In this review
In this review
If you're pregnant or planning to conceive, you know prenatal vitamins are essential. But with countless options, choosing the right one is less clear.
TCD mom on staff Sarah started with Ritual’s Prenatal Multivitamins for her first pregnancy. Just two pills a day seemed like a great option, but she quickly realized she needed add-on supplements to fill the gaps from this prenatal. Before baby number 2 she consulted her OB, and found an option that contains everything moms need in one daily pack - Perelel’s Trimester-Specific Prenatal Packs - without add-ons.
To help moms-to-be make the right decision, we compared Perelel Prenatal Packs and Ritual Prenatal Multivitamins on 1) formulation and ingredients, 2) ease-of-use and convenience, 3) expertise, and 4) price and value. Is Ritual’s simple dosing actually enough? Does trimester-specific formulation really make sense? Read on to find out Sarah’s (and our) winner.
Why Sarah Switched From Ritual for Her Second Pregnancy
Sarah took Ritual during her first pregnancy without much thought. “Moms online recommended it, I’d read that all prenatals were pretty much equal, and I loved that it was just a couple pills I could take each day. But when I asked my OB I realized how much I was missing.”
- Vitamin B6, calcium & omega-3 EPA: Ritual skips these entirely. B6 is the first-line treatment OBs recommend for morning sickness, while EPA supports placental transport of key nutrients to the fetus.1,2 Calcium is critical for bone and teeth development.3 Sarah had to spend an extra $31/month to add these in.
- Unexpected acne: “I've never really experienced chronic acne. I found out biotin could be the cause4 - it's in Ritual's formula, and it can trigger breakouts in some women.” And outside of a true deficiency - which is rare since most people get plenty from diet - there's little evidence biotin does anything for skin, hair, or nails, making it filler in a prenatal Sarah didn't need.5
- Morning sickness: “I just thought bad nausea was part of pregnancy. After doing more research the second time around, I found out some prenatals include ingredients like ginger and vitamin B6 to reduce morning sickness - but Ritual doesn't.” Sarah ended up supplementing both B6 and ginger separately - but Perelel includes both.
- She wanted something easier to take with a toddler in the house: “My second pregnancy is a lot busier with a 3-year-old at home. I need something I could grab and go. Not a whole pillbox I need to keep track of.”
On paper, Perelel’s Trimester-Specific Prenatal Vitamins contain a more complete formula. Do the numbers add up?
Formulation & Ingredients: Perelel Wins With Complete Nutrition
One thing Sarah learned for her second pregnancy: start prenatals before you're pregnant. OB/GYNs recommend beginning at least 3 months before trying to conceive - so that nutrient levels are fully established before the neural tube closes at day 28 of pregnancy.6 That changed what Sarah was looking for in a formula.
In addition to ingredients that support conception - like CoQ10 for egg health7 - a well-formulated prenatal vitamin routine should include trimester-specific dosing, since nutritional needs shift significantly across pregnancy.8 It should cover key nutrients like vitamin B6 for nausea in the first trimester, calcium for fetal bone development, and both DHA and EPA for placental transport and absorption - not just DHA alone.9
"During my first pregnancy, my OB pointed out that I wasn't getting enough B6, calcium, or omega-3 EPA - and I had no idea Ritual wasn't covering them," Sarah says. "I ended up spending $31 a month extra (around $300 total) once I added those in - meaning Ritual actually cost more than Perelel.”
Here's how the two break down on ingredients:
Perelel's Trimester-Specific Prenatal Packs adjust dosages based on trimester and cover the full range of nutrients Sarah was missing:
- Preconception: Includes CoQ10 (50mg), an antioxidant that supports egg health and quality - an ingredient Ritual omits entirely.
- First trimester: Adds a Folate + Anti-Nausea Blend – 25mg vitamin B6, 825mcg DFE folate, and 300mg ginger root – to reduce morning sickness during the hardest stretch. Also contains a total of 1,525mcg DFE folate - 52% more than Ritual - to help prevent neural tube defects during the first weeks of pregnancy.
- Second trimester: Includes a Calcium + Magnesium capsule (200mg / 200mg) to reduce muscle cramps and support bone development as the baby grows.
- Third trimester: Adds a 5 billion CFU probiotic blend to support immune function and help regulate blood glucose - both of which are strained during pregnancy.
- Omega-3s: Perelel contains 250mg DHA + 100mg EPA across all three trimesters. EPA supports placental transport to baby and DHA absorption - Ritual includes DHA but no EPA.
