PRENATAL NUTRITION · CLEAR, RELIABLE SUPPORT FOR MOTHERS WITH PRE-PREGNANCY OVERWEIGHT OR OBESITY
PRENATAL NUTRITION · CLEAR, RELIABLE SUPPORT FOR MOTHERS WITH PRE-PREGNANCY OVERWEIGHT OR OBESITY

Nourish yourself.
Leave the weight struggle behind.

A higher weight before pregnancy does not mean you already get enough nutrients. Let us make room for vegetables, protein and satisfying meals—one practical step at a time.

Learn the 2–1–1 plate ↗
Satisfying 2–1–1 plate: about two fists of colourful vegetables, one palm of fully cooked fish with tofu, and one fist of grains with potatoes
2fists of vegetables1palm of protein1fist of starch2–1–1 helps build a complete meal, not a diet
♥ Pregnancy is usually not the time to pursue weight loss. Focus on adequate nourishment, steady habits and your prenatal care team.
01 / 2–1–1

Build one balanced plate

Picture about 2 fists of non-starchy vegetables, 1 palm of protein food and 1 fist of grains or starchy food. Together they make the 2–1–1 plate: roughly half vegetables and a quarter each of protein and starch.

Example of a complete plate with vegetables, cooked fish and tofu, grains and potatoes2 fists of vegetables · 1 palm of protein · 1 fist of starch
2

2 fists of vegetables

Try leafy greens, broccoli, tomatoes or mushrooms. Raw and cooked vegetables take up different amounts of space.

1

1 palm of protein

A palm-sized portion of cooked fish, poultry or lean meat is a useful visual guide. Eggs, milk and tofu need their own portions.

1

1 fist of starch

Rice, oats, bread, noodles or potatoes belong in the meal. Choose whole grains often; do not eliminate carbohydrates.

Your hand makes portions easier to picture, not a strict limit on food. Adjust for hunger, stage of pregnancy and your own care plan.

02 / MEAL ORDER

Vegetables → protein → starch

Try this order within the same meal. It can help you remember the foods that are easy to miss. Small studies in gestational diabetes suggest lower post-meal glucose; they do not prove improved birth outcomes. Keep the complete meal and follow your individual glucose plan.

03 / PROTEIN

How much protein?

71 g / day · minimum only

71 g/day is a minimum reference in the US system, not a finish line. Protein needs generally rise in the second and third trimesters as maternal and fetal tissues grow. Your own amount depends on your pre-pregnancy body size, pregnancy stage, food intake and health; ask your prenatal team. The number means protein inside foods—not 71 g of meat.

In EFSA’s separate reference system, the additional protein above its own non-pregnant baseline is 9 g in the second trimester and 28 g in the third. These figures must not simply be added to the US 71 g minimum.

One cooked egg ≈ 6 g; 250 ml milk ≈ 8 g; 90 g cooked lean beef ≈ 25 g; 150 g firm tofu ≈ 15 g. Spread sources across meals and snacks.

INTERACTIVE · NO ACCOUNT NEEDED

Build a day of protein

Choose familiar foods and see how protein adds up across meals and snacks.

Selected foods provide about0 g71 g is a minimum reference, not a finish line

These are selected foods only; the number cannot tell whether your full day has enough protein.

My day

Estimates are rounded: this tool does not count protein in grains or vegetables. You may need more than 71 g in the second and third trimesters; it is a minimum reference, not your personal goal; do not force food for a number. Follow your personal plan if you have kidney disease.

Questions about your food choices? Message @heartqi on WhatsApp or Telegram.

04 / VEGETABLES

Make vegetables easier

If vegetables rarely appear on your plate, add one fist at the next meal. Washed frozen vegetables count. Put them on the plate before serving rice or noodles.

05 / WEIGHT

Weight is only part of the picture

Track trends with your prenatal team. If your pre-pregnancy BMI was in the overweight or obesity range, do not assume that eating less is the answer. Protect protein, vegetables, whole grains and the nutrients your baby needs.

WATER & SALT / EVERY DAY

Drink regularly. Count hidden salt too.

Water: about 1.9–2.8 L a day

ACOG suggests 8–12 cups of water across the day throughout pregnancy. There is no required separate quota for each trimester; comfort, heat, activity and illness can change your needs.

01 / Early pregnancySip through nausea

Take small, frequent sips. If you cannot keep fluids down, pass very little or dark urine, contact your maternity team.

02 / Mid-pregnancyMake water easy to reach

Keep a glass or bottle nearby and drink across the day. Heat and activity may increase what you need.

03 / Late pregnancySpread it through the day

If night-time trips to the bathroom interrupt sleep, drink more of your water earlier. Do not sharply restrict fluids without clinical advice.

Choose safe drinking water; warm boiled water may feel more comfortable. Safe cool water is not itself prohibited. Do not replace water with sugary drinks, and avoid alcohol. Follow your own plan if fluids are medically restricted.

Salt: less than 5 g a day

The WHO adult recommendation counts salt from all foods and seasonings—equivalent to under 2 g sodium. The salt shaker is only part of the total.

Soy sauceStock cubesSausagesSoup mixesSalty cheese

Compare labels and choose lower-salt foods more often. If local guidance recommends iodized salt, use it without adding more salt overall.

06 / PERSONAL TOOLS

Turn learning into a routine

PROTEIN PAIRINGS / REAL MEALS

Build a day from familiar foods

Breakfast · about 14 g

One fully cooked egg (≈6 g) + 250 ml pasteurized milk (≈8 g), with oats and fruit.

Lunch · about 25 g

90 g cooked lean beef (≈25 g), a generous vegetable side and buckwheat or rice.

Snack · about 15 g

170 g plain Greek yogurt (≈15 g); check the product label.

Dinner · about 27 g

150 g firm tofu (≈15 g) + 150 g cooked lentils (≈12 g), vegetables and noodles.

About 81 g protein from the named foods; grains and vegetables may add a little more. This is a teaching example; 81 g does not prove that your own need is met, especially in the second and third trimesters. Swap sources while keeping complete meals.

EVERYDAY LIFE IN KAZAKHSTAN

Your everyday food can work for you

In Kazakhstan, there is no need to abandon familiar meals. Keep the taste; make vegetables and a clear protein source easier to see.

Beshbarmak

Keep the cooked meat and noodles. Add a generous side of washed vegetables or a cooked vegetable dish. If the meat is very fatty, choose a leaner piece when you can.

Plov or lagman

Add vegetables and a well-cooked protein food. Begin with vegetables and protein, then enjoy the rice or noodles as part of the complete meal.

A quick breakfast

An egg cooked through, plain pasteurized yogurt or milk, oats and fruit can make protein easier to spread across the day.

A gentle first week

Days 1–2

Notice which meal lacks a clear protein food. Add one familiar choice without changing everything else.

Days 3–4

Add one fist of vegetables to a meal that already feels manageable. Frozen or cooked vegetables count.

Days 5–7

Try vegetables → protein → starch in one complete meal. Note your comfort and questions for your care team.

WHATSAPP + TELEGRAM · @heartqi

Ask a nutritionist — free

Have a question about your next meal? Message @heartqi on WhatsApp or Telegram. Please do not send sensitive medical records in a first message. For urgent symptoms, contact local maternity care.

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The next meal is a fresh start.