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Real Food for Pregnancy

Real Food for Pregnancy

The Science and Wisdom of Optimal Prenatal Nutrition
by Lily Nichols 2018 348 pages
4.51
4k+ ratings
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Key Takeaways

1. Embrace real food for optimal prenatal nutrition

"Real food is as close to its source as possible and grown or raised in conditions that maximize nutrient density."

Real food defined: Real food is minimally processed, appears as it would in nature, and is free from additives. It includes vegetables, fruits, meats, poultry, fish, seafood, nuts, seeds, legumes, and healthy fats. Dairy products and whole grains can be included if tolerated.

Benefits of real food:

  • Provides essential nutrients for fetal development
  • Supports maternal health and energy levels
  • Reduces risk of pregnancy complications
  • Promotes healthy weight gain

Choosing real food over processed alternatives ensures optimal nutrient intake for both mother and baby. This approach aligns with traditional diets that have supported healthy pregnancies for generations.

2. Balance macronutrients for pregnancy health

"Carbohydrate needs are lower than conventional prenatal nutrition guidelines."

Carbohydrates: Conventional guidelines recommending 45-65% of calories from carbohydrates may be excessive. A moderate carbohydrate intake of 90-150 grams per day is often sufficient and may help prevent excessive weight gain and blood sugar issues.

Protein: Protein needs increase during pregnancy, especially in later stages. Aim for at least 80 grams per day in the first half of pregnancy and 100 grams per day in the second half.

Fat: Healthy fats are crucial for fetal brain development and maternal health. Include sources like:

  • Avocados
  • Nuts and seeds
  • Olive oil
  • Fatty fish
  • Grass-fed meats and dairy

Balancing macronutrients helps maintain stable blood sugar, provides essential nutrients, and supports healthy weight gain during pregnancy.

3. Prioritize nutrient-dense foods for fetal development

"Eggs are an incredible superfood, especially during pregnancy."

Key nutrient-dense foods:

  • Eggs: Rich in choline, essential for brain development
  • Liver: High in iron, folate, and vitamin B12
  • Bone broth: Provides glycine for tissue development
  • Leafy greens: Packed with folate and other micronutrients
  • Fatty fish: Excellent source of DHA for brain and eye development
  • Full-fat dairy: Contains vitamin K2 for proper bone formation

These foods provide concentrated sources of essential nutrients that support optimal fetal development. Incorporating them regularly into your diet ensures a wide range of vitamins, minerals, and other beneficial compounds crucial for a healthy pregnancy.

4. Avoid harmful foods and toxins during pregnancy

"Exposure to various environmental pollutants induces synergic and cumulative dose-additive adverse effects on prenatal development, pregnancy outcomes and neonate health."

Foods to limit or avoid:

  • Alcohol
  • Excessive caffeine
  • Refined carbohydrates and added sugars
  • Artificial sweeteners
  • Vegetable oils high in omega-6 fats
  • Trans fats
  • Soy products

Common toxins to minimize:

  • BPA and phthalates from plastics
  • Parabens in personal care products
  • Pesticides on produce
  • Mercury in certain fish
  • Aluminum in cookware and personal products

While it's impossible to completely avoid all toxins, being aware of common sources and making informed choices can significantly reduce exposure. Opt for organic produce when possible, choose glass or stainless steel food containers, and read labels on personal care products to avoid harmful chemicals.

5. Manage common pregnancy complaints through nutrition

"Learning to breastfeed is like learning a new language, especially if you run into challenges."

Nausea and food aversions:

  • Eat small, frequent meals
  • Include protein with carbohydrates
  • Try ginger or vitamin B6 supplements

Heartburn:

  • Avoid trigger foods
  • Eat smaller meals
  • Don't lie down immediately after eating

Constipation:

  • Increase fiber intake gradually
  • Stay hydrated
  • Consider magnesium supplements

Gestational diabetes:

  • Focus on low-glycemic carbohydrates
  • Balance meals with protein and healthy fats
  • Monitor blood sugar levels regularly

Addressing these common complaints through dietary adjustments can significantly improve comfort and overall health during pregnancy.

6. Exercise safely and effectively during pregnancy

"Exercise is safe, effective, and beneficial during pregnancy."

