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Pregnancy Nutrition

Vegetarian and Vegan Pregnancy: Getting All the Nutrients You Need

Published 10 April 2026
This content is for informational purposes only and does not replace professional medical advice. Always consult your midwife or GP.
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Medically reviewed content. Last updated: April 2026.

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Vegetarian and Vegan Pregnancy: Getting All the Nutrients You Need

Medically reviewed content. Last updated: April 2026.

A well-planned vegetarian or vegan diet can provide everything you and your baby need during pregnancy. The key word is "well-planned." Some nutrients require more attention when you do not eat meat, fish, or animal products. This guide covers the nutrients that matter most, where to find them, and when a supplement might be needed.

Can you have a healthy pregnancy on a plant-based diet?

Yes. The British Dietetic Association confirms that a well-planned vegan diet is suitable for every stage of life, including pregnancy. The NHS also supports vegetarian and vegan pregnancies, with the caveat that you may need to pay closer attention to certain nutrients.

Many of the foods recommended during pregnancy, such as fruits, vegetables, whole grains, legumes, nuts, and seeds, are already central to plant-based diets. The areas that need extra attention are the nutrients traditionally obtained from animal products.

Which nutrients need special attention?

Vitamin B12

B12 is essential for your baby's nervous system development and your own red blood cell production. It is found almost exclusively in animal products, so supplementation is essential for vegans and recommended for vegetarians who eat limited dairy and eggs.

How much: 2.6mcg per day during pregnancy (slightly more than the standard adult requirement of 1.5mcg).

Sources for vegetarians: Milk, cheese, eggs, yoghurt.

Sources for vegans: Fortified plant milks, fortified nutritional yeast, fortified breakfast cereals, Marmite (fortified with B12). These must be consumed daily or a supplement taken.

Supplement: A B12 supplement of at least 10mcg per day or 2000mcg per week is recommended for all vegans. Many pregnancy multivitamins include B12.

Iron

Iron requirements increase significantly during pregnancy as your blood volume expands by around 50%. Plant-based (non-haem) iron is less easily absorbed than the haem iron found in meat, so you may need to eat more iron-rich foods and pair them with vitamin C to boost absorption.

How much: 14.8mg per day (same as non-pregnant, but requirements are higher in practice due to increased blood volume).

Good plant sources: Lentils, chickpeas, kidney beans, tofu, tempeh, fortified cereals, quinoa, dark green leafy vegetables (spinach, kale, broccoli), dried apricots, pumpkin seeds.

Absorption tips: Eat iron-rich foods alongside vitamin C sources (citrus, peppers, tomatoes, strawberries). Avoid drinking tea or coffee with meals, as tannins reduce iron absorption.

Your midwife will monitor your iron levels through routine blood tests. If you become anaemic, an iron supplement will be prescribed.

Calcium

Calcium is vital for your baby's bones and teeth. If your calcium intake is low, your body will draw calcium from your own bones to supply the baby.

How much: 700mg per day (the UK recommendation does not increase during pregnancy, but meeting this amount consistently is important).

Sources for vegetarians: Milk, cheese, yoghurt.

Sources for vegans: Fortified plant milks (check they contain at least 120mg calcium per 100ml), fortified orange juice, calcium-set tofu, sesame seeds and tahini, almonds, kale, broccoli, dried figs.

If your intake is consistently below 700mg, a calcium supplement may be helpful. Many pregnancy vitamins do not contain enough calcium, so check the label.

Omega-3 fatty acids (DHA and EPA)

DHA is particularly important for your baby's brain and eye development. The richest dietary source is oily fish, which is obviously not an option for vegetarians and vegans.

Plant source of ALA (a precursor): Flaxseeds, chia seeds, walnuts, hemp seeds, rapeseed oil. However, the body converts ALA to DHA very inefficiently (around 5 to 10%).

Direct vegan DHA source: Algae-based DHA supplements. These provide DHA directly, bypassing the conversion issue. Look for a supplement providing at least 200 to 300mg DHA per day.

Iodine

Iodine is critical for thyroid function and your baby's brain development. Many people in the UK have suboptimal iodine levels, and this is especially common among vegans.

How much: 150mcg per day is recommended by the WHO for people planning pregnancy and during pregnancy.

Sources for vegetarians: Dairy products (milk is a major source of iodine in the UK diet), eggs.

Sources for vegans: Limited. Seaweed contains iodine but in highly variable amounts, making it unreliable (and some types, like kelp, contain dangerously high levels). Fortified plant milks may contain iodine, but not all do. Check labels carefully.

Supplement: An iodine supplement (150mcg) is advisable for vegans and for vegetarians with low dairy intake. Not all pregnancy multivitamins contain iodine, so check.

Protein

Protein requirements increase during pregnancy, particularly in the second and third trimesters. A varied plant-based diet can easily provide enough protein if you include a range of sources throughout the day.

Good plant sources: Lentils, chickpeas, beans, tofu, tempeh, edamame, quinoa, nuts, seeds, nut butters, whole grains, and soya products.

Combining different protein sources across the day (you do not need to combine them in the same meal) ensures you get all essential amino acids.

