Calcium deficiency is prevalent among pregnant women, and mothers often struggle with the safe and effective ways to supplement calcium. The majority are uncertain about the appropriate calcium dosage for each stage of pregnancy, impacting both maternal well-being and fetal development. Addressing these concerns, this article provides guidance on the safest and most effective approach to calcium consumption during pregnancy.
1. Calcium Intake for Pregnant Women: Consume the Right Dosage
When supplementing any substance, dosage plays a crucial role. The right dosage distinguishes whether a substance acts as a supplement or a toxin, and calcium is no exception. During each stage of pregnancy, the required calcium intake for pregnant women undergoes changes. The primary aspect of calcium consumption for pregnant women is to take the right dosage at the appropriate time.
1.1. Optimal Calcium Intake for Expecting Mothers in the First Trimester
Certainly, moms-to-be are well aware that during the initial three months, it's crucial to supplement calcium for the fetus to begin forming its nest and ensure the initial stage of the baby's development. At this point, the required calcium intake for pregnant women is higher than before pregnancy, around 800 mg of calcium per day.
Meeting the adequate calcium intake ensures a smooth start to the baby's development process:

How to Incorporate Calcium for Expecting Mothers: Commencing from the Early Pregnancy
- By the 5th week, the fetus needs calcium to construct the circulatory system.
- By the 6th week, the baby's spine undergoes noticeable development, taking on the shape of the letter C. Calcium plays a crucial role in achieving this.
- During the 7th week, the received calcium contributes to the development of the wing buds.
- By the 8th week, the neck and body of the fetus have straightened.
- By the 9th week, thanks to calcium, the baby's fingers gradually take shape and develop.
Explore more: What to Eat for the First 3 Months of Pregnancy? Essential Foods for Supplementing Nutrition
1.2. Calcium Intake for Expecting Mothers in the Second Trimester
As the pregnancy reaches its mid-point, mothers-to-be should enhance calcium supplementation. The average daily calcium intake needed for pregnant women is 1000mg. At this stage, relying solely on food for calcium is insufficient; additional supplements are necessary. The recommended approach for calcium intake during the nurturing 3 months is to ensure the mother receives a sufficient 1000mg of calcium per day. Because the fetus requires calcium for the completion of its organs:
- Moving into the 13th week and beyond, the fetus requires calcium to continue building its bone system. The bones, including the skull, become noticeably sturdier.
- This bone development process continues in the 14th, 15th, and 16th weeks. Therefore, to ensure the baby's bone structure is robust, laying the foundation for future height development, this is an opportune time to supplement calcium.

Calcium Supports the Well-being of Both Mother and Baby during Pregnancy
- By the 17th and 18th weeks, the received calcium continues to be utilized for building the bone structure. Additionally, it aids the baby in early movements such as sucking fingers, blinking, and more.
- As the final stage of the last 3 months approaches, calcium contributes to the ongoing refinement of the bone system for the baby.
1.3. Calcium Intake for Expecting Mothers in the Last 3 Months
The last 3 months of pregnancy, also known as the 'homestretch' for the baby. Hence, the calcium requirements for pregnant women are significantly higher, specifically needing to supplement 1500mg of calcium per day. This substantial amount of calcium serves two major tasks:
- Enhance the bone structure in terms of quality and length. The baby's weight and length will also increase rapidly. Therefore, if pregnant mothers do not supplement the necessary amount of calcium during this stage, the baby is prone to weak bones, low weight, and delayed intellectual development.
- A portion of the calcium will be stored in breast milk to provide the newborn with antibodies and essential nutrients (including calcium).
1.4. Calcium Intake for Expecting Mothers: How Many Tablets to Take
As we've explored earlier, the required calcium intake for pregnant women increases according to specific stages of pregnancy: 800 mg of calcium in the first 3 months, 1000mg in the following 3 months, and 1500mg in the last 3 months. Therefore, the approach to calcium intake for expecting mothers is to consume the appropriate amount during each stage of pregnancy.
When mothers fail to meet the necessary calcium intake for the fetus, the mother's body will draw calcium from the bones to transfer to the child. Hence, experts recommend pregnant women take approximately 2 calcium tablets per day (with calcium content ranging from 250mg to 450mg). Additionally, it is essential to refer to the manufacturer's recommendations regarding dosage and usage.
However, in the initial stage for acclimatization, pregnant mothers should take 1 tablet per day. After a week, if no adverse effects such as heat sensations, constipation, skin eruptions, etc., are observed, mothers can increase the dosage to 2 tablets per day.

Pregnant women should supplement calcium according to the recommended expert dosage
While supplementing calcium is essential for pregnant women, it's crucial to note that daily nutrition also includes calcium-rich foods. Therefore, a safe approach to calcium intake for pregnant women is to balance supplementation from both food and supplementary tablets. The daily calcium intake for pregnant women should not exceed 2500mg/day to prevent elevated blood calcium levels, which can adversely affect both the mother and the fetus.
It's important to discard the notion of 'the more calcium, the better,' as the body can only absorb a specific amount. Sudden excess supplementation leads to calcium excretion, exerting pressure on other organs such as the stomach and kidneys.
2. Considerations for Calcium Intake in Pregnant Women
The following are considerations for effective and safe calcium intake for pregnant women:
- For pregnant women requiring calcium supplementation through oral consumption, the dosage, type of medication, and timing should strictly adhere to the doctor's recommendations. This situation necessitates close medical supervision, and self-administration may pose risks to both the mother and the baby.
- Pregnant women with high blood pressure or pre-existing calcium deficiency should focus on calcium supplementation to prevent preeclampsia.
- An effective tip for calcium intake in pregnant women is to enhance calcium supplementation while ensuring a comprehensive intake of other nutrients. In addition to calcium, the baby requires various nutrients for development.
- When supplementing calcium, pregnant mothers should also ensure a comprehensive intake of other essential nutrients.

Calcium Intake for Pregnant Women: Avoid Combining with Iron
- Simultaneous supplementation of iron and calcium may lead to absorption competition. Almost the entire calcium intake during that period will be excreted. Therefore, experts often recommend pregnant women to supplement these two minerals at different times, preferably at least 2 hours apart. For convenience, pregnant women should take calcium 30 minutes after a meal and iron after 2 hours.
- When supplementing calcium, pregnant women should avoid consuming it with foods such as: spinach, tea, chocolate, coffee, etc. These are foods that hinder the body's calcium absorption process.
- The best time for calcium intake for pregnant women is in the morning. The morning is when the body absorbs nutrients well, and there is sunlight to convert vitamin D, supporting calcium absorption.
In summary, the safest and most effective way to take calcium for pregnant women is to supplement according to the recommended dosage by experts. Pregnant women should thoroughly research a product before using it and choose organic calcium supplements. Alongside calcium intake, pregnant women should maintain a healthy diet and engage in light exercise for a healthy pregnancy.
