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What do I eat in a day in the third trimester of pregnancy?

4 min read

During the third trimester, a pregnant woman’s body requires approximately 450 extra calories per day to support the baby's rapid growth. Understanding "what do I eat in a day in the third trimester of pregnancy" is essential for meeting increased nutritional demands and managing common discomforts like fatigue and heartburn.

Quick Summary

A daily diet in the third trimester should focus on nutrient-dense foods like protein, calcium, iron, and fiber, consumed in smaller, more frequent meals. Proper hydration and avoiding certain foods are crucial for both maternal and fetal health.

Key Points

  • Prioritize Nutrients: Focus on protein, iron, calcium, omega-3s, and fiber to support your baby's rapid final growth phase.

  • Eat Small, Frequent Meals: Manage discomforts like heartburn and bloating by eating smaller portions more regularly throughout the day.

  • Stay Hydrated: Aim for 8 to 12 glasses of water daily to prevent dehydration and combat constipation effectively.

  • Increase Fiber Intake: Combat constipation by incorporating whole grains, fruits, and vegetables into your daily diet.

  • Avoid Risky Foods: Steer clear of raw or undercooked meats, unpasteurized dairy, high-mercury fish, and alcohol.

  • Limit Caffeine: Keep daily caffeine intake below 200mg to protect your baby's development.

  • Enhance Iron Absorption: Pair iron-rich foods with sources of Vitamin C to improve the body's absorption of this vital mineral.

In This Article

Understanding Your Third Trimester Nutritional Needs

As you enter the final stage of pregnancy, your baby undergoes its most rapid growth and development. This means your body’s nutritional requirements increase significantly. The focus shifts to providing essential building blocks for your baby's brain, bones, and organs, while also preparing your own body for labor. Instead of eating large, heavy meals, many pregnant people find that smaller, more frequent meals are more comfortable, especially as the baby crowds internal organs.

Key Nutrients for the Final Stretch

  • Protein: Crucial for fetal tissue and blood cell formation. Your needs are higher now, so include lean sources like chicken, fish, eggs, lentils, and beans in your meals.
  • Iron: Your blood volume expands during pregnancy, and iron is vital for creating red blood cells that carry oxygen to your baby. Iron deficiency (anemia) can lead to fatigue. Pair iron-rich foods with vitamin C to enhance absorption.
  • Calcium: Supports the hardening of your baby’s bones and teeth, with 90% of fetal calcium transfer occurring in this trimester. Include dairy, fortified plant milks, leafy greens, and tofu.
  • Omega-3 Fatty Acids (especially DHA): Essential for your baby's brain and eye development. Sources include fatty fish like salmon, walnuts, and flaxseed.
  • Fiber: Helps prevent constipation, a common third-trimester issue. Load up on whole grains, fruits, and vegetables.
  • Folate: Continue taking your prenatal vitamin and eating folate-rich foods like leafy greens and fortified cereals to support placenta growth and prevent birth defects.

A Sample Third Trimester Meal Plan

This sample day provides a balanced intake of nutrients, distributed across smaller meals.

  • Early Morning (upon waking): A glass of warm water with a squeeze of lemon to aid digestion, followed by a handful of almonds and a piece of fruit like an apple or banana.
  • Breakfast: Oatmeal made with low-fat milk, topped with a tablespoon of chia seeds, sliced bananas, and a sprinkle of walnuts.
  • Mid-Morning Snack: Greek yogurt parfait with mixed berries and a tablespoon of ground flaxseed for extra fiber and omega-3s.
  • Lunch: A large salad with mixed greens, chickpeas, cucumbers, and tomatoes, topped with grilled salmon and a light vinaigrette dressing. Serve with a slice of whole-wheat bread.
  • Afternoon Snack: Hummus with carrot and cucumber sticks.
  • Dinner: Lean beef and vegetable stir-fry served with brown rice. Ensure the meat is cooked thoroughly.
  • Evening Snack: A small bowl of low-fat cottage cheese with canned pineapple chunks.

