Are you hungry for something special? Are you craving something sweet or spicy? Lots of women have food cravings during pregnancy.
You have a food craving when you want a certain food really, really badly. You want a pickle, and you want it now! It’s usually OK to satisfy your food cravings, as long as what you eat is safe and you don’t eat too much of it. It’s OK to feed your craving, but try not to overdo it. Eat what you crave but in small amounts.
Eating too much of what you crave—especially sweet, spicy or salty foods—can cause problems, such as heartburn or gaining too much weight. You need only 300 extra calories a day during pregnancy to support your baby’s growth. So grabbing fast food or snacking on chips every day to satisfy a craving may put you over the calorie count.
We don’t know exactly what causes food cravings during pregnancy. They may be related to all hormones that are active in pregnancy. These hormones can make your sense of smell stronger, which can affect your sense of taste and make you want certain foods.
Here are some ways to help curb your food cravings:
Some pregnant women crave things that aren’t food. This kind of eating problem is called pica. Eating nonfoods during pregnancy can cause problems for you and your baby. If you’re filling up on nonfoods, they may not be safe. And they may make you feel full, which may keep you from eating healthier foods.
If you crave nonfoods, tell your health care provider.
A food aversion is the opposite of a craving. Instead of wanting to eat a certain food really badly, you don’t want to eat it at all. Just like cravings, many pregnant women have food aversions.
You may find that you have aversions to foods with really strong smells, like onions, garlic, coffee, hamburgers and eggs. You may have them in early pregnancy with morning sickness.
Try to find substitutes for your food aversions. For example, if your aversion is to meat, substitute a food that contains a lot of protein, such as beans or fortified breakfast cereals. If your aversion is to dairy products, find other sources of calcium, such as dark leafy green vegetables or orange juice that’s fortified with calcium. If a food is fortified, it means that nutrients (like protein or calcium) have been added to it.
You may have aversions to food you never liked. Or you may have liked a food before pregnancy but can’t stand it now. Most women go back to the foods they used to like after pregnancy. But sometimes the aversion can stick with you for a long time, even after your baby is born.
Last reviewed October 2012
The exact amount of weight you need to gain depends on how much you weigh before pregnancy and your Body Mass Index (BMI). Below are some guidelines, but talk to your health provider about your specific pregnancy weight gain goals.
If you began pregnancy at a healthy weight, you should gain 25 to 35 pounds over the 9 months. If you gain between 1 and about 4 ½ pounds in the first trimester, you should put on about 1 pound every week in the second and third trimesters.
If you began pregnancy underweight, you should probably gain about 28 to 40 pounds. If you gain between 1 and about 4 ½ pounds in the first trimester, try to gain slightly over a pound a week in the second and third trimesters.
If you began pregnancy overweight, you should gain only 15 to 25 pounds over the 9 months. If you gain between 1 and about 4 ½ pounds in the first trimester, you should put on slightly over ½ pound every week in the second and third trimesters. While you don't want to gain too much weight, never try to lose weight during pregnancy because that could harm your baby.
If you were obese (with a BMI over 30) at the start of your pregnancy, you should gain only 11 to 20 pounds over the 9 months. If you gain between 1 and about 4 ½ pounds in the first trimester, aim for gaining slightly under ½ pound every week in the second and third trimesters.
It's not safe for pregnant women to eat deli meats (such as ham, turkey, salami and bologna) or hot dogs unless the food has been thoroughly heated and is steaming hot. These foods can cause a form of food poisoning called listeriosis and is caused by bacteria. Heating deli meats until steaming hot will kill the bacteria if it's present.
Listeriosis is especially dangerous during pregnancy. Most people don't get sick when they eat food contaminated with listeria. But healthy pregnant women are more likely than other healthy adults to get listeriosis and are more likely to become dangerously ill from it.
The flu-like symptoms of listeriosis can sometimes advance to potentially life-threatening meningitis (infection of the membranes covering the brain, with symptoms such as severe headache and stiff neck) and blood infection. Contact your health care provider if you're pregnant and you develop any of these symptoms.
You should avoid all raw or seared fish when you're pregnant. (Seared fish are typically not fully cooked throughout.) Raw fish, including sushi and sashimi, and undercooked finfish and shellfish (including oysters, clams, mussels and scallops) are more likely to contain parasites or bacteria than cooked fish.
Avoid swordfish, shark, king mackerel and tile fish, even when cooked. These fish have more mercury than other fish. Mercury can be transferred to your growing baby and cause serious health problems. Stay away from game fish, too, until you check its safety with your local health department. A game fish is any fish caught for sport, such as trout and bass.
The USDA recommends that pregnant women limit their fish consumption to 12 ounces of a variety of cooked fish per week.