Best prenatal vitamins 2014

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Best Over-the-Counter Prenatal Vitamins of 2020

There’s no substitute for a healthy diet — but even the most health-conscious pregnant women are probably running low on a few pregnancy-essential vitamins and minerals. That’s because during pregnancy, the recommended nutrient intakes for women increase — ironically, around the same time that morning sickness can seriously interfere with your appetite.

That’s where prenatal vitamins come in. Unlike a regular multivitamin, prenatals are packed with all-important nutrients that you and your baby need right now — including, most importantly, folic acid, which helps prevent neural tube defects like spina bifida. Other essential nutrients you’ll likely find in your prenatal include iron, calcium, vitamin D, iodine and omega-3 fatty acids like DHA, which helps boost baby’s brain health and development.

It can be hard for women to consume all the folic acid they need during pregnancy, even if they regularly eat fortified foods, says Mary Jane Minkin, M.D., a clinical professor in the Department of Obstetrics, Gynecology and Reproductive Sciences at the Yale School of Medicine. Taking a prenatal supplement, then, is like a nutritional safety net for both you and your developing baby.

What are the benefits of prenatal vitamins?

Here’s why it’s recommended to take a prenatal vitamin, even before you’re pregnant (more on that later!). Prenatal vitamins:

  • Serve as a “backup” for your diet. It’s understandable that almost no one has a perfect prenatal diet. And with morning sickness thrown into the mix, particularly in the first trimester, it can be difficult to get all the nutrients you need. We like imagining prenatal vitamins as “dietary insurance,” making sure your baby gets much-needed nutrients.
  • Relieve nausea. With vitamin B6, prenatal vitamins are proven to help limit the dreaded morning sickness during your pregnancy. Keep in mind that your prenatal could do the opposite, and make your morning sickness worse. If that’s the case, ask your doctor about switching to one with more vitamin B6.
  • Reduce risk of birth defects. Perhaps the most important ingredient in prenatal vitamins is the folic acid (vitamin B9, or folate in food form). Studies show that getting enough folic acid and B12 before conception and in the early stages of pregnancy can dramatically reduce the risk of neural tube defects, along with congenital heart defects in your developing baby.
  • Potentially reduce the risk of autism. Studies have shown that babies of moms who took prenatal vitamin before and during pregnancy may be less likely to have autism spectrum disorder.
  • Prevent preterm birth. There’s a link between taking prenatal vitamins and a lower risk of preterm birth, probably due to vitamin B12.

When should you start taking prenatal vitamins?

If you’re already pregnant and you haven’t been popping a prenatal, you’ll want to start taking one right away. Ideally, you should start taking a prenatal supplement before trying to conceive. Research shows that women who take supplemental folic acid before they get pregnant — before the sperm meets the egg — can substantially reduce the risk of neural tube defects like spina bifida and anencephaly, which are conditions that occur very early after conception.

What should be in your prenatal vitamin?

There’s no set-in-stone formula for prenatal vitamins, but the majority of the options on the market contain these essentials:

  • Folic acid (400-600 micrograms, mcg): Before you conceive, you’ll need 400 mcg of folic acid a day to prevent neural tube defects. During pregnancy, that amount should ideally increase to 600 mcg.

  • Iron (27 milligrams, mg): Your body needs iron to make healthy red blood cells, which help shuttle oxygen throughout your body. Now that you’re pregnant, you’ll need to pump even more iron to meet the demands of your ever-expanding blood supply, which will in turn supply your baby with oxygen. If you don’t eat enough iron, you run the risk of developing pregnancy-induced anemia.

  • Calcium (250 mg): Your growing baby needs calcium to build bones and teeth, but if you’re not a big milk drinker, you could be running low. Shoot for an intake of about 1,200 mg of calcium a day, including from food (you shouldn’t take more than 250 mg from a prenatal at the same time as supplementary iron).

  • Vitamin D (400 IUs): When paired with calcium, vitamin D helps build baby’s bones and teeth.

  • DHA: Although not all prenatals contain DHA (a fatty acid found in fish), it’s important for baby’s brain and eye development. Talk to your doctor to determine whether or not you are getting enough DHA from your diet.

  • Vitamin B6 (2 mg): Vitamin B6 can help quell morning sickness during pregnancy.

  • Iodine (150 mcg): Iodine helps your body produce thyroid hormones, which aids baby’s brain development. Problem is, mild iodine deficiency is common among pregnant women, which is why the American Academy of Pediatrics (AAP) recommends taking a prenatal that contains at least 150 mcg of iodine.

Choose a supplement that contains no more than 4,000 IU (800 mcg) of vitamin A; higher doses (over 10,000 IUs) can be dangerous.

Another smart idea: Check the bottle of your prenatal vitamin for a stamp of certification from a third-party source, such as the United States Pharmacopeia (USP) or NSF International. “Dietary supplements are not regulated in the U.S., so look for a brand that has been analyzed by a third party for quality and purity,” says Hillary Wright, R.D., director of nutrition at the Domar Center for Mind/Body Health at Boston IVF.

Getting these seals is voluntary — in other words, if your prenatal doesn’t have one, it doesn’t necessarily mean it’s not good — but these groups independently verify dietary supplements using rigorous criteria that can help reassure you of their quality.

Is it okay to take gummy prenatal vitamins?

Yes, especially if you have trouble swallowing pills — or you can’t stomach a horse-sized capsule without triggering another bout of morning sickness. But there are some drawbacks to prenatal gummies (not to mention the added sugar). In general, gummies contain fewer nutrients than the prenatals that come in pill form, says Wright; oftentimes, they’re also lacking iron.

Over-the-counter prenatal vitamin or prescription prenatal?

Prescription prenatals typically contain more folic acid than the over-the-counter varieties, says Wright. But not all moms need the extra dose. One caveat: If you’ve already given birth to a baby with neural tube defects, your doctor will likely start you on a prescription supplement that contains 4 milligrams (4,000 mcg) of folic acid, says Dr. Minkin.

In general, over-the-counter prenatals are more than able to cover your nutritional bases — just talk to your doctor about which formula is right for you.

The best prenatal vitamins of 2020

Looking for the best over-the-counter prenatals on the market? Here are our top picks.

Best Prenatal Vitamins to Buy Over the Counter

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Maintaining a healthy diet is always important, but it becomes even more important before and during pregnancy, as what you eat is also the source of nutrients for the baby.

Although most of your nutrients should come from the foods you eat, it is a good idea to take a prenatal vitamin supplement to fill in potential gaps. “Early in pregnancy, particularly with nausea and food aversions that are common in the first trimester, a woman may not eat a balanced diet,” says Cynthia C. Gyamfi-Bannerman, MD, ob-gyn at NewYork-Presbyterian/Columbia University Irving Medical Center. Prenatal vitamin supplements contain all the recommended daily vitamins and minerals you will need before and during your pregnancy, according to the American College of Gynecologists and Obstetricians (ACOG).

Some of the nutrients that are particularly important before and during pregnancy include folic acid, iron, and vitamin D. Folic acid helps prevent neural tube defects when taken before pregnancy and during pregnancy, according to the ACOG, and they recommend that women consume 400 micrograms (mcg) of folic acid a day.

Iron is also important as it is used to make the extra blood needed to supply oxygen to the baby. “Iron can also help to prevent maternal anemia, which is more common during pregnancy due to changes in circulating blood volume,” says Dr. Gyamfi-Bannerman. The daily recommended dose of iron during pregnancy is 27 milligrams (mg), according to the ACOG.

Vitamin D works with calcium to help the fetus’s bones and teeth develop, and the ACOG recommends women take 600 international units (IU) of vitamin D a day.

While taking prenatal supplements ensures you and your baby get the proper nutrients, it’s also important not to overdo it. “Be sure not to take more than twice the recommended dietary allowances of certain vitamins,” says Dr. Gyamfi-Bannerman. “For example, too much iodine can lead to a fetal goiter. Too much vitamin A can be dangerous during pregnancy. More than 10,000 IU of vitamin A per day should be avoided.”

So how do you navigate the supplement aisle? Here are a few over-the-counter prenatal vitamin picks.

These Are the Best Prenatal Vitamins, According to Experts

So you’re pregnant, or thinking about getting pregnant. There’s a lot to consider—where the crib will go, how you’ll survive nine months without sushi and soft cheese, how many hours of sleep you need to bank before that newborn arrives. One of the very first things you should do is invest in a good prenatal vitamin, experts say. But finding the right one can be more complicated than it seems. Here, what to look for when shopping for a prenatal.

When should you start taking a prenatal vitamin?

Even if you’re not pregnant or actively trying yet, the U.S. Public Health Service recommends taking a supplement with the B vitamin folic acid in the months leading up to pregnancy. The reason: Folic acid helps your body produce new cells, and research has linked it to a significantly lower risk of neural tube defects (NTD) such as spina bifida.

“I firmly believe that all women of reproductive age should be taking a prenatal or preconception multivitamin, as it will help prepare the body for pregnancy,” says Pari Ghodsi, MD, an ob-gyn in Los Angeles. Many pregnancies are unplanned, she explains, and women who don’t get enough folic acid are at greater risk for giving birth to a child with NTD, since neural tubes develop very early on in pregnancy.

As for when to stop taking a prenatal? Dr. Ghodsi says it’s usually fine to switch to a regular multivitamin once you’re done breastfeeding—that is, unless you plan on getting pregnant again soon. “Then I would recommend just staying on them,” she says.

What should you look for in a prenatal vitamin?

According to Stephanie Zobel, MD, an ob-gyn at Winnie Palmer Hospital for Women & Babies in Orlando, the most essential feature your prenatal vitamin should have is at least 400 micrograms (4 milligrams) of folic acid and up to 30 milligrams of iron.