Benefits of prenatal exercise:

  • Reduces risk of gestational diabetes and preeclampsia
  • Improves mood and energy levels
  • Supports healthy weight gain
  • May ease labor and delivery

Exercise guidelines:

  • Aim for 30 minutes of moderate activity most days
  • Focus on low-impact activities like walking, swimming, or prenatal yoga
  • Avoid activities with high fall risk or potential for abdominal trauma
  • Listen to your body and adjust intensity as needed

Always consult with your healthcare provider before starting or continuing an exercise program during pregnancy. Modify activities as your pregnancy progresses and be mindful of changes in balance and joint stability.

7. Monitor key health markers throughout pregnancy

"There are several systems in the body that are highly sensitive to fluoride, namely the bones, thyroid, kidneys, and brain."

Essential lab tests:

  • Vitamin D levels
  • Iron/anemia markers
  • Thyroid function
  • Gestational diabetes screening

Importance of monitoring:

  • Identifies potential deficiencies or imbalances early
  • Allows for timely intervention and treatment
  • Supports optimal maternal and fetal health

Regular check-ups and appropriate lab testing can help ensure a healthy pregnancy and catch potential issues before they become problematic. Discuss recommended tests and their frequency with your healthcare provider.

8. Prepare for postpartum recovery and breastfeeding

"Our culture seems to push new moms to try to get back to life as usual and resume all normal activities rather quickly."

Postpartum recovery essentials:

  • Rest and accept help from others
  • Focus on nutrient-dense foods to replenish stores
  • Continue prenatal supplements
  • Gradually return to exercise, focusing on pelvic floor health

Breastfeeding support:

  • Seek help from a lactation consultant if needed
  • Prioritize adequate nutrition and hydration
  • Be patient as you and your baby learn together

Proper postpartum care is crucial for maternal health and successful breastfeeding. Allow yourself time to heal and adjust to your new role as a mother, and don't hesitate to seek support when needed.

9. Support mental health during pregnancy and postpartum

"Depression during pregnancy is also common, affecting up to 25% of women."

Mental health considerations:

  • Be aware of signs of prenatal and postpartum depression
  • Practice stress-reduction techniques like mindfulness or yoga
  • Maintain social connections and seek support
  • Consider therapy or counseling if needed

Nutritional support for mental health:

  • Ensure adequate intake of omega-3 fatty acids
  • Maintain stable blood sugar levels
  • Include foods rich in B vitamins and folate

Mental health is an essential aspect of overall well-being during pregnancy and postpartum. Prioritize self-care and don't hesitate to reach out for professional help if you're struggling with mood changes or anxiety.

Last updated:

FAQ

What's Real Food for Pregnancy about?

  • Focus on Nutrition: Real Food for Pregnancy by Lily Nichols emphasizes the importance of a nutrient-dense diet during pregnancy, challenging conventional guidelines and advocating for whole, unprocessed foods.
  • Scientific Evidence: The book is well-researched, drawing on current scientific literature to support its claims about the impact of maternal nutrition on fetal development and long-term health outcomes.
  • Holistic Approach: Nichols also addresses lifestyle factors such as exercise, stress management, and toxin reduction, providing a comprehensive view of prenatal health.

Why should I read Real Food for Pregnancy?

  • Comprehensive Resource: It is considered essential reading for anyone pregnant or planning to conceive, offering in-depth information on prenatal nutrition.
  • Evidence-Based Information: Grounded in scientific research, the book challenges common misconceptions and provides clarity on dietary practices.
  • Empowerment Through Knowledge: It empowers women to make informed dietary choices that can positively affect their pregnancy and their baby's health.

What are the key takeaways of Real Food for Pregnancy?

  • Nutrient Density is Key: Emphasizes the importance of consuming nutrient-dense foods like eggs, liver, and fatty fish for fetal development.
  • Avoid Processed Foods: Advises against refined carbohydrates and sugars, promoting whole foods that provide essential nutrients.
  • Mindful Eating Practices: Encourages mindful eating to connect with hunger cues and make healthier food choices.

What are the best quotes from Real Food for Pregnancy and what do they mean?

  • “Maternal nutrition plays a critical role in fetal growth and development.” Highlights the central theme that a mother's diet directly affects her baby's health.
  • “The nutrition habits that Lily will guide you in developing during your pregnancy will be a gift that you give to your baby, your family, and yourself both now and for years to come.” Emphasizes the long-term benefits of healthy eating habits.
  • “Eating the right foods now could prevent your baby from developing diabetes or struggling with obesity later in life.” Suggests that dietary choices during pregnancy can have lasting impacts on a child's health.

What is the definition of "real food" according to Real Food for Pregnancy?

