Reference card · print for the fridge

Food & Drink in Pregnancy

The NHS list, with the reason attached to each — because the reason is what makes it stick, and what lets you judge the cases the list doesn't cover.

The three that matter most

Alcohol: none. No established safe amount. Caffeine: 200 mg/day max — about two mugs of instant coffee, or one strong filter, or four cups of tea. Count the chocolate and cola too. Smoking: none, including secondhand from you.

Avoid

FoodWhy
Unpasteurised milk, cream, yoghurt, butter, ice cream; soft ripened cheeses (brie, camembert, chèvre) and soft blue cheeses (roquefort, gorgonzola) unless cooked until steamingListeria. Rare, but can cause miscarriage, stillbirth, or severe newborn illness. Cooking to steaming-hot kills it.
Raw or undercooked meat; cured meats unless cooked (salami, chorizo, prosciutto, pepperoni)Toxoplasmosis. Parasite; risk of miscarriage. Freezing cured meat for 4 days first also does the job.
Liver, liver pâté, haggisVitamin A (retinol). Too much harms the baby's development.
Raw or partially cooked eggs that aren't British Lion stamped; any raw duck, goose or quail eggSalmonella. British Lion hens are vaccinated, so runny Lion-stamped eggs are fine.
Shark, swordfish, marlinMercury. Affects the developing nervous system.
Raw shellfish; sushi with raw fish unless previously frozenBacteria and parasites. Cooked shellfish and previously-frozen sushi are fine.
Game meat shot with lead ammunitionLead.
Vitamin A supplements, cod liver oil, multivitamins containing retinolVitamin A. Buy a supplement labelled for pregnancy instead.

Limit

TunaMax 4 medium tins or 2 steaks per week — mercury.
Oily fish (salmon, mackerel, sardines, trout)Max 2 portions per week — pollutants. Do eat some: it's good for the baby's brain development.
Caffeine200 mg/day. Instant coffee ~100 mg, filter ~140 mg, tea ~75 mg, cola ~40 mg, 50g dark chocolate ~25 mg.

Take daily

Folic acid 400 µgFrom now until 12 weeks. Prevents neural tube defects. A GP may prescribe 5 mg instead if she has diabetes, epilepsy, a BMI over 30, sickle cell or thalassaemia, or a family history of neural tube defects — worth asking explicitly at booking.
Vitamin D 10 µgAll year in the UK, and non-negotiable October–March. Year-round if she has darker skin or covers up outdoors.
Free, if eligible

The Healthy Start scheme gives free vitamins and a prepaid card for food to those on qualifying benefits. Also: all NHS prescriptions and NHS dental treatment are free during pregnancy and for 12 months after birth — she needs a MATB1 / maternity exemption certificate (FW8), which the midwife or GP signs. Ask at the booking appointment; people routinely forget and pay for a year.

Source: NHS — Foods to avoid in pregnancy, NHS — Vitamins and supplements. Related: Lesson 1 · Glossary.