Calcium is essential whether or not you're pregnant, but for moms-to-be, it's particularly vital. Not only does this all-star mineral build your baby's bones, it also helps maintain your skeletal health.
That's important, since if you aren't consuming enough calcium for your growing baby, your body will deplete its own stores — placing you at high risk for bone loss during pregnancy and upping your risk of osteoporosis later in life.
So how do you make sure you're getting plenty of calcium during pregnancy — besides snacking on cheese and sipping milk? And how can pregnant women who don't eat dairy ensure they're getting enough of the mineral?
Read on to discover how much calcium is recommended during pregnancy, what the best calcium-rich food sources are, and how to determine if a calcium supplement might be in order to cover your bases (and bones).
Why is calcium important during pregnancy?
Calcium helps strengthen your baby's rapidly developing bones and teeth, and boosts muscle, heart, and nerve development. Plus, it's still as important as ever for your teeth and bones.
“Research suggests that adequate calcium intake during pregnancy can reduce the risk of preeclampsia, preterm birth, and hypertension,” says Alexandra Paetow, M.S., R.D.N, founder of Thrive and Bloom Nutrition, a virtual nutrition practice in New Jersey, and a member of the What to Expect Medical Review Board.
If you don't get enough calcium in your diet, your body will give your baby what's needed, Paetow notes. That's especially the case during the third trimester, when bone development peaks at 250 to 350 milligrams transferred from you to your baby every day.
Not getting enough calcium during pregnancy makes you more susceptible to osteoporosis, a condition causing brittle bones. Many women recover lost bone mass after pregnancy and breastfeeding, but it's still a good idea to stay ahead of the game and bone up on calcium during pregnancy.
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How much calcium do pregnant women need?
Pregnant women need about 1,000 milligrams of calcium a day, and women 18 and younger need 1,300 milligrams a day, according to the American College of Obstetricians and Gynecologists (ACOG).[1] In general, that means you should aim for four servings of calcium-rich foods daily.
Most prenatal vitamins do not contain enough calcium to meet the recommended 1,000 milligrams a day, but dietary sources of calcium add up quickly. For example, scoop up a cup of plain yogurt with breakfast and sprinkle mozzarella on whole wheat pasta at dinner, and you’re already more than halfway to your daily dose.
When estimating calcium intake during pregnancy, take note of the calcium that’s already in your prenatal vitamin. Remember, too, that many over-the-counter heartburn-relief tablets contain calcium, so check the label if you’re using these to help tame pregnancy heartburn.
Best calcium-rich foods for pregnant women
Milk is the most well-touted source of calcium, containing about a third of your daily needs in one 8-ounce glass.
"I’ve never been a milk person unless it’s in cereal or a milkshake lol," shares What to Expect Community member mwebb15. "But now nothing sounds better than an ice cold glass of milk."
If you’re not a fan of plain milk, plant milks can also be great options, as long as they're calcium-fortified.
"I’m 20 weeks and just feel weak … I haven’t been able to eat much," says What to Expect Community member kenna-12. "I’m going to start drinking more milk instead of almond milk to help get some extra calcium." (In reality, notes Paetow, most almond milk has a higher calcium content than cow's milk, but cow's milk tends to be absorbed better.)
If you can't bear the thought of drinking the white stuff straight up, disguise it in smoothies and soups.
"Blend it with a banana, cocoa powder, and peanut butter for a nourishing snack," Paetow recommends. "You can even freeze it into popsicles."
Or dabble in other dairy sources, like yogurt eaten straight from the container or as a topping for fruit.
Cheese also delivers a strong dose of the mineral. (Just make sure the variety you favor during pregnancy is pasteurized — luckily, most of the cheese sold in the U.S. is.) Munch on a mozzarella stick with whole grain crackers, sprinkle Parmesan on your pasta, or pair a couple cubes of cheddar with some grapes or carrot sticks as a quick snack.
