From managing cravings to ensuring essential nutrient intake, pregnancy brings a unique mix of dietary challenges and opportunities. To shed light on this important phase, Dr. Pooja Bansal (PT) from MedBound Times spoke with Rakshita Mehra (M.S., C.D.E.), a clinical nutritionist with experience in both hospital and private practice. Currently serving as a Senior Clinical Dietician and Nutritionist at Delhi, India, she specializes in creating tailored, evidence-based diet plans that support not only pregnancy but overall health and recovery.
With a B.Sc. in Home Science from Lady Irwin College, University of Delhi, and an M.Sc. in Foods and Nutrition from Amity University, Mehra combines scientific expertise with a personalized, practical approach. Passionate about spreading awareness, she has authored articles, delivered talks, and conducted sessions on nutrition for diverse audiences. In this Part-3 the interview, she shares her insights on pregnancy cravings, bizarre myths, gestational diabetes and more.
Dr. Pooja Bansal (PT): Pregnancy cravings are real for many women—but how should they manage them without compromising nutrition?
Rakshita Mehra: Why Cravings Happen:
Pregnancy cravings are often triggered by hormonal changes, emotional shifts, or nutritional gaps. While they are common, giving in to every craving—especially for ultra-processed or sugary foods—can affect overall health.
How to Manage Cravings Smartly:
Understand the Craving:
Craving chocolate? You might need magnesium. Craving salty snacks? Your body may be seeking more sodium or hydration.
Try to identify the root cause—is it hunger, boredom, or a true nutrient need?
Choose Healthier Alternatives:
Craving sweets? Try dates, fruit with nut butter, or homemade kheer with less sugar.
Craving fried snacks? Go for roasted makhana, baked samosas, or besan chillas.
Craving cold desserts? Opt for fruit yogurt, homemade smoothies, or frozen banana “nice cream.”
Follow the 80–20 Rule:
Eat 80% nutrient-dense meals, and allow 20% flexibility for occasional indulgences. Depriving yourself completely can backfire and lead to overeating.
Don’t Skip Meals:
Balanced, timely meals with enough protein and fiber help control cravings and prevent sudden blood sugar dips.
Mindful Eating:
Practice portion control. Savor the treat—just a bite or two often satisfies the craving.
Dr. Pooja Bansal (PT): On the flip side, are there any commonly consumed foods or habits that pregnant women should definitely avoid?
Rakshita Mehra: Foods to Avoid During Pregnancy:
Unpasteurized Dairy Products and Juices
Risk: Listeria infection
Examples: Raw milk, soft cheeses like paneer made from unpasteurized milk
Undercooked or Raw Eggs, Meat, and Seafood
Risk: Salmonella, Toxoplasmosis
Examples: Runny eggs, sushi, rare meat, raw sprouts
High-Mercury Fish
Risk: Harmful to baby’s brain and nervous system
Examples: Shark, swordfish, king mackerel
Street Food or Poorly Washed Produce
Risk: Food poisoning, infections
Choose fresh, home-cooked meals instead
Excess Caffeine
Limit to 200–300 mg/day (about one regular cup of coffee)
Too much caffeine may increase miscarriage or low birth weight risk
Packaged/Processed Foods
Loaded with sodium, sugar, preservatives—can lead to water retention, high blood pressure
Alcohol and Tobacco
Strictly to be avoided—can cause developmental defects and complications
Dr. Pooja Bansal (PT): Have you come across any funny or bizarre myths in your practice that made you pause or laugh? We’d love to hear some!
Rakshita Mehra: Myths like eating kesar in pregnancy will make the baby’s skin fair and the baby will be born pink, or drinking coconut water will make the eyes of the baby blue in color. Craving sweets? You are having a girl. Craving spicy? It is a boy! Based on this logic, many women would be giving birth to gulab jamuns and green chilies. No scientific basis—just good fun! Even drinking tea will make the baby dark-skinned. These are some of the funniest myths I have ever heard about pregnancy.
Dr. Pooja Bansal (PT): Gestational diabetes is a fairly common complication during pregnancy. Is there any specific advice or preventive guidance you’d like to share for women dealing with it?
