Pregnancy concerns and solutions

  • Common pregnancy concerns such as: morning sickness, heartburn and constipation can be managed by most women with diet and other lifestyle changes.
  • Health problems during pregnancy, like high blood pressure and diabetes, require monitoring by a healthcare provider and a healthy eating plan.
  • The pregnancy concerns of vegetarian diets, eating for multiple babies and gaining too much weight can all be managed with a healthy eating plan.

Here are some helpful explanations and solutions for common pregnancy concerns:

Countless mothers have had them–cravings for everything from peanut butter brittle to hot sauce on ice cream. But are cravings bad? While cravings are a common pregnancy concern, no one really knows why cravings occur. But if you occasionally indulge, just be sure to keep the portions reasonable and maintain a healthy pregnancy diet.

Morning sickness
Nausea and vomiting are the plight of many moms-to-be, especially in the first trimester. The cause is unknown, but may be due to hormonal changes or lower blood sugar during early pregnancy. Emotional stress, fatigue, traveling or certain foods can also contribute to this common pregnancy concern, and it can be more common when pregnant with multiple babies. As the name suggests, it often occurs in the morning, but can strike at any time during the day.

Try these quick tips to help manage morning sickness:

  • Eat smaller amounts of food.
  • Think nutritious foods you would have for a meal, but in a snack portion size. 
  • Your sense of smell may be heightened during pregnancy, so avoid potential nausea triggers like food with strong aromas, perfume and cigarette smoke. 
  • Go for mild flavors over spicy. Have a small snack at bedtime and when waking, such as dry toast or saltines.
  • Take prenatal vitamins with or after food.

For severe cases of nausea, consult with your doctor. 


Ginger is known to help calm nausea, a common pregnancy concern. Try drinking chilled ginger ale, warm or chilled ginger tea, or sucking on a piece of fresh ginger.

Pregnancy hormones relax your intestinal muscles and slow the movement of food through your intestine. Your baby is also putting pressure on your intestines, slowing down the process even more.   

Here are some simple solutions that may help to get things moving again: 

  • Drink plenty of liquids every day, including water, decaffeinated tea, prune juice, milk and soups. Vegetables and fruits with lots of moisture—like celery, berries and watermelon— can also help.
  • Eat more fiber-rich foods
  • Be more active. Exercise, such as taking regular walks, can help keep food moving through the digestive system.
  • Ask your doctor if your Iron supplements may be contributing to constipation. If you are taking them, spread out the dose to twice a day, rather than a single dose. Alternatively, ask your healthcare provider for a slow-release version.   

Swollen ankles 
Ankle swelling is a another common pregnancy concern. Your body is naturally accumulating more fluid for both you and your baby. Hormonal changes may also contribute to the swelling. Swollen ankles seem to be more noticeable in the evening, especially if you’ve been standing all day.  

These tips may help bring relief of swollen ankles: 

  • Drink plenty of fluid to get rid of waste and toxins. 
  • Put your feet up whenever possible. 
  • Don’t wear tight shoes.  

If the swelling gets noticeably worse, discuss with your doctor.   

Heartburn—a burning sensation in the middle of your chest—can occur because your baby’s weight is pushing on your stomach and intestines. Because stomach acids are squeezed into the esophagus and the muscle at the top of the esophagus relaxes, it creates the uncomfortable burning sensation we know as “heartburn.”   

Try making these diet changes to ease heartburn: 

  • Eat smaller meals more frequently and eat your meals slowly.
  • Avoid greasy and spicy foods.
  • Try to wait at least an hour after you eat to lie down.

Check with your doctor before taking any over-the-counter antacids because many contain high levels of sodium.   

Leg cramps 
Leg cramps are a common pregnancy concern that happens more often in the third trimester. Generally, leg cramps occur at night and are most likely caused by all the additional weight you’re carrying.

Here are some simple solutions to leg cramps: 

  • Stretching calves and flexing ankles regularly.
  • Getting enough Calcium. Yes, it’s key for bone health, but it also plays a role in muscle contractions. If your healthcare provider recommends a Calcium supplement to help relax the muscles, it may also contain Magnesium, a mineral that works to balance Calcium. 


If you have nutrition concerns, Dotti can help clear them up. Send her a text for expert advice, backed by our Registered Dietitians.

Text Dotti, your Personal Baby Expert, for 1:1 baby advice!

Being vegetarian
Vegetarian and vegan diets are safe during pregnancy—if they’re well planned with high-quality proteins and a good balance of whole grains, fruit, vegetables and healthy fats. To combat this pregnancy concern, a solution is to take supplements containing: Vitamin B12, Vitamin D, Folic Acid, Iron, Calcium and Zinc which will add the important nutrients that might be missing from your diet. Let your obstetrician know if you are (or planning to become) vegetarian or vegan. 

Avoiding dairy foods
If you don’t eat dairy, Calcium-fortified products like orange juice, soy milk, almond milk and cereals are good non-dairy choices. Non-dairy sources of Calcium are not absorbed as well as dairy-based Calcium, so a Calcium supplement might still be needed. Vitamin D is found mostly in dairy products, so this, too, may need to be supplemented, if you are not in the sunlight most days.  

High blood pressure
Gestational hypertension (high blood pressure that occurs during pregnancy) is a common pregnancy concern that requires the attention of your healthcare provider.

In the meantime, here are some helpful tips to combat high blood pressure:

  • Try to keep to the proper rate of weight gain for your pregnancy.
  • Stay active. 
  • Of course, avoid alcohol and tobacco. 
  • Consult with your healthcare provider if you’re taking any over-the-counter or prescription medications.   

Gestational diabetes

If you have gestational diabetes, always follow the advice of your doctor. No one knows for certain, but it seems that pregnancy hormones interfere with Mom’s insulin. This, in turn, causes an imbalance with your baby’s insulin, resulting in high blood glucose (sugar) levels. Babies born with imbalanced insulin can be at greater risk of becoming obese or diabetic.

Some things to consider about gestational diabetes, a common pregnancy concern:

  • Treatment for gestational diabetes aims to keep blood glucose levels equal to those of pregnant women who don’t have gestational diabetes. Treatment for this condition always includes special meal plans and scheduled physical activity. 
  • Ask your doctor for a referral to a registered dietitian. A registered dietitian specializing in gestational diabetes can customize a meal plan and teach you how to manage the condition.   

Having more than one

Having twins or other multiples means needing more calories. If you started pregnancy under- or overweight, these values may differ, so ask your healthcare provider about your specific pregnancy concerns. However, here’s a good rule of thumb:

Daily Calorie Guidelines for Multiple Babies 

  • Twins – 3,000-3,500 calories 
  • Triplets – 4,000 calories 

When you're eating for more than one baby remember:

  • Your protein, Folate, Iron and Calcium, plus other nutrient needs, have gone up. Adding calories doesn’t mean making up the difference with junk food. 
  • Increase your food intake equally across all the food groups by about 30%. This will get you to about 3,000 calories per day. Add from there, based on your specific needs.
  • Add several substantial snacks to your day rather than bulking up meals.
  • Consult with a registered dietitian in your community who has prenatal expertise, or schedule your free appointment with one of our experts.
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