Pregnant women missing vital nutrients

Pregnant women are not getting the essential nutrients they and their babies need, say scientists. They warn the situation will likely worsen as more people turn to plant-based diets.

Pregnant woman cutting fruit in her kitchen
Scientists worry plant-based diets might not deliver enough nutrients to pregnant women

A study looking at the health of expecting mothers from high-income countries, including the UK, New Zealand and Singapore, found that 90 per cent were lacking key vitamins necessary for healthy pregnancies and the wellbeing of unborn infants.

Scientists from the Universities of Southampton, Auckland and Singapore, working with experts worldwide, surveyed more than 1,700 women and found most were missing essential nutrients found in abundance in meat and dairy products.

These included vitamins B12, B6 and D, folic acid, and riboflavin, all of which are essential for the development of foetuses in the womb.

Lead author and University of Southampton Professor of Epidemiology Keith Godfrey said the prevalence of vitamin deficiencies among women attempting to become pregnant in wealthy countries is a serious concern.

“The push to reduce our dependence on meat and dairy to achieve net-zero carbon emissions is likely to further deplete expecting mothers of vital nutrients, which could have lasting effects on unborn children.

“Our study shows that almost every woman trying to conceive had insufficient levels of one or more vitamins, and this figure is only going to get worse as the world moves towards plant-based diets.

“People think that nutrient deficiency only affects people in underdeveloped countries – but it is also affecting the majority of women living in high-income nations.”

The wellbeing of a mother ahead of conceiving and during a pregnancy has a direct influence on the health of the infant, their lifelong physical development, and ability to learn.

Professor Wayne Cutfield Liggins Institute

The NiPPeR study, which was published in weekly peer-reviewed journal PLOS Medicine, assessed 1,729 women between the ages of 18 and 38 at conception and followed many of these during their subsequent pregnancy.

Results showed nine out of ten women had marginal or low levels of folate, riboflavin, vitamins B12 and D around the time of conception, and that many developed vitamin B6 deficiency in late pregnancy.

Co-author Professor of Paediatric Endocrinology Wayne Cutfield, from the University of Auckland, said folic acid is recommended for women planning conception and during pregnancy, but expecting mothers should also be given over-the-counter multivitamins to reduce nutrient deficiencies.

“The wellbeing of a mother ahead of conceiving and during a pregnancy has a direct influence on the health of the infant, their lifelong physical development, and ability to learn.”

The NiPPeR study was the first to show that supplements available over the counter can reduce vitamin insufficiencies during the preconception, pregnancy and lactational periods.

Associate Professor Shiao-Yng Chan at the National University of Singapore says women continuing to move towards diets with less meat and dairy products, will reduce intakes of micronutrients essential for a child’s development.

"Vitamin deficiencies will continue to grow unless women start taking more supplements or are supported with specific advice about nutrient-rich foods.”

The study was undertaken by researchers from Southampton and its National Institute for Health and Care Research (NIHR) Biomedical Research Centre, the University of Auckland, the National University of Singapore, and Singapore's Agency for Science, Research and Technology.

Read more from the NiPPeR nutritional intervention study  at doi.org/10.1371/journal.pmed.1004260. 

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Nikki Mandow | Research communications
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E: nikki.mandow@auckland.ac.nz