Rakshita Mehra: Gestational diabetes mellitus (GDM) is a condition where the body cannot regulate blood sugar effectively during pregnancy due to hormonal changes. It usually occurs in the second or third trimester, and while it typically resolves after delivery, it increases the mother’s risk of type 2 diabetes later.
Preventive and Management Guidance:
Balanced Meals:
Focus on low glycemic index (GI) foods—whole grains, lentils, vegetables, and fruits like apples, pears, and berries.
Pair carbs with protein/fiber to slow sugar spikes.
Eat small, frequent meals (every 2.5–3 hours) to keep sugar levels stable.
Avoid Simple Carbs:
Limit white rice, maida products, sugar, sweets, packaged snacks, and fruit juices.
Replace with millets, brown rice, oats, and home-cooked meals.
Stay Active:
Light exercise like walking 20–30 minutes a day after meals helps improve insulin sensitivity.
Prenatal yoga (with doctor approval) is also helpful.
Hydration and Sleep:
Drink enough water and get at least 7–8 hours of sleep to support blood sugar control.
Monitor and Track:
Keep track of fasting and post-meal sugar levels as advised by your doctor.
If needed, follow up with a clinical dietitian for a tailored plan.
Dr. Pooja Bansal (PT): Apart from gestational diabetes, are there any other common complications where nutrition can play a big role in prevention or management?
Rakshita Mehra: Nutrition plays a major role in preventing and managing several common pregnancy complications—not just gestational diabetes.
Anemia (Iron-Deficiency Anemia)
Common in Indian women, especially during pregnancy
Preeclampsia (High Blood Pressure + Protein in Urine)
Usually develops after 20 weeks
Constipation and Acidity
Common due to hormonal changes and growing uterus
Excessive Weight Gain or Obesity
Low Birth Weight or Intrauterine Growth Restriction (IUGR)
Nutrition directly impacts fetal development
In all these cases, working with a qualified nutritionist ensures timely identification and correction of deficiencies, symptom management, and a safer, healthier pregnancy journey.
Dr. Pooja Bansal (PT): How much of a pregnant woman’s nutritional needs can be met through supplements, and how much really depends on the actual food she eats?
Rakshita Mehra: While supplements are essential during pregnancy to meet specific micronutrient needs, they are not a replacement for a healthy, balanced diet. The two work together—supplements fill gaps, but real food does the heavy lifting.
What Supplements Usually Cover:
Most doctors prescribe a basic prenatal supplement that includes:
Folic acid – to prevent neural tube defects (especially in the first trimester)
Iron – to prevent anemia and support blood volume
Calcium and Vitamin D – for bone health and fetal development
Iodine – for brain development
DHA/omega-3s – for brain and eye development (sometimes given separately)
These nutrients are hard to meet through food alone in sufficient quantities during pregnancy, so supplementation is important.
Why Real Food Is Still Critical:
Food provides:
Macronutrients (carbs, protein, fats) for energy and tissue building
Phytochemicals and antioxidants not found in pills (from fruits, veggies, grains)
Fiber to prevent constipation and support gut health
Satiety, flavor, and emotional satisfaction—you cannot get that from a tablet!
Dr. Pooja Bansal (PT): Lastly, is there a message you’d like to leave for all the pregnant women reading this—something simple but meaningful?
Rakshita Mehra: Dear Moms-to-Be,
Pregnancy is not just about growing a baby—it is about nurturing yourself too. In the midst of advice, emotions, and changes, remember this: You do not have to be perfect—just intentional.
Every small step you take toward better nourishment, rest, and self-care is a gift to both you and your baby. Do not stress over occasional cravings or missed meals—what matters most is the overall balance and love you put into your journey.
Trust your body, stay informed, and do not hesitate to ask for support. Whether it is food, rest, or reassurance—you deserve it all.
Wishing you strength, peace, and a joyful journey into motherhood.
MedBound Times extends a heartfelt gratitude to Rakshita Mehra for sharing her valuable insights on our platform.