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What to Look for in the best Prenatal Vitamin (and Why You Need One) | St. Louis Doula

  • Writer: Brianna Oliver
    Brianna Oliver
  • Feb 8
  • 3 min read

What to look for in a prenatal supplement

When you’re pregnant (or trying to conceive), your body’s nutritional needs change dramatically. Growing a tiny human requires extra vitamins and minerals to support both you and your baby’s health. That’s where prenatal vitamins come in! They help fill nutritional gaps, ensuring you’re getting what you need even if your diet isn’t perfect every day. But with so many options on the market, how do you choose the right one? Here’s what to look for in a high-quality prenatal vitamin and why it matters.


Why Take a Prenatal Vitamin?

Prenatal vitamins are specially formulated to support:

  1. Fetal Development: Essential nutrients like folate, iron, and DHA play critical roles in brain, spinal cord, and organ development.

  2. Maternal Health: Pregnancy increases your body's demands for vitamins and minerals. Without supplementation, you might face deficiencies that can affect your energy, immune system, and overall well-being.

  3. Reducing Birth Defects: Key nutrients like folate reduce the risk of neural tube defects, such as spina bifida.


What to Look for in the Best Prenatal Vitamin

Not all prenatal vitamins are created equal. Here’s a breakdown of the most important nutrients to look for:


1. Folate (NOT Folic Acid)

  • Why It Matters: Folate helps prevent neural tube defects in the baby’s brain and spine.

  • What to Look For: Choose methylated folate (L-5-methyltetrahydrofolate), which is more bioavailable than synthetic folic acid, especially if you have an MTHFR gene variant.

  • Recommended Dose: 400-800 mcg daily (CDC, 2020).


2. Iron

  • Why It Matters: Supports the increase in blood volume during pregnancy and helps prevent anemia.

  • What to Look For: A form that’s gentle on the stomach, like ferrous bisglycinate.

  • Recommended Dose: Around 27 mg daily (ACOG, 2021).


3. DHA (Omega-3 Fatty Acid)

  • Why It Matters: Supports brain and eye development.

  • What to Look For: Prenatals with 200-300 mg of DHA, preferably from algae if plant-based.


4. Choline

  • Why It Matters: Crucial for brain development and placental function.

  • What to Look For: Aim for at least 450 mg daily, though many prenatals fall short, so dietary sources (like eggs) are helpful.


5. Vitamin D3

  • Why It Matters: Supports bone health, immune function, and may reduce the risk of pregnancy complications.

  • What to Look For: 2,000-4,000 IU daily (NIH, 2021).


6. Iodine

  • Why It Matters: Essential for thyroid function and fetal brain development.

  • What to Look For: 150 mcg daily.


7. Magnesium

  • Why It Matters: Helps with muscle function, reduces the risk of leg cramps, and supports healthy blood pressure.

  • What to Look For: 200-300 mg in an absorbable form like magnesium glycinate.


Other Factors to Consider

  • Third-Party Testing: Look for certifications from NSF International, USP, or GMP to ensure quality and purity.

  • Dosage & Form: Some prenatals require taking multiple capsules per day to meet nutrient needs—that’s normal!

  • Avoid Harmful Additives: Skip products with artificial colors, synthetic fillers, and unnecessary additives.

  • Brand Reputation: Choose trusted brands with transparent sourcing and manufacturing practices.


Do I Still Need to Eat a Healthy Diet?

Absolutely! Prenatal vitamins are supplements, not substitutes. Focus on a nutrient-dense diet with plenty of fruits, vegetables, whole grains, healthy fats, and lean proteins. Think of your prenatal as an insurance policy for the days when cravings or morning sickness make balanced meals tricky.


Choosing the best prenatal vitamin doesn’t have to be overwhelming. Prioritize key nutrients, opt for high-quality ingredients, and consult with your healthcare provider to find the best fit for your unique needs. Your body (and baby) will thank you!

 
 
 

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