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Olive Oil During Pregnancy and Breastfeeding: A Nutrition Guide

How does extra virgin olive oil fit into the diets of pregnant and breastfeeding women? OLEA reviews the guidance from obstetric societies and nutrition research.

OLEA Editorial2 min read한국어

Translated from the Korean edition, originally published September 10, 2024 · read the original

Olive Oil During Pregnancy and Breastfeeding: A Nutrition Guide
Photo: OLEA Editorial · OLEA · Photo: Philippe Zuber / Unsplash

The starting point is straightforward: during pregnancy and breastfeeding, the stability of the overall dietary pattern matters more than the claimed benefits of any single food. Extra virgin olive oil (EVOO) fits into that pattern as one of the principal dietary fats replacing saturated fat. Individual medical conditions always take priority, and every dietary decision should begin with a conversation with a healthcare provider.

Dietary fat during pregnancy

The broad framework recommended by the American College of Obstetricians and Gynecologists (ACOG) and the UK NHS centres on a balanced diet of vegetables, fruit, whole grains, and protein. Within that framework, monounsaturated fats such as olive oil serve as a primary dietary fat source. Some cohort studies conducted in Spain reported that women who maintained a Mediterranean dietary pattern during pregnancy showed lower signals for gestational diabetes and certain complication markers, according to the researchers. Those findings are interpreted as reflecting the overall dietary pattern rather than the effect of any single food.

A plate of food dressed with olive oil
A plate of food dressed with olive oil · Photo: Seval Torun / Unsplash

Breast milk fatty acid composition during lactation

A nursing mother's diet is understood to influence breast milk fatty acid composition to some degree. Taken together, studies reported in nutrition journals have observed a signal of elevated oleic acid proportions in the breast milk of mothers who maintained a diet higher in monounsaturated fats. Whether that change influences infant development outcomes remains an area where further research is needed.

Claims that go too far

Phrases such as "one spoonful of EVOO a day during pregnancy develops the fetal brain" or "EVOO intake while breastfeeding prevents allergies" are not supported by clinical conclusions. Regulatory guidance in multiple markets explicitly restricts definitive efficacy claims for general foods. It is also worth stating clearly that individual conditions — including gestational diabetes, gallbladder disease, and allergy history — can alter dietary recommendations, making personalised medical advice essential.

How to use EVOO day to day

The most practical approach is to reduce processed fats and saturated fats and work EVOO into salads, grains, and vegetable dishes throughout the day. Within the structure of the Mediterranean diet, reading the polyphenol guide alongside the label-reading guide helps clarify what freshness actually means on a given bottle. During pregnancy and lactation especially, choosing a clearly dated EVOO in a small bottle and replacing it often is the most sensible habit to build.

Dietary choices during pregnancy and breastfeeding are determined by the stability of the whole dietary pattern, not by the properties of any single food. All decisions about diet during these stages should be made in consultation with a healthcare provider.

Frequently asked questions

Is extra virgin olive oil safe to eat during pregnancy?
Major obstetric bodies, including the American College of Obstetricians and Gynecologists (ACOG) and the UK NHS, recommend a balanced diet centred on vegetables, fruit, whole grains, and protein during pregnancy, with monounsaturated fats such as olive oil as a preferred dietary fat. Individual medical circumstances vary, so all dietary decisions should be made in consultation with a healthcare provider.
Does a mother's olive oil intake affect breast milk?
Studies reported in nutrition journals have observed that mothers who maintained a diet higher in monounsaturated fat tended to show elevated oleic acid levels in their breast milk. Whether that shift meaningfully influences infant development outcomes is an area where further research is still needed.
Can olive oil prevent gestational diabetes or allergies in the baby?
Claims that a spoonful of EVOO prevents gestational diabetes or infant allergies go well beyond what clinical evidence currently supports. Some cohort studies conducted in Spain reported lower markers of gestational diabetes and certain complications in women who followed a Mediterranean dietary pattern during pregnancy, but researchers interpret this as an effect of the overall diet pattern, not any single food.
How should pregnant or breastfeeding women choose an olive oil?
The most practical approach is to select a clearly dated, fresh EVOO in a small bottle and replace it frequently. Prioritising freshness matters more during pregnancy and lactation than at other times, and using EVOO in place of processed fats and saturated fats — drizzled over salads, grains, and vegetables — fits naturally within the broader Mediterranean dietary pattern.

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