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Comment choisir ses vitamines de grossesse ?

How to choose your pregnancy vitamins?

Should you take food supplements during pregnancy? Is it always necessary? Are all supplements really equal 

really?

Contents

Whether in capsule, powder, ampoule, or other form, it is easy to feel lost when faced with the composition of supplements. With vitamin and mineral forms that are often lengthy, and doses that are not always easy to understand… choosing your prenatal vitamin is no simple task. Don't worry — we're here to help you understand why these supplements are needed and what to look out for to make the best choice.

Don't worry if:
  • you forgot to take your supplements one day
  • you haven't started taking a supplement yet — it's never too late to begin!

Nutrition before any supplementation

A varied and balanced diet is the foundation of good health: taking capsules and supplements is simply a bonus. Food supplements are like a roof on a house — without a solid foundation, they cannot hold.

In theory, a food-first approach is sufficient to provide all the nutrients your body needs, and supplements are not essential for a healthy pregnancy in which all nutritional requirements are met.

During pregnancy, however, the need for vitamins and minerals increases to such an extent that it can sometimes be difficult to meet all your requirements through diet alone — all the more so given that today's fruit and vegetables contain significantly fewer nutrients than they did a few decades ago. Refining and industrialisation processes largely strip foods of their vitamins and minerals.

If you do not wish to take a prenatal vitamin, it is important not to eliminate any food group from your diet. Each food group (vegetables, fish, meat, eggs, starchy foods, fruit, and fatty foods) is important and provides vitamins and minerals that are essential for maintaining a healthy pregnancy. If you are not supplementing, seek advice from a nutrition specialist to ensure that your needs and your baby's needs are fully covered.

Why this product?

Baby Bump, thepregnancy vitamins, which covers both the mother's and her baby's needs, combining a multivitamin complex (with 14 nutrients in bioactive form). It contains DHA in particular, which contributes to the development of the brain and vision of the foetus.

Our recommended product

Baby Bump

Baby Bump

Multivitamines DHA grossesse & fertilité

43,70€

46€
Baby Project
Pregnancy

14 essential nutrients + DHA + Choline

Replaces folic acid (methylated and patented vitamin B9 Quatrefolic®).

Contains choline, an essential nutrient

Contribue aux besoins de la grossesse

Discover

Why take vitamins?

During pregnancy, your needs change — and so do your baby's. For certain vitamins and minerals, requirements can double or even triple! A tailored supplement is a reliable way to meet all your needs during this very sensitive period of pregnancy.

A good supplement contains:
  • B vitamins in their active form (no folic acid)
  • vitamin D3 and not D2.
  • DHA and choline

Many women enter pregnancy with nutritional deficiencies. Even if you eat a balanced diet, these deficiencies will intensify during pregnancy.

Moreover, recent studies show that the intake of certain vitamins and minerals during pregnancy is significantly underestimated and that these requirements are much higher than current recommendations.
For example, the ANSES [1] recommendations regarding choline intake are thought to be nearly twice as low as the actual requirements during pregnancy (930 mg versus 480 mg) [2]! 

For vitamin B12, requirements are also thought to be significantly underestimated and nearly three times higher than the recommendations of health authorities [3]. Furthermore, an optimised diet with an increase in calories does not cover 100% of the requirements for certain essential nutrients — for example: more than 50% of pregnant women have insufficient intakes of DHA, vitamins B1, B2 and B6; and more than 75% have insufficient intakes of vitamin B9, vitamin D and iodine [4].

Numerous studies suggest a reduction in pregnancy complications with the use of prenatal vitamins. For example, research has established that adequate choline intake during pregnancy reduces the risk of neural tube defects [5], lowers stress hormone levels [6], and improves cognition during childhood [2]. 

To find out which supplement is most suited to you, the ideal approach is to understand your actual vitamin and mineral needs, and therefore to have a laboratory analysis carried out. Even though knowing your needs for all minerals and vitamins would be ideal, it is often difficult to do so. 

