Eating for the baby's brain in pregnancy

What should I eat during pregnancy for my baby's brain development?

Quick answer

Focus on a handful of brain nutrients: choline from eggs, DHA from 8 to 12 ounces a week of low-mercury fish like salmon and sardines, iodine from dairy and iodized salt, iron from meat, beans and fortified cereal, and folate from greens plus your prenatal's folic acid. You don't need to eat for two. Better food matters more than more food.

On this page
  1. The nutrients your baby's brain uses most
  2. Eggs: the easiest brain food
  3. Fish: two or three times a week
  4. Iodine and iron: the quiet two
  5. A day of brain-building meals
  6. What to skip, and the eating-for-two myth
  7. Do this
  8. When to ask your doctor
  9. People also ask

The nutrients your baby's brain uses most

Your baby's brain is built from food, and a few nutrients matter far more than the rest. Here's what each one does and where to find it.

NutrientWhat it does for the brainDaily target in pregnancyBest everyday sources
CholineBuilds brain cell membranes and supports the memory center (hippocampus)450 mgEggs, meat, fish, soybeans, beans, milk
DHA (omega-3)Built into brain cells and the eye's retina; collected fastest in the third trimesterNo single US target; FDA/EPA advise 8 to 12 oz low-mercury fish a weekSalmon, sardines, herring, mackerel, trout
IodineYour thyroid needs it to make the hormone the baby's brain depends on220 mcg (US); 250 mcg (WHO)Dairy, cod, iodized salt, eggs
IronCarries oxygen and helps build the brain's wiring27 mgMeat, poultry, seafood, beans, lentils, fortified cereal
FolateHelps the neural tube, which becomes the brain and spine, close early400 mcg folic acid supplementYour prenatal, plus greens, beans, lentils, oranges
Vitamin DBuilds bones; researchers think it plays a part in brain development too600 IUSalmon, trout, UV-exposed mushrooms, fortified milk

Targets from the NIH Office of Dietary Supplements, WHO, CDC and FDA/EPA.

Eggs: the easiest brain food

Choline is the nutrient most people have never heard of, and most pregnant women fall short. In US survey data, only about 8.5% reached the 450 mg target, and most prenatals contain little or none.

One large hard-boiled egg has about 147 mg of choline, roughly a third of the daily target. Two eggs a day gets you about two-thirds of the way. Add a serving of meat, fish or beans and a glass of milk, and you're there.

Eggs bring iodine and vitamin D too. Cook them until both the yolk and white are firm. A batch of six hard-boiled eggs in the fridge covers a lot of mornings, and they're kind to a queasy stomach. More in choline during pregnancy.

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Fish: two or three times a week

For most pregnant women, the research says the bigger risk is eating too little fish. The FDA and EPA advise 8 to 12 ounces (2 to 3 servings) a week of lower-mercury fish in pregnancy. In the UK's ALSPAC study of 11,875 women, eating fish in pregnancy was linked with better verbal IQ scores in the children. It's observational, so it's a link, not proof.

Make at least one weekly serving a fatty fish. Salmon has about ten times the DHA of cod. Skip the high-mercury fish: shark, swordfish, king mackerel, marlin, orange roughy, bigeye tuna and Gulf of Mexico tilefish. The full lists are in what fish is safe in pregnancy.

If you don't eat fish, ask your doctor or midwife about a fish oil or algal DHA supplement.

Iodine and iron: the quiet two

Iodine. In the first trimester your baby can't make its own thyroid hormone and depends entirely on yours, and your thyroid needs iodine to make it. Sea salt, pink salt and processed foods usually don't provide iodine. Iodized salt and dairy do. Keep a shaker of iodized salt for the salt you already add at home; a quarter teaspoon has about 78 mcg. A cup of nonfat milk has about 84 mcg, and ¾ cup of plain Greek yogurt about 87 mcg. Check your prenatal for iodine too. More in iodine during pregnancy.

Iron. Iron deficiency rises as pregnancy goes on: in US data, from 6.9% in the first trimester to 29.7% in the third. Iron from meat, poultry and seafood is absorbed best. Plant iron absorbs better with vitamin C on the same plate: bean tacos with salsa, fortified cereal with strawberries, lentil soup with lemon. Ask for your ferritin to be checked, and take iron pills only if your doctor recommends them.

A day of brain-building meals

MealFoodWhat it brings
Breakfast2 hard-boiled eggs, fortified cereal with strawberries and milkCholine, iodine, iron with vitamin C
LunchRoast chicken wrap with broccoliCholine, iron
SnackPlain Greek yogurtIodine
DinnerSheet-pan salmon with potatoes, salted with iodized saltDHA, vitamin D, iodine

On a fish-free night, swap dinner for chili with kidney beans and a side of milk. You don't need to hit every target every day. Aim for most days, most weeks.

What to skip, and the eating-for-two myth

  • Liver and liver pâté, cod liver oil and retinol supplements (too much vitamin A).
  • Raw or undercooked fish, meat and eggs; raw (unpasteurized) milk and soft cheeses made from it; refrigerated smoked fish unless cooked into a hot dish.
  • Kelp supplements, since seaweed iodine varies hugely.
  • Alcohol. There's no known safe amount in pregnancy.
  • More than 200 mg of caffeine a day.