You may also want to consider a prenatal with omega-3 fatty acids, which are usually included as docosahexaenoic acid (DHA), a fatty acid derived from algae. “Long chain fatty acids are important for fetal brain and eye growth,” says Dr. Zobel. It’s possible to get enough of the nutrient by eating a weekly serving of fish (avoiding varieties that contain high levels of mercury, such as tuna), but if you’re vegan, vegetarian, or simply don’t eat a lot of fish in your diet, you might want to choose a prenatal with DHA, she says.

Calcium and vitamin D are often found in prenatal vitamins, too, and some contain different formulations of other vitamins and minerals, such as vitamin C, vitamin A, vitamin E, zinc, iodine, and copper. But as long as these vitamins are not in mega doses and fall within FDA guidelines, “the remainder of the makeup of the prenatal vitamin is not critical outside of folic acid and iron supplementation,” says Dr. Zobel.

Depending on your situation (such as if you have a family history of NTD or are having multiples), your doctor might suggest a prenatal vitamin with a different formulation. Prescription prenatal vitamins are available too, although Dr. Zobel says she usually recommends over-the-counter brands, which are “just as good.”

Pair your prenatal with a healthy pregnancy diet

No supplement can replace a healthy, balanced diet during pregnancy. Make sure you’re continuing to fill your plate with plenty of folate-rich foods (think lentils, pinto and black beans, edamame, spinach, and asparagus), foods that are a good source of iron (like eggs, spinach, and Swiss chard), as well as lean meats, salmon, and fresh fruits and veggies.

The 12 Best Prenatal Vitamins for a Healthy Pregnancy

Taking a daily prenatal vitamin during pregnancy is essential. It’s one of the easiest ways to do something positive for your growing baby.

Even if you’re eating a healthy diet, you may be missing important nutrients. A prenatal vitamin will fill in those gaps. It will also help support your baby’s growth and development. Popping that daily pill can even help prevent neural tube defects and anemia.

Your doctor may recommend a few options for what kind of prenatal you’ll need. If you have pregnancy complications or other health concerns, your doctor might recommend a prescription prenatal. Otherwise, over-the-counter vitamins are available at the pharmacy.

While there are many brands available, you’ll want to choose a prenatal vitamin that includes:

  • folic acid
  • iron
  • calcium
  • vitamins D, C, A, and E
  • zinc
  • copper

When Should I Start Taking a Prenatal Vitamin?

The best time to begin taking prenatal vitamins is before you conceive. A baby’s neural tube, which will develop into both the brain and spinal cord, develops during the first month of pregnancy. That could happen before you even realize you’re pregnant.

If you aren’t already popping that daily pill, start taking a prenatal as soon as you find out you’re expecting. You’ll continue taking your prenatal vitamin every day during your pregnancy.

Your doctor might also recommend you continue to take prenatal vitamins after delivery, especially if you decide to breast-feed.

Which Prenatal Vitamin Is Right for Me?

If your doctor is leaving the decision in your hands, you’ll have several options to choose from.

Here are 12 top rated brands to consider.

1. Garden of Life Vitamin Code RAW Prenatal

Packed with probiotics, ginger, and zinc, this prenatal vitamin is intended to support the immune systems of both mama and baby. It’s a raw, vegetarian, gluten-free, and dairy-free option.

Amazon rating: 4.5 stars. $38

2. New Chapter Perfect Prenatal Multivitamin

This probiotic is formulated with organic herbs, cultured whole food vitamins, and minerals. It’s made with all non-GMO ingredients. It also provides 100 percent of your daily iron value.

Amazon rating: 4.5 stars. $44

3. Nature Made Prenatal Multi + DHA

This liquid soft gel multivitamin combines DHA, an omega-3 fatty acid, with folic acid, iron, and other essential nutrients. With this option, there’s no need to take a supplement for omega-3s.

Amazon rating: 4.5 stars. $50

4. One a Day Women’s Prenatal Vitamin

With this option, you’ll get 100 percent of the daily recommended value of folic acid. You’ll also get omega-3 DHA and iron. This liquid gel and multivitamin tablet duo supports both mom and baby before, during, and after pregnancy.

Amazon rating: 4.5 stars. $23

5. MegaFood Baby & Me Herb Free Prenatal Vitamin

Formulated with organic, plant-based ingredients, this prenatal vitamin is designed to be easily digestible and can be taken on an empty stomach.

Amazon rating: 4.5 stars. $36

6. New Chapter Wholemega Prenatal Vitamin

This whole fish oil supplement is a good source of whole omegas, vitamin D-3, and antioxidants. It contains oil from 100 percent sustainably caught wild Alaskan salmon. It’s also non-GMO project verified and gluten-free.

Amazon rating: not yet rated. $98

7. Garden of Life 3 Oceans Mom, Prenatal DHA

Another good source for getting over 100 percent of the recommended DHA levels for pregnancy. It’s strawberry flavored.

Amazon rating: 4.5 stars. $13

8. Enfamil Expecta Prenatal Dietary Supplement

A complete multivitamin and DHA supplement from a mercury-free, non-fish source. This prenatal vitamin has 100 percent of the recommended daily value of folic acid.

Amazon rating: 4.5 stars. $12.33

9. SmartyPants Prenatal Gummy Multivitamin

A prenatal vitamin featuring the omega-3s EPA and DHA. Unfortunately, this chewable gummy does not contain iron. Ask your doctor for a recommendation for an iron supplement.

Amazon rating: 4 stars. $23

10. Spectrum Essentials Prenatal DHA

With 200 mg of non-fish oil DHA per serving, this prenatal vitamin is made with all-natural ingredients to support your baby’s developing brain and vision. It’s a good choice for mamas-to-be worried about the risk of ocean-borne contaminants.

Amazon rating: 4.5 stars. $14

11. BEST Nest Wellness Prenatal Vitamin

A gentle, easy-to-swallow tablet, this multivitamin is food-based and made with an organic blend.

Amazon rating: 5 stars. $62

12. Garden of Life Minami Nutrition MorDHA Essential

Each pill contains 600 mg of total omega-3s. You can feel good knowing you’ll only need one of these lemon-flavored soft gels each day. It’s also an environmentally conscious brand with a small environmental footprint.

Amazon rating: 5 stars. $14

The Takeaway

You may find that you feel mildly nauseated after taking a prenatal vitamin. Try taking it with food, or before you go to bed if that’s the case.

Constipation can also be an issue, especially if you’re taking a prenatal vitamin with high amounts of iron. Be sure to drink lots of water and include fiber in your diet. You’ll also want to get regular exercise, and ask your doctor to recommend a pregnancy-safe stool softener.

If none of these steps help, ask your doctor for an alternate prenatal vitamin recommendation.

The 10 Best Prenatal Vitamins for 2019

“Your body is a temple.” We’ve all heard it before, but it really is true—and especially so for women planning on having a baby.

It’s no secret that we should take care of our bodies, and this holds true for pregnant women and for the benefit of the baby that grows inside. Your doctor will be the first tell you that your best chances for a healthy pregnancy is to maintain a balanced diet and take your prenatal vitamins.

Keeping your kitchen stocked with clean superfoods absolutely helps—avocados, kale, sweet potatoes, and more—but let’s be honest, eating well all the time is hard. Beyond that, however, even the cleanest foods may not have the right balance of vitamins you need to grow the healthiest baby possible. The best prenatal vitamins are intended to supplement where a healthy diet falls short.

What are prenatal vitamins?

“Prenatals” are a multivitamin taken before, during, and even after a pregnancy should you plan on breastfeeding. Regular multivitamins are formulated for general wellbeing, whereas prenatal vitamins are formulated to include additional minerals and vitamins to supplement the diets of pregnant women. They include the key vitamins and minerals that are vital to your baby’s growth.

Every element in a prenatal vitamin serves a specific purpose, but according to the American Congress of Obstetricians and Gynecologists (ACOG), there are four primary nutrients to look for in a prenatal multivitamin:

  • Iron: About double the iron is needed during pregnancy. The extra iron helps your body produce more blood to supply oxygen to your baby. The daily recommended dosage is 27mg, the amount found in most prenatal vitamins.
  • Calcium: Calcium is important for building healthy muscles, bones, teeth, and a healthy heart. The daily recommended amount is the same for pregnant and non-pregnant women alike, 1,300mg.
  • Folic Acid: Also known as vitamin B-9, folic acid mitigates the risk of Spina Bifida, congenital disabilities, anencephaly, and other neural tube defects. Women at childbearing ages should take minimum of 0.4mg per day, while pregnant women can take 0.6mg a day.
  • Vitamin D: All women need 600 international units (IUs) of vitamin D per day. Vitamin D works with calcium to help your baby’s bones and teeth develop, and is important for baby to have healthy skin and vision.

These, of course, are not the only things you’ll find in the best prenatal vitamins. Great prenatals should also include vitamins A, B2, B6, B12, E, copper, and iodine. Prenatals get extra bonus points for including Omega-3 fatty acids and specifically DHA, which are incredibly important for healthy fetal development. A vegan alternative is Neuromins DHA, which is extracted from microalgae instead of fish.

Best Prenatal Vitamins: Score Sheet

Our list of the best prenatal vitamins is based on a thorough comparison of Amazon reviews and Labdoor supplement testing scores. Based on the ACOG’s recommendations and our research, Blueprint has also assigned our own score to each product, to give you a comprehensive overall score.

