Nourish and Move: A Pregnancy and Postpartum Wellness Guide

Pregnancy and the postpartum period bring many physical and emotional changes. With so much wellness advice online, it can be difficult to know what information is evidence-based and what may be oversimplified or misleading.

Nutrition and movement can play an important role in supporting pregnancy, postpartum recovery, energy, mood, and long-term wellness. For many people, balanced meals and safe physical activity can help support overall health when paired with regular prenatal and postpartum care. Recommendations can vary based on health history, pregnancy risk level, symptoms, and recovery needs, so it is important to follow guidance from your healthcare provider.

This guide shares evidence-informed basics for nourishing and moving your body safely during pregnancy and postpartum.

Understanding Nutrition and Movement

Nourishing Your Body

The phrase “eating for two” can be misleading. Pregnancy does not mean doubling your food intake. Calorie and nutrient needs can change throughout pregnancy, but the amount varies based on factors such as body size, activity level, medical history, pregnancy stage, and whether you are carrying multiples. A healthcare provider or registered dietitian can help personalize recommendations.

Rather than focusing only on calories, it can be helpful to focus on key nutrients that support pregnancy and postpartum health:

  • Folate/Folic Acid: Folate is important early in pregnancy because it supports the development of the neural tube, which becomes the baby’s brain and spine. CDC recommends that women who could become pregnant get 400 mcg of folic acid daily to help prevent neural tube defects. Folate-rich foods include dark leafy greens, beans, citrus fruits, and fortified grains, and many prenatal vitamins include folic acid.
  • Protein: Protein helps support tissue growth and repair, including the growth of maternal and fetal tissues during pregnancy. Practical sources include lean meats, poultry, eggs, dairy, beans, lentils, tofu, nuts, and seeds.
  • Iron: Iron helps the body make hemoglobin, the protein in red blood cells that carries oxygen. During pregnancy, the body needs more iron to support the pregnant person and the growing baby. Too little iron during pregnancy can increase the risk of iron-deficiency anemia and may increase the baby’s risk of low birth weight or premature birth. Iron-rich foods include lean meats, poultry, seafood, beans, lentils, spinach, and iron-fortified grains.
  • Calcium and Vitamin D: Calcium and vitamin D work together to support bone health. During pregnancy, they help support the baby’s developing bones and teeth while also supporting the pregnant person’s bone health. Good sources can include dairy products, fortified plant milks, fortified cereals, leafy greens, and vitamin D-rich foods such as fortified dairy or fatty fish. Some people may need supplements based on provider guidance.
  • Omega-3 Fatty Acids: Fish provide nutrients such as DHA and EPA omega-3 fats, iodine, iron, choline, vitamin D, and protein, which can support fetal development. FDA and EPA recommend that people who are pregnant or breastfeeding eat 8–12 ounces per week of a variety of lower-mercury seafood. Salmon, cod, and shrimp are examples of lower-mercury options.
  • Hydration: Fluid needs can increase during pregnancy to support normal body functions. Drinking water consistently throughout the day can help reduce the risk of dehydration and may help with symptoms such as headaches, dizziness, constipation, or feeling overly fatigued. Contact your healthcare provider if you have contractions, severe cramping, dizziness that does not improve, or other concerning symptoms.

Safe, Regular Movement

For most uncomplicated pregnancies, regular movement is recommended and can support overall health. General guidance recommends at least 150 minutes of moderate-intensity aerobic activity each week, such as 30 minutes a day, 5 days a week. Moderate intensity means you are moving enough to raise your heart rate, but you can still carry on a conversation.

If you were physically active before pregnancy, you can often continue many of the same activities with appropriate modifications. If you are new to exercise, start slowly with gentle movement such as walking, swimming, prenatal yoga, or a stationary bike. Your healthcare provider can help you decide what type and amount of movement is safe for your pregnancy and whether any changes are needed.

Staying active during pregnancy may help:

  • Support energy, mood, and sleep.
  • Manage healthy pregnancy weight gain.
  • May help reduce the risk of some pregnancy complications, such as gestational diabetes and preeclampsia.
  • Support strength, endurance, and gradual postpartum recovery.

Navigating the Noise: Myths vs. Realities

When you are pregnant or postpartum, wellness advice online can feel overwhelming. Some advice is helpful, but some can be oversimplified, unrealistic, or not appropriate for every pregnancy or recovery. Here are a few common myths to clear up.

Myth: You should stop exercising to protect the baby.

Reality: For most uncomplicated pregnancies, movement can be safe and beneficial. If you were active before pregnancy, you may be able to continue many activities with appropriate modifications and provider guidance. Cardio and modified strength training can both be appropriate options, along with walking, swimming, stationary cycling, and prenatal yoga.

The key is choosing movement that fits your body, pregnancy stage, and comfort level. Avoid activities with a high risk of falling, contact sports, overheating, or movements that cause pain, dizziness, bleeding, shortness of breath before exertion, contractions, or fluid leakage. Talk with your healthcare provider before starting or changing your routine, especially if you have pregnancy complications, pelvic floor symptoms, pain, or questions about safe modifications.