If you were to get tested for only two nutrients during your pregnancy, it would be for iron and vitamin D. A study has indeed demonstrated the importance for pregnant women of knowing their iron status during pregnancy [7]. For this status to be correctly assessed, the tests must determine ferritin levels as a minimum. Ask your doctor for advice on evaluating your iron status.
Vitamin D intake is influenced not only by your diet but also by your sun exposure, where you live, and even your skin tone [8]. Vitamin D needs therefore vary considerably from one woman to another. To find out what dose of vitamin D is right for you, it is necessary to test your vitamin D needs before taking a supplement vitamin D pregnancy in addition.

Before taking any food supplement, we recommend consulting a healthcare professional who can guide you towards what is most appropriate for you and your baby. Care should be taken not to combine multiple sources of vitamins and minerals without comprehensive and regular blood monitoring.

Take care mama.

Before taking any food supplements, do not hesitate to seek advice from your doctor.

What is the best prenatal supplement?

If you have ever heard that a supplement is the "best prenatal supplement", that is simply not true. There is no miracle supplement that will perfectly meet your needs.

We are all different when it comes to nutrition, depending on our diets and our bodies. It is therefore very difficult to make a general recommendation regarding the taking of prenatal vitamins. However, it is possible to choose a supplement with the most assimilable and bioavailable forms of vitamins and minerals, and with no side effects on the body.

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How to choose your prenatal supplement?

Make sure the supplement is third-party tested

Third-party testing by external organisations is a mark of quality for a supplement. 

Make sure the B vitamins are in their active form.

For vitamin B9, opt for the 5-methyltetrahydrofolate or (6S) acid form. Not to be confused withfolic acid during pregnancy, a non-bioavailable form.

Also opt for methylcobalamin over other forms for vitamin B12.

For vitamin B6, look for the pyridoxal-5-phosphate form.

Opt for vitamin D in D3 form

Vitamin D3 is more effective than vitamin D2 at raising and maintaining vitamin D levels in the body [9].

Choose the right form of vitamin K

Vitamin K2 is much better absorbed by the body than vitamin K1, and it has a longer half-life. We also opt for the vitamin K2 MK7 form, which is the most bioactive [10].   

Watch out for iron
 

Iron requirements increase during pregnancy [11]. It is important to have an adequate iron intake to support the expansion of blood volume, thyroid and immune function, to help combat fatigue, and to allow for proper brain development in the baby [12].

However, many women do not need to supplement as they consume enough iron through their diet, and for those who do need to supplement, the amount of iron required varies considerably from person to person. Moreover, high doses of iron supplement can generate oxidative stress, which in turn disrupts the gut microbiome [11].
 

It is therefore important to have your iron status tested and to discuss this with a healthcare professional before starting any supplementation. Ideally, consult a healthcare professional specialising in nutrition, who will encourage you to run a comprehensive panel (ferritin, serum iron, transferrin, transferrin saturation, total iron-binding capacity, soluble transferrin receptor) and will be able to interpret the results in the context of your personal situation.


Also make sure to avoid pro-oxidant medicinal iron and opt instead for iron in bisglycinate form, which is the best absorbed and tolerated by the body [13].

Iron Mama, our iron supplement for pregnant women, covers 100% of the recommended daily intake of iron in just 1 capsule. Say goodbye to the discomfort associated with iron capsules — with our Ferrochel™ iron bisglycinate, our capsules combine optimal absorption with digestive comfort.


And don't forget: the best approach is to supplement according to your own needs. 

Calcium supplementation is not always necessary

Most women generally consume sufficient calcium through their diet, and during pregnancy the efficiency of intestinal calcium absorption doubles, which means supplementation is generally not necessary [14]. To find out more, read our article on calcium and pregnancy.