- Choline: Perelel contains 120mg of choline (vs. Ritual's 55mg) - a nutrient critical for fetal brain development that Ritual significantly underdoses.3
- No biotin: Ritual contains 150mcg of biotin, which has been linked to breakouts - and is unnecessary in a prenatal as most women get sufficient amounts through diet.5
Ritual's Prenatal Multivitamin takes a minimalist approach that excludes key nutrients - 12 ingredients versus Perelel's 24-25 - and does not adjust by trimester:
- No CoQ10 for conception: Not designed to be taken preconception; no support for egg health or quality.
- No trimester-specific formulation: One formula for all stages of pregnancy, with no adjustments for changing nutritional needs.
- Missing B6 and nausea support: No B6 or ginger root means no support for morning sickness.
- Underdoses choline: 55mg choline versus Perelel's 120mg means Ritual underdoses a nutrient critical for fetal brain development.
- DHA only, no EPA: 350mg DHA but no EPA, limiting DHA absorption and placental transport to the developing baby.
- Missing key micronutrients: No selenium, vitamin A, or zinc - all of which Perelel includes across every trimester pack.
- Contains biotin (150mcg): Linked to pregnancy acne in some women - an ingredient Perelel intentionally excludes.
For Sarah, those gaps meant extra cost, extra pills and extra stress during her first pregnancy.
Ease-of-Use & Convenience: Perelel Wins With Trimester-Specific Daily Packs
For Sarah, the difference in daily experience between her first and second pregnancy was noticeable immediately.
Ritual’s Prenatal Multivitamin daily dose is 2 capsules, but the algae odor made them hard to stomach. The scented insert didn’t fully mask the smell, according to Sarah, so much that she “skipped taking them occasionally” during her first trimester when her morning sickness was particularly strong. Her nausea lasted all the way through week 13 - which she assumed was a normal part of pregnancy. By the end of her first trimester, she had added in two additional pills for vitamin B6 and ginger that Ritual skips.
With her second pregnancy on Perelel Prenatal Packs? “The first trimester was so much easier this time,” Sarah said. Perelel’s daily dose is 4-5 pills - depending on trimester - but Sarah noticed no algae odor, which made them easy to take. She also found that the B6 and ginger made her nausea more manageable. “I actually had an appetite during my first trimester,” Sarah said, “and even experienced full days with no nausea.” Perelel’s daily packs also make it easy for Sarah to ensure she’s getting all of her supplements with no additional planning - especially important with a 3-year-old at home during this pregnancy.
Expertise: Perelel Wins With OB/GYN Founder
The FDA does not regulate dietary supplements, but both brands follow the FDA’s current Good Manufacturing Practices (cGMPs) and utilize third-party testing.10,11 What sets Perelel apart is its depth of expertise.
Ritual was founded by a mother frustrated at the lack of transparency in mass-market vitamins. Perelel was founded by an OB/GYN, Dr. Banafsheh Bayati, who developed the trimester-specific packs in partnership with a network of other experts - registered dietitians, maternal-fetal medicine doctors, reproductive endocrinologists - and a former patient, whose daughter experienced birth defects due to complications with prenatal supplements. After learning how many nutrients Ritual was missing, Sarah “feels much more peace-of-mind taking a prenatal developed by an expert in pregnancy and women’s health” during her second pregnancy.
Price & Value: It’s a Tie
How does monthly cost compare?
Both brands tie on sticker price - Ritual Prenatal Multivitamins are $39/month and Perelel Prenatal Packs are $39.96/month with TCD’s discount.
However, Ritual only covers 12 nutrients - half of what Perelel contains. Most notably, it's missing B6, EPA, and calcium - and adding those separately during her first pregnancy meant Sarah was paying $70/month.
With Perelel, the monthly cost includes all nutrients Sarah needed. “I don’t have to do all of the extra research.” Plus, Sarah was able to put in her due date for this pregnancy and Perelel automatically updates her subscription so the right trimester-specific pack shows up.
Sarah’s Verdict: Perelel Is The Best Prenatal Vitamin
After comparing Perelel and Ritual on formulation, ease of use, clinical expertise, and price, Perelel is the clear winner - the most complete prenatal on the market, with trimester-specific packs designed by an OB/GYN.
For Sarah, switching made a tangible difference: less nausea, no breakouts, and a simpler daily routine - without the added cost of extra supplements. "I feel so much more confident this pregnancy," she says. "I wish I'd done this research before my first."
Ready to try Perelel? Save 20% on your first order with code TCD:
References
- American College of Obstetricians and Gynecologists
- National Institutes of Health
- American College of Obstetricians and Gynecologists
- Nolla Health
- UCLA Health
- U.S. Preventive Services Task Force
- CNY Fertility
- National Institutes of Health
- Premom
- Perelel Health
- Ritual
