Postpartum and Breastfeeding The Science of Nutrition

What do "prenatal" and "postnatal" mean?

Steph Greunke

Prenatal vs Postnatal Vitamins: What's Actually Different? - needed.

Table of contents

  • What do "prenatal" and "postnatal" mean?
  • Prenatal vs. postnatal vitamins: what's actually different
  • Do you need to switch to a postnatal vitamin?
  • Iron after birth: the biggest difference
  • Does breastfeeding change the answer?
  • When to switch, and how long to keep taking one
  • How to compare a prenatal and a postnatal label
  • FAQ
  • Sources

0 min read

Short answer: “Prenatal” means before birth, and “postnatal” means after birth. Prenatal vitamins are built for pregnancy, when iron needs peak at 27 mg a day. Postnatal vitamins are marketed for recovery and breastfeeding. While breastfeeding, iron needs drop to 9 mg a day, and needs for iodine (290 mcg), choline (550 mg), and vitamin A (1,300 mcg RAE) increase, according to the NIH. Vitamins C and E rise too; most other needs barely change. Postnatal labels don’t always follow these shifts, so you don’t have to switch. A comprehensive prenatal can carry you through postpartum if, together with your diet, it covers your breastfeeding needs. Compare the label, not the name on the bottle.

[H2] What do "prenatal" and "postnatal" mean?

“Prenatal” means before birth. It covers pregnancy and often the preconception months. “Postnatal” means after birth and can refer to both the mother and the baby. “Postpartum” refers specifically to the mother’s recovery period after delivery. A postnatal vitamin is a multivitamin marketed for the months after birth, usually tuned for breastfeeding. 

For the full picture of what to take once your baby arrives, see What Vitamins Should You Take After Birth?

[H2] Prenatal vs. postnatal vitamins: what's actually different

While many nutritional needs for pregnancy and breastfeeding are similar, guidance differs in some ways. Note: The following figures are for ages 19-50.

Nutrient

Pregnancy

Breastfeeding

Change

Why it changes (one line, approved language)

Iron

27 mg

9 mg

↓

Blood volume no longer expanding; periods often paused while nursing

Folate

600 mcg DFE

500 mcg DFE

↓

Lower than in pregnancy but still above baseline

Iodine

220 mcg

290 mcg

↑

Iodine passes into breast milk

Choline (AI)

450 mg

550 mg

↑

Choline passes into breast milk

Vitamin A

770 mcg RAE

1,300 mcg RAE

↑

Higher for milk

Vitamin C

85 mg

120 mg

↑

Higher for milk

Vitamin E

15 mg

19 mg

↑

Higher for milk

Zinc

11 mg

12 mg

↑ (small)


Vitamin B12

2.6 mcg

2.8 mcg

↑ (small)

Vegans need a reliable source (CDC)

Vitamin D

600 IU

600 IU

=


Calcium

1,000 mg

1,000 mg

=


DHA/EPA

no DRI

no DRI

=

Both: 8–12 oz low-mercury seafood per week (Dietary Guidelines/FDA)

Do you need to switch to a postnatal vitamin?

You probably don’t need to switch to a postnatal vitamin after you give birth—you can stick with your prenatal if you prefer. Your needs during pregnancy and postpartum are more similar than you think, so a comprehensive prenatal vitamin can still meet both phases.

Here are some things to consider before you make the switch:

  • Stay on your prenatal if it covers iodine, choline, folate, B12 and vitamin D, and you're getting DHA (food or supplement). Iron should match your current needs.
  • Consider a postnatal-specific formula or add-ons if your prenatal is light on iodine, choline or vitamin A for breastfeeding or carries more iron than you need (ask your healthcare practitioner).
  • Don't switch just because of the name. Many "postnatal" products are a prenatal with minor changes.

Iron after birth: the biggest difference

One key difference between prenatal and postnatal nutrient needs is iron. The lactation RDA is lower, but blood loss at delivery and postpartum anemia are common, so your practitioner may recommend iron supplementation on a case-by-case basis. Ask about checking hemoglobin or ferritin, especially after heavy bleeding, a C-section or anemia in pregnancy.

Does breastfeeding change the answer?

Yes. Breastfeeding does change postnatal nutrition needs.

If you’re breastfeeding, the values in the table above apply to you: you need more iodine (290 mcg), more choline (550 mg) and more vitamin A (1,300 mcg RAE) than you did during pregnancy. The CDC notes that breastfeeding mothers “may benefit from taking a multivitamin supplement.” DHA comes from 8–12 ounces a week of low-mercury seafood or from a supplement. If you eat a vegan diet, you need a reliable source of vitamin B12.

If you’re not breastfeeding, the breastfeeding targets don’t apply. However, your body is still recovering from pregnancy and birth, so continuing a comprehensive multivitamin is a reasonable choice. Ask your healthcare practitioner what makes sense for you.

No vitamin can guarantee a bigger milk supply. For more on supplements while nursing, see Do You Need Postnatal Vitamins While Breastfeeding?

When to switch, and how long to keep taking one

If you decide to switch from prenatals to postnatals, when to switch is totally up to you. You can switch directly after labor and delivery or a few weeks later. 

