Navigating Intuitive Eating During Pregnancy

A positive pregnancy test often marks the beginning of an overwhelming flood of information, especially regarding what to eat or avoid. This period, already filled with emotional intensity, can become even more complicated for those with a history of eating disorders. During my own pregnancy, I found comfort in relying on intuitive eating—an approach that helped me stay grounded and connected to my body throughout those transformative nine months.

Although intuitive eating during pregnancy may look a bit different than in other seasons of life, its core principles remain applicable. The key is adapting them to support both your health and the healthy development of your baby. Here's what to know about practicing intuitive eating while pregnant, including its benefits, challenges, and practical strategies for making it work.

Benefits of Intuitive Eating During Pregnancy

1. Reinforces trust in your body Pregnancy is a time when tuning into your body becomes especially important. Rather than depending solely on external rules or lists of do’s and don’ts, intuitive eating encourages you to recognize and respond to internal cues like hunger, fullness, and cravings. This fosters a sense of empowerment rather than helplessness during a time when so much feels out of your control.

2. Supports eating disorder recovery For those who developed intuitive eating practices during recovery, pregnancy can pose unique challenges. Diet culture is pervasive in the prenatal world, and new restrictions on food and drink can feel triggering. Maintaining an intuitive eating mindset helps protect against unhelpful messages and the pressure to eat “perfectly,” reinforcing the flexibility and self-compassion essential to recovery.

3. Encourages healthy weight gain and perspective Letting go of the desire to control your body is a key aspect of intuitive eating, which aligns well with the natural changes that occur during pregnancy. Studies suggest that intuitive eating during pregnancy is linked to both healthy weight gain and a more positive attitude toward these changes.

4. May help manage gestational diabetes Though gestational diabetes often cannot be prevented, research shows that intuitive eating can help manage blood sugar levels and may reduce the risk of developing postpartum diabetes. Regular meals and snacks, balanced nutrition, joyful movement, and emotional self-care all support blood sugar stability.

5. Supports mental well-being Pregnancy can heighten vulnerability to anxiety and depression due to hormonal shifts, physical symptoms, and life transitions. Intuitive eating practices may ease some of these mental health challenges by promoting self-compassion, reducing anxiety, and helping individuals manage emotional eating or restrictive tendencies.

Challenges of Intuitive Eating in Pregnancy

1. Navigating necessary food restrictions Intuitive eating usually involves rejecting rigid food rules, but pregnancy comes with some essential guidelines for safety—like avoiding raw fish or unpasteurized dairy. These restrictions can feel contradictory, but they can be reframed as forms of gentle nutrition: making choices that honor both your health and your baby’s.

2. Meeting increased nutritional needs As pregnancy progresses, your body’s energy and nutrient demands rise. Hunger cues might intensify—or, conversely, may not be as clear, especially in early pregnancy. In these cases, it may be necessary to eat more frequently and intentionally, even without strong signals from your body.

3. Coping with physical symptoms Nausea, fatigue, and food aversions can make it difficult to eat intuitively. When cues are muted or distorted, focusing on what your body can tolerate and prioritizing small, manageable meals can help. In the early months, for instance, I relied on a limited selection of familiar foods alongside a prenatal vitamin until I was able to reintroduce more variety.

4. Dealing with external pressures Diet culture often intensifies during pregnancy, with strong opinions about how much weight to gain, what to eat, and how to move. These messages can undermine your ability to trust your instincts and feel at peace with your changing body. Recognizing and filtering out these influences is essential to staying grounded in your values.

Strategies for Practicing Intuitive Eating During Pregnancy

1. Revisit the 10 principles Review the foundational principles of intuitive eating and think about how each one applies to pregnancy. Some may take on new meaning, and others might require temporary adjustments. Writing down a personal plan can serve as a helpful reference during different stages of pregnancy.

2. Work with a knowledgeable dietitian If you're in recovery or new to intuitive eating, consulting a dietitian with experience in both prenatal nutrition and eating disorders can provide tailored support. They can help you apply intuitive eating in a way that supports your health, manage symptoms like heartburn or anemia, and make necessary dietary adjustments with confidence.

3. Combine body awareness with informed choices When hunger and fullness cues aren’t clear, structured eating can help—think of it as eating from a place of care rather than compliance. Planning meals and snacks every few hours ensures you’re meeting your needs. If you have deficiencies, such as low iron, gentle nutrition strategies like incorporating more iron-rich foods or supplements are useful tools.

4. Use supportive resources Books, podcasts, and social media accounts can be valuable tools. Some helpful resources include The Intuitive Eating Workbook for building foundational skills, and Expecting Better for evidence-based guidance on pregnancy-related decisions. Look for practitioners and creators who offer supportive, non-judgmental content tailored to pregnancy.

5. Embrace flexibility and self-trust Cravings and aversions may feel unfamiliar, but allowing yourself to respond to them without judgment helps maintain trust in your body. Movement, too, should be guided by how you feel—some days it may involve a walk, other days rest. This flexibility is a key element of both intuitive eating and self-care during pregnancy.

Final Thoughts

Adapting intuitive eating to pregnancy offers a sustainable and supportive approach to nourishment. Whether your goal is to maintain recovery, enjoy more flexibility, or focus on your and your baby’s overall health, identifying your personal reasons for practicing intuitive eating can help keep you grounded if doubts or external pressures arise.

At the end of the day, your role is to consistently offer your body what it needs—through food, rest, hydration, and regular prenatal care. Trust that your body, in return, will do the work it was designed to do.

If you need help healing your relationship to food and body, please reach out to us via the contact page. 

"Apa.org." American Psychological Association, 2023, https://www.apa.org/monitor/2023/04/sensations-eating-disorders-suicidal-behavior#:~:text=Interoception%20is%20the%20ability%20to.

Jin, Xinyan, et al. "Eating Behavior during Pregnancy Mediates the Association between Depression and Diet Quality—A New Strategy for Intervention in Pregnancy." Frontiers in Public Health, vol. 12, 2024, https://doi.org/10.3389/fpubh.2024.1339149.

Plante, A.-S., et al. "Trimester-Specific Intuitive Eating in Association with Gestational Weight Gain and Diet Quality." Journal of Nutrition Education and Behavior, vol. 51, no. 6, 2019, pp. 677–683. https://doi.org/10.1016/j.jneb.2019.01.011.

Quansah, D. Y., et al. "Intuitive Eating Is Associated with Weight and Glucose Control during Pregnancy and in the Early Postpartum Period in Women with Gestational Diabetes Mellitus (GDM): A Clinical Cohort Study." Eating Behaviors, vol. 34, 2019, p. 101304. https://doi.org/10.1016/j.eatbeh.2019.101304.

Savard, C., et al. "Positive Attitudes toward Weight Gain in Late Pregnancy Are Associated with Healthy Eating Behaviours." Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 2020. https://doi.org/10.1007/s40519-020-01057-5.

The Original Intuitive Eating Pros. "10 Principles of Intuitive Eating." Intuitive Eating, 2019, https://www.intuitiveeating.org/10-principles-of-intuitive-eating/.