e-Library of Evidence for Nutrition Actions (eLENA)


An online library of evidence-informed guidelines for nutrition interventions and single point of reference for the latest nutrition guidelines, recommendations and related information.

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High-protein supplementation during pregnancy

Intervention | Last updated: 9 August 2023


The nutritional status of women prior to and during pregnancy plays a key role in fetal growth and development. Undernourished pregnant women may be at increased risk for adverse pregnancy outcomes, including giving birth to low-birth-weight and small for gestational age infants.

Providing balanced protein energy supplementation (i.e. supplements in which protein provides less than 25% of the total energy content) to undernourished pregnant women has been shown to promote gestational weight gain and improve pregnancy outcomes.

Evidence for the effects of high-protein supplementation is very limited, however, and suggests no positive health benefits for women and increased risk of small for gestational-age babies.

WHO Recommendations


In undernourished populations, high-protein supplementation is not recommended for pregnant women to improve maternal and perinatal outcomes.

Cost-effectiveness Learn More Alternate Text


Relevant cost-effectiveness analyses have not yet been identified.