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A Healthy Third Trimester Menu: Nourishing You and Your Baby

  • Writer: Katherine McNitt, MS, RDN, LDN
    Katherine McNitt, MS, RDN, LDN
  • Jun 3
  • 7 min read

The third trimester of pregnancy (weeks 28–40) is a critical time when your baby is growing rapidly and your body is preparing for labor and delivery. This is a period of increased nutrient needs, particularly for protein, omega-3 fatty acids, iron, calcium, and fiber, to support fetal development, maintain maternal energy, and promote overall health. Below, I’ve crafted a two-day meal plan designed to meet these needs, complete with recipes, portion sizes, and explanations of why these foods are ideal for this stage of pregnancy. This menu is balanced, nutrient-dense, and delicious, ensuring you and your baby thrive.


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Why Nutrition Matters in the Third Trimester


During the third trimester, your baby’s brain, lungs, and bones are developing rapidly, and your body requires extra calories (about 450 additional calories per day) and nutrients to support this growth. Key nutrients include:

  • Protein: Supports fetal tissue growth and maternal tissue expansion.

  • Omega-3 fatty acids (DHA/EPA): Crucial for brain and eye development.

  • Iron: Prevents anemia and supports increased blood volume.

  • Calcium and Vitamin D: Essential for bone development and maternal bone health.

  • Fiber: Helps combat constipation, a common issue due to hormonal changes and pressure from the growing uterus.

  • Hydration: Vital for amniotic fluid production and preventing swelling.


This menu emphasizes whole foods, lean proteins, healthy fats, and complex carbohydrates to meet these needs while keeping meals satisfying and practical.



Day 1: Nutrient-Packed Meals for Energy and Growth


Breakfast: Banana Peanut Butter Oatmeal with Chia Seeds


Recipe (Serves 1)  

  • ½ cup rolled oats (dry)

  • 1 cup water or low-fat milk (for cooking oats)

  • 1 medium banana, sliced

  • 1 tablespoon natural peanut butter

  • 1 tablespoon chia seeds

  • Optional: Dash of cinnamon or 1 teaspoon honey for sweetness


Instructions:

  1. Cook oats in water or milk over medium heat, stirring until creamy (about 5 minutes).

  2. Stir in chia seeds and peanut butter until well combined.

  3. Top with sliced banana and a sprinkle of cinnamon or drizzle of honey.


Portion Size: 1 bowl (about 1.5 cups cooked oatmeal with toppings).


Why It’s Beneficial:

  • Oats: Provide complex carbohydrates for sustained energy and fiber (4g per ½ cup) to aid digestion.

  • Banana: Rich in potassium (422mg per medium banana), which helps manage fluid balance and prevent leg cramps.

  • Peanut Butter: Offers healthy fats and protein (7g per tablespoon) to support satiety and fetal growth.

  • Chia Seeds: Packed with omega-3s, fiber (5g per tablespoon), and calcium (77mg per tablespoon), supporting brain development and digestion.


Tip: Pair with a glass of water or herbal tea to stay hydrated.


Morning Snack: Trail Mix


Recipe (Serves 1)  

  • ¼ cup unsalted almonds

  • 2 tablespoons dried cranberries (unsweetened or low-sugar)

  • 2 tablespoons pumpkin seeds

  • 1 tablespoon dark chocolate chips (70% cocoa or higher)


Instructions:

  1. Mix all ingredients in a small container or baggie.

  2. Store in a cool, dry place for portability.


Portion Size: ½ cup total.


Why It’s Beneficial:

  • Almonds and Pumpkin Seeds: Provide healthy fats, protein (about 7g per ¼ cup almonds), and magnesium (essential for muscle relaxation and preventing preterm contractions).

  • Cranberries: Offer antioxidants and a touch of natural sweetness.

  • Dark Chocolate: Contains small amounts of iron and antioxidants, plus it satisfies sweet cravings without excessive sugar.


Tip: Pre-portion to avoid overeating, as nuts are calorie-dense.


Lunch: Chicken Avocado Wrap with Lettuce


Recipe (Serves 1)  

  • 1 whole-grain tortilla (8–10 inches)

  • 4 oz grilled chicken breast, sliced

  • ½ avocado, mashed

  • 1 cup romaine lettuce, chopped

  • ¼ cup shredded carrots

  • 1 tablespoon Greek yogurt (as a spread)

  • Optional: Squeeze of lemon juice or sprinkle of black pepper


Instructions:

  1. Spread Greek yogurt and mashed avocado on the tortilla.

  2. Layer with chicken, lettuce, and carrots.

  3. Roll tightly, slice in half, and serve.


Portion Size: 1 wrap.


