Folic acid how to take during pregnancy dosage. Folic acid: instructions for use during pregnancy and beyond. Special indications for use

Something, and folic acid during pregnancy, is prescribed to almost everyone, especially during pregnancy planning and its first trimester. Even ardent opponents of taking medications during pregnancy treat folic acid favorably. And this is true, since the lack of this vitamin in the body of the future mother (and folic acid is vitamin B9) is fraught with many serious unpleasant consequences. During pregnancy, a sufficient dosage of folic acid is extremely important, since B9 is involved in DNA synthesis, in the process of cell growth and division, in the process of hematopoiesis. Folic acid is necessary when laying the nervous system in the fetus, it prevents the development of defects in the neural tube, brain, etc.

· folic acid during pregnancy: dosage

Doctors say that every second pregnant woman is seriously deficient in vitamin B9 (folic acid). That is why the appointment and sufficient dosage of folic acid during pregnancy is important. Its deficiency is extremely dangerous both for the mother herself and for the unborn baby. provokes such serious violations as:

1. the formation of defects in the nervous system of the fetus (cerebral hernia, absence of the brain, dropsy of the brain, spina bifida);
2. development of malformations of the cardiovascular system, "cleft lip" (cleft lip);
3. violations in the process of formation of the placenta in a pregnant woman;
4. increased risk of placental abruption, miscarriage, miscarriage, premature birth, physical and mental fetal growth retardation, and other maternal and child health problems;
5. anemia of pregnant women, and with a severe deficiency of vitamin B9, megaloblastic anemia inevitably develops, which can be fatal for a pregnant woman and child.

At the same time, one should not rush from one extreme to another, although, unfortunately, many people do just that: optimists do not believe in “medical horror stories”, and pessimists are ready to rush headlong to the pharmacy after the first paragraph of the article and swallow tons of drugs that can eliminate the deficit folic acid during pregnancy. Both the first and the second are erroneous, everything needs a "golden mean". In the vast majority of cases, the daily dose of folic acid during pregnancy needs to be supplemented with vitamin complexes for pregnant women. But a large dosage of folic acid during pregnancy is far from always justified, and taking individual vitamin B9 preparations is not often prescribed. One way or another, and during pregnancy, it will be best to listen to doctors and not refuse to take folic acid. The main thing is that the dosage of folic acid is correctly set, taking into account the needs of the woman's body at a particular moment.

· folic acid during pregnancy: daily dose and body need

According to doctors, the need for vitamin B9 in an adult is 200 mcg per day (0.2 mg). , providing the body's need during pregnancy naturally increases. In this case, the minimum "daily dose" is 400 mcg per day (0.4 mg). In most cases, the dosage of folic acid during pregnancy reaches 800 mcg per day (0.8 mg). And when a pregnant woman is at risk (when vitamin B9 deficiency is proven as a result of research and tests), the daily dose of folic acid can increase to 5 mg per day.

How to understand pharmacy preparations of vitamin B9, is the daily dosage of folic acid sufficient in your case? First, listen to the doctor's recommendations, insist that the dose of folic acid is prescribed based on the results of the tests, and not just for preventive purposes, and if in doubt, consult with another doctor. And secondly, always carefully study the instructions.

· folic acid during pregnancy: dose in preparations

The most common are tablets with a dose of folic acid in which 1000 micrograms (1 mg). Often the recommended dosage of folic acid during pregnancy is one tablet of this drug per day. Overdose in this case is simply impossible.

In the case of a pronounced deficiency of vitamin B9 in the body of a woman carrying a baby, more “strong” folic acid tablets will most likely be prescribed during pregnancy: “ Folacin" or " Apo-folic". One tablet of these drugs contains 5000 mcg (5 mg) of folacin, and this is a therapeutic dose of folic acid.

You should also take into account the intake of other vitamins and complexes for pregnant women, or rather their composition. Usually, all such drugs contain the right dose of folic acid in the composition. For example, in the preparation Folio"contains 400 micrograms of folacin and 200 micrograms of iodine, preparations" Elevit" And " materna"contain 1000 mcg (1 mg), in" Multi-tabs"- 400 mcg of folic acid, in " Pregnavite"- 750 mcg, and vitamin tablets" Vitrum prenatal» contain 800 micrograms of vitamin B9.

As a rule, if a pregnant woman takes any of these drugs, or another similar one, then additional folic acid is not required. Provided there is no deficiency of folacin in the body, of course. But, if folic acid tablets are prescribed during pregnancy in addition to vitamins, then the content of this vitamin in them must be taken into account so that the daily dosage of folic acid is correctly calculated.