  • Close to Nature: Real food is minimally processed and as close to its source as possible, including fresh vegetables, whole fruits, and high-quality animal products.
  • Nutrient-Rich: It should provide a rich array of nutrients necessary for both maternal and fetal health, contrasting with processed foods that lack essential vitamins and minerals.
  • No Additives: Often doesn’t have a label or is made with simple ingredients and no additives, encouraging whole foods over packaged products.

How does Real Food for Pregnancy address the concept of "eating for two"?

  • Misinterpretation of Caloric Needs: Clarifies that "eating for two" doesn't mean doubling food intake; only a modest increase in calories is needed.
  • Focus on Nutrient Quality: Emphasizes nutrient quality over quantity, prioritizing foods rich in essential vitamins and minerals.
  • Balanced Approach: Suggests a balanced diet with nutrient-dense foods is more beneficial than simply consuming more food.

What foods does Real Food for Pregnancy recommend for building a healthy baby?

  • Nutrient-Dense Foods: Highlights foods like eggs, liver, fatty fish, and leafy greens as essential for fetal development.
  • Animal Products: Emphasizes the importance of consuming animal products for readily absorbed nutrients often lacking in vegetarian diets.
  • Variety of Sources: Encourages a diverse diet including both animal and plant foods to ensure comprehensive nutrient intake.

What foods should be avoided during pregnancy according to Real Food for Pregnancy?

  • Processed and Refined Foods: Advises against refined carbohydrates, sugars, and artificial sweeteners due to negative health impacts.
  • Certain Animal Products: Cautions with raw or undercooked meats and eggs due to foodborne illness risks, but notes they can be safe if handled properly.
  • High-Mercury Fish: Recommends avoiding high-mercury fish like shark and swordfish, while encouraging low-mercury options like salmon.

How does Real Food for Pregnancy suggest managing common pregnancy complaints?

  • Dietary Adjustments: Provides strategies for managing nausea, heartburn, and constipation through dietary changes.
  • Mindful Eating: Encourages mindful eating to manage cravings and maintain balanced blood sugar levels.
  • Nutrient Focus: Emphasizes consuming nutrient-dense foods to support overall health and mitigate common issues.

What role do supplements play in Real Food for Pregnancy?

  • Nutritional Insurance: While advocating for food-first, acknowledges some women may need supplements for nutrients like vitamin D and iron.
  • Quality Matters: Stresses choosing high-quality supplements with bioavailable forms of nutrients.
  • Targeted Recommendations: Provides specific supplement recommendations, such as prenatal vitamins with activated B vitamins.

How does Real Food for Pregnancy address the importance of exercise during pregnancy?

  • Overall Benefits: Discusses benefits like improved mood, better sleep, and reduced risk of complications.
  • Tailored Exercise Plans: Provides guidance on tailoring exercise routines to different pregnancy stages.
  • Mind-Body Connection: Encourages listening to the body and adjusting exercise routines based on how one feels.

How does Real Food for Pregnancy approach postpartum recovery?

  • Focus on Healing: Emphasizes nutrition for recovery after childbirth, supporting healing and replenishing nutrient stores.
  • Mental Health Considerations: Addresses emotional challenges postpartum and the role of nutrition in supporting mental health.
  • Support Systems: Highlights the need for support from family and friends to help new mothers focus on recovery.

Review Summary

4.51 out of 5
Average of 4k+ ratings from Goodreads and Amazon.

Real Food for Pregnancy receives mixed reviews. Many praise its thorough research and evidence-based approach to prenatal nutrition, appreciating the focus on whole foods and nutrient density. However, some criticize the book for being overly restrictive, alarmist, and potentially classist in its recommendations. Readers value the comprehensive information on nutrients, toxins, and postpartum care, but some find the advice impractical or overwhelming. The book is generally viewed as a valuable resource for healthcare providers and nutrition-conscious individuals, though its approach may not be suitable for all readers.

Your rating:

About the Author

Lily Nichols is a Registered Dietitian/Nutritionist and Certified Diabetes Educator known for her evidence-based approach to prenatal nutrition. Her work focuses on combining scientific research with traditional wisdom to develop nutrition guidelines for pregnancy and gestational diabetes. Nichols is the author of two bestselling books, "Real Food for Gestational Diabetes" and "Real Food for Pregnancy," which have influenced nutrition policies internationally. Her writing is characterized by its thorough research and sensible recommendations. Nichols also maintains a popular blog, PilatesNutritionist.com, where she discusses various topics related to real food, mindful eating, and pregnancy nutrition.

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