Pregnancy Nutrition Guide: What to Eat Each Trimester

Your baby's brain, bones, and organs are built from what you eat. Here's the trimester-by-trimester nutrition guide — with specific foods and daily targets.

The Problem: 'Eating for Two' Is Wrong

You don't need double the calories — you need double the nutrients. A 2023 Lancet study found that maternal nutrition quality (not quantity) predicts birth outcomes more than any other factor.

Daily Nutritional Needs by Trimester

Step-by-Step: Trimester Meal Planning

Common Mistakes

NutrientDaily NeedWhyBest Sources
Folate600mcgNeural tube developmentLeafy greens, lentils, fortified cereal
Iron27mgBlood volume increaseRed meat, spinach, beans
Calcium1000mgBone developmentDairy, fortified plant milk, sardines
DHA Omega-3200-300mgBrain developmentSalmon, sardines, walnuts
Protein71gTissue growthChicken, eggs, tofu, Greek yogurt
Choline450mgBrain and spinal cordEggs, liver, soybeans

Frequently Asked Questions

How many extra calories do I need when pregnant?

First trimester: 0 extra calories. Second trimester: +340 calories/day. Third trimester: +450 calories/day. That's a snack, not a meal. Focus on nutrient density, not calorie quantity.

What foods should I avoid during pregnancy?

Avoid: raw/undercooked meat and fish, high-mercury fish (shark, swordfish), unpasteurized dairy, deli meats (unless heated), alcohol, and limit caffeine to 200mg/day (about 1 cup of coffee).

Do I need prenatal vitamins if I eat well?

Yes. Even with a perfect diet, it's difficult to get enough folate, iron, and DHA from food alone. Start prenatal vitamins at least 3 months before conception for best results.

Related Guides

View all guides →