Vitamin D

The recommendation for vitamin D (10mcg per day) applies to everyone in the UK, regardless of diet. Vitamin D3 supplements are traditionally derived from lanolin (sheep's wool), but vegan D3 supplements made from lichen are widely available.

Zinc

Zinc supports your baby's growth and immune system development. Plant-based zinc is less easily absorbed than zinc from animal sources.

Good plant sources: Pumpkin seeds, chickpeas, lentils, cashews, hemp seeds, oats, tofu.

Soaking and sprouting legumes and grains can improve zinc absorption by reducing phytate content.

What supplements should you take?

At a minimum, everyone planning pregnancy or pregnant should take:

  • Folic acid: 400mcg daily (5mg if higher risk)
  • Vitamin D: 10mcg daily

For vegetarians, additionally consider:

  • B12 if your intake of dairy and eggs is limited
  • Iodine if your dairy intake is low
  • Algae-based DHA if you do not eat fish

For vegans, the following are strongly recommended:

  • B12: at least 10mcg daily
  • Iodine: 150mcg daily
  • Algae-based DHA: 200 to 300mg daily
  • Iron: if blood tests show low levels or you are at risk of deficiency

A comprehensive vegan pregnancy multivitamin that covers B12, iodine, vitamin D, and folic acid can simplify things. Add a separate algae-based DHA supplement, as most multivitamins do not include it.

What about soya during pregnancy?

Soya is safe during pregnancy and is an excellent protein source for plant-based parents. The concern about phytoestrogens (plant compounds that weakly mimic oestrogen) is not supported by evidence at normal dietary levels. The BDA and NHS consider soya foods (tofu, tempeh, edamame, soya milk) safe and nutritious during pregnancy. Avoid relying on soya exclusively for protein, as variety is always best.

Practical tips for plant-based pregnancy eating

  • Batch cook legume-based meals (dahl, bean chilli, chickpea curry) and freeze portions for days when you are too tired to cook
  • Fortified foods are your friend. Choose plant milks, cereals, and nutritional yeast that are fortified with B12, calcium, and iodine
  • Snack smart. Keep trail mix, hummus with vegetables, fruit with nut butter, and fortified yoghurt alternatives within easy reach
  • Read labels. Not all plant-based products are fortified. Check for calcium, B12, and iodine content
  • Tell your midwife. Let your care team know you follow a vegetarian or vegan diet so they can monitor relevant blood markers and offer appropriate advice

Key takeaways

  • A well-planned vegetarian or vegan diet can fully support a healthy pregnancy
  • The key nutrients to focus on are B12, iron, calcium, DHA (omega-3), iodine, and vitamin D
  • Vegans should supplement B12, iodine, and DHA as a minimum, alongside folic acid and vitamin D
  • Pair iron-rich plant foods with vitamin C to improve absorption
  • Fortified foods (plant milks, cereals, nutritional yeast) are essential for filling nutrient gaps
  • Soya is safe and nutritious during pregnancy at normal dietary levels
  • Let your midwife know about your diet so they can offer tailored support

Sources

  • NHS. Vegetarian and vegan diets in pregnancy. nhs.uk
  • British Dietetic Association. Plant-based diets. bda.uk.com
  • NICE Clinical Guideline CG62. Antenatal care for uncomplicated pregnancies. 2008, updated 2019
  • RCOG. Healthy eating in pregnancy. Patient information. 2023
  • WHO. Guideline on daily iron and folic acid supplementation. 2012
  • Melina V et al. Position of the Academy of Nutrition and Dietetics: vegetarian diets. Journal of the Academy of Nutrition and Dietetics. 2016
Part of our complete guide
Pregnancy Nutrition: The Complete Evidence-Based Guide

Frequently asked questions

Can you have a healthy pregnancy on a plant-based diet?

Yes. The British Dietetic Association confirms that a well-planned vegan diet is suitable for every stage of life, including pregnancy. The NHS also supports vegetarian and vegan pregnancies, with the caveat that you may need to pay closer attention to certain nutrients.

What supplements should you take?

At a minimum, everyone planning pregnancy or pregnant should take:

What about soya during pregnancy?

Soya is safe during pregnancy and is an excellent protein source for plant-based parents. The concern about phytoestrogens (plant compounds that weakly mimic oestrogen) is not supported by evidence at normal dietary levels. The BDA and NHS consider soya foods (tofu, tempeh, edamame, soya milk) safe and nutritious during pregnancy. Avoid relying on soya exclusively for protein, as variety is always best.

Sources

  1. NHS. Vegetarian and vegan diets in pregnancy
  2. British Dietetic Association. Plant-based diets
  3. NICE Clinical Guideline CG62. Antenatal care for uncomplicated pregnancies. 2008, updated 2019
  4. RCOG. Healthy eating in pregnancy. Patient information. 2023
  5. WHO. Guideline on daily iron and folic acid supplementation. 2012
  6. Melina V et al. Position of the Academy of Nutrition and Dietetics: vegetarian diets. Journal of the Academy of Nutrition and Dietetics. 2016

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