New Chapter Perfect Prenatal Vitamins

From Amazon.com

$64.07 ($0.24 / Count)

Amazon Score
4.5
Labdoor Score
79.6 / 100
Blueprint Score
4.2
Overall Score
4.3

“Best vitamins I’ve ever taken! I am notorious for getting nausea and stomach cramps with many vitamins and supplements, these vitamins have not caused a single issue.” -CB, Amazon Reviewer

BLUEPRINT SUMMARY

  • Made with whole-food, non-GMO, gluten free, vegetarian, and organic ingredients
  • High in vitamin K and D, and rich minerals, like iron
  • Also includes a superfood sprout blend (kale, broccoli, cauliflower) and probiotics
  • All ingredients are completely digestible and claims to have no nausea side effects
  • No sugar added

CONSIDERATIONS

  • Perfect Prenatal doesn’t quite reach the recommended daily allowance (RDA) for iodine, calcium, magnesium, and zinc
  • Contains soy, which is considered a high allergen food

New Chapter Prenatal DHA Wholemega for Moms

New Chapter Prenatal DHA Wholemega for Moms

From Amazon.com

$16.06 ($.18/count)

Amazon Score
4.0
Labdoor Score
71.1 / 100
Blueprint Score
4.0
Overall Score
3.8

“They are tiny, easy to swallow gel capsules and I can even take them on an empty stomach without issue! Oh yes and they are odorless!” -Amazon Reviewer

BLUEPRINT SUMMARY

  • Chock full of Omega-3s and DHA,which helps promote healthy fetal,brain, and eye tissue development
  • Made from wild-caught Alaskan salmon oil caught from responsible fisheries
  • Gel tablets are small and easy to swallow, and label claims there is no fishy aftertaste
  • Gluten free, contains no sugar, artificial flavors, or krill oil

CONSIDERATIONS

  • This is not a typical prenatal—it does not include the common vitamins and minerals that most prenatals do. It should be taken in addition to prenatals that don’t already come with Omega-3s and DHA, like the New Chapter Perfect Prenatal
  • Some reviewers still claimed to have fishy burps

Rainbow Light Prenatal One Multivitamin

From Amazon.com

$41.93 ($.28/ count)

Amazon Score
4.0
Labdoor Score
74.2 / 100
Blueprint Score
4.2
Overall Score
3.9

“I’ve taken other prenatal vitamins that give me an upset stomach and indigestion. These were well tolerated.” -Amazon Reviewer

BLUEPRINT SUMMARY

  • This pill is an entirely food-based multivitamin
  • Includes iron, calcium, vitamins D2, A and C, folate, and more
  • Also includes probiotics and plant-based enzymes
  • Completely vegan and gluten free
  • Easy on the tummy and provides a nice energy boost

CONSIDERATIONS

  • This prenatal does not come with DHA, so an additional DHA supplement may be required
  • Some reviewers have noted that the one a day pill is a bit large, which can be hard for some to swallow

Rainbow Light Prenatal Petite Mini-Tab Multivitamin

From Amazon.com

$29.37 ($0.16 / Count)

Amazon Score
4.0
Labdoor Score
75.5 / 100
Blueprint Score
4.3
Overall Score
3.9

“In general, I absolutely love the formula in these pills. As a vegetarian I find it tough to find OTC prenatals that don’t contain both gelatin and fish oil. Love that these are vegan and food based.” -Pri, Amazon Reviewer

BLUEPRINT SUMMARY

  • All the nutritional benefits of the Rainbow Light Prenatal One Multivitamin, but in a small easy to swallow tablet
  • A great option for moms who get queasy when taking pills. Many reviewers noted decreased nausea
  • The daily dose is three tablets, instead of one of the Prenatal One Multivitamin
  • Include all the recommended vitamins and minerals, plus superfoods, antioxidants, and herbs and probiotics to ease upset stomachs and balance digestive systems
  • Gluten free, sugar free, dairy-free, and yeast free with no artificial additives

CONSIDERATIONS

  • The tablets are smaller than most prenatals, but not tiny. They’re comparable to the size of a Tylenol tablet
  • Should be taken with food to prevent an upset tummy, and some reviewers noted an especially iron-y taste if left in the mouth too long

Nature Made Prenatal Multi + DHA

Nature Made Prenatal Multi + DHA

From Amazon.com

$22.47 ($0.25 / Count)

Amazon Score
4.0
Labdoor Score
70.1 / 100
Blueprint Score
4.0
Overall Score
3.8

“I feel good about what’s in them, and they don’t make me sick!” -Amazon Reviewer

BLUEPRINT SUMMARY

  • Nature Made Prenatal Multi DHA is one of the most easily found—and most budget friendly—prenatal vitamins on the market
  • Includes all the essentials you look for in a prenatal vitamin, plus DHA to promote healthy fetal development
  • Dosage is one liquid softgel per day, which reviewers noted were easier to swallow than most prenatal pills
  • Gluten free, preservative free, and doesn’t contain any synthetic dyes

CONSIDERATIONS

  • Because this prenatal includes DHA, it is not vegan or vegetarian
  • Some have noted a slightly fishy flavor from the DHA
  • The softgels are large and should be taken with plenty of water and with food

Zahler Prenatal Vitamin + DHA 300

From Amazon.com

$30.85 ($0.51 / Count)

Amazon Score
4.5
Labdoor Score
82.6 / 100
Blueprint Score
4.6
Overall Score
4.4

“This product was recommended to me by my nutritionist as the BEST and HEALTHIEST prenatal on the market!” -Dutchered, Amazon Reviewer

BLUEPRINT SUMMARY

  • Zahler Prenatal Vitamin + DHA contains all the necessary key ingredients to look for in a prenatal vitamin (25 total vitamins and nutrients!) plus DHA
  • Includes luteina and chromium, to aid in baby’s visual function and mom’s glucose regulation, respectively
  • Dosage is two, easy-to-swallow softgels, that have no smell or aftertaste—great for queasy moms!
  • Ingredients are all nature-based, and each tested thoroughly by a third party to ensure purity and effectiveness
  • Many reviewers are excited to have a source of DHA without the unsavory ”fish burps”

CONSIDERATIONS

  • It is important to take Zahler Prenatal Vitamin + DHA 300 with food to avoid nausea
  • These prenatals are one of the more expensive ones on our list
  • Although the pills are softgels, they are a bit on the larger side and must be taken twice a day

Similac Prenatal Vitamin

From Amazon.com

$9.48 ($0.32 / Count)

Amazon Score
4.5
Labdoor Score
70.1 / 100
Blueprint Score
4.3
Overall Score
4.1

“Great combination of essential and quintessential vitamins and minerals for moms to be, pregnant moms, and nursing moms.” -R. Villanueva, Amazon Reviewer

BLUEPRINT SUMMARY

  • Similac Prenatal Vitamin includes 22 key vitamins and minerals needed to support healthy fetal growth and nutrition, and includes separate bottle containing softgels with a blend of DHA, Lutein, and vitamin E (Similac’s OptiGro formula)
  • Similac is a long-standing trusted brand for infant health
  • Daily dosage is one softgel and one prenatal tablet, both smaller in size than most prenatal vitamin tablets
  • Reviewers appreciate how pills have no odor or aftertaste, and many have claimed no nausea after taking them

CONSIDERATIONS

  • The pack does come with two separate pills (prenatal + OptiGro blend), but can be taken at different times of the day
  • Some reviewers claim the prenatal tablet is still a bit large, although the OptiGro softgel is small and easy to swallow
  • Both pills should not be taken on an empty stomach

Vitafusion Prenatal Gummy Vitamins

From Amazon.com

$9.19 ($0.10 / Count)

Amazon Score
4.5
Labdoor Score
58.4 / 100
Blueprint Score
4.0
Overall Score
4.1

“I have tried other vitamins that made me so nauseous if I did not take them with food… I have never had that issue with the Vitafusion Gummy.” -D. Hof, Amazon Reviewer

BLUEPRINT SUMMARY

  • Vitafusion Prenatal Gummy Vitamins are a great option for the mom or mom-to-be who is averse to swallowing pills
  • Includes essential vitamins and minerals, plus 100% DV folic acid and 50mg Omega-3 DHA
  • Gummies come in several flavors, including natural lemon, raspberry, and lemonade
  • Do not contain iron, so are easier on the stomach than prenatals that include it
  • Made from natural ingredients and sources, and is gluten-free, dairy-free, and does not contain shellfish

CONSIDERATIONS

  • Vitafusion Prenatal Gummy Vitamins, as well as many other gummy options, does not come with iron, which is considered a key component of prenatal multivitamins
  • DHA is sourced from fish, so it is not vegan or vegetarian
  • Contains soy and added sugar

Garden of Life Vitamin Code Raw Prenatal

From Amazon.com

$43.88 ($0.24 / Count)

Amazon Score
4.5
Labdoor Score
85 / 100
Blueprint Score
4.3
Overall Score
4.4

“They never upset my stomach, even in the first trimester when I was frequently nauseas. I found them easy to swallow and I liked that they could be easily opened to add to a smoothie.” -CC, Amazon Reviewer and Top Contributor: Kids and Parenting

BLUEPRINT SUMMARY

  • Made with all-natural, non-GMO, whole-food, raw, and organic ingredients
  • Designed and formulated for mom to take before and during pregnancy, and during lactation
  • Vegetarian, vegan, gluten-free and contains no fillers
  • Includes probiotics, ginger, zinc, and plenty of vitamin D
  • Serving size is 1 capsule three times a day and can be taken with or without food. The label also suggest pouring capsule contents into raw juice or water if adverse to swallowing pills

CONSIDERATIONS

  • The capsules are rather large, and the daily dose is 3
  • They have a smell and flavor that may deter queasy pill-takers
  • Do not contain Omega-3s or DHA, so a separate (or vegetarian/vegan alternative) supplement may be necessary

DEVA Vegan Prenatal Vitamin

From Amazon.com

$9.56 ($0.11 / Count)

Amazon Score
4.0
Labdoor Score
75.1 / 100
Blueprint Score
4.2
Overall Score
3.9

“I really enjoy these vitamins. They don’t make me ill and nauseous like some others. And that’s pretty important when you’re pregnant and already feeling under the weather. “ -Olivia, Amazon Reviewer

BLUEPRINT SUMMARY

  • DEVA Vegan Prenatal Vitamin is certified vegan by the Vegan Society
  • Contains over 1500% of vitamin B12, as it’s difficult for vegans to get enough from their diet alone
  • Tablet pills are to be taken once a day with food
  • Includes all of the key vitamins and minerals, plus 138% of the RDA for folic acid
  • Because all DEVA products are vegan, the prenatal multivitamin does not contain Omega-3s or DHA

CONSIDERATIONS

  • DEVA Vegan Prenatal Vitamins can be taken by vegans and non-vegans alike, but meat eaters should regulate the amount of B12 they are consuming by food, as the prenatal contains a good amount of the vitamin
  • DHA, or vegan DHA supplement, may need to be taken separately
  • Some reviewers have noted a slight aftertaste

What about side effects?

