hi, i'm allegra!

As a Registered Dietitian, International Board Certified Lactation Consultant, Postpartum Doula, and fellow mom, I am passionate about helping moms thrive postpartum. I want you to feel confident about breastfeeding and your overall health. 

The Do’s and Don’ts of Choosing a Postnatal Vitamin

Table of Contents

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I think it’s safe to say that everyone is recommended to take a prenatal vitamin before, during, and after pregnancy. While this is good advice, there is a flaw. If you take a look down a list of Recommended Dietary Allowances (RDA) for pregnant and lactating women, you will see that the needs AFTER pregnancy are much higher in some cases. While a supplement is meant to support and not replace a healthy diet, this still leads to the question:

 

 

The short answer is no, your prenatal may not even be sufficient during the prenatal period. Did you know that new research suggests that pregnant women should be taking in 4000IU of vitamin D, and lactating women should be consuming 6400IU? Most prenatal vitamins only contain 400IU. Furthermore, many prenatal and postnatal vitamins do not contain important nutrients like choline and selenium.

Now there’s no one perfect postnatal vitamin out there, especially since our nutrient requirements is individualized based off of our diet. Nonetheless, using these tips below, you will be an informed consumer when it comes time to purchase a postnatal vitamin. 


 

DO know the different nutrient requirements between the prenatal and postpartum periods. Here is a list of the acceptable ranges during pregnancy and lactation:

 

 

Notice that many of the nutrients are higher during lactation! This is because not only are you transferring your nutrients to your baby through breastmilk, you are also replenishing your stores. During pregnancy, your body (it’s amazing) gives preference to the fetus and will give it all of the nutrients it needs and can deplete your stores if your diet and prenatal vitamin are not sufficient.

 


 

 

DON’T buy a supplement that contains fillers, artificial colors, artificial flavors, preservatives, talc. You can imagine my shock when I turned over the bottle of the prenatal vitamin, Major Prenatal Tablets, that was prescribed to me (military spouse) to find that it contained the following:

 

OTHER INGREDIENTS: Microcrystalline Cellulose, Stearic Acid, Hypromellose, Croscarmellose Sodium, Gelatin, 
Acacia, Maltodextrin, Titanium Dioxide, Talc, Triacetin, Starch, Magnesium Stearate, Dicalcium Phosphate,
Mineral Oil, Sucrose, Silica, Sodium Ascorbate, Triglycerides, FD&C Red #40 Lake, FD&C Yellow #6 Lake,
Tocopherols, Sodium Benzoate, Sorbic Acid, Tricalcium Phosphate, BHT and Ascorbyl Palmitate.

 

Just because something is prescribed to you, just because it is free, does not mean that it is good for you. Nourishing yourself and your baby during the postpartum period (AND PRENATAL) is not the time to mess around with unsafe ingredients.

 


 

DON’T take the front labels word for it. Many times, you will see Prenatal +DHA on the labels of many popular brands. Upon further inspection, you will see that it only contains 50mg of DHA, but because it contains some, they market it as such. This can be very misleading, but due to the fact that dietary supplements are not regulated by the FDA this is an unfortunate commonality. Although there is no RDA for DHA, pregnant and postpartum women can benefit from 500-1000mg per day.

 


 

 

DO look for the active form of the nutrients. This do is SO important. Have you ever heard of the MTHFR gene? This is a gene that helps your body break down folic acid which is the artificial supplement form of folate, which is found in many prenatal vitamins. If you have this gene mutation, which it is estimated that 30-40% of women do, your body is unable to break down folic acid into the active form 5-methyltetrahydrofolate. Even if you do not have this gene mutation, finding a postnatal vitamin with the active nutrient forms can help your body absorb them. Retinyl Palmitate, or retinol, for Vitamin A, Vitamin D3 for D, methylcobalamin instead of cyanocobalamin for B12, and Vitamin K2 for K to name a few.

 


 

 

DO look for a postnatal that contains selenium and choline. Selenium and choline are vital nutrients that are not often included in a prenatal or postnatal vitamin. I like to think that you can tell the quality of a prenatal and postnatal by whether or not it contains these nutrients (but don’t forget to check for the rest of the tips 🙂 ) . Selenium plays a role in DNA synthesis, reproduction, immunity and is an antioxidant. Choline is essential for cell membrane structure, early brain development (SO IMPORTANT FOR YOUR BABY during lactation), gene expression, lipid transport and is also a neurotransmitter. Choline wasn’t on the chart above, but the RDA for lactating women is 550mg/day and 450mg/day during pregnancy.


 

Don’t worry if you already have a prenatal vitamin for the postpartum period. Look on the back, and unless it has unsafe ingredients (like talc), finish what you have. Take note of what it is short in, and make sure to go out of your way to include those nutrients in your diet. When you are finished with it, take this list with you to look for a postnatal vitamin. Don’t be discouraged when you start your hunt if you think that the perfect supplement exists. Remember that a supplement is designed to round out your diet, not the other way around. Your focus should always be on food first, then fill in the gaps with a postnatal vitamin.

 

 

 

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Download my FREE checklist to help you find what’s best for you and see what some of my recommendations are.

If you would like one on one help to find the right postnatal vitamin for YOU, since everyone’s nutrients needs vary based on their diet, contact me today and I’ll assess your diet and help you find a pre/postnatal vitamin!

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Here is a side by side of a prenatal vitamin and postnatal vitamin:

 

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