Make sure the oil providing the DHA is of high quality

Supplements that contain their omega-3 in the same capsule as other micronutrient powders should be avoided! These are particularly fragile fats, highly susceptible to oxidation — especially when in contact with other vitamins and minerals — meaning they can lose all their beneficial properties...

The Totox index is a good indicator of the quality and oxidation level of an oil. This value should be below 26, and the peroxide value should be below 5. Beware of fish oils that advertise an extremely low Totox index — these figures generally refer to the Totox measured on the crude oil before purification, or to the Totox measured just before the product is barrelled, both of which significantly understate its true value and are therefore not reliable.

If the oil is fish-derived, make sure it holds quality, purity, and pollutant-free certifications.

Be cautious with vegetable capsules containing omega-3. Vegetable capsules can be very interesting, but there is not yet enough reliable evidence to show that they form a sufficient protective barrier to guarantee the stability and absence of oxidation for omega-3, whoseomega-3 DHA

Our omega-3 oil is completely separate from the other active ingredients so that it retains all its properties and does not become oxidised. It is sourced from a very high-quality fish oil, guaranteed Qualitysilver® and certified Friend of the Sea®, extra pure and free from pollutants. Its stability is also guaranteed with an exceptionally low Totox index of 13 post-production, and a peroxide value of 0.7. 
Bonus: our amber glass jar protects them from light and therefore from oxidation.

Make sure the supplement contains choline

Choline is an essential nutrient that is very rarely found in prenatal supplements, despite the vital role it plays in baby's development. It helps, among other things, to reduce the risk of neural tube defects, much like vitamin B9. Our supplement choline pregnancy meets the needs of mothers and their babies. 

To find out more about choline, read our article on choline and pregnancy.

Avoid unnecessary and potentially harmful compounds

You will often find them listed as colourant, thickener, emulsifier, anti-caking agent, etc.

Among the worst: silicon dioxide E551 (anti-caking agent) and titanium dioxide E171 (used as a colourant).
These are nanoparticles — extremely fine particles that can become lodged in the body. Several in vitro studies point to a possible toxic effect (oxidative stress) of silica nanoparticles on certain intestinal cells. 
In June 2019, a team of French researchers published a study seeking to evaluate the impact on mice of repeated, long-term exposure to amorphous silica nanoparticles [17]. The exposure took place over 18 months via drinking water, at a dose comparable to the estimated exposure from the consumption of food additives in a typical diet. Abnormalities were detected in the kidney tissue of the exposed mice, along with inflammatory hepatic responses.

If you spot them, run a mile!

Check the nutrient doses

For a supplement to be effective, the form of the nutrients is not enough on its own. The quantities matter just as much. 

Make sure your supplement covers your needs and contains at least:

- 400 µg of folate

- 80 mg of choline

- 200 mg of DHA

- 150 µg of iodine

Be wary of food supplements that champion naturalness at every turn. In their natural form, most vitamins and minerals contain far fewer active ingredients than in their synthetic form. Natural forms are sometimes not sufficient to meet your needs.

The same goes for gummies — a supplement format that allows for very little active ingredient in its formulation and is often packed with sugar... So do pay attention to the quantity of nutrients your supplements contain!

The practical guide to supplementation during pregnancy

A guide practical and comprehensive to know when and how to supplement.
Discover the essential nutrients (iron, iodine, folates, choline, DHA...), their roles and the best forms for you and your baby

How to choose your pregnancy vitamins?

When and how to take your prenatal supplement?

As early as possible


First of all, know that it is never too late to start taking a prenatal supplement. Of course, the earlier you begin, the better for your pregnancy. Ideally, you should start taking supplements even before you become pregnant: to address any deficiencies you may have and to ensure you are in the best possible nutritional condition during conception. It is not strictly speaking a food supplement to help get pregnant, but it helps to support the body and its nutritional reserves. 

When should the supplement be taken during the day?
 