For the most calcium bang for your bite (or sip), consider these calcium-rich foods:
- Plain low-fat yogurt: 415 mg per 8 ounces
- Plain whole-milk yogurt: 275 mg per 8 ounces
- Calcium-fortified orange juice: 349 mg per 1 cup
- Part-skim mozzarella: 333 mg per 1 ½ ounces
- Whole-milk mozzarella: 143 mg per 1 ounce
- Canned sardines with bones: 325 mg per 3 ounces
- Cheddar cheese: 307 mg per 1 ½ ounces
- Skim milk: 299 mg per 8 ounces
- 2% milk: 293 mg per 8 ounces
- Whole milk: 276 mg per 8 ounces
- Calcium-fortified soy milk: 299 mg per 8 ounces
- Low-fat buttermilk: 284 mg per 8 ounces
- Collard greens: 266 mg per 1 cup
- Cottage cheese: 187 mg per 1 cup
Want to connect with other parents about how to get enough calcium when you're pregnant? Find them on the What to Expect app.
Best non-dairy calcium foods for pregnant women
Lactose intolerant or choose not to eat dairy? Most dairy-free milk substitutes are fortified with calcium; be sure to check the label. Here are some high-calcium foods and drinks you can add to the menu:
- Tofu: 253 mg per ½ cup
- Canned salmon: 181 mg per 3 ounces
- Chia seeds: 179 mg per 1 ounce
- Bok choy: 160 mg per 1 cup
- Turnip greens: 99 mg per ½ cup
- Black-eyed peas: 106 mg per ½ cup
- Kale: 24 mg per 1 cup
- Broccoli: 21 mg per ½ cup
Keep in mind that your body needs vitamin D to process calcium, according to the National Institutes of Health (NIH).[2] So fill up on foods that are rich in vitamin D, such as salmon, tuna, eggs, and mushrooms.
Your body also manufactures D in response to sunlight, so spending a few minutes in the sun every day (don't forget the SPF!) can help boost your levels. To maximize calcium absorption, check that the sunshine vitamin is in your prenatal too.
Should you take calcium supplements during pregnancy?
Calcium supplements are generally considered safe for moms-to-be. However, the Mayo Clinic warns[3] that too much calcium from supplements can cause unpleasant side effects like gas or constipation.
A calcium-containing prenatal, in combination with sufficient food sources of calcium throughout the day, will usually offer enough of the mineral to support both you and your baby during pregnancy.
If you think your consumption might be low or if you’re vegan or lactose intolerant, pay extra attention to plant sources of calcium — such as dark leafy greens, tofu, and nuts — and ask your practitioner if you should consider a supplement.
Your health care provider may also recommend a calcium supplement if you have inadequate intake and are at risk for developing preeclampsia.
If you're also taking supplemental iron, keep in mind that you should not take calcium at the same time, since it can interfere with iron absorption. (Wait at least two hours in between each supplement.)
The bottom line: A healthy, well-balanced diet and good prenatal vitamin will generally supply all of your calcium needs during pregnancy. But if you think you might be coming up short — particularly if you avoid eating dairy — discuss supplementation with your practitioner.
- Calcium is crucial for both Mom and baby. Calcium supports your baby's developing bones, teeth, muscles, heart, and nerves — and protects your own bone health. If your intake is too low, your body will pull calcium from your bones, increasing your risk of bone loss and osteoporosis.
- Pregnant women need around 1,000 milligrams of calcium daily. Most prenatal vitamins don’t provide enough calcium, so it's important to get it from food. Aim for about four servings of calcium-rich foods a day, including dairy and fortified plant-based options. Non-dairy sources like tofu, leafy greens, and fortified juices can help fill the gap too.
- Calcium supplements can help — but watch the timing. If you're not getting enough calcium through diet — especially if you're vegan or lactose intolerant — talk to your provider about supplements. But don’t take calcium at the same time as iron, since it can interfere with absorption. Stagger them by at least two hours.
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