From the Guidelines
Natural supplements such as magnesium, vitamin B6, omega-3 fatty acids, chamomile tea, lavender aromatherapy, and L-theanine may help manage anxiety during pregnancy, but it is essential to consult with a healthcare provider before taking any supplement. When considering supplements for anxiety during pregnancy, it's crucial to prioritize those with the most substantial evidence supporting their safety and efficacy. According to the most recent and highest quality study available 1, a daily supplement of 400 to 800 mcg of folic acid is recommended for women of reproductive age to reduce the risk of neural tube defects. However, for anxiety management, the following supplements have shown promise:
- Magnesium (300-600mg daily) can help reduce anxiety by regulating neurotransmitters and promoting relaxation.
- Vitamin B6 (25-50mg daily) supports the production of serotonin and GABA, which regulate mood.
- Omega-3 fatty acids (300-1000mg DHA daily) may reduce inflammation and support brain function.
- Chamomile tea (1-3 cups daily) contains compounds that bind to the same brain receptors as anti-anxiety medications.
- Lavender aromatherapy used as needed can promote relaxation through inhalation.
- L-theanine (200mg daily), found in green tea, increases calming brain chemicals without sedation. These supplements work by supporting neurotransmitter function, reducing inflammation, or promoting relaxation responses in the nervous system. Additionally, regular gentle exercise, adequate sleep, mindfulness practices, and proper nutrition can complement these supplements. Always start with low doses and monitor for any adverse reactions, as individual responses vary during pregnancy. It's also important to note that a mental health assessment should be included in preconception care, as mood and anxiety disorders are highly prevalent in women of reproductive age 1.
From the FDA Drug Label
Warning: Do not give to children under twelve except under the advice and supervision of a doctor. If you are pregnant or nursing a baby seek the advice of a health professional before using this product. The FDA drug label does not answer the question.
From the Research
Natural Supplements for Anxiety During Pregnancy
There are several natural supplements that have been studied for their potential to reduce anxiety symptoms during pregnancy. Some of these supplements include:
- Omega-3 fatty acids, which have been found to have a positive effect on anxiety symptoms in adults 2, 3
- Mindfulness-based interventions, which have been shown to be effective in reducing anxiety symptoms in pregnant women 4
Omega-3 Fatty Acids
Omega-3 fatty acids have been found to be a potential treatment for anxiety symptoms, with a dose-dependent effect observed in some studies 2. The optimal dose of omega-3 fatty acids for anxiety symptoms is still unclear, but a dose of 2g/d has been found to be effective in some studies 2. Omega-3 fatty acids are considered safe for use during pregnancy, and may be a viable alternative to pharmacotherapy for women who are concerned about the potential risks of medication 5, 6.
Mindfulness-Based Interventions
Mindfulness-based interventions have been found to be effective in reducing anxiety symptoms in pregnant women, and may be a useful adjunct to other treatments 4. These interventions typically involve teaching women mindfulness techniques, such as meditation and deep breathing, to help them manage their anxiety symptoms.
Patient Concerns
Pregnant women with anxiety symptoms often have concerns about using pharmacotherapy to treat their symptoms, including concerns about the potential risks to their baby and themselves 6. Natural supplements, such as omega-3 fatty acids, may be a more appealing option for these women, as they are generally considered safe and may be perceived as more "natural" than pharmacotherapy. However, more research is needed to fully understand the potential benefits and risks of these supplements during pregnancy.