Before Pregnancy

Before Pregnancy

Prenatal vitamins: when to start and what's in them

A prenatal is a daily vitamin built for pregnancy. Starting at least a month before you conceive covers the weeks before you know.

General research · seeking a stewardpreconceptionpregnancyAlso searched as: prenatal, folic acid, choline, methylfolate

What it is

A prenatal vitamin is a daily multivitamin made for pregnancy. The key nutrient is folic acid, a form of folate. The baby's neural tube needs it in the first four weeks. Most prenatals also carry iron, iodine, vitamin D, and some DHA. Choline is often missing or low.

What's typical

ACOG and the CDC suggest starting at least one month before you try to conceive. If you are already pregnant, most providers say to start now. Nausea often makes a prenatal hard to keep down in weeks six to twelve. Taking it with food or at night helps many mothers. Gummies are easier on the stomach but usually leave out iron.

What's known

The CDC says folic acid before and in early pregnancy lowers neural tube defect risk by about 70 percent. Some prenatals use methylfolate instead of folic acid. Most experts say either form works for most mothers. ACOG says the common MTHFR gene variant is not, on its own, a reason to switch.

What helps

  • Take it at the time of day it stays down. For many, that is with dinner or at bedtime.
  • Bring the bottle to your visit and ask if it covers you.
  • If pills are a problem, ask about powders, liquids, or chewables.

When to call someone

  • Nowa child swallows a bottle of vitamins with iron. Call Poison Control, 1-800-222-1222.
  • Todayyou cannot keep anything down, including water, for 24 hours.
  • At your next visita past pregnancy with a neural tube defect, you take seizure medicine, or you are not sure your prenatal is enough.

Who helps

OB-GYNMidwifeRegistered dietitian

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Sources

  • American College of Obstetricians and Gynecologists — Nutrition during pregnancy FAQ
  • Centers for Disease Control and Prevention — Folic acid
  • Lily Nichols RDN — Real Food for Pregnancy

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