Myth: Everyone can “bounce back” immediately after birth.

Reality: Postpartum recovery looks different for every person. Healing is affected by the type of birth, blood loss, tearing or incision healing, feeding demands, sleep disruption, pelvic floor changes, mental health, support at home, and other medical factors. Instead of comparing recovery timelines, the focus should be on healing, rebuilding strength gradually, and getting support when symptoms or stress feel hard to manage.

Myth: If you cannot follow a full routine, it is not worth doing.

Reality: Pregnancy and postpartum routines often change from day to day. Nausea, fatigue, appointments, feeding schedules, recovery symptoms, and sleep disruption can make a “perfect” routine unrealistic. Small actions still matter: eating a balanced snack, drinking water during a feeding session, taking a short walk, doing gentle breathing or pelvic floor exercises, or continuing your prenatal vitamin as recommended can all support your health in realistic ways.

Practical Habits for Every Stage

Healthy habits do not have to be overwhelming. Small, realistic choices can support your body during pregnancy and postpartum recovery.

During Pregnancy

  • Build balanced plates for sustained energy. Aim to include a mix of fruits and vegetables, protein, fiber-rich carbohydrates, and healthy fats throughout the day. Balanced meals and snacks can help support energy, fullness, and healthy blood sugar patterns. If you have gestational diabetes or are at higher risk, work with your healthcare provider or registered dietitian for individualized guidance.
  • Choose safe, comfortable movement. For many uncomplicated pregnancies, activities like walking, swimming, stationary cycling, prenatal yoga, and modified strength training can be safe options. As your body changes during pregnancy, your balance, comfort level, and joint stability may change too. Choose movement that feels comfortable, and use the “talk test” as a simple guide: during moderate-intensity activity, you should be able to talk but not sing.
  • Modify movements to reduce risk. Avoid contact sports, activities with a high risk of falling, hot yoga, and exercises that cause pain, dizziness, bleeding, shortness of breath before activity, contractions, or fluid leakage. Later in pregnancy, avoid spending long periods lying flat on your back if it causes dizziness, nausea, shortness of breath, or discomfort. Talk with your healthcare provider about what movements are safest for you, especially if you have complications, pain, pelvic floor symptoms, or questions about modifications.
  • Protect your body from heat stress and dehydration. Avoid overheating, especially during exercise, and drink fluids consistently throughout the day. Dehydration can make you feel unwell and may contribute to symptoms such as headache, dizziness, constipation, cramping, or contractions for some people. Contact your healthcare provider if you experience contractions, severe cramping, dizziness that does not improve, or signs of dehydration.

During Postpartum Recovery

  • Support healing with regular meals and provider-recommended supplements. Pregnancy, childbirth, and breastfeeding can increase nutrient needs and may leave some people at higher risk for low iron, vitamin D, or other nutrient concerns. Continue prenatal vitamins or other supplements as recommended by your provider, especially if you are breastfeeding or recovering from significant blood loss.
  • Eat for energy and, if applicable, lactation. Breastfeeding increases energy and fluid needs for many people. Focus on regular meals and snacks that include protein, fruits, vegetables, whole grains, healthy fats, and fluids. If you are not breastfeeding, nutrient-dense eating still supports recovery, energy, and overall health.
  • Ease back into movement gradually. Do not rush back into high-impact workouts. Once your doctor or midwife clears you for exercise, start with gentle movement such as walking, breathing exercises, pelvic floor awareness, or light mobility work. If you have pain, leaking, pelvic pressure, abdominal heaviness, or concerns about abdominal separation, ask your provider whether a referral to a pelvic floor physical therapist would be appropriate.
  • Rest and ask for support. Rest is an important part of physical recovery and emotional well-being. Sleep may be interrupted during the postpartum period, so focus on rest where you can and ask your support system for help with meals, chores, errands, or baby care when possible.

Honor Your Journey

Every pregnancy and postpartum experience is different. Instead of trying to follow a perfect routine, focus on realistic habits that support your nutrition, movement, recovery, and emotional well-being. Regular communication with your healthcare team can help ensure your plan is safe, individualized, and appropriate for your stage of pregnancy or postpartum recovery.

Ready to Build a Personalized Plan?

Our providers are here to support you through pregnancy and postpartum with practical, evidence-informed guidance for nutrition, movement, recovery, and overall wellness. Contact our office to schedule an appointment.

Sources:

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  4. American College of Obstetricians and Gynecologists. (2018). Optimizing postpartum care. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/05/optimizing-postpartum-care
  5. Centers for Disease Control and Prevention. (n.d.). About folic acid. https://www.cdc.gov/folic-acid/about/index.html
  6. Food and Drug Administration. (n.d.). Advice about eating fish. https://www.fda.gov/food/consumers/advice-about-eating-fish
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