Nutrient needs are still pretty high after birth, so your practitioner may recommend continuing a prenatal at least 6-12 months postpartum, even if you aren’t breastfeeding. Along with a balanced diet, lots of rest, and plenty of water.

For the full postpartum vitamin plan, see What Vitamins Should You Take After Birth?

 How to compare a prenatal and a postnatal label

Whether the bottle says prenatal or postnatal, the Supplement Facts panel tells you the real facts. Compare it with the breastfeeding needs in the table above. Then fill any gaps with food or targeted add-ons instead of buying a new product by default. 

For a full buying guide, see what to look for in a postpartum multivitamin.

  1. Iodine: Breastfeeding calls for 290 mcg a day from diet and supplements combined. Many labels list 150 mcg, often as potassium iodide.
  2. Choline: Many multivitamins fall short of the recommended 550 mg for breastfeeding, so incorporate choline-rich foods like eggs into your diet.
  3. Iron: The right dose depends on your blood loss at delivery and your current iron levels, so ask your practitioner. Some multivitamins leave out iron so you can dose it separately.
  4. DHA and EPA: These usually come in a separate softgel, not in the multivitamin itself.
  5. Folate and vitamin B12: Check both the amounts and the forms listed, such as folic acid or methylfolate, and cyanocobalamin or methylcobalamin.
  6. Third-party testing: Look for independent testing for purity and potency.

Needed’s Postnatal Vitamins Plan takes this approach. It is built on the same Prenatal Multivitamin used in pregnancy. That multivitamin provides 150 mcg iodine, 200 mg choline and 920 mcg DFE folate per three capsules, with no iron. The plan adds an Omega-3 with 1,000 mg DHA and EPA, plus Stress Support. The thinking behind it is that the nutrients matter more than the name. Together with a nutrient-rich diet, it provides comprehensive nutritional support for the months after birth.*

See what’s in the Postnatal Vitamins Plan →

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

FAQ

What is the difference between prenatal and postnatal vitamins?

Prenatal vitamins provide the nutrients needed during pregnancy, when iron needs peak at 27 mg a day. Postnatal vitamins are formulated to support the body after birth, especially during breastfeeding, when iron needs drop to 9 mg and needs for iodine, choline and vitamin A go up. Your needs in the two phases are more similar than you might think.

What does prenatal vs. postnatal mean?

“Prenatal” means before birth. It covers pregnancy and often the months before conception. “Postnatal” means after birth and can refer to both the mother and the baby. “Postpartum” refers specifically to the mother’s recovery after delivery. A postnatal vitamin is a multivitamin marketed for the months after birth, usually tuned for breastfeeding.

Are prenatal and postnatal vitamins the same?

Not exactly, but they’re often close. Both are formulated to meet the intense nutritional needs of pregnancy and the postpartum period. A postnatal formula may have less iron and more iodine or vitamin A to match breastfeeding needs, but the differences are usually only moderate. Compare the nutrient amounts on the label, not the name on the bottle.

Do I need to switch to a postnatal vitamin after giving birth?

No. You don’t need to switch to a postnatal vitamin unless you want to or your healthcare practitioner directs you to. It’s completely fine to stick with your prenatal, because a comprehensive prenatal can still meet your needs after birth. Check that your prenatal and your diet together cover iodine, choline, folate, vitamin B12, vitamin D and DHA.

Should I take a prenatal or postnatal vitamin while breastfeeding?

It’s up to you. Either one can work if, together with your diet, it covers the higher breastfeeding needs for iodine (290 mcg), choline (550 mg) and vitamin A (1,300 mcg RAE). Breastfeeding increases your nutrient needs, and your baby gets some nutrients through your milk. No vitamin can guarantee an increase in milk supply.

Do postnatal vitamins have less iron than prenatal vitamins?

Often, yes. According to the NIH, iron needs drop from 27 mg a day in pregnancy to 9 mg a day while breastfeeding, so many postnatal formulas contain less iron. Iron needs after birth vary by person, though. They depend on blood loss during delivery and your iron levels. Ask your practitioner which dose is right for you.

When should I switch from prenatal to postnatal vitamins?

It’s up to you. There’s no medical deadline. You can keep taking your prenatal for a few days, weeks or longer after giving birth, or you can start a postnatal right after birth or a few weeks into the fourth trimester. Either way, your nutrient needs stay high while your body recovers.

Can I take a postnatal vitamin if I’m not breastfeeding?

Yes. It’s still a great idea to take a vitamin even if you’re not breastfeeding, because your body is recovering from the work of growing and birthing a human. The breastfeeding targets for iodine, choline and vitamin A don’t apply to you, so a comprehensive prenatal or postnatal vitamin can work. Talk to your healthcare practitioner about your needs.

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Steph Greunke, MS, RD, CPT, PMH-C

Stephanie Greunke is a registered dietitian that specializes in prenatal/postnatal nutrition, behavioral psychology, and holds additional certifications in perinatal mental health and fitness. She's a key contributor and advisor to Needed as well as Needed’s Head of Practitioner Relationships. Steph is the owner of Postpartum Reset, an online postpartum nutrition course, and the co-host of "Doctor Mom" podcast.

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