Vitamins For Woman

Pregnancy Hydration: How Much to Drink, Best Fluids & Dehydration Signs

margaret etudo

Medically Reviewed By Margaret Etudo. Written By The Vitamins For Woman Team.

Pregnancy hydration matters more than you might think. Discover how much to drink, what to drink, and signs you’re not getting enough.

Pregnancy Hydration
Pregnancy Hydration / Canva

Table of Contents

Introduction

Pregnancy places extra demands on your body—blood volume increases, amniotic fluid builds up, and supporting nutrients must circulate efficiently to you and your baby.

Staying hydrated during pregnancy does more than stop you from feeling thirsty—it helps your baby grow, lowers your risk of things like UTIs and preterm labor, can ease swelling and nausea, and keeps your body running the way it should.

In this article, we’ll explore pregnancy hydration, including how much water to drink, the best drinks to support your needs, and how to spot signs of dehydration early.

Why Hydration Matters More During Pregnancy

How Your Body Uses Water When Pregnant

Your blood volume increases by nearly 50% during pregnancy, and water supports nutrient and oxygen transport to the fetus. 

Hydration also helps build and maintain amniotic fluid, which cushions and protects your baby, keeps your metabolism running and regulates temperature through increased circulation.

Risks of Dehydration

Insufficient fluid intake raises the risk of urinary tract infections due to concentrated urine. It can also lead to low amniotic fluid (oligohydramnios), which may compromise fetal development and circulation. 

Furthermore, dehydration can trigger uterine irritability and early contractions, which may precede preterm labor.

How Much Water to Drink Daily

By Trimester

Health experts recommend 8–12 cups (64–96 oz / 1.9–2.8 L) of fluids daily during pregnancy. That’s roughly 1.9–2.8 L per day.

In the first trimester, morning sickness may reduce your ability to drink, while in the third trimester, fluids help prevent uterine irritability and prepare the body for labor.

Adjustments for Hot Weather / Exercise

You’ll need more than the standard recommendation if you live in a hot climate like Lagos, exercise, or sweat due to swelling.

Aim for 1–2 cups per hour of activity or high heat to compensate for fluid and electrolyte losses. Also, drinking water before, during, and after exercise helps maintain hydration.

Best Drinks for Pregnancy Hydration

1. Plain Water

Still your best option: it’s safe, affordable, and free from sugars or additives. If your tap water quality is questionable, consider filtered options.

2. Electrolyte‑Infused Waters & Pregnancy‑Safe Powders

Vos are practical tools, especially when sweating, sick, or exercising. Electrolyte drinks help your body retain fluids more efficiently than water alone. 
Use pregnancy-safe electrolyte powders that avoid caffeine, artificial sweeteners, or excessive sodium. Always check with your OB or pharmacist before adding electrolyte supplementation.

3. Coconut Water

Coconut water contains ~95% water with natural electrolytes—potassium, sodium, and magnesium—making it gentle on the stomach and effective in rehydrating during vomiting episodes.

Benefits:

  • It helps restore electrolyte balance after morning sickness.
  • It may support blood pressure due to the potassium content.
  • Low in sugar compared to many sports drinks

⚠️ Note: Stick with unsweetened, pasteurized opt options and try not to overdo it—too much can throw off your try not to overdo it—too much can throw off your electrolyte balance, especially if you’re on supplements or managing gestational diabetes.

4. Flavored or Sparkling Water

If you’re craving something different, zero- or low-calorie flavored waters or plain sparkling water can mix things up without loading you on sugar. Just skip the caffeinated kinds—they can dehydrate you.

5. Caffeine‑Free Herbal Teas

Gentle herbal teas (e.g., ginger, lemon balm) hydrate and soothe nausea, but check safety—avoid certain herbs like licorice root unless your healthcare provider approves.

6. Milk, Smoothies & Broths

Milk (fortified soy milk) contributes to hydration and essential nutrients like calcium and protein. Vegetable-based smoothies or broths also count toward daily fluid intake.

Dehydration Causes

Morning Sickness & Hyperemesis Gravidarum

Persistent vomiting causes dehydration and electrolyte loss. Try sips of water, ice chips, or coconut water between bouts. If the patient cannot retain liquids, medical intervention with oral rehydration or IV fluids may be needed, especially in hyperemesis gravidarum.

Hot Weather and Physical Activity

Nigeria’s tropical climate increases sweat loss. Bring a water bottle, sip regularly, and have electrolyte drink options on hand. Dehydration and overheating may increase core temperature, risking preterm birth or neural tube defects.

Swelling

While fluid retention causes edema or swelling, restricting fluids isn’t safe. Instead, raise your feet, wear supportive clothing, and drink plenty of water. It helps maintain circulation and prevent complications.

Signs of Dehydration During Pregnancy

SymptomWhat to Watch For
Thirst & dry mouthOften first sign
Dark urineIndicates concentration
Headache, dizzinessEspecially when standing
Muscle crampsElectrolyte imbalance
Fatigue & irritabilityLow blood volume
Braxton‑Hicks contractionsCould signal low fluids
Severe dry skin, confusionSeek urgent medical care

If you show severe signs such as fainting or confusion, go to the ER or call your provider immediately.

Frequently Asked Questions

Yes. Dehydration is known to stimulate uterine contractions, as it reduces blood volume and circulation to the uterus. Even mild dehydration may trigger Braxton Hicks contractions.

Gatorade and similar sports drinks contain electrolytes and can help replace fluids after exercise or when vomiting. However, many contain added sugars and artificial colors. 

Opt for low-sugar, pregnancy-safe alternatives like coconut water or unsweetened electrolyte powders. Always check ingredient lists and consult your OB.

Pay attention to the following warning signs:

  • Mild: dark yellow urine, dry mouth, fatigue, lightheadedness.
  • Moderate: reduced urine output, dry skin, dizziness, worsening Braxton Hicks contradiction.
  • Severe: confusion, rapid heartbeat, very low blood pressure, fainting, inability to keep liquids down—medical attention needed.

 

Checking your urine color (pale yellow = good hydration) and staying alert to physical signals are key.

Final Thoughts for You

Hydration during pregnancy is far more than a hydration strategy; it’s foundational for fetal development, maternal well-being, and managing common pregnancy symptoms.

Aim for at least 8–12 cups (64–96 oz) of mostly water, complemented by pregnancy-safe electrolyte drinks and coconut water, especially when dealing with morning sickness, swelling, exercise, or hot climates.

Listen to your body through the color of your urine, your level of comfort, and any emerging symptoms.

Keep sipping throughout the day, and don’t hesitate to contact your OB or pharmacist if fluids don’t stay down or dehydration symptoms persist. A balanced approach ensures both you and your baby thrive.

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  3. Shahnazi M, Meli MS, Hamoony F, Sadrimehr F, Samani FG, Koshavar H. The effects of intravenous hydration on amniotic fluid volume and pregnancy outcomes in women with term pregnancy and oligohydramnios: a randomized clinical trial. Journal of Caring Sciences. 2012;1(3):123.

  4. Booth J, Agnew R. Evaluating a hydration intervention (Drink up) to prevent urinary tract infection in care home residents: A mixed methods exploratory study. Journal of Frailty, Sarcopenia and Falls. 2019;4(2):36.

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  6. Raza M. Is coconut water truly a miracle drink in pregnancy or a myth? Pakistan Journal of Medical Sciences. 2024;40(8):1894.

margaret etudo

medically reviewed by margaret etudo, BPharm. written by the vitamins for woman team.

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