pregnnacy nutrition - pregnant woman about to eat donuts

Your pregnancy nutrition isn’t just fueling your body—it’s actively building your baby’s brain. In the third trimester, what you eat can profoundly impact your baby’s brain development, emotional health, and long-term cognitive abilities.

While most advice on pregnancy nutrition focuses on avoiding alcohol or gaining the right amount of weight, emerging research shows that specific foods—especially high-glycemic ones—may influence your baby’s emotional regulation and brain structure even before birth. That bowl of sugary cereal or white toast might seem innocent, but your pregnancy nutrition choices during the final stretch could shape your child’s mental well-being for life.

Pregnancy Nutrition Connection: How Sugar Impacts Baby’s Brain

When we think of “healthy pregnancy nutrition,” we often focus on vitamins or avoiding junk food. But new findings from Oregon Health & Science University (OHSU) reveal a deeper layer: a high-glycemic pregnancy diet in the third trimester is linked to babies showing more distress and emotional difficulties at just 6 months old.

A peer-reviewed study published in Scientific Reports tracked over 300 pregnant women and analyzed their diet quality. The results showed that those who consumed more refined carbs—white bread, sugary snacks, cereals—had babies with more signs of anxiety, distress, and reduced emotional regulation (OHSU study).

Why does this happen? High-glycemic foods cause blood sugar to spike quickly, which may overwhelm your baby’s developing brain. Fetal brains are particularly sensitive to maternal glucose levels. Unlike adults, fetuses can’t regulate blood sugar swings, so spikes from your diet may interfere with the brain’s emotional processing centers—especially the amygdala and prefrontal cortex.

Simple Changes to Your Pregnancy Nutrition Plan:

By lowering your glycemic load, you’re not just managing energy—you’re helping stabilize your baby’s developing brain. Here are science-backed swaps for a smarter pregnancy diet:

  • Swap white bread for whole-grain or sprouted bread.

  • Choose steel-cut oats over sugary cereals.

  • Replace crackers and chips with almonds or Greek yogurt.

  • Drink water with lemon instead of sugary drinks or fruit juice.

OHSU researchers found that every 10-point drop in dietary glycemic load was linked to measurable improvements in infant outcomes. That’s a small change with a big payoff.

Brain-Building Nutrients You May Be Missing in Your Pregnancy Diet

Cutting back on sugar is one side of the coin. The other side is ensuring you’re getting enough of the important nutrients that help build your baby’s brain. Despite taking prenatal vitamins, many expecting moms are still running low on key brain-building nutrients in their diets.

Let’s focus on four MVPs: DHA (an omega-3 fatty acid), folate, choline, and iron. These nutrients are like the construction materials for your baby’s rapidly developing brain. In the third trimester, your baby’s brain is growing at an astounding pace – it even doubles in size during the last weeks of pregnancy – and it needs the right fuel to build healthy brain cells and neural connections.

To support this, your pregnancy diet should include specific brain-boosting nutrients like:

DHA (Docosahexaenoic Acid, an Omega-3)

  1. What it does: Forms the structure of brain cells and supports vision development.
  2. Sources: Salmon, sardines, algae oil supplements.
  3. Why it matters: Studies show adequate DHA improves your baby’s cognitive and motor skills

Folate (Vitamin B9, including Folic Acid)

  1. What it does: Aids in cell division and brain tissue growth.
  2. Sources: Lentils, spinach, broccoli, fortified cereals..
  3. Why it matters: They discovered that there is a direct link between maternal folate and increased brain volume and memory centers in infants

Choline

  1. What it does: Crucial for memory development and neural connections.
  2. Sources: Eggs (especially yolks), lean meats, soybeans..
  3. Why it matters: Over 90% of pregnant women don’t get enough, yet choline plays a key role in hippocampus development—affecting long-term memory.

Iron

  1. What it does: Delivers oxygen to your baby’s growing brain.
  2. Sources: Red meat, poultry, beans, spinach, fortified grains.
  3. Why it matters: Iron deficiency during pregnancy is linked to cognitive delays and reduced attention span in children.

 Why Third-Trimester Pregnancy Nutrition Matters Most

In the third trimester, your baby’s brain undergoes its most dramatic growth phase. During this time:

  • Brain volume doubles.
  • The cerebral cortex—the thinking part of the brain—matures rapidly.
  • Emotional and behavioral centers begin forming pathways.

This means your pregnancy diet in the third trimester can literally shape how your child learns, remembers, and handles stress. As OHSU researcher Dr. Jamie Lo explains, “The third trimester is a critical window for brain development—and a time when dietary interventions can have a lasting impact.”

It’s never too late to improve your pregnancy nutrition. Whether you’ve followed a balanced diet from the start or are just now beginning to make changes, your body and baby will benefit.

The Best Foods for a Brain-Healthy Pregnancy Diet

Together, DHA, folate, choline, and iron form a powerful brain-building team in your pregnancy nutrition plan. These nutrients don’t act alone—in fact, they work synergistically, enhancing each other’s roles in your baby’s brain development. For example, choline and folate are both essential for methylation, a biochemical process critical to DNA synthesis and healthy cell division in the developing brain (MDPI – Nutrients). Similarly, choline and DHA have been shown to work together in brain and eye development, with research indicating that optimal levels of both are needed to achieve the best outcomes (PubMed). When one is missing, the effectiveness of the others may be reduced.

Unfortunately, these are also the nutrients that many expectant mothers fall short on—especially when their pregnancy diet isn’t thoughtfully planned. The good news? You can close those gaps with simple, strategic food choices. Try a spinach omelet (rich in folate, choline, and iron), snack on carrots and hummus (folate and iron) with a boiled egg (choline), or enjoy a dinner of salmon (DHA and iron) paired with broccoli (folate and vitamin C for iron absorption). Every meal is a meaningful opportunity to support your baby’s growing brain. With a little awareness and planning, your pregnancy nutrition can set the stage for lifelong cognitive health.

To help you build a simple and powerful pregnancy meal plan, focus on foods that deliver stable energy and high-impact nutrients. Consider foods that support blood sugar balance and brain development. The proportion of consumption is important, too:

  • Half fruits and vegetables
  • A quarter protein (chicken, legumes, fish)
  • A quarter whole grains
  • A serving of dairy or fortified alternative

And yes—there’s still room for your favorite cravings, as long as they’re balanced by good nutrition.

FOOD
Eggs
Salmon
Spinach
Lentils
Avocado
Greek Yogurt
Steel-cut oats
KEY NUTRIENT
Choline
DHA
Folate, Iron
Iron, Folate
Healthy fats, Folate
Protein, Iodine
Complex carbs
BENEFIT
Memory and learning development
Brain cell growth and vision support
Neural tube and brain tissue formation
Oxygen transport and cognitive development
Brain cell membrane integrity
Neuronal development and hormone balance
Stable blood sugar and lasting energy

Your Pregnancy Nutrition Is an Investment in Baby’s Future

There’s no doubt that your third-trimester pregnancy diet plays a crucial role in your baby’s brain development. From cutting back on refined sugars to including key nutrients like DHA, folate, choline, and iron, every bite matters.

With the science-backed tools and strategies above, you can create a pregnancy nutrition plan that supports your health and builds a strong, emotionally resilient foundation for your baby.

Your plate is powerful. Use it wisely.

Check out our other Pregnancy Blogs —

Happy and Healthy Pregnancy: A Guide for Moms-to-Be 

Pregnancy-Associated Osteoporosis: What You Should Know