Taking a supplement too close to bedtime may affect sleep in some people. If this is the case for you, avoid taking your supplement in the evening. 
Other than that, there is no better time of day to take your supplement — some prefer to take it first thing in the morning, while others take it at lunchtime with their meal. What matters most is not so much the time at which you take your supplements during the day. What really counts is taking them regularly and consistently.


Don't worry if:
 

You forgot to take your supplements one day.
It is not the end of the world to forget to take your vitamins one day! If this happens, make sure to eat a varied and balanced diet in sufficient quantities and drink plenty of water. Do not forget that food is far more important than your supplements.

The jolly prenatal supplement

At Jolly Mama, we wanted to formulate our pregnancy food supplement to cover your essential vitamin and mineral needs, in the best forms and at the best doses. 

With just 2 capsules per day, Baby Bump covers more than 100% of requirements for all B-group vitamins, 500% of vitamin D3, nearly 100% of vitamin K and 200% of vitamin B9. It also covers more than 100% of iodine and selenium requirements, and 50% of zinc requirements. It does not replace a balanced diet, which should remain our primary source of nutrients, but it acts as an "insurance policy" during this particularly sensitive and special period.

A supplement with the most effective and bioavailable active forms

- the 5-MTHF form for vitamin B9,
- the methylcobalamin form for B12,
- the pyridoxal-5-phosphate form for B6,
- the D3 form for vitamin D,
- the K2 MK7 form for vitamin K,
- the bisglycinate form for zinc,
- the selenomethionine form for selenium,
- the bitartrate form for choline intake.
- DHA from high-quality fish oil (Qualitysilver®, a patented process that keeps the oil stable and long-lasting), made in France, free from pollutants and with a low TOTOX index (an indicator of total oil oxidation and therefore its freshness).

A carefully selected capsule
While most capsules found on the market do not allow good absorption of fat-soluble vitamins (vitamins A, E, D and K), Baby Bump enables optimal absorption of all vitamins and minerals, thanks to the fish oil. We chose a fish gelatine capsule as it provides the best protection against oxidation of the oil, which is not the case with vegan capsules.

A capsule without iron, but…
If our prenatal supplement does not contain iron, we offer other products that do. Our Jolly products contain iron in bisglycinate form, the best absorbed and most digestively comfortable form [15],[16], because we want the very best for you and your baby.

Just 1 capsule of Iron Mama covers 100% of daily iron requirements. 
Granochoc, our indulgent granola with cocoa and coconut and Croquantissime, our snack with delicious notes of almonds and hazelnuts, each helping to cover 50% of your iron needs.

And alongside that, don't forget your supplement magnesium pregnancy ! Mama-gnésium contains magnesium bisglycinate, the best-absorbed form to meet your needs. 

Can't digest fish oil? Are you vegan? Bump essentials is the ideal alternative for you, being the equivalent of Baby Bump but without fish oil. To stock up on DHA from a vegan, highly digestible source, our supplement omega 3 pregnancy Omega Mama helps to meet your needs.  

Can't tolerate capsules? Bump powder is the equivalent of Bump essentials but in sachet powder format! 

Conclusion

During pregnancy, the need for vitamins and minerals increases, and prenatal supplements help to cover the nutritional requirements of both your body and your baby.
Take care mama. Your diet should remain as balanced and varied as possible to provide you with the greatest number of nutrients.

Be careful not to self-supplement — food supplements are not without risks; they can interact with other supplements, foods and medications, or may not be suited to your personal situation, not to mention the importance of choosing them carefully and adjusting dosages accordingly. It is therefore preferable to seek advice from a healthcare professional specialising in nutrition (such as a naturopath or nutritional therapist), particularly if you are pregnant or breastfeeding.

