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Pregnancy Nutrition

Current Guidance Update

RCOG (2024)

Folic Acid & Vitamin D

Take folic acid 400mcg daily until 12 weeks and vitamin D 400 IU daily throughout pregnancy and breastfeeding.

WHO (2024 ANC Guidelines)

Iron & Folic Acid

Daily iron and folic acid supplementation is recommended for all pregnant women living in high-burden settings.

ACOG (2024)

Omega-3 & Caffeine

DHA 200mg daily is recommended for fetal neurodevelopment, while caffeine intake should remain below 200mg per day.

EFSA (2023)

Iodine Supplementation

Iodine 200μg daily supplementation is recommended for pregnant women who do not meet dietary iodine requirements.

young pregnant woman eating salad at home

Introduction

Nutrition during pregnancy is one of the most direct influences a mother can have on fetal development, pregnancy outcomes, and her own long-term health. Pregnancy nutrition requires understanding which nutrients are critical, at what levels, and from what sources — and knowing which common beliefs are evidence-based and which are not.

Pregnancy Nutrition Guide

Caloric Requirements

Energy requirements increase by approximately 300 kcal/day during the second and third trimesters only, equivalent to a small snack. Excessive intake increases the risk of gestational diabetes, preeclampsia, large-for-gestational-age infants and operative delivery.

Recommended Weight Gain

Underweight

12.5–18 kg

Normal

11.5–16 kg

Overweight

7–11.5 kg

Obese

5–9 kg

Critical Nutrients

Folic Acid

400mcg daily before conception through 12 weeks, reducing neural tube defect risk by approximately 70%.

Vitamin D

400 IU daily throughout pregnancy and breastfeeding; deficiency remains common despite Dubai's climate.

Iron

Supported by haem-source foods and vitamin C; supplementation for confirmed deficiency anaemia.

Calcium

1000–1200mg/day from dairy products, fortified plant milks and leafy green vegetables.

Iodine

200μg daily when dietary intake is insufficient to support fetal thyroid and neurological development.

Omega-3 DHA

200mg daily, ideally from two portions of oily fish weekly for fetal brain development.

Foods to Avoid

Raw or undercooked meat, poultry and seafood.
Unpasteurised dairy products and soft cheeses.
Liver and liver products due to excess vitamin A.
High-mercury fish including shark, swordfish, marlin and excess tuna.
Raw shellfish and unpasteurised juices.
Alcohol – no safe level has been established.

Practical Guidance for Dubai

Dubai offers excellent access to fresh produce and seafood that support a nutrient-rich pregnancy diet. Extra attention should be given to imported cheeses, ready-to-eat foods and traditional dishes prepared with raw ingredients. Women diagnosed with gestational diabetes should receive individualized nutritional counselling from a qualified dietitian.

Frequently Asked Questions

Do I need to take supplements if I eat well?

At minimum, folic acid and vitamin D supplementation is recommended for all pregnant women regardless of diet quality.

Is vegetarian or vegan diet safe in pregnancy?

Yes if well planned, with particular attention to B12, iron, zinc, iodine, omega-3 DHA, and calcium — specialist dietary guidance is recommended.

Conclusion

Optimal nutrition during pregnancy is achievable for the vast majority of women with accurate information and appropriate supplementation, integrated into every stage of antenatal care.

Sources & References

This article draws on guidance current at the time of writing from the following bodies and publications:

  • RCOG (2024)
  • WHO (2024 ANC Guidelines)
  • ACOG (2024)
  • EFSA (2023)

General reference bodies for women's health guidance:

RCOG

rcog.org.uk

ACOG

acog.org

FIGO

figo.org

WHO

who.int

NICE

nice.org.uk

⚠ IMPORTANT DISCLAIMER

This article is provided for general knowledge and reference purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. No medication, treatment, or change to your healthcare should be undertaken based on this content without first consulting a qualified doctor. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.

Consult Dr. Ruby Rashmi

Specialist Obstetrician & Gynecologist, Dubai

chatgpt image jun 12, 2026, 02 47 42 pm
Dr. Ruby Rashmi is a highly experienced Specialist Obstetrician & Gynecologist

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