant women are not at an increased risk of contracting salmonellosis, but in rare cases it may trigger miscarriage.
So it’s advisable to avoid foods that contain raw egg and always cook meat, chicken and eggs thoroughly. In addition, the NSW Food Authority recommend that pregnant women do not eat any type of sprout (including alfalfa sprouts, broccoli sprouts, onion sprouts, sunflower sprouts, clover sprouts, radish sprouts, snowpea sprouts, mung beans and soybeans) either raw or uncooked.
Other food risks
Toxoplasmosis
Toxoplasmosis while uncommon in pregnant women can occur if you eat undercooked meats, or unwashed fruit and vegetables (particularly from gardens with household cats). Most commonly, however, infection is caused by touching cat and dog faeces when cleaning the kitty litter tray or contaminated soil in the garden. It is particularly important to avoid toxoplasmosis during pregnancy because it can lead to brain damage or blindness in your unborn child.
Tips for avoiding toxoplasmosis:
Don’t eat undercooked or raw meat
Don’t drink unpasteurised goat’s milk
Don’t handle cat litter
When gardening wear gloves
Always wash your hands after touching animals
Mercury in fish Fish
Fish are rich in protein and minerals, low in saturated fat, and contain Omega 3 fatty acids. Omega 3 fatty acids are important for the development of the central nervous system in babies, before and after they are born.
Although it’s really important to eat fish during pregnancy and breastfeeding, you need to be careful about which fish you choose. That’s because some fish may contain mercury levels that may harm an unborn baby or young child’s developing nervous system. The following table will help you safely include fish as an important part of a balanced diet.
Pregnant & breastfeeding women & women planning pregnancy
1 serve equals 150g
Children (up to 6 years)
1 serve equals 75g
2-3 serves per week of any fish and seafood not listed below
OR
1 serve per fortnight of Shark (Flake) or Billfish (Broadbill, Swordfish and Marlin) and no other fish that fortnight
OR
1 serve per week of Orange Roughy (Deep Sea Perch) or Catfish and no other fish that week
Alcohol
Drinking alcohol during pregnancy can lead to miscarriage, stillbirth, premature birth or your baby could be born with foetal alcohol syndrome (slow growth before and after birth, and mental disabilities). As it is not known whether there is a safe level of drinking during pregnancy the National Health and Medical Research Council advises women that it is best not to drink during pregnancy.
Caffeine
Small amounts of caffeine are safe during pregnancy but excessive volumes may increase the risk of miscarriage and premature birth. Caffeine is in coffee, tea, chocolate and cola (and some other soft drinks). NSW Health recommends that pregnant women limit themselves to 200mg of caffeine daily.
That is 2 cups of ground coffee or 2 1/2 cups instant coffee, 4 cups mediumstrength tea, 4 cups cocoa/hot chocolate or 6 cups of cola.