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How vegetarianism affects breastfeeding
Pregnancy

How vegetarianism affects breastfeeding

2 min readWeek 12
Key takeaways
2 min
  • Ensure adequate B12 supplementation during breastfeeding as it's only found in animal products and deficiency can cause delayed infant development
  • Monitor iron levels closely as vegetarian mothers have higher risk of deficiency due to lower absorption rates from plant sources
  • Include calcium-rich plant foods like bok choy, broccoli, and almonds if following a vegan diet to prevent early osteoporosis
  • Consult your healthcare provider about appropriate dietary supplements to maintain optimal nutrition during breastfeeding
  • Focus on nutrient-dense whole foods and regular blood tests to detect deficiencies early before symptoms appear

Vegetarian and vegan mothers produce breast milk nearly identical to meat-eaters, except for vitamin B12 content. B12 supplementation is essential as deficiency can cause irreversible delayed infant development. Iron and calcium monitoring are also important for maternal health.

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How vegetarianism affects breastfeeding

There have been many studies around the world examining how a mother's diet affects the composition of milk. As it turns out, vegans, vegetarians and meat eaters all produce milk that is almost identical in composition. With one significant exception, vitamin B12 [1].

What mom needs

Iron. It’s necessary for the baby, therefore, it is extracted from all the stores of the mother's body in order to get into milk. If the reserves are not replenished, the mother will develop an iron deficiency. Moreover, it is not always immediately detected as anemia (low hemoglobin) [2]. You feel tired, and a complete blood count (CBC) shows that everything is in order. Of course, there is iron in plant products, but it is harder to absorb. Therefore, if you are vegan or vegetarian, talk with your doctor about which dietary supplement options are right for you.

Calcium. It’s found in dairy products, so lacto-vegetarians are safe. Vegans, on the other hand, can develop early osteoporosis if plant-based sources of calcium are not a part of your everyday diet. You will find calcium in the following veggies:

  • bok choy cabbage
  • broccoli
  • Chinese cabbage
  • soy products
  • sesame seeds
  • almonds [2]

What baby needs

B12 will only be present in mama’s milk if it's in her daily diet. And it’s contained exclusively in animal products. If mom doesn’t eat meat, fish, eggs and milk, then she will need vitamin supplements [3].

Vitamin B12 deficiency is dangerous. Its symptoms — delayed physical and mental development — will begin to appear only after four months, or sometimes years later. Then, it will no longer be possible to compensate for the shortage that occurred in the first months of life [2, 4].


  1. Vegan or vegetarian diet and breast milk composition — a systematic review. Karolina Karcz, Barbara Królak-Olejnik. Critical Reviews in Food Science and Nutrition, 2021.

  2. The Effects of Vegetarian and Vegan Diet during Pregnancy on the Health of Mothers and Offspring. Giorgia Sebastiani, Ana Herranz Barbero, et al. Nutrients, 2019.

  3. Vitamin B12. CDC, Breastfeeding, 2019.

  4. B Vitamins in Breast Milk: Relative Importance of Maternal Status and Intake, and Effects on Infant Status and Function. Lindsay H. Allen. Adv Nutr., 2012.

Frequently asked questions

Yes, vegetarians can breastfeed safely as breast milk composition is nearly identical between vegetarians and meat-eaters. However, vitamin B12 supplementation is essential since it's only found in animal products.

Vegetarian breastfeeding mothers primarily need B12 supplements, plus careful attention to iron and calcium intake. Vegan mothers especially need calcium from plant sources like broccoli and almonds.

Vegetarian diets produce breast milk with nearly identical composition to omnivorous diets, except for vitamin B12 levels. B12 deficiency in breast milk can cause delayed infant development if not supplemented.

Yes, iron deficiency is more common since plant-based iron is harder to absorb than iron from meat sources. Regular monitoring and potential supplementation are recommended.

B12 deficiency symptoms like delayed physical and mental development typically appear after 4 months, but sometimes years later. Early deficiency damage cannot be reversed later.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Medically reviewed content

Reviewed by healthcare professionals · Updated September 5, 2024

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