You should know that prenatal vitamins do come with possible side effects, including constipation and/or nausea. There are things you can do to help avoid these symptoms—taking them with a meal or trying out a different time of day, for example. Don’t let these unpleasantries sway you, though. Without proper nutrition for both mom and baby, there is a higher risk for birth defects.

It’s crucial to talk with your doctor before taking any prenatal vitamins. You’ll be able to about figure out which work best for your body, diet, and lifestyle so you can worry less about adverse effects, and focus on growing a healthy baby.

When should I start taking prenatals?

If you’re planning on having a baby, it’s time to start taking some prenatals. According to the CDC, all women of childbearing age should take prenatals to keep their reproductive system healthy for when they decide they’re ready to conceive. If you’re just finding out that you’re pregnant, it’s time to start taking prenatals! Some of the baby’s most important neurological developments happen within the first month of pregnancy, so it’s never too early to start.

Have you taken prenatal vitamins before? We want to hear about your experience! Chat with us and share your story on Instagram and Twitter.

Types of Prenatal Vitamins

While eating a healthy and balanced diet is one of the best ways to support a healthy pregnancy, it can be difficult to meet the daily recommended vitamin and nutrient intake. This is why many professionals suggest supplementing your diet with a good prenatal vitamin while trying to conceive and during pregnancy.

With so many different types of prenatal vitamins available, how do you know which one is best for you?

First and foremost, it is highly recommended to consult with your healthcare provider about the vitamins you’re taking. Some obstetricians will prescribe certain vitamins based on your individual nutritional needs, or they will be able to assist you in choosing the right over-the-counter (OTC) prenatal vitamin for your pregnancy.

In the meantime, we’ve compiled a shortlist below to help you discern between the various types of prenatal vitamins currently available on the market.

Get the Fetal Life App for Apple and Android endorsed by the American Pregnancy Association. It features meal recommendations, kicks counter, blood glucose tracking, and more.

Organic & Vegan Vitamins

Vitamins are commonly derived from animal sources. As such, if you’re in the market for a vegan prenatal vitamin, you’ll want to ensure the nutrients contained within are all plant-based. There are also vitamins that are certified to be made from organic sources.

Many organic/vegan prenatal vitamins will be made available in tablet-form rather than capsules, as capsules are usually made from gelatin, which is derived from animal ingredients.

Keep in mind there are pros and cons to each type of vitamin. Some disadvantages associated with vitamins in tablet form include:

  • Limited protection (no gelatin-coating) for sensitive ingredients
  • Difficulty in swallowing
  • May cause gastrointestinal irritation
  • Potentially poor breakdown and absorption in the GI tract
  • Potential sensitivities to tablet coating(s)

Due to these disadvantages associated with tablets, it may be more suitable to find an organic/vegan prenatal vitamin that utilizes veggie capsules.

With some vitamins, you will have the choice of animal or plant-based sources, such as with vitamin D. If you are vegan, vitamin D2, or ergocalciferol, is the plant-based version you would choose. However, the animal counterpart, vitamin D3 or cholecalciferol, has been said to be better absorbed and declines in action slower than D2 (though other studies have shown that it is as effective). Therefore, it is important to be aware of the advantages and disadvantages when choosing a vegan supplement.

Prescription Vitamins

Prescription prenatal vitamins may be an option for you during your pregnancy; however, it’s important to note that having a prescription is not a requirement.

Many women associate prescriptions with a higher quality prenatal vitamin, yet this is not always accurate.

What is important are the ingredients within the prenatal vitamin. There are multivitamins that can be an excellent prenatal vitamin because they contain adequate amounts of iodine, folate, vitamin D, vitamin B, calcium, and other vital nutrients needed in higher levels during pregnancy.

Checking in with your physician for your specific needs is always important. However, it is good to be aware that prescriptions are not always needed, as there are many natural OTC alternatives available!

One potential benefit of having a prescription for prenatal vitamins is that your insurance plan may cover most, if not all of the cost.

OTC (Over-the-Counter)

OTC prenatal vitamins can be purchased without a prescription at grocery stores, supercenters, and drug stores, and are usually more cost-effective than those prescribed by your doctor (unless your insurance covers the prescription vitamins).

However, it is important to keep in mind that not all prenatal vitamins are created equal—many OTC brands are formulated with lower-quality ingredients, including synthetic vitamins and mineral salts. This may take some research on your part to find the brands that are held to high-quality standards and ones that include the most necessary vitamins and minerals.

For example, research has shown that natural vitamin E is more biologically active and better retained than its synthetic counterpart. When looking at your OTC prenatal vitamin, you can identify the kind of vitamin E within the formula based on the label—natural vitamin E begins with “d” (d-alpha-tocopherol), while the synthetic version begins with “dl” (dl-alpha-tocopherol).

Research has shown that the human placenta has the ability to deliver natural vitamin E to the fetus much more efficiently than synthetic vitamin E. Moreover, research has also shown a correlation between premature babies and low vitamin E levels.

Choosing Your Prenatal Vitamin

As a soon-to-be mom, it is imperative you supplement with a high-quality prenatal vitamin to support a healthy pregnancy. Fairhaven Health and Nordic Naturals are endorsed by the American Pregnancy Association.

You may find it helpful to talk with your healthcare provider as well as other expecting moms to get recommendations or to validate a prenatal vitamin you are considering.

More helpful articles:

  • Pregnancy Nutrition
  • Prenatal DHA
  • Natural Sources of Vitamin B6 During Pregnancy
  • FH PRO for Women and Men: Antioxident Supplements for Fertility and Prenatal Wellness
  • Eating Seafood During Pregnancy

Compiled using information from the following sources:

1. Vitamin D2 is much less effective than vitamin D3 in humans. J Clin Endocrinol Metab. November 2004. doi: 10.1210/jc.2004-0360

2. Vitamin D2 is as effective as vitamin D3 in maintaining circulating concentrations of 25-Hydroxyvitamin D. J Clin Endocrinol Metab. March 2008. doi: 10.1210/jc.2007-2308

Vitamin and mineral supplementation is often recommended for proper fetal development, during preconception and pregnancy. In addition to a healthy diet, incorporating a vitamin and mineral supplement can aid the mother in obtaining appropriate nutrients. Each component of a prenatal multivitamin conveys a specific benefit to the mother and developing baby. A multivitamin taken during pregnancy has been shown to double the chance of giving birth beyond 41 weeks.1
This guide reviews supplementation recommendations for pregnant women without concomitant disease states and without concurrent medications and can be used to aid the pharmacist in recommending and evaluating a prenatal vitamin for a patient.
The Pharmacist’s Role:
In order to advise patients seeking an over-the-counter (OTC) supplement, pharmacists should be aware of the dosing recommendations, risks, and benefits associated with vitamins and minerals during pregnancy. When determining the amount of a nutrient to recommend to a patient, the pharmacist must also consider any co-existing disease states and therapies used, including any other dietary supplements and prescriptions.
The American College of Obstetricians and Gynecologists (ACOG), the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO), and the United States Food and Drug Administration (FDA) have put forth recommendations on vitamin and mineral supplementation during pregnancy (Table 1). However, discrepancies in major organization recommendations make it difficult to determine the most appropriate multivitamin and are discussed in more detail below.
Table 1: Recommended Daily Intake of Select Vitamins and Minerals During Pregnancy