Why It’s Beneficial:

  • Chicken: A lean protein source (26g per 4 oz), crucial for fetal tissue growth and maternal muscle maintenance.

  • Avocado: Rich in healthy monounsaturated fats and folate (90mcg per ½ avocado), supporting neural development.

  • Whole-Grain Tortilla and Lettuce: Provide fiber (about 3g from tortilla, 1g from lettuce) to prevent constipation.

  • Greek Yogurt: Adds calcium (20mg per tablespoon) and probiotics for gut health.


Tip: Pair with a side of sliced bell peppers for extra vitamin C, which enhances iron absorption.


Afternoon Snack: Cucumber with Hummus


Recipe (Serves 1)  

  • 1 medium cucumber, sliced into sticks

  • ¼ cup hummus (store-bought or homemade)


Instructions:

  1. Slice cucumber into sticks or rounds.

  2. Serve with hummus for dipping.


Portion Size: 1 cup cucumber slices with ¼ cup hummus.


Why It’s Beneficial:

  • Cucumber: High in water content (95% water), aiding hydration, and low in calories.

  • Hummus: Made from chickpeas, it provides protein (2g per ¼ cup), fiber (2g), and iron (0.7mg), supporting blood volume expansion.


Tip: Choose a low-sodium hummus to manage swelling, a common third-trimester concern.


Dinner: Baked Salmon with Roasted Vegetables


Recipe (Serves 1)  

  • 5 oz salmon fillet (wild-caught, if possible)

  • 1 cup broccoli florets

  • 1 cup sliced zucchini

  • ½ cup cherry tomatoes, halved

  • 1 tablespoon olive oil

  • 1 teaspoon lemon juice

  • 1 clove garlic, minced

  • ½ cup cooked quinoa (optional side)


Instructions:

  1. Preheat oven to 400°F (200°C).

  2. Toss vegetables with olive oil, garlic, and a pinch of salt and pepper. Spread on a baking sheet.

  3. Place salmon on the same sheet, drizzle with lemon juice, and season with pepper.

  4. Bake for 15–20 minutes until salmon flakes easily and vegetables are tender.

  5. Serve with quinoa, if desired.


Portion Size: 5 oz salmon, 2 cups roasted vegetables, ½ cup quinoa.


Why It’s Beneficial:

  • Salmon: A powerhouse of omega-3 fatty acids (1.5g DHA/EPA per 5 oz), vital for baby’s brain and eye development, and protein (29g).

  • Broccoli and Zucchini: Rich in vitamin C (70mg per cup broccoli), folate (57mcg per cup zucchini), and fiber (2–3g per cup) for digestion.

  • Quinoa: A complete protein (8g per ½ cup) and source of magnesium (64mg), supporting energy and muscle health.


Tip: Squeeze extra lemon on the salmon for a flavor boost and additional vitamin C.



Day 2: Balanced and Flavorful Choices


Breakfast: Nutrient-Dense Smoothie


Recipe (Serves 1)  

  • 1 cup frozen mixed berries (strawberries, blueberries)

  • ½ banana

  • 1 cup spinach

  • ¾ cup plain Greek yogurt

  • 1 cup unsweetened almond milk

  • 1 tablespoon ground flaxseeds


Instructions:

  1. Blend all ingredients until smooth.

  2. Add more almond milk if needed for desired consistency.


Portion Size: 1.5–2 cups.


Why It’s Beneficial:

  • Berries: Packed with antioxidants and vitamin C (50mg per cup), supporting immune health.

  • Spinach: Provides iron (0.8mg per cup) and folate (58mcg), critical for red blood cell production.

  • Greek Yogurt: Offers calcium (200mg per ¾ cup) and protein (17g) for bone health and satiety.

  • Flaxseeds: Add omega-3s and fiber (2g per tablespoon) for heart and digestive health.


Tip: Use a reusable straw for easy sipping and pair with a handful of walnuts for extra crunch.


Morning Snack: Protein Shake


Recipe (Serves 1)  

  • 1 scoop vanilla protein powder (whey or plant-based, 20–25g protein)

  • 1 cup unsweetened almond milk

  • ½ cup frozen mango chunks

  • 1 tablespoon almond butter


Instructions:

  1. Blend all ingredients until smooth.

  2. Serve chilled.


Portion Size: 1.5 cups.


