Folic acid use during pregnancy is vital for the baby
For the development of the central nervous system of the baby in the mother's womb, it is very important to take folic acid especially from the first weeks of pregnancy. Because folic acid deficiency can lead to neural tube defects in the infant group.
Gynecology Obstetrics and IVF Specialist states that folic acid should be taken every day because it is not stored in the body and more than normal is needed during pregnancy. Dr. Dr. Bülent Berker, fetus due to folic acid deficiency in pregnant women “neural tube defects (NTD) toplan under the name of a number of abnormalities may occur, he said.
In addition, preeclampsia in these pregnant women that occur during pregnancy and life-threatening high blood pressure that develops more frequently transfers. Berker explained why folic acid is important:
Sinir The nervous system structure in which the brain and spinal cord develop is called a neural tube. The neural tube defects, one of the congenital anomalies that have serious health consequences, are seen as a result of this tube which must be closed until the end of the fourth week of life that starts in the uterus. Anencephaly, encephalocele and spinabifida are among the most common NTDs. Folate deficiency is a nutritional maternal risk factor for fetal NTD. Folate is a water-soluble vitamin B, but its deficiency can be remedied by consumption of vitamin supplements or supplementary foods. It is stated that increased folic acid consumption during pregnancy decreases NTDs and high amounts of folic acid prevent the risk of developing NTD in subsequent pregnancies. Neural tube defects may not be caused solely by folic acid deficiency. It should be kept in mind that neural tube defects may occur in an infant due to other reasons. These include the presence of insulin-dependent diabetes in the mother, the diagnosis of neural tube defects in previous pregnancies, overweight or obesity, a history of high fever in the first weeks of pregnancy or the use of antiepileptic drugs. ”
WHICH FOLIC ACID IS IN FOOD?
Folic acid deficiency or neural tube defect anomaly previously detected in women who gave birth to a baby, at least 3 months before the date they intend to become pregnant should begin folic acid intake. Berker said:
“Fresh green vegetables are a source of folic acid, but reduce the amount of long-term cooking and long-standing foods. In order to meet daily needs, folic acid is the most concentrated foods liver and other organ meats, dried legumes, nuts and nuts such as hard shell fruits, green vegetables such as spinach and brussels sprouts, and especially citrus fruits and unrefined (extracts and bran) cereal products and potatoes. Citrus fruits are also rich in folic acid. Orange, grapefruit and lemon fruits can be consumed daily and folic acid needs can be met. Folic acid deficiency is generally seen in people with digestive system disorders and during pregnancy. Since natural foods cannot completely cover the folic acid deficit of the pregnant woman, it would be appropriate to take them as pills from the first weeks of pregnancy. ”
WHEN AND HOW TO USE FOLIC ACID?
Berker noted that the recommended timing for folic acid use is one month before pregnancy and the first trimester of pregnancy. We recommend using folic acid 0.4 mg / day during the first trimester of pregnancy in planned pregnancies. However, we recommend 0.4 mg folic acid daily in the first trimester of pregnancy, and 4 mg folic acid in the first trimester of pregnancy, especially in women with a history of giving birth to NTD in the past. Pregnant women with epilepsy (epilepsy) should take 1 mg of folic acid daily. If folic acid is used in high doses in pregnant women with epilepsy, it reduces the effectiveness of antiepileptic drugs. On the other hand, women taking antiepileptic drugs are at risk for folic acid deficiency. Therefore, folic acid dose should be well adjusted and followed closely in epilepsy patients. Most of the pregnancies are unplanned in our country, so educating women of reproductive age with foods rich in folic acid and advising them about nutrition will reduce the rate of babies with NDT. The use of folic acid should last until the end of the third month (12th week of pregnancy)..
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