American College of Obstetricians and Gynecologists (ACOG); Centers for Disease Control and Prevention (CDC); Docosahexaenoic Acid (DHA); Food and Drug Administration (FDA); World Health Organization (WHO) N/A = No recommendation available
Supplement Components
Omega-3 Fatty Acids and Docosahexaenoic Acid (DHA)
Increased intake of omega-3 fatty acids has been associated with decreased maternal depression, reduced risk of preterm birth, a decline in pediatric allergy rates, improved developmental and neurocognitive outcomes in infants, as well as higher visual acuity.8,9 It is recommended that pregnant women consume 650 mg of omega-3 fatty acids, 300 mg of which should be DHA. This may be obtained through fish oil supplementation or proper diet.10 Most seafood, including fish, contain these essential omega-3 fatty acids.11 The primary source for infant DHA intake is dependent on maternal intake.8
To obtain necessary amounts of DHA, pregnant women can consume approximately 1 to 2 servings of seafood per week.11 Sufficient consumption of seafood would reduce the need for a supplement high in DHA. Two servings of seafood are enough to aid in fetal development and limit the potential to be negatively affected by mercury or toxins in seafood.11
DHA has been shown to aid in growth and development of fetal central nervous system as it is a structural fat in the brain and eyes.10 A deficiency in omega-3 fatty acids during pregnancy has been associated with visual deficits in the fetus.11 Higher levels of omega-3 supplementation during pregnancy, ranging from 528-2700 grams per day, have been shown to increase cord blood omega-3 fatty acid incorporation when compared to approximately 100 mg per day.8
Pregnant women in the United States tend to lack sufficient omega-3 fatty acids, often due to fear of mercury or contaminants.11 In addition, socioeconomic status affects quantity and quality of omega-3 fatty acids obtained by pregnant women.8 During pregnancy, levels of inflammatory markers are increased, which aids in maintaining a healthy pregnancy by protecting from invading organisms.12 Increased adipose mass is associated with activation of inflammatory pathways.
Excessively high levels of inflammation, such as in overweight pregnant women, are associated with low birth weight, preterm delivery, gestational diabetes, and pre-eclampsia.12 High levels of inflammation during pregnancy may also increase risk of metabolic diseases for the fetus such as obesity, type 2 diabetes, dyslipidemia, and hypertension later in life. Adequate omega-3 supplementation may reduce inflammation in obese or overweight pregnant women, as well as decrease expression of inflammatory genes in adipose tissue or placenta.12 Omega-3 supplementation also reduces plasma triglyceride levels, a cardiovascular risk factor.12
It is important to consume omega-3 fatty acids with DHA during the third trimester of pregnancy as this is when the most neural and retinal development occurs.9,10 In addition, the third trimester is when maternal DHA stores are mobilized and placental transfer of DHA is preferential to other fatty acids and will determine levels of DHA incorporated into the infant brain.8
Pyridoxine (Vitamin B6) and Cobalamin (Vitamin B12)
Vitamin B6 helps form red blood cells and helps the mother’s body appropriately utilize protein, fat, and carbohydrates to benefit the fetus.2 Vitamin B6 also aids with reducing nausea and vomiting during pregnancy.13 When compared to a placebo group, the severity of nausea was lower in women who took vitamin B6 or ginger with 46% of placebo recipients developing heartburn, stomachache, and nausea during treatment, compared to only 16% of women taking vitamin B6.13 Vitamin B12 is also needed to form red blood cells and maintain the nervous system.2 Low levels of B12 during pregnancy have been shown to contribute to anemia and may cause infertility.14 Recommendations for Vitamin B6 and B12 should be considered regardless of trimester.
Folic Acid/Folate
Folic acid is essential in preventing birth defects, such as neural tube defects, involving the brain and spine.2 Folic acid supports the growth and proper development of the fetus and placenta.2 It is recommended that folic acid be taken beginning at least 1 month before pregnancy, as well as during pregnancy.2 A daily consumption of 400 mcg of folic acid before and during pregnancy reduces the chance of having neural tube defects.15 In a study of 2104 pregnant women given a folic acid supplement, no neural tube defects were seen, whereas 6 neural tube defects were seen among 2052 pregnancies given trace element supplement.16 A folic acid supplement is highly recommended for women planning pregnancy to minimize the chance of neural tube defects.16
Iron
Pregnancy increases iron requirements as it aids in production of increased blood volume and red blood cells for transfer of oxygen to the fetus.2 If iron levels are low during pregnancy, there is an increased risk of preterm delivery or low birth weight.2,17 In a study of 60 women who took an iron supplement during pregnancy, the mean birth weight that was 30.81 grams greater than those women who did not take an iron supplement.17 In addition, taking an iron supplement reduced the risk of anemia for the mother by 70%.17 A specific trimester has not been discussed as to when iron should be taken.
Iodine
According to the WHO, pregnant women may require a greater supplementation of iodine as it is essential for brain development of the fetus.7 A lack of iodine during pregnancy may lead to brain damage in the child as the concentration of thyroxine (T4) decreases and the child may experience neurologic abnormalities.18 The diminished T4 levels may also cause hypothyroidism and possibly goiter for the mother and fetus.18 Suggestions for iodine should be considered regardless of trimester and may be taken throughout the whole pregnancy.
Calcium and Vitamin D
Calcium is essential during pregnancy as it aids in building strong bones and teeth for the fetus.2,19 Calcium deficiency is rare, but is related to hypertensive disorder during pregnancy. Supplementation of calcium may help reduce hypertensive disorder during pregnancy and risk of pre-eclampsia.19 In addition, decreased intake of calcium can result in a vitamin D deficiency.20

Vitamin D is necessary to build the baby’s teeth and bones by promoting the absorption of calcium.2 It also aids in development of healthy eyesight and skin, and may help decrease the risk of preeclampsia and preterm birth.2,20 Preterm births have been seen to be lowest for women who conceived during the summer and fall, when vitamin D intake is highest.20 Vitamin D deficiency may not only lead to preeclampsia, but other complications in the child, such as asthma.21 African American women have a higher risk of preeclampsia and complications, and should consider vitamin D supplementation during pregnancy.20 Vitamin D and calcium supplementation should be considered throughout the whole pregnancy.
Preeclampsia consists of 2 stages. The first stage involves reduced perfusion of the maternal blood vessels to the placenta, while the second stage is the cascade of events afterwards.20 Vitamin D helps genes associated with normal implantation and angiogenesis function properly to avoid the stages of preeclampsia.20
Women in the United Kingdom provided with a multivitamin containing 900 IU of vitamin D per day reduced the chance of preeclampsia by 32%.20 A similar trend was found in Norway, where pregnant women who were given 15-20 mcg of vitamin D in their first half of pregnancy decreased their risk of preeclampsia by 25%.20 In addition, the highest incidences of preeclampsia have been reported in the winter, when sun exposure and vitamin D intake is lowest.20 Most individuals’ main source of vitamin D comes from the sun, so pregnant women living in areas where sunlight exposure is limited should be taking a vitamin D supplement.20
Vitamin A
Like calcium, Vitamin A helps promote bone growth for the baby.2 In addition, vitamin A aids in forming healthy skin and eyesight.2 An upper limit for Vitamin A consumption exists at no more than 10,000 units per day due to some reports of teratogenicity above that level. Pregnant women lacking vitamin A have shown negative impact on fetal pancreas development.22 There is no specific trimester in which Vitamin A should be taken, however special attention should be paid to maintaining limits below the recommended limit.
Patient Case
A 25-year-old pregnant female in her first trimester with no significant medical history, no known allergies and no current prescription or OTC medications comes to the pharmacy counter asking for a prenatal vitamin recommendation. Her obstetrician advised her to start a multivitamin and that she could obtain 1 from the pharmacy. She brings a bottle to the counter with the following label:
Directions: Take one capsule by mouth once daily

Supplement Prenatal Multivitamin
Calcium 150 mg
DHA 200 mg
Folic Acid/Folate 800 mcg
Iodine 150 mcg
Iron 27 mg
Vitamin A 4000 IU
Vitamin B6 2.5 mg
Vitamin B12 4 mcg
Vitamin C 100 mg
Vitamin D 400 IU
Vitamin E 11 IU

Assessment considerations

  • Calcium is low when compared to the FDA and ACOG recommendations. It contains only 150 mg of calcium, whereas the recommended dosage is approximately 1,000 mg (ACOG) – 1,500 mg (WHO). Low calcium is common in a variety of prenatal supplements, thus, additional calcium supplementation is necessary to meet the recommended dose if this product is used.
  • The prenatal multivitamin contains 800 mcg of folic acid which is equivalent to the FDA’s suggestion. ACOG, CDC, and WHO indicate that 400 mcg of Folic Acid should be consumed during pregnancy.
  • Regarding the iodine dosage, CDC and ACOG recommend between 200 and 220 mcg of iodine per day for women during pregnancy. The iodine dose of 150 mcg in the example supplement does not fall in the range of recommended iodine intake. It may be beneficial to obtain additional iodine through diet.
  • In addition, a prenatal with higher dosage of Vitamin A may be of benefit as the example supplement only contains 4,000 IU while WHO recommends 8,000 IU. CDC and ACOG recommend to not exceed 10,000 IU of Vitamin A per day.
  • The vitamin B6 concentration of the multivitamin meets the FDA recommendation of 2.5 mg but exceeds ACOG recommendation of 1.9 mg. The vitamin B12 concentration of 4 mcg lies between ACOG’s suggestion of 2.6 mcg and FDA’s 8 mcg.
  • The vitamin C quantity of 100 mg exceeds ACOG’s recommendation of 85 mg and FDA’s 60 mg.
  • 400 IU of Vitamin D is contained in this supplement which is equivalent to the FDA’s recommendation.
  • Even though benefits have been exhibited from DHA supplementation in pregnancy none of the organizations indicate a specific dosage to consume. This multivitamin contains 200 mg of DHA while other articles have recommended 300 mg DHA.8

Overall, the prenatal multivitamin contains all the vitamin and mineral supplementation as recommended by ACOG, CDC, FDA, and WHO. However, it does not meet the recommended dosage for calcium, folic acid, iodine and vitamin A. It may still be a viable option if the patient is aware of the role of vitamin and minerals during pregnancy and may consider additional supplementation (through diet or additional products). The patient may also find an alternative prenatal vitamin that contains an appropriate amount of all vitamins and minerals, which may include a prescribed multivitamin as opposed to an over-the-counter product.
Conclusion:
The recommendations in this guide focus on women who are pregnant without concomitant disease states or medications. However, the pharmacist should keep in mind that additional vitamins and minerals may be beneficial in certain populations, disease states, or concomitant medications. Each vitamin and mineral has its own purpose and benefit for the mother and fetus.
The pharmacist can help provide the patient with recommendations regarding supplements while being aware that the perfect prenatal multivitamin may not exist. Thus, the pharmacist should inform the patient of the positive effects and potential risk associated with vitamin and mineral supplementation.

