Omega-3 Fatty Acids - Pregnancy & Breastfeeding
DHA Requirements - Pregnancy & Breastfeeding
DHA is also one of the fatty acids in Omega-3 fatty acid (or fish oil) supplements, and can be an inexpensive and effective way to increase one's intake of Omega-3 fatty acids. Be careful to read the label, however, to make sure that you are getting the proper amount of DHA (not just "omega-3 fatty acids") as well as ensuring product purity since different brands may vary greatly in quality. Read our omega-3 supplements section below for further information about what to look for in a supplement.
Fish or Supplements?
What about all the supplements out there and how do I know I'm getting the right one?
There is a tremendous variety of sources for Omega-3 fatty acids these days. Some are arguably better than others. The FDA recommends that women who are pregnant or nursing and young children eliminate shark, swordfish, king mackerel in the mackerel family, and tilefish (also referred to as golden bass or golden snapper) from their diets completely and limit their consumption of other fish to 12 ounces per week (approximately 3 to 4 servings/wk) to minimize exposure to methylmercury7. This does not at all mean avoid fish, but there are also a number of supplements on the market, some of them marketed specifically to pregnant and lactating women. One of them, for example, is called Expecta Lipil made by Meade Johnson. This particular brand differentiates itself from the 'fish oil' brands by way of extracting the DHA directly from the originating algae, by which method they can guarantee the product's quality and purity (note, I have no affiliation in any way with any companies or brands mentioned on this website). The issue being that there is a potential for contaminants (in the form or mercury, flame retardants, PCBs, etc.) in lower quality fish oil, as these substances move up through the food chain and concentrate in large, predatory fish. While anyone who is pregnant is right to avoid any product that may have these contaminants, many brands of fish oil based Omega-3 fatty acids use a process called molecular distillation to purify their product, and the physicians with whom I have spoken feel that this high level or purification results in a product that is safer than consuming fish such as salmon or swordfish. Some of these supplements are also less expensive than products marketed specifically for pregnant and lactating women. Some brands do not use this process, and I personally avoid them to mediate the risk of mercury and other contaminants. If you decide to take fish oil supplements, the label should indicate whether this process was used.
Most of the brands marketed specifically for pregnant and breastfeeding women contain DHA derived from algae which are farmed for the task, not harvested from the oceans. This algae is the primary source for the DHA that finds its way into fish. By extracting the DHA from alage grown specifically for this task, the risk of contaminants can be removed. One need not buy one of the targeted brands to get this quality DHA, however. Many of these brands repackage the Neuromins brand of DHA, which can also be found in many other products *not* specifically targeted to pregnant and breastfeeding women, and may be less expensive than the targeted brands. However, always expect to pay more for DHA derived from algae rather than from fish oil as these are expensive to produce.
Sources
1 Lauritzen L, et al. The essentiality of long chain n-3 fatty acids in relation to development and function of the brain and retina. Prog Lipid Res, 2001. 40:1-94. (Calculated using Table 1 data. 22:6n-3/Total n-3)
2 Martinez M. Tissue levels of polyunsaturated fatty acids during early human development. Pediatr, 1992.120:S129-38.
3 Ingrid B. Helland, MD, Lars Smith, PhD, Kristin Saarem, PhD, Ola D. Saugstad, MD, PhD and Christian A. Drevon, MD, PhD, PEDIATRICS Vol. 111 No. 1 January 2003, pp. e39-e44.
4 Cohen JT, et al. A quantitative analysis of prenatal intake of n-3 polyunsaturated fatty acids and cognitive development. Am J Prev Med, 2005. 29:366-374.
5 Simopoulos AP, et al. Workshop on the essentiality of and recommended dietary intakes for omega-6 and omega-3 fatty acids. J Am Coll Nutr, 1999. 18(5): 487-9.
6 Influence of Dietary Fatty Acids on the Pathophysiology of Intrauterine Foetal Growth and Neonatal Development. Consensus Conference: Dietary fat intake during the perinatal period, 11-14 September 2005, Wildbad Kreuth/Germany. Dietary Recommendations for Pregnant Women http://www.perilip.org/PERILIPRecommendations.html
7 Center for Food Safety and Applied Nutrition, US Food and Drug Administration. Consumer advisory: an important message for pregnant women and women of childbearing age who may become pregnant about the risks of mercury in fish. March 2001. Available at: http://www.cfsan.fda.gov/~dms/admehg.html. Accessed October 7, 2002.