Source 1 : Nutritional reference values for vitamins and minerals, 2021

Source 2 : Maternal choline supplementation during the third trimester of pregnancy improves infant information processing speed, 2018

Source 3 : Vitamin B-12 Status Differs among Pregnant, Lactating, and Control Women with Equivalent Nutrient Intakes, 2015

Source 4 : ANSES opinion on updating the PNNS dietary guidelines for pregnant and breastfeeding women, 2019

Source 5 : Periconceptional Dietary Intake of Choline and Betaine and Neural Tube Defects in Offspring, 2004

Source 6 : Maternal Choline Intake Alters the Epigenetic State of Fetal Cortisol-Regulating Genes in Humans, 2012

Source 7 : Laboratory assessment of iron status in pregnancy, 2011

Source 8 : High prevalence of vitamin D insufficiency in black and white pregnant women..., 2007

Source 9 : Vitamin D2 or vitamin D3?, 2008

Source 10 : Vitamin K: Double Bonds beyond Coagulation... Differences between Vitamin K1 and K2, 2019

Source 11 : Effectiveness and strategies of iron supplementation during pregnancy, 2000

Source 12 : Iron Deficiency in Pregnancy, 2020

Source 13 : Efficacy of Ferrous Bis-Glycinate versus Ferrous Glycine Sulfate in the Treatment of Iron Deficiency Anaemia with Pregnancy, 2019

Source 14 : Maternal Mineral and Bone Metabolism During Pregnancy, Lactation, and Post-Weaning Recovery, 2016

Source 15 : Effectiveness of Treatment of Iron-Deficiency Anaemia in Infants and Young Children with Ferrous Bis-Glycinate Chelate, 2001

Source 16 : Efficacy and Safety of Ferrous Bisglycinate and Folinic Acid in the Control of Iron Deficiency in Pregnant Women, 2022

Source 17 : Chronic Oral Exposure to Synthetic Amorphous Silica (NM-200) Results in Renal and Liver Lesions in Mice, 2019

[1] ANSES, Références nutritionnelles en vitamines et minéraux, publié le 23/04/21, consulté le 31 mai 2022. https://www.anses.fr/fr/content/les-références-nutritionnelles-en-vitamines-et-minéraux

[2] Caudill, Marie A., Barbara J. Strupp, Laura Muscalu, Julie E. H. Nevins, et Richard L. Canfield. « Maternal choline supplementation during the third trimester of pregnancy improves infant information processing speed: a randomized, double-blind, controlled feeding study ». The FASEB Journal 32, no 4 (avril 2018): 2172‑80. https://doi.org/10.1096/fj.201700692RR

[3] Bae S, West AA, Yan J, Jiang X, Perry CA, Malysheva O, Stabler SP, Allen RH, Caudill MA. Vitamin B-12 Status Differs among Pregnant, Lactating, and Control Women with Equivalent Nutrient Intakes. J Nutr. 2015 Jul;145(7):1507-14. doi: 10.3945/jn.115.210757. Epub 2015 May 20. PMID: 25995278.

[4] AVIS de l'ANSES relatif à l'actualisation des repères alimentaires du PNNS pour les femmes enceintes et allaitantes - Juin 2019.
https://www.anses.fr/fr/content/avis-révisé-de-lanses-relatif-à-lactualisation-des-repères-alimentaires-du-pnns-femmes

[5] Gary M. Shaw et al., « Periconceptional Dietary Intake of Choline and Betaine and Neural Tube Defects in Offspring », American Journal of Epidemiology 160, no 2 (15 juillet 2004): 102‑9, https://doi.org/10.1093/aje/kwh187

[6] Jiang, Xinyin, Jian Yan, Allyson A. West, Cydne A. Perry, Olga V. Malysheva, Srisatish Devapatla, Eva Pressman, Francoise Vermeylen, et Marie A. Caudill. « Maternal Choline Intake Alters the Epigenetic State of Fetal Cortisol-Regulating Genes in Humans ». FASEB Journal: Official Publication of the Federation of American Societies for Experimental Biology 26, no 8 (août 2012): 3563‑74. https://doi.org/10.1096/fj.12-207894

[7] Walsh T, O'Broin SD, Cooley S, Donnelly J, Kennedy J, Harrison RF, McMahon C, Geary M. Laboratory assessment of iron status in pregnancy. Clin Chem Lab Med. 2011 Jul;49(7):1225-30. doi: 10.1515/CCLM.2011.187. Epub 2011 May 31. PMID: 21627494.