You don't need to eat for two. MedlinePlus estimates a woman at a healthy weight needs about 1,800 calories a day in the first trimester, 2,200 in the second and 2,400 in the third. Quality matters far more than quantity.

And if nausea has you living on crackers right now, that's okay. A few weeks of bland food won't harm your baby. Tuck in one cold, easy brain food when you can: a chilled egg, a glass of milk, a spoon of yogurt.

Do this

  • Hard-boil six eggs this week and aim for two most days.
  • Plan two fish nights a week, one of them salmon, sardines, herring, mackerel or trout.
  • Switch to iodized salt and keep dairy in your day if you eat it.
  • Pair beans, lentils or fortified cereal with a vitamin C food.
  • Check your prenatal label for iodine, folic acid and choline.

When to ask your doctor

Check with your doctor or midwife first if…

  • You're vegetarian or vegan: ask your doctor about choline, B12, iron and DHA supplements.
  • You have a fish allergy or a thyroid condition: check iodine and omega-3 choices with your doctor.
  • You have diabetes or gestational diabetes: plan meals with your care team.

Call your doctor now if…

  • You can't keep food or fluids down for 24 hours: call your doctor or midwife today.
  • You have vomiting with very dark pee, fainting, belly pain, fever or blood in the vomit: call your doctor or midwife today.
  • You have any bleeding, fluid leaking or severe pain: call your doctor or 911 now.

This page is general information, not medical advice. Every pregnancy and every child is different. Ask your doctor, midwife or pediatrician before changing supplements, diet or care.

Grow a Genius, Max Sidorov
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Grow a Genius

In the book: Chapter 7: First Trimester: The Foundation Weeks

Grow a Genius gives each brain nutrient its own chapter (iodine, choline, fish) with food tables, trimester checkpoints and nausea-friendly recipes in The Genius Kitchen.

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  • 16 printable guides, including the Prenatal Label Decoder
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People also ask

What fruit is good for baby brain development in pregnancy?

Fruit is a healthy part of any pregnancy diet, and vitamin C fruits like strawberries help you absorb iron from plant foods. Oranges also bring folate. The nutrients most linked to the developing brain, though, come mainly from eggs, fish, dairy, meat and beans.

How many eggs can I eat a day while pregnant?

Two eggs a day is an easy way to get about two-thirds of the 450 mg choline target. Cook them until the yolk and white are firm. If you have a medical reason to limit eggs, ask your doctor how to reach choline from other foods.

Do I need DHA supplements if I eat fish?

If you eat 8 to 12 ounces of low-mercury fish a week, including a fatty fish like salmon, you're getting a good amount of DHA. If you eat little or no fish, ask your doctor about fish oil or algal DHA and how much is right for you.

Can what I eat in pregnancy shape my baby's brain?

Food supplies the building materials. Choline, DHA, iodine and iron are all used to build the brain, and low intakes are linked to weaker development scores in some studies. No single food can promise an outcome, but eating well most days gives the growing brain what it needs.

Keep reading

How much choline do you need during pregnancy?The US target for choline in pregnancy is 450 mg a day, rising to 550 mg while breastfeeding (Europe's EFSA says 480 mg in pregnancy). Fewer than 1 in 10 US pregnant women reach it, and most prenatals contain little or none. One large egg has about 147 mg, so two eggs plus a few other foods usually gets you there.What fish is safe to eat during pregnancy?Most fish is safe and good for your baby's brain. The FDA and EPA advise 8 to 12 ounces a week of lower-mercury fish, such as salmon, sardines, trout, cod, shrimp, pollock and canned light tuna. Avoid seven high-mercury fish: shark, swordfish, king mackerel, marlin, orange roughy, bigeye tuna and Gulf of Mexico tilefish. Always cook fish through.How much iodine do you need during pregnancy?The World Health Organization recommends 250 mcg of iodine a day in pregnancy and while breastfeeding. The US target is 220 mcg in pregnancy and 290 mcg while breastfeeding. The American Thyroid Association advises a daily supplement with 150 mcg of iodine (as potassium iodide), plus iodized salt at home. Many prenatals contain no iodine, so check your label.How many eggs can I eat a day while pregnant?For most healthy pregnant women, eggs are an everyday food, and two a day is a practical target. Each large egg has about 147 mg of choline, roughly a third of the 450 mg you need daily, plus some iodine and vitamin D. Cook them until the yolk and white are firm. You don't need six a day.Should I take DHA during pregnancy?DHA is worth getting in pregnancy, and fish is the best place to start: 8 to 12 ounces a week of low-mercury fish. If you eat little or no fish, ask your doctor about a fish oil or algal DHA supplement. Across 70 trials, omega-3 in pregnancy cut early preterm birth by 42%, most clearly in women who eat little fish.What can I eat for my baby's development when I have morning sickness?Eat whatever plain, starchy food you can keep down, and tuck in a few cold brain foods when you can: a chilled hard-boiled egg (choline and iodine), plain Greek yogurt, cold milk or cold roast chicken. Keep taking your prenatal. Ordinary morning sickness doesn't raise the risk to your baby (NHS). Ask your doctor about vitamin B6 if nausea is bad.

Max Sidorov is the author of Grow a Genius, a brain-first plan from 3 months before conception to age 6, built on more than 500 sources from over 35 countries.

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The brain-first plan, conception to age 6
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