Why It’s Beneficial:

  • Protein Powder: Boosts protein intake (20–25g), supporting muscle maintenance and fetal growth.

  • Mango: Provides vitamin A (89mcg per ½ cup) for immune and eye health.

  • Almond Butter: Adds healthy fats and vitamin E (3.9mg per tablespoon) for skin and tissue health.


Tip: Choose a protein powder with minimal added sugars and no artificial sweeteners.


Lunch: Chicken Caesar Salad


Recipe (Serves 1)  

  • 2 cups romaine lettuce

  • 4 oz grilled chicken breast, sliced

  • ¼ cup whole-grain croutons

  • 2 tablespoons Caesar dressing (low-sodium, preferably homemade)

  • 1 tablespoon grated Parmesan cheese

  • Optional: Lemon wedge for squeezing


Instructions:

  1. Toss lettuce, chicken, croutons, and dressing in a large bowl.

  2. Sprinkle with Parmesan and squeeze lemon juice over the top.


Portion Size: 1 large bowl (about 3 cups).


Why It’s Beneficial:

  • Romaine Lettuce: High in fiber (2g per 2 cups) and folate (128mcg), supporting digestion and fetal development.

  • Chicken: Provides lean protein (26g per 4 oz) and iron (1mg) for energy and blood health.

  • Parmesan: Adds calcium (55mg per tablespoon) for bone health.


Tip: Make your own dressing with Greek yogurt, lemon juice, garlic, and olive oil to control sodium and boost nutrients.


Afternoon Snack: Yogurt with Fruit


Recipe (Serves 1)  

  • ¾ cup plain Greek yogurt

  • ½ cup sliced strawberries

  • ¼ cup blueberries

  • 1 tablespoon chopped walnuts


Instructions:

  1. Layer yogurt in a bowl or cup.

  2. Top with strawberries, blueberries, and walnuts.


Portion Size: 1 cup total.


Why It’s Beneficial:

  • Greek Yogurt: Rich in protein (17g) and probiotics for gut health.

  • Berries: Provide antioxidants and vitamin C (45mg per ¾ cup mixed berries).

  • Walnuts: Offer omega-3s and healthy fats for brain health.


Tip: Opt for plain yogurt to avoid added sugars, and sweeten naturally with fruit.


Dinner: Shrimp Tacos


Recipe (Serves 1)  

  • 5 oz cooked shrimp (peeled, deveined)

  • 2 small corn tortillas

  • ½ cup shredded cabbage

  • ¼ avocado, sliced

  • 2 tablespoons salsa

  • 1 tablespoon Greek yogurt (as a crema)

  • 1 teaspoon lime juice

  • Optional: Cilantro for garnish


Instructions:

  1. Warm tortillas in a skillet or microwave.

  2. Sauté shrimp with a pinch of chili powder (2–3 minutes until pink).

  3. Assemble tacos with shrimp, cabbage, avocado, salsa, and a dollop of Greek yogurt.

  4. Drizzle with lime juice and garnish with cilantro.


Portion Size: 2 tacos.


Why It’s Beneficial:

  • Shrimp: Low in calories but high in protein (24g per 5 oz) and omega-3s, supporting brain development.

  • Cabbage: Provides fiber (2g per ½ cup) and vitamin K (36mcg) for blood clotting.

  • Avocado and Greek Yogurt: Add healthy fats and calcium for satiety and bone health.

  • Corn Tortillas: A gluten-free, whole-grain option for sustained energy.


Tip: Serve with a side of steamed green beans for extra fiber and folate.



General Tips for the Third Trimester

  • Hydration: Aim for 10–12 cups of water daily to support amniotic fluid and reduce swelling.

  • Small, Frequent Meals: Eating every 2–3 hours helps manage heartburn and maintain energy.

  • Limit Sodium: Choose low-sodium options to prevent excessive swelling.

  • Listen to Your Body: Adjust portion sizes based on hunger and consult your healthcare provider for personalized advice, especially if you have gestational diabetes or other conditions.


This two-day menu is designed to be flexible, nutrient-dense, and enjoyable, ensuring you feel energized and nourished during this exciting time. For more personalized guidance, consult a registered dietitian or your healthcare provider. Enjoy your third trimester, and happy eating!


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