In general, once diagnosed with Coeliac Disease and strictly following a gluten-free diet, there is no reason why you cannot conceive. However, in order to be sure that you are recovering well and absorbing nutrients from food, it’s important that you discuss your pregnancy plans with your health professional.
It’s advisable to see a dietitian to discuss the adequacy of your diet before getting pregnant. It is also recommended to have some recent blood results to show how you’re progressing since diagnosis. This will indicate if additional supplements are required during the pregnancy.
There’s some controversy about folic acid supplementation. If your absorption is normal, the standard recommendation of 400micrograms/day should be sufficient but there are some schools of thought that would recommend a higher intake. This should be discussed on an individual basis with your doctor or dietitian.
There are no specific guidelines for pregnant women with coeliac disease, they should follow the same nutritional advice as the general population, especially with regard to adequate calcium and iron intake. However, the gluten-free diet should be strictly adhered to to ensure that nutritional requirements are met.
INDI have produced factsheets with general guidelines for pregnancy including: