Pregnancy has its own recommended amount, and the same upper limit as for other adults. The US recommended amount in pregnancy is 350 to 400 mg a day from food and supplements together. The upper limit from supplements is 350 mg a day, the same as for other adults.[1] EFSA, the EU food safety authority, found no evidence that pregnancy raises the need, and sets 300 mg a day.[19]
A 2014 Cochrane review of 10 trials with 9,090 women found no clear effect of magnesium supplements on stillbirths and newborn deaths, small babies or pre-eclampsia. Only 2 of the trials were of high quality.[30] One analysis showed more newborn deaths with magnesium. This came mostly from one trial, and the difference went away when deaths from severe birth defects were left out.[30] A 2022 review of 7 trials found a lower risk of pre-eclampsia (risk ratio 0.76), but not in women at normal risk.[31]
For leg cramps in pregnancy, trial results conflict.[25]
Magnesium sulphate given by doctors for pre-eclampsia is a different, medical use. In 10,141 women it lowered the risk of eclampsia by 58%.[11]
Pregnant women should ask a doctor or pharmacist before taking more than 350 mg a day from supplements.[1]