And, of course, one cannot ignore the question: is an overdose of folic acid during pregnancy possible and what is its danger for the baby and expectant mother? We hasten to reassure you: folic acid is completely non-toxic to humans. An overdose of folic acid during pregnancy can only occur if you take a dose of the drug hundreds of times higher than the need - this is about 25-30 tablets per day. Other excesses of the daily requirement, excesses of the vitamin, are simply excreted from the female body without any consequences. However, the dosage of folic acid during pregnancy should be adequate, that is, one that satisfies the body's need for it.

An excess of vitamin B9 is excreted from the body on its own, but still, long-term use of high doses of folacin can pose a threat to both: the content of vitamin B12 in the blood decreases, which can lead to anemia in a pregnant woman, disorders of the gastrointestinal tract, changes in kidney function may occur , increased nervous excitability. This can happen if you take 10-15 mg of the drug daily for 3 months or longer. It is unlikely that any adequate woman will swallow 15 tablets in one day. Simply put, an accidental overdose of folic acid during pregnancy is not possible.

Norwegian scientists conducted a scientific experiment, as a result of which the following fact was established: in pregnant women who had an increased level of vitamin B9 in their blood plasma, children were born one and a half times more often, prone to asthmatic diseases. But, unfortunately, scientists have not named any specific doses that give an overabundance, an overdose of folic acid during pregnancy.

Therefore, if you are worried that the dosage you have been prescribed is too high, consult some other doctor about this. But, as already mentioned, if a slight excess, an overdose of folic acid during pregnancy is not dangerous.

· Folic acid during pregnancy in products

Well, for those who still firmly insist on a “drug-free” pregnancy, we can offer a set of products for the daily diet during the period of bearing a baby, containing a large amount of vitamin B9 in their composition:

1. any vegetables that have dark green leaves (green peas, lentils, beans, spinach, parsley, broccoli, asparagus, cabbage, green onions, carrots, beets, tomatoes, soybeans),
2. some fruits (peaches, watermelon, melon),
3. walnuts, sunflower seeds,
4. bakery products made from wholemeal flour,
5. buckwheat, oatmeal and rice cereals,
6. wheat germ,
7. milk powder, kefir, cheese, cottage cheese,
8. egg yolk,
9. beef liver,
10. caviar.

It's no secret that a balanced, nutritious diet can make up for the deficiency of any vitamins in the body. But if your doctor says you need extra folic acid because you're deficient, don't argue. Filinic acid does not accumulate in the body, it does not have such a property, the excess is excreted, and the deficiency must be replenished with foods and vitamins. Therefore, first get rid of the deficit, and only then adhere to the “drug-free philosophy”. And vice versa: let everyone around say “necessary” - do not take ANY pills without consulting a doctor!

Health to you and your little belly belly!

Yana Lagidna, especially for the site

And a little more on the topic of pregnancy, folic acid per day, video:

Most often, folic acid deficiency is due to three reasons:

• Insufficient intake from food. It should be borne in mind that up to 90% of the folic acid contained in raw food is destroyed during heat treatment, but nevertheless, it is not difficult to ensure a sufficient amount of folic acid from food. In addition to the leaves of garden greens, it is also found in liver, meat, cheese, caviar, egg yolk, legumes, tomatoes, sunflower seeds,
• Increased need. The need for this substance increases when rapid growth and tissue renewal prevails: during a period of rapid growth in young children and adolescents, with severe oncological diseases, anemia, skin diseases, etc. The need for folic acid in pregnant women increases with the growth of the fetus. During breastfeeding, the need for this vitamin is also increased, as well as the need for other vitamins.
• Violation of the absorption of folic acid in the intestine. Diseases of the stomach and small intestine can lead to deficiency due to insufficient absorption, while with a normal composition of the intestinal microflora, the body can synthesize folic acid on its own.

Folic acid contained in medicinal preparations is absorbed much better than its natural counterpart.

Mechanism of action of folic acid

As you know, in order for any living cell to enter into the process of division, its genetic material, enclosed in a DNA helix, must double. It is in the process of DNA doubling that folic acid takes an active part. In addition, it is involved in the synthesis of RNA (ribonucleic acid), amino acids, and contributes to better absorption of iron.

Accordingly, the deficiency of this factor is especially dangerous for actively proliferating cells. Folic acid is necessary for the growth and development of all organs and tissues, the normal development of the embryo, and hematopoiesis processes. In the early stages of pregnancy, this is especially important, because already in the 2nd week from conception in the embryo, you can determine the part from which the brain begins to develop. It was during this period, despite the fact that the woman is still unaware of her pregnancy, even a short-term deficiency of folic acid is fraught with the development of defects in the development of the nervous system in the fetus.

