FoodScore

Guide · Pregnancy

Eating well during pregnancy.

Folate, iron, B12, calcium, and choline take centre stage.

Pregnancy raises the daily needs of almost every nutrient by 20-50%. The ones that matter most because deficiency has measurable fetal consequences are folate (neural tube development in the first trimester), iron (expanded blood volume and fetal storage), B12 (neurological development), choline (brain development), calcium (skeletal development), and iodine. Caloric needs increase modestly — 340 kcal extra per day in the second trimester, 450 kcal in the third — but quality counts far more than quantity. This guide reflects consensus US prenatal nutrition guidance from the USDA and ACOG; it does not replace your obstetrician's advice.

Key principles

Folate, from food and the prenatal

400-600 mcg daily, ideally starting 3 months before conception through first trimester. Fortified grains and leafy greens help, but the prenatal vitamin is the primary source because food alone rarely hits the target.

Iron, with vitamin C

27 mg per day during pregnancy, nearly 50% above the non-pregnant RDA. Lean meat, poultry, fish, beans, fortified cereals. Pair plant iron with citrus or bell peppers for absorption.

Choline for fetal brain development

450 mg per day — most women do not hit this target. Eggs (especially the yolk), liver, salmon, and soybeans are the densest food sources. Many prenatal vitamins include little or no choline; check the label.

Fish: yes, but selectively

The FDA recommends 8-12 oz per week of low-mercury fish (salmon, sardines, shrimp, tilapia, cod). Avoid high-mercury fish (shark, swordfish, king mackerel, tilefish, bigeye tuna). Fatty fish delivers omega-3 DHA that supports fetal brain and eye development.

Top foods to eat

Ranked by a persona-specific formula that weights the nutrients and qualities that matter most for pregnancy.

  1. 01
    Clam Cooked
    76
  2. 02
    Octopus Cooked
    81
  3. 03
    Mussel Cooked
    84
  4. 04
    Mackerel Atlantic Cooked
    83
  5. 05
    Herring Cooked
    85
  6. 06
    Crab Alaskan King Cooked
    75
  7. 07
    Wheaties
    70
  8. 08
    Crab Dungeness Cooked
    81
  9. 09
    Sardines (canned in oil, drained)
    72
  10. 10
    Oyster Raw
    80
  11. 11
    Chex Rice
    60
  12. 12
    Wheat Germ
    85
  13. 13
    Salmon Sockeye Cooked
    63
  14. 14
    Peanut Butter Chunky
    75
  15. 15
    Trout Rainbow Cooked
    65

Practical tips

  • Start a prenatal vitamin with at least 400 mcg folic acid before trying to conceive, and through the first trimester minimum.
  • Eat eggs regularly if you tolerate them — they are the best practical source of choline.
  • Avoid unpasteurized dairy, raw sprouts, deli meats unless heated, and high-mercury fish per FDA guidance.
  • Build meals around a lean protein + a vegetable + a whole grain. This simple pattern hits most micronutrient targets.
  • Discuss individual iron supplementation with your OB — some women need it, some do not.

Foods to limit

Questions

How much extra should I eat during pregnancy?

About 340 extra kcal per day in the second trimester and 450 in the third — not double. Focus on nutrient-dense foods rather than larger portions of the same diet.

Is caffeine safe?

ACOG considers up to 200 mg per day (roughly one 12 oz coffee) consistent with a safe pregnancy. Individual tolerance varies; discuss with your provider if you have specific concerns.

Can I eat fish?

Yes, and you should. The FDA recommends 8-12 oz per week of low-mercury varieties: salmon, sardines, shrimp, tilapia, cod, pollock. Avoid shark, swordfish, king mackerel, tilefish, and bigeye tuna.

What about raw fish, deli meat, and soft cheese?

The CDC recommends avoiding raw fish, unheated deli meat, and unpasteurized soft cheeses during pregnancy due to listeria risk. Heating deli meat to steaming addresses the risk.

Written by the FoodScore Editorial Team. Guidance reflects USDA Dietary Guidelines for Americans 2020-2025 and NIH Dietary Reference Intakes. This is not medical advice — consult a registered dietitian or physician for personalised recommendations.