[8] Bodnar, Lisa M et al. "High prevalence of vitamin D insufficiency in black and white pregnant women residing in the northern United States and their neonates." The Journal of nutrition vol. 137,2 (2007): 447-52. doi:10.1093/jn/137.2.447 https://doi.org/10.1093%2Fjn%2F137.2.447

[9] Mistretta, V. I., P. Delanaye, J.-P. Chapelle, J.-C. Souberbielle, et E. Cavalier. 2008. « [Vitamin D2 or vitamin D3?] ». La Revue De Médecine Interne 29 (10): 815‑20. https://doi.org/10.1016/j.revmed.2008.03.003.

[10] Halder, Maurice, Ploingarm Petsophonsakul, Asim Cengiz Akbulut, Angelina Pavlic, Frode Bohan, Eric Anderson, Katarzyna Maresz, Rafael Kramann, et Leon Schurgers. 2019. « Vitamin K: Double Bonds beyond Coagulation Insights into Differences between Vitamin K1 and K2 in Health and Disease ». International Journal of Molecular Sciences 20 (4). https://doi.org/10.3390/ijms20040896

[11] Beard, John L. « Effectiveness and strategies of iron supplementation during pregnancy ». The American Journal of Clinical Nutrition 71, no 5 (1 mai 2000): 1288S-1294S. https://doi.org/10.1093/ajcn/71.5.1288s

[12] Iron Deficiency in Pregnancy ». Michael K. Georgieff, American journal of obstetrics and gynecology 223, no 4 (octobre 2020): 516-24.

https://doi.org/10.1016/j.ajog.2020.03.006

[13] Ahmed M. Abbas et al., « Efficacy of Ferrous Bis-Glycinate versus Ferrous Glycine Sulfate in the Treatment of Iron Deficiency Anemia with Pregnancy: A Randomized Double-Blind Clinical Trial », The Journal of Maternal-Fetal & Neonatal Medicine: The Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians 32, no 24 (décembre 2019): 4139‑45, https://doi.org/10.1080/14767058.2018.1482871

[14] Kovacs CS. Maternal Mineral and Bone Metabolism During Pregnancy, Lactation, and Post-Weaning Recovery. Physiol Rev. 2016 Apr;96(2):449-547. doi: 10.1152/physrev.00027.2015. PMID: 26887676. https://pubmed.ncbi.nlm.nih.gov/26887676/

[15] Effectiveness of Treatment of Iron-Deficiency Anemia in Infants and Young Children with Ferrous Bis-Glycinate Chelate ». Pineda, O., et H. D. Ashmead. 2001. Nutrition (Burbank, Los Angeles County, Calif.) 17 (5): 381-84. https://doi.org/10.1016/S0899-9007(01)00519-6

[16] Efficacy and Safety of Ferrous Bisglycinate and Folinic Acid in the Control of Iron Deficiency in Pregnant Women: A Randomized, Controlled Trial ». Akkarach Bumrungpert et al. Nutrients 14, no 3 (janvier 2022): 452.
https://doi.org/10.3390/nu14030452

[17] Boudard, Delphine, Federica Aureli, Blandine Laurent, Nathalie Sturm, Andrea Raggi, Emilie Antier, Latifa Lakhdar, et al. « Chronic Oral Exposure to Synthetic Amorphous Silica (NM-200) Results in Renal and Liver Lesions in Mice ». Kidney International Reports 4, no 10 (1 octobre 2019): 1463‑71. https://doi.org/10.1016/j.ekir.2019.06.007.

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