Pregnancy: Eating

Pregnancy: Eating

Cravings and food aversions

Cravings and aversions are among the first signs of pregnancy. Most are harmless. Craving ice, dirt, or starch can be a sign of low iron.

General research · seeking a stewardpregnancyAlso searched as: can't stand the smell, craving ice, pica

What it is

You cannot stand the smell of coffee. You want pickles at 2 a.m. Cravings and food aversions hit most pregnant mothers, often before the test turns positive. Pica is craving things that are not food: ice, dirt, clay, chalk, laundry starch.

What's typical

About 50 to 90 percent of mothers report cravings; about 60 percent report aversions. They peak in the first trimester and often fade by 20 weeks. Common aversions are meat, eggs, coffee, and anything with a strong smell. Craving ice is the most common form of pica and is strongly linked to low iron.

What's known

Cravings do not track what the body needs, studies find, with one exception. Ice and other pica cravings often go with low iron and ease when iron is restored. Many cultures read cravings as the baby's wishes, and some hold that an unmet craving leaves a birthmark. Science does not back that, but the care behind it is worth keeping.

What helps

  • Give in to food cravings in reasonable amounts.
  • If meat is out, try beans, dairy, eggs, or cold meat instead of hot.
  • If you are chewing ice all day, say so at your visit. It is a real sign.

When to call someone

  • Nowyou have eaten dirt, clay, paint chips, or anything that may contain lead. Call Poison Control, 1-800-222-1222.
  • Todayyou cannot keep any food down because of aversions.
  • At your next visitany craving for non-food items, or aversions so strong you are losing weight.

Who helps

MidwifeOB-GYNRegistered dietitian

Related

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Sources

  • American College of Obstetricians and Gynecologists — Nutrition during pregnancy FAQ
  • NHS — Common symptoms in pregnancy
  • Academy of Nutrition and Dietetics — Pica during pregnancy patient page

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The Mothership Topic Wiki is general information for mothers and the people who care for them. It is not medical, legal, or mental-health advice and does not create a provider relationship. Experiences posted by members are their own. In an emergency call 911. If you are having thoughts of harming yourself, call or text 988.