  1. Mcalpine J, Scott R, Scuffham P, Perkins A, Vanderlelie J. The association between third trimester multivitamin/mineral supplementation and gestational length in uncomplicated pregnancies. Women Birth. 2016;29(1),41-46.
  2. Nutrition during pregnancy. American College of Obstetricians and Gynecologists. Accessed here: . May 18, 2018.
  3. Folic Acid. Center for Disease Control and Prevention. Accessed here: https://www.cdc.gov/ncbddd/folicacid/index.html. May 18, 2018.
  4. CDC. Trace Elements: Iodine. National Report on Biochemical Indicators of Diet and Nutrition in the U.S. Population. Center for Disease Control and Prevention. Accessed here: . May 18, 2018.
  5. Dietary Supplement Labeling Guide: Appendix C. Food and Drug Administration. Accessed here: https://www.fda.gov/Food/GuidanceRegulation/GuidanceDocumentsRegulatoryInformation/DietarySupplements/ucm070620.htm. May 18. 2018.
  6. WHO recommendation on calcium supplementation during pregnancy. World Health Organization. Accessed here: https://extranet.who.int/rhl/topics/preconception-pregnancy-childbirth-and-postpartum-care/antenatal-care/who-recommendation-calcium-supplementation-during-pregnancy. May 18, 2018.
  7. WHO. Guideline: Daily iron and folic acid supplementation in pregnant women. Geneva, World Health Organization. 2012. Accessed here: http://apps.who.int/iris/bitstream/handle/10665/77770/9789241501996_eng.pdf?sequence=1. May 18, 2018.
  8. Nordgren TM, Lyden E, Anderson-Berry A, Hanson C. Omega-3 fatty acid intake of pregnant women and women of childbearing age in the United States: potential for deficiency? Nutrients. 2017;9(3):197.
  9. Carlson SE. Docosahexaenoic acid supplementation in pregnancy and lactation. Am J Clin Nutr. 2009;89(2):678S–684S.
  10. Greenberg JA, Bell SJ, Ausdal, WV. Omega-3 fatty acid supplementation during pregnancy. Rev Obstet Gynecol. 2008;1(4):162–169.
  11. Coletta JM, Bell SJ, Roman AS. Omega-3 Fatty Acids and Pregnancy. Rev Obstet Gynecol. 2010;3(4):163-171.
  12. Kordoni ME, Panagiotakos D. Can dietary omega-3 fatty acid supplementation reduce inflammation in obese pregnant women?.Hell J Atheroscler. 2017;8:121-128.
  13. Firouzbakht M, Nikpour M, Jamali B, Omidvar S. Comparison of ginger with vitamin B6 in relieving nausea and vomiting during pregnancy. Ayu. 2014;35:289-293.
  14. Molloy AM, Kirke PN, Brody LC, Scott JM, Mills JL. Effects of folate and vitamin B12 deficiencies during pregnancy on fetal, infant, and child development. Food Nutr Bull. 2008;29:101-107.
  15. Honein MA, Paulozzi LJ, Mathews TJ, Erickson JD, Wong LY. Impact of folic acid fortification of the US food supply on the occurrence of neural tube defects. JAMA. 2001;285(23):2981-2986.
  16. Czeizel AE, Dudás I. Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. NEJM. 1992;327(26):1832-1835.
  17. Peña-Rosas JP, De-Regil LM, Garcia-Casal MN, Dowswell T. Daily oral iron supplementation during pregnancy. Cochrane Database Syst Rev. 2015;7:CD004736.
  18. Harding KB, Peña-Rosas JP, Webster AC, et al. Iodine supplementation for women during the preconception, pregnancy and postpartum period. Cochrane Database Syst Rev. 2017;3:CD011761.
  19. NHS. Vitamins, supplements, and nutrition in pregnancy. National Health Service. 2017 Jun 01.
  20. Bodnar LM, Simhan HN. Vitamin D may be a link to black-white disparities in adverse birth outcomes. Obstet Gynecol Surv. 2010;65(4):273-284.
  21. Hollis BW, Wagner CL. Vitamin D supplementation during pregnancy: improvements in birth outcomes and complications through direct genomic alteration. Mol Cell Endocrinol. 2017;453:113-130.
  22. Chien CY, Lee HS, Cho CH, et al. Maternal vitamin A deficiency during pregnancy affects vascularized islet development. J Nutr Biochem. 2016;36:51-59.

PrimaCare™

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Sumalate® iron

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Omega-3s

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Quatrefolic®

  • Provides the main folate form in blood and cord serum to help prevent neural tube defects6,7

Biotin

  • Contains 1 mg of biotin for healthy hair and nails – more than any other leading prescription prenatal
    dietary supplement8-13

Vitamin D

  • Vital in assisting the body in absorbing calcium14
  • Vitamin D deficiency is common during pregnancy, especially among moms with limited sun exposure, high use of sunscreen, darker skin, and vegetarians15

Vitamin B6

  • The most vitamin B6 of any leading Rx prenatal dietary supplement, 50 mg, to support tolerability and help ease common morning sickness8-13

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* Most eligible patients will pay no more than $20 for each PrimaCare™ fill. After the first $20 out-of-pocket, PrimaCare™ covers the remaining copay up to $60. This offer is good for 12 fills. Any additional money due is the responsibility of the patient. Additional Eligibility Terms and other requirements are on the back of the downloadable voucher.
THESE STATEMENTS HAVE NOT BEEN EVALUATED BY THE FOOD AND DRUG ADMINISTRATION. THIS PRODUCT IS NOT INTENDED TO DIAGNOSE, TREAT, CURE OR PREVENT ANY DISEASE.
REFERENCES: 1.Kamdi SP, Palkar PJ. Efficacy and safety of ferrous asparto glycinate in the management of iron deficiency anaemia in pregnant women. J Obstet Gynaecol. 2014; Early Online: 1 5.doi:10.3109/01443615.2014.930098. Accessed December 29, 2014 2. Pineda O, Ashmead HD, Perez JM, Lemus CP. Effectiveness of iron amino acid chelate on the treatment of iron deficiency anemia in adolescents. J App Nutr. 1994; 46(1,2):2-13 3. Data on File. Avion Pharmaceuticals LLC, Alpharetta,GA. 4. Bovell-Benjamin AC, Viteri FE, and Allen LH. Iron absorption from ferrous bisglycinate and ferric trisglycinate in whole maize is regulated by iron status. Am J Clin Nutr. 2000; 71:1563–1569. 5. Duque X, Martinez H, Vilchis-Gil J, et al. Effect of supplementation with ferrous sulfate or iron bis-glycinate chelate on ferritin concentration in Mexican schoolchildren: A randomized controlled trial. Nutr J. 2014; 13(71):1-10. doi:10.1186/1475-2891-13-71. Accessed January 5, 2014. 6. Czeizel AE, Dudás I, Paput L, Bánhidy F. Prevention of neural-tube defects with periconceptional folic acid, methylfolate, or multivitamins? Ann Nutr Metab. 2011; 58(4):263–271. 7. Obeid R, Holzgreve W, Pietrzik K. Is 5-methyltetrahydrofolate an alternative to folic acid for the prevention of neural tube defects? J Perinat Med. 2013; 41(5):469–483. 8. Primacare™ prescribing information, Avion Pharmaceuticals, October 2016 9. Prenate Mini® Prescribing Information, Avion Pharmaceuticals, January 2015. 10. Citranatal Harmony® Prescribing Information, Mission Pharmacal, November 2016. 11. Citranatal Assure® Prescribing information, Mission Pharmacal, November 2016. 12. Citranatal® 90 DHA Prescribing information, Mission Pharmacal, November 2016. 13. Vitafol Ultra, Exeltis Pharmaceuticals, March 2015. 14. Dietary Supplement Fact Sheet: Vitamin D. Office of Dietary Supplements, NIH Website. http://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/. Reviewed June 24, 2011. Accessed December 6,2016. 15. Hanzlik RP, Fowler SC, Fisher DH. Relative bioavailability of calcium from calcium formate, calcium citrate, and calcium carbonate. J Pharmacol Exp Ther. 2005;313(3):1217-1222.

A recently published clinical guideline on vitamin and mineral supplements reinforces every other evidence-based guideline, research review, and consensus statement on this topic. The bottom line is that there is absolutely no substitute for a well-balanced diet, which is the ideal source of the vitamins and minerals we need.

The brief article, co-authored by nutrition guru Dr. JoAnn Manson, cites multiple large clinical trials studying multiple nutritional supplements’ effects on multiple end points. The gist of it is, our bodies prefer naturally occurring sources of vitamins and minerals. We absorb these better. And because commercially available vitamins, minerals, herbs, etc. are lumped together as “supplements,” the FDA doesn’t regulate them. When we ingest processed, concentrated, and artificially packaged “supplements,” we may be doing ourselves harm. They may be toxic, ineffective, or contaminated (all of which are not uncommon).

In other words: Most people who eat a healthy diet are unlikely to benefit from nutritional supplements.

Note the very important qualifiers. We’re talking about most people (not all) who eat a healthy, well-balanced diet.

Does anyone need vitamin and mineral supplements? Well, yes

There are medical conditions that put people at high risk for certain nutritional deficiencies, and there are medical conditions that can be treated with certain nutritional supplements. This is important, and is why the authors support targeted supplementation. But who needs what and where to acquire these are important discussions to have.

There are guidelines for specific groups, such as pregnant women. Folic acid is especially important for healthy fetal development, and a deficiency can cause spina bifida, a neurologic condition. I advise my patients to start either a prenatal vitamin with folic acid, or at the very least folic acid itself, ideally before they begin trying to conceive. As pregnancy advances, mom needs to provide her growing fetus with everything, and so she will benefit from a prenatal vitamin (either by prescription or a well-vetted over-the-counter one) which contains things like iron and calcium.

Older adults can have difficulty absorbing vitamin B12, and I have a low threshold when checking this level; if someone is taking an acid-reducing medication, it is very likely that they will become deficient in B12, as well as iron, vitamin D, and calcium, among other things. These folks may very well benefit from a quality multivitamin.

