Women are being fed an experimental cocktail of super-nutrients in the hope this will reduce their children's risk of obesity and diabetes as adults.
About 1800 women in Auckland, Singapore and England will participate in the trial, which aims to reduce pregnancy-related diabetes and thus switch genes to the right settings for the baby's best shot at good health long term.
It involves twice-daily consumption of one of two kinds of health drink, starting before conception and continuing through pregnancy. The sachet's contents, mixed with water, is either vitamin and mineral supplements, including folic acid, or that plus probiotics and a supplement called myo-inositol.
The body needs myo-inositol for making cell membranes and other functions. It is related to inositol, which is present in nuts, legumes and cereals. Food company Nestle, whose research division is one of the trial's partners, has filed a patent claiming that myo-inositol with probiotics could help prevent pregnancy-related "gestational" diabetes.
The influential Cochrane Collaboration's analysis of myo-inositol studies last year found it shows promise as a dietary supplement during pregnancy to prevent gestational diabetes, "but there is not enough evidence at this stage to support its routine use".