Essential Nutrients for Pregnant Women: Do You Need Bird's Nest? - Obstetrics and Gynecology

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Prenatal vitamins


Hello Doctor: I am currently over four months pregnant.
Many pregnant women consume bird's nest during their pregnancy; is this necessary? I am currently taking folic acid and prenatal vitamins, but I am not supplementing anything else.
My meals have been somewhat irregular because I had some bleeding in the early stages and was hesitant to go out.
I usually rely on my family to bring home ready-made meals and haven't been able to buy from buffets.
I often don't get enough vegetables; for breakfast, I mostly have meals from a local chain, for lunch, I eat noodles, and for dinner, I eat whatever is available, sometimes steak or other common street food.
Do I need to supplement anything else?

Xiao Mi Feng, 30~39 year old female. Ask Date: 2012/06/12

Dr. Liu Yuhong reply Obstetrics and Gynecology


Pregnant women should pay attention to the following nutritional elements:
1.
Folic Acid: It is crucial before the 12th week of pregnancy.
If there is no daily habit of consuming fruits and vegetables before and during pregnancy, a supplement of 0.4 mg of folic acid should be taken daily until the 12th week of pregnancy.
2.
Calcium: The daily requirement increases to 1200 mg after the second trimester.
It is recommended to obtain this from food sources.
3.
Iron: The daily requirement for pregnant women is 60 mg (compared to 18 mg for normal adults).
Since food may not meet the daily iron needs, it is advisable to take a prenatal iron supplement after the 12th week of pregnancy.
There are two major brands available on the market; please research independently to avoid advertising bias.
4.
DHA (n-3 fatty acids, the main component of fish oil): This becomes especially important after the 28th week of pregnancy, as it is related to fetal brain development.
It can be obtained from food sources by consuming fish daily or by taking fish oil capsules.
In addition to these, maintaining a balanced diet, similar to that of the general population, will help ensure both the mother and baby remain healthy.

Reply Date: 2012/06/12

More Info


During pregnancy, proper nutrition is crucial for both the mother and the developing fetus. It is understandable that you have concerns about your dietary intake, especially given your current circumstances. Let's break down your questions and provide some guidance on essential nutrients and whether bird's nest is necessary.

Firstly, it is important to note that while bird's nest is a traditional delicacy in some cultures, there is limited scientific evidence to support its necessity or specific benefits during pregnancy. Bird's nest is primarily composed of proteins and carbohydrates, and while it may provide some nutritional value, it is not considered an essential food item for pregnant women. Instead, focusing on a balanced diet that includes a variety of food groups is more beneficial.

You mentioned that you are currently taking folic acid and prenatal vitamins, which is excellent. Folic acid is vital in the early stages of pregnancy as it helps prevent neural tube defects in the developing fetus. The recommended daily intake is 400 to 800 micrograms, especially during the first trimester. Prenatal vitamins typically contain essential nutrients such as iron, calcium, and DHA (docosahexaenoic acid), which are crucial for fetal development.

Given your current eating habits, it is essential to ensure you are getting adequate nutrition. Here are some key nutrients to focus on:
1. Calcium: Pregnant women need about 1,200 mg of calcium daily, especially in the second and third trimesters. Calcium is vital for the development of the baby's bones and teeth. Good sources include dairy products, leafy greens, and fortified foods.

2. Iron: The demand for iron increases during pregnancy to support the growing blood volume and fetal development. Pregnant women should aim for about 27 mg of iron daily. Since you mentioned that your meals are not very balanced, consider incorporating iron-rich foods such as lean meats, beans, lentils, and fortified cereals. If dietary sources are insufficient, a prenatal iron supplement may be necessary.

3. DHA: This omega-3 fatty acid is crucial for brain development. It is recommended to consume fish (preferably low in mercury) or consider a DHA supplement, especially in the later stages of pregnancy.

4. Fruits and Vegetables: These are essential for providing vitamins, minerals, and fiber. If you are struggling to include them in your diet, consider smoothies or soups that can incorporate various vegetables and fruits.

5. Protein: Adequate protein intake is essential for the growth of fetal tissues, including the brain. Aim for a variety of protein sources, including lean meats, poultry, fish, eggs, beans, and nuts.

Since you mentioned that your meals are often irregular and lack vegetables, it may be beneficial to explore meal delivery services that offer balanced meals or consider easy-to-prepare options that require minimal cooking.
In conclusion, while bird's nest is not a necessary component of your diet during pregnancy, focusing on a balanced intake of essential nutrients is crucial. If you have concerns about your dietary intake or specific supplements, it is always best to consult with your healthcare provider or a registered dietitian who can provide personalized recommendations based on your individual needs. Remember, maintaining a healthy diet during pregnancy not only supports your health but also the health of your baby.

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