Of course, there’s a long list of medical issues that predispose people to vitamin deficiencies. For example, people who have had weight-loss surgery may require a number of supplements including A, D, E, K, and B vitamins, iron, calcium, zinc, copper, and magnesium, among other things. People with inflammatory bowel disease (like Crohn’s or ulcerative colitis) may have similar requirements. People who have or are at risk for osteoporosis may greatly benefit from vitamin D and, depending on the quality of their diet and other factors, possibly also calcium supplements.

There are other medical conditions that can be treated with supplements. One that immediately comes to my mind is inflammatory arthritis (or other inflammatory conditions) and turmeric. While quality scientific studies are lacking, there are plenty of smaller studies as well as historical experience suggesting that turmeric has anti-inflammatory properties, and I see some of our rheumatologists routinely recommending this to patients for pain relief. Then there’s prediabetes/diabetes and cinnamon, which has blood sugar-lowering properties. With these compounds, I advise that people use the regular spice in normal culinary amounts, not a processed/concentrated packaged supplement.

Not all vitamins are created equal

And here is another key point that bears repeating: Manson suggests choosing vitamins that have been tested by independent labs such as US Pharmacopeia, Consumer Lab, and NSF International, and certified to have the labeled dosage of the correct ingredient, and not have toxins or contaminating organisms. Many commercially available supplements here in the US will bear a label from one of these labs.

On that point, gummy vitamins are often not certified and often do cause cavities. Yes, everyone loves them, because they’re basically candy. I do not recommend gummy vitamins for anyone, but especially not for pregnant women.

I’ll also add a warning: I often hear about providers who are selling supplements or other products directly to their patients. This is a conflict of interest, and it’s unethical, as well as fraught with all sorts of potential problems. Please use caution if purchasing anything directly from the provider who is prescribing it.

The bottom line

In summary, enjoy a varied, colorful, healthy diet, consider supplements when they may be needed or helpful, and choose your sources carefully.

Sources

Vitamin, Mineral, and Multivitamin Supplements for the Primary Prevention of Cardiovascular Disease and Cancer: U.S. Preventive Services Task Force Recommendation Statement. Annals of Internal Medicine, April 2014.

Dietary supplements and disease prevention — a global overview. Nature Reviews: Endocrinology, May 2016.

The Difference Between Prescription and OTC Prenatal Vitamins

04/24/2015 – Contributed by: vitaMedMD

What is the difference between prescription and over-the-counter (OTC) prenatal vitamins? That’s the question many women who are planning a pregnancy, or who are already are pregnant, ask themselves and their doctors every day!

When Choosing Prescription or OTC Prenatal Vitamins Consider:

How much folic acid does a prescription vs. OTC prenatal vitamin contain?

Folic acid is an important B vitamin that supports the healthy development of your baby while you are pregnant. It helps lessen the risk of neural tube defects (NTDs), including spina bifida and anencephaly.*

According to The National Institutes of Health (NIH), “Folic acid is very important for all women who may become pregnant. Adequate folate intake during the periconceptual period, the time just before and just after a woman becomes pregnant, protects against neural tube defects.”

The Centers for Disease Control (CDC) recommends taking folic acid daily for at least one month before conception, and daily while you are pregnant. The CDC also suggests that women of childbearing age take folic acid daily, whether planning a pregnancy or not. This is an especially important statement since nearly half of all pregnancies in the United States are unplanned.

Prescription prenatal vitamins contain 1,000 micrograms (1 milligram) or more, while on the average, most OTCs contain only 400 micrograms (0.4 mg ) or less.

Learn more about FOLMAX, our proprietary immediate and modified release folic acid used in vitaMedMD’s vitaPearl.

Iron

Does your prenatal contain iron, in the right form, so it does not cause stomach upset, nausea, or constipation? Iron in your prenatal is important since it is estimated that 50% of all pregnant women experience iron deficiency anemia, notably during the third trimester – a particularly important time to maintain healthy iron levels as it is when the fetus begins to store iron for use during the first six months of life.

A quality prescription prenatal contains chelated iron. Chelation, the process of binding iron molecules to an amino acid, stabilizes iron so it is readily absorbed into the bloodstream while being gentle on the gastrointestinal (GI) tract. Most OTC prenatal vitamins do not even list what kind of iron they contain!

Learn more about FePlus, our proprietary blended chelate containing iron used in vitaPearl.

DHA

Docosahexaenoic acid (DHA) is an omega-3 essential fatty acid (EFA) that serves as a primary building block for the healthy development of the brain, eyes, cells, and nervous system.* There is concern, however, that DHA derived from large fish including shark and swordfish, contains contaminants such as mercury and PCBs. Prescription prenatal vitamins usually undergo a strict purification process that tests for these impurities before being released. Question is, how pure is the DHA from OTC prenatals?

Learn more about the highly purified pur-DHA used in vitaPearl.

Convenience and Cost

Choosing whether to take a prescription or OTC prenatal vitamin also comes down to convenience. Do you take one pill, once daily, or do you have to take a two or more, two more times a day! Can you receive free delivery of your prenatal vitamins every month, or do you have go to the store each time?

Learn more about vitaMedMD’s free home delivery!

Last, but not least, getting a prescription prenatal vitamin may sound like it could wreck your budget. After all, ideally you’ll be taking it before you conceive, during your pregnancy, and while you are nursing.

Fact is, prescription prenatals may be cheaper than the OTCs you buy at your local pharmacy or discount store. Depending on your insurance plan and rebates offered, you can end up paying far less than you would for an OTC.

Contact vitaCare online or call 800-350-3819 today to find out if you have a $0 monthly co-pay!

*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease.

The 9 Top Prenatal Vitamins For Pregnancy

Prenatal vitamins are an absolute must during pregnancy because you’ll be needing all the extra nutrients for you and the baby for metabolic support. While there is a diverse range of brands available, the best prenatal vitamin for pregnancy should include the mandatory folic acid (to prevent brain and spinal birth defects), iron (to enhance your body’s oxygen supply for your baby), calcium (for strong bones), Vitamin A, D, C and E (support blood, bone, skin, and immune health), copper and zinc for complete nourishment. Although prenatal vitamins aren’t a complete alternative to a balanced diet, they are, however, a powerful backup ensuring you don’t fall short on the vital nutrients necessary during pregnancy. Selecting the best prenatal vitamin for pregnancy will require a bit of heady thought work and of course that requires a lot time and research.

To make this job easier, we have created a list of ten best parental vitamin for pregnancy.

Table of Contents

Best Prenatal Vitamin for Pregnancy 2019

Below you can see a table which shows 10 best parental vitamin for pregnancy in 2019. Each product is chosen by our expert reviewers.

Name Good Aspects Tab/Cap Serving Size/Day
Nature Made Prenatal + DHA 200 mg Softgels No color, no artificial flavor, no yeast or starch, gluten free 90 Tabs 1
SmartyPants Prenatal Complete Gummy (#1 Bestseller) 15 essential nutrients, non-GMO 180 Tabs 6
Garden of Life Vegetarian Prenatal Multivitamin Vegetarian, gluten free, and dairy free whole food multivitamin 180 Caps 3
Rainbow Light – Prenatal One Multivitamin, 150 (Editor’s Choice) Food based multivitamin, Folic acid, superfoods, 150 Tabs 1
Organic Breastfeeding Supplement (Editor’s Choice) GMO free & Organic 60 Caps 2
New Chapter Perfect Prenatal Vitamins Non-GMO Project Verified, Vegetarian, Kosher, Gluten Free, Sugar Free 96 Tabs 3
MegaFood – Baby & Me, Prenatal & Postnatal Herbal benefits, Real foods support 120 Tabs 4
Nature Made Multi Prenatal Tablets High folic acid, iron & zinc, Gluten free, 250 Tabs 1
Garden of Life Organic Prenatal Multivitamin (Amazon’s Choice) Vegan, gluten free, non-GMO verified whole food multivitamins with NO synthetic binders or fillers 30 Tabs 1
One A Day Women’s Prenatal 1 Multivitamins key nutrients Folic Acid, Omega-3 DHA, Calcium, Vitamin D, and Iron 60 Tabs 1

Nature Made Prenatal + DHA 200 mg Softgels – Amazon’s Current Bestseller


We highly recommended this bestseller by Nature Made. The best prenatal vitamin for pregnancy is a strong blend of essential nutrients and minerals that support growth and development of the fetus and provide you with complete energy and nourishment. The Nature Made Prenatal Multi + DHA formula is specially designed to facilitate the healthy burgeoning of your baby and fulfil your nutritional requirements.

A great multivitamin packed with essential nutrients that is easily affordable, however, the packaging requires a little revamp. Pros

  • The product has a clinically proven absorption
  • A nice prenatal multivitamin providing vital vitamins and minerals for nutritional support for women before and during pregnancy
  • This formula has been specially crafted for pregnant women and those trying to get pregnant
  • No added color, artificial flavors, yeast or starch

Cons

  • Some users have complained of fishy smell

SmartyPants Prenatal Complete Gummy – Powerful & Effective Supplement


The SmartyPants Prenatal Complete Gummy is a powerful and effective supplement with a yummy taste. The nutrients spread over six gummies provide complete nourishment for you and the baby’s development. The supplement is full of useful ingredients like methylfolate for proper DNA replication, vitamin D3 for immune system health, and iodine for nervous system and cognitive development during pregnancy. A great feature is the presence of Omega 3 fish oil extracted from sustainable stocks of wild-caught tiny fish and a balanced proportion of DHA and EPA fatty acids.