Dietary Do's and Don'ts: A Comparison

What to Include What to Limit or Avoid
Lean Protein: Chicken, lean beef, well-cooked eggs, lentils, beans. Raw/Undercooked Meat & Eggs: High risk of bacterial contamination.
Whole Grains: Brown rice, whole-wheat bread and pasta, oats. High-Mercury Fish: Shark, swordfish, king mackerel, tilefish.
Pasteurized Dairy: Milk, yogurt, hard cheeses. Unpasteurized Dairy & Juices: Risk of Listeria and E.coli.
Fresh Fruits & Vegetables: Washed produce for vitamins, minerals, and fiber. Raw Sprouts: Mung beans, clover, radish.
Healthy Fats: Avocado, nuts, seeds, olive oil. Excessive Caffeine: Limit to less than 200mg per day.
Adequate Hydration: 8-12 glasses of water, clear broth, decaf tea. Alcohol: No amount is considered safe during pregnancy.
Vitamin C-Rich Foods: Oranges, bell peppers, kiwi to aid iron absorption. Spicy or Greasy Foods: Can worsen heartburn and indigestion.

Managing Common Third Trimester Discomforts Through Diet

Beyond providing energy and nutrients, your diet is a powerful tool for managing common pregnancy symptoms.

  • Constipation: This often worsens in the third trimester due to hormonal changes and the baby's pressure on your intestines. Increasing your fluid intake and focusing on high-fiber foods like whole grains, fruits, vegetables, and legumes can be very effective. Prune juice is a well-known natural remedy, but use it in moderation after consulting your doctor.
  • Heartburn: As your baby grows, the uterus pushes up against your stomach, which can cause acid reflux. Eating smaller, more frequent meals helps prevent your stomach from becoming overly full. Avoiding spicy, fatty, and fried foods can also provide significant relief.
  • Fatigue: Combat fatigue by ensuring you get enough iron and B vitamins. As mentioned, combining iron-rich foods with vitamin C boosts absorption. Complex carbohydrates from whole grains provide sustained energy levels throughout the day, preventing energy crashes.

Conclusion

Making conscious dietary choices is one of the most proactive ways to ensure a healthy final trimester for both you and your baby. Focusing on nutrient-dense whole foods, staying well-hydrated, and listening to your body's signals can help you feel your best as you approach labor. Remember to consult your healthcare provider or a registered dietitian for personalized advice tailored to your specific needs. For more comprehensive information on pregnancy nutrition, visit the March of Dimes website.

Disclaimer: This article provides general information and should not replace advice from a healthcare professional. Always consult your doctor for personalized dietary guidance during pregnancy.

Frequently Asked Questions

In the third trimester, most pregnant women need about 450 extra calories per day to support the baby's rapid growth. These calories should come from nutrient-dense foods rather than empty calories.

To combat constipation, increase your intake of high-fiber foods such as whole grains, fruits, vegetables, beans, and lentils. Staying well-hydrated by drinking 8 to 12 glasses of water daily is also crucial.

It is recommended to limit your caffeine intake to less than 200 mg per day during pregnancy. This is roughly the equivalent of one 12-ounce cup of coffee. Caffeine is also found in tea, soda, and chocolate, so be mindful of your total daily consumption.

If you are lactose intolerant or want alternative sources, you can get calcium from fortified plant milks, leafy green vegetables like kale, broccoli, tofu, and canned fish with bones like sardines.

You should avoid fish with high mercury levels, including shark, swordfish, king mackerel, and tilefish. You should also limit your intake of canned white (albacore) tuna and choose low-mercury options like salmon, shrimp, and canned light tuna.

To manage heartburn, try eating smaller, more frequent meals instead of large ones. Avoid spicy, fatty, and fried foods, and don't lie down immediately after eating. Elevating your head with pillows while sleeping can also help.

Good snacks are those that combine protein, fiber, and healthy fats. Examples include Greek yogurt with berries, hummus with veggie sticks, a handful of nuts and dried fruit, or avocado toast on whole-wheat bread.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.