Choosing a prenatal can be overwhelming. With hundreds of options on the market, it’s hard to know where to start. Every brand claims to be the one you need. But there’s no standard for what’s actually in a prenatal–it’s up to the brand to choose. And nutrient levels vary significantly from brand to brand.
So we did the work for you. We pulled the labels from three of the most talked-about prenatal vitamin brands — including our own — and compared them, nutrient by nutrient, against the Recommended Dietary Allowances (RDAs) for pregnancy, or against the Adequate Intakes (AIs) for nutrients without an RDA.
The RDA is a floor, not a target
Here's what's worth knowing before you buy: the RDA itself is a floor, not an optimal target for pregnancy, and a lot of prenatal vitamins on the market don't even reach that floor.
The national nutrition standards, including the RDAs, that underpin prenatal nutrition guidance, supplement formulation, policies, and clinical care in the US were established in 1941 — born out of a bare-minimum philosophy as our country emerged from the Great Depression and prepared for war.
Though these standards have been updated since 1941, of the nearly one million people whose data shapes today’s pregnant and breastfeeding standards, fewer than 5% are pregnant or breastfeeding. Further, morbidities of pregnancy and breastfeeding were not considered when setting these guidelines. Women’s needs were never centered as part of RDAs, and 85 years later, they still aren’t.
Most women aren't even meeting the nutritional floor
Even judged against the bare minimum bar of RDAs, most pregnant women fall short — both from diet and from supplementation.
Choline is one of the starkest examples of that mismatch. The NIH Office of Dietary Supplements notes that 90–95% of pregnant women consume less choline than the established Adequate Intake (AI). Although the evidence supporting choline’s importance during pregnancy has grown substantially, federal dietary reference guidelines have not yet advanced from an AI to a formal RDA. Typical prenatal supplements contain minimal or no Choline at all, which is a large part of why supplementation doesn't fully close the gap. Choline is directly tied to fetal brain and spinal cord development, which makes that shortfall more than a technicality.
Separately, a 2024 analysis in JAMA Network Open, using national NHANES data from 1999 to 2018, found that inadequate intake among pregnant women has been getting worse, not better, over two decades for nutrients including Vitamin A, Vitamin C, and Iron.
Put together, this is the real story behind many prenatal multivitamins: the label says "prenatal," but for a large share of products on the shelf, the actual formulation was never built to close the gap between what a pregnant body needs to thrive and what an average diet provides.
Not all prenatals are built the same
To see this concretely, we compared the labeled daily amounts in Needed's Prenatal Multivitamin Pro, Needed's Prenatal Multivitamin, and Needed's Prenatal Multivitamin Gummy against two widely used competitors — Ritual's Prenatal Multivitamin and Perelel's Trimester Packs (1st, 2nd, and 3rd) — using the pregnancy RDA or AI for each nutrient as the reference point.