This one is definitely not to be missed, however, it is a little costly compared to Nature Made Prenatal + DHA 200 mg Softgels, which is another best prenatal vitamin for pregnancy. Pros

  • A complete supplement by Smartypants with a yummy taste
  • Contains 15 essential NUTRIENTS including folate (methylfolate) for proper DNA replication, vitamin D3 for immune health and iodine for nervous system and cognitive development during pregnancy
  • Includes Omega 3 fish oil and balanced DHA and EPA fatty acids
  • Non-GMO multivitamin that is free of fish allergens, shellfish, soy, gluten milk, eggs, peanuts, tree nut allergies and wheat
  • Contains no artificial flavors, synthetic colors or artificial sweeteners

Cons

  • Some users have complained they are too sweet

Garden of Life Vegetarian Prenatal Multivitamin – An expensive yet splendid option


A rather expensive multivitamin but highly effective with an Amazon rating of over 4. We suggest giving this best prenatal vitamin for pregnancy a try to get the most benefits of a panoptic nourishment solution. It’s been specifically designed using nutritious RAW whole foods that are best to use during pregnancy and lactation.

In addition to iron and folic acid, the super multivitamin contains ginger, vitamin D, probiotics and zinc for digestive support, vitamin C, E, and B-Complex including Folate for healthy neural tube development. A dairy free whole food slap up for pregnant women that’s a must-have! Pros

  • The formula has been specially created using nutritious RAW whole foods
  • It is best for both mom and baby during pregnancy and lactation
  • It includes probiotics, ginger, vitamin D and zinc for digestive support
  • This multivitamin supports blood and heart health with iron, vitamin C, E, and B-Complex including Folate for healthy neural tube growth
  • Vegetarian, gluten free, and dairy free whole food supplement with no binders or fillers

Cons

  • Some users criticize it for stinky smell and after taste, and some do not want to take three caps a day

Rainbow Light – Prenatal One Multivitamin, 150 – Costly but Nutritional


With an Amazon rating of over 4 right now, this great multivitamin by Rainbow Light is a bestseller on our best prenatal vitamin for pregnancy list. The food based multivitamin contains Iron and Vitamins A, C and D2 that support blood, bone, skin and immune health. A great blend of essential minerals, vitamins and nutrients that ease digestion, energize the body and reduce any discomfort associated with pregnancy. One tablet a day provides 800 micrograms of folic acid which promotes healthy brain and spinal development for the baby and mother.

It includes superfoods like red raspberry, Spirulina and ginger in combination with plant-source enzymes and 25 million CFU probiotics to optimize digestion. A powerful prenatal yet quite expensive! Pros

  • The formula contains Iron and Vitamin A, C & D2 for blood, bone, skin and immune health
  • One tablet a day strengthens body, improves digestion and decreases anxiety
  • Has 800 micrograms of folic acid encouraging strong brain and spinal growth
  • Includes superfoods like Spirulina, red raspberry and ginger in combination with plant-source enzymes and 25 million CFU probiotics to improve digestive system
  • Its Vegan and Gluten free, created with natural, purity tested ingredients without artificial preservatives, flavors, colors or sweeteners

Cons

  • A few users complain they are too big to swallow

Organic Breastfeeding Supplement – Increase – Inexpensive and Effective Supplement


The Organic Breastfeeding Supplement Increase is a highly nutritious multivitamin that includes Fenugreek Seed, Fennel Seed and Milk Thistle, the combination of which is awesome for optimizing your system to produce more breast milk. The formula contains organic, non-GMO ingredients that are unique to this brand and that’s why we recommend this best prenatal vitamin for pregnant women. With good Amazon rating, these vegan capsules are great for the growth of your baby and for the nutritional support of your system.

The supplement although productive is a bit expensive compared to other simple options around. Pros

  • The supplement with organic Fenugreek Seed, Fennel Seed and Milk contains a great combination of these super ingredients to boost milk supply for the baby
  • Made of certified organic items and Non GMO
  • Certified Vegan capsules that can be taken with breakfast
  • Crafted in the USA in a GMP-certified lab which meets stringent quality assurance standards for prenatal multivitamins

Cons

  • Some women do not get much difference in milk supply

Related Article: Best Pacifier for Breastfed babies

New Chapter Perfect Prenatal Vitamins – A Natural, Healthy & Expensive Supplement


With an excellent Amazon ranking and expertly concocted blend of folate, iron and vitamins, this super multivitamin by New Chapter Perfect is a slightly expensive product on our best prenatal vitamin for pregnancy list. The New Chapter Perfect Prenatal Vitamins come equipped with no added sugars to support the preconception phase, healthy pregnancy & fetal burgeoning. It also contains Folate as recommended by OB/GYNS to support healthy growth of your baby’s brain and spinal cord. A 100% digestible prenatal supplement containing probiotics and whole foods that ease discomfort and digestion!

It is an excellent organic multivitamin comprising of iron for healthy red blood cell generation, B Vitamins for natural energy support, Vitamin C, A & Zinc for immune system support and Vitamin D3 for heart health. Pros

  • An effective formula with no sugars to support preconception stage, healthy pregnancy & fetal growth
  • Organic supplement with Folate as suggested by OB/GYNS to aid in healthy development of baby’s brain and spinal cord
  • Multivitamin crafted using Organic Vegetable sprouts such as Kale, Broccoli & Cauliflower & Herbs
  • Non-GMO Project certified

Cons

  • Slightly expensive compared to others like Organic Breastfeeding Supplement – Increase, which is also the best prenatal vitamin for pregnancy
  • Does not suit to everybody, so must be taken with doctor’s advice

MegaFood – Baby & Me, Prenatal & Postnatal – Amazon’s Most Nutritional yet Expensive Bestseller

The MegaFood – Baby & Me, Prenatal & Postnatal is the best prenatal vitamin for pregnancy made using organic whole food ingredients that promote appropriate development of the baby’s systems while keeping the mother energized and nourished. With an Amazon rating of over 4, the 100% digestible Prenatal Vitamin by MegaFood includes folate to support the healthy growth of the fetal cognitive system and the spinal cord. The prenatal includes whole food fermented vitamins with no artificial flavors or colors and B Vitamins for natural Energy, Vitamin D3 for circulatory system support and Vitamin C, A & Zinc for immune system optimization.

A highly nutritional supplement yet a bit costly for women on a stringent budget. Pros

  • A great organic formula with no sugars to support preconception stage, healthy pregnancy & fetal growth
  • Fermented vitamins supplement with Folate and Iron to ensure healthy growth of baby’s brain and spinal cord
  • First Prenatal Supplement to be created with certified Organic Vegetable sprouts such as Broccoli, Kale, Cauliflower & Herbs
  • Its Non-GMO Project verified

Cons

  • 4 tablets a day is kind of hard for some to take
  • Does not taste very good

Nature Made Multi Prenatal Tablets – Rich – Amazon’s Inexpensive and Healthy Bestseller

Nature Made Multi Prenatal Tablets – Rich ranks high on the best prenatal vitamin for pregnancy list. The package includes 250 prenatal tablets containing folic acid, iron & zinc that completely energize the mom’s body and support the healthy growth of the baby’s vital systems. Recommended for both pregnant and lactating women, the Gluten Free multivitamin is a complete solution for meeting the nutritional needs of the prenatal and postnatal stages.

A healthy and inexpensive multimineral that could do with some added organic vegetable sprouts to provide extra nourishment to pregnant women. Pros

  • The best prenatal vitamin for pregnancy with 250 tablets
  • High folic acid, iron & zinc
  • Gluten Free complete multi vitamin/multi mineral solution
  • Suggested formula for pregnant and lactating women, contains gelatin

Cons

  • The multivitamin could do better with the addition of organic ingredients and vegetable sprouts like kale & cauliflower
  • No DHA/fish oil

Garden of Life Organic Prenatal Multivitamin – Best Selling healthy Multivitamin

Garden of Life Organic Prenatal Multivitamin ranks high on Amazon right now and includes special nutrients best for supporting the preconception, pregnancy and lactation phases. The prenatal supplement includes 18 mg iron and 600 mg Folate, 21 essential vitamins and minerals plus organic ginger and lemon peel to protect against nausea. One of the best Vegan, gluten free, non-GMO verified whole food formula that contains no synthetic binders or fillers! A healthy option but a bit costly compared to Nature Made Prenatal + DHA 200 mg Softgels!

Pros

  • Specially crafted women’s multivitamin formula containing nutritious and organic whole foods
  • It’s designed to support preconception, pregnancy and lactation stages
  • It contains 18 mg iron and 600 mg Folate for healthy neural tube development
  • Includes 21 essential vitamins and minerals plus organic ginger and lemon peel to prevent nausea

Cons

  • Some users complain the pill is too big and hard to digest

One A Day Women’s Prenatal 1 Multivitamins – Expensive yet Nutritional Bestseller

With an excellent Amazon rating, the One A Day Women’s Prenatal 1 Multivitamins contain vital nutrients like Folic Acid, Omega-3 DHA, Calcium, Vitamin D, and Iron to support the prenatal and postnatal phases. The recommended one pill a day Prenatal 1 Multivitamin Softgels are gluten free without high fructose corn syrup or any artificial sweeteners.

The OB/GYN recommended supplement is the best prenatal vitamin for pregnancy around, yet a bit expensive compared to other healthy and affordable options. Pros

  • The best prenatal vitamin for pregnancy specially crafted to provide women with nutritional support before, during, and after pregnancy
  • Contains vital nutrients like Folic Acid, Vitamin D, and Iron, Omega-3 DHA and Calcium
  • One a day prenatal 1 Multivitamin Softgels are recommended by OB/GYN for pregnant women
  • It’s gluten free and contains no artificial sweeteners or high fructose corn syrup

Cons

  • Some users complain the pill is too big and hard to digest

All these products are excellent for added nourishment and energy during the prenatal and postnatal stages. The choice depends on your budget and recommendation of the gynecologist.

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