In addition to participating in the creation of fetal cells, this vitamin is used to replace the cells of the body of a pregnant woman, as human cells are constantly updated. Folic acid is involved in the formation of all blood cells. In addition, it provides a good mood, participating in the exchange of biologically active substances serotonin and adrenaline, which largely affect the state of the nervous system, stimulates appetite at the sight of food, participating in the production of hydrochloric acid in the stomach,

During pregnancy, folic acid deficiency leads to the formation of neural tube defects: absence of the brain, hydrocephalus (hydrocephalus), the formation of cerebral hernias, spina bifida, in addition, the formation of malformations of the cardiovascular system and splitting of the lip and palate (cleft lip and cleft palate). With a lack of this vitamin, the formation of the placenta is disrupted, the likelihood of miscarriage, partial placental abruption, stillbirth, and fetal growth retardation increases. Studies have shown that about 75% of these defects can be prevented if a woman starts taking folic acid supplements before pregnancy.

It is important to continue the use of folic acid during breastfeeding, when the need for it even exceeds the need for a pregnant woman. Folic acid deficiency has a significant impact on the formation of postpartum depression, apathy, weakness, and causes a decrease in the amount of milk. In addition, a deficiency of this vitamin in a nursing mother leads to its low content in breast milk and, as a result, to its deficiency in a child. In children with folic acid deficiency, in addition to anemia, there is a lag in weight, a delay in psychomotor development, a decrease in immunity, and disruption of the intestines.

Dosage of folic acid during pregnancy

The minimum daily requirement for folic acid in the normal state is 50 mcg, but with increasing needs, for example during pregnancy, it can increase several times. In Russia, it is believed that the need for folic acid in pregnant women without signs of deficiency of this vitamin is 400 mcg per day. In nursing mothers, this need is 600 mcg per day. Considering that folic acid deficiency is especially dangerous in the first weeks of pregnancy, this vitamin is recommended to be taken in the process of preparing for pregnancy (at least three months), as well as during the entire period of bearing a baby. The standard folic acid tablet contains 1 mg, the folic acid content of multivitamins ranges from 300 micrograms to 1 mg. Thus, taking one tablet of folic acid per day or a multivitamin containing this vitamin, among others, covers the daily requirement for it by 100-200%. Taking such doses of folic acid is safe.

In women with a therapeutic purpose, the dose can be increased to 5 mg per day. The course of treatment is 20-30 days. High doses of folic acid in the period of preparation for pregnancy and in the first third of it are also prescribed to women who have already had cases of the birth of children with folate-dependent malformations.

Safety of Folic Acid

Folic acid is not toxic to humans. There are studies on the long-term use of 15 mg of folic acid per day (exceeding the daily dosage by 40 times), which did not reveal any toxic effects of this drug. However, long-term use (over 3 months) of high doses of folic acid can help reduce blood levels of vitamin B 12, which can lead to anemia. Large doses of folic acid sometimes cause gastrointestinal disorders, increased nervous excitability, and functional changes in the kidneys.

Contraindications to the use of folic acid are cases of an individual allergic reaction to the drug.

It is important to take folic acid regularly. However, given that any folic acid preparation covers the daily requirement for it, you should not worry if you missed the next dose. Just take the drug when you remember it.

Many medications can affect the absorption, utilization, and storage of folic acid in the body. Folic acid is best taken together with vitamins B 12 and C. Additional intake of bifidobacteria increases the synthesis of folic acid in the large intestine.

On the contrary, when taking alcohol, antacids (drugs that neutralize hydrochloric acid, - ALMAGEL, MAALOX etc.), sulfonamides, antiepileptic drugs, the absorption of folic acid in the intestine is significantly reduced. Reception ASPIRINA in high doses, nitrofuran drugs (prescribed for urinary tract infections), oral contraceptives, corticosteroid hormones reduces the concentration of folic acid in the blood.

Verified: no risk!

In the United States, there is a law requiring manufacturers to add fairly high doses of folic acid to flour in order to prevent a deficiency of this vitamin in the population. In addition, in the United States, the prophylactic dosage of folic acid is 2 times higher than in Russia. No negative effects on the genotype of folic acid doses used in Russia have been identified.

Folic acid (or vitamin B9) is involved in the synthesis of proteins, amino acids necessary for the formation of DNA. The lack of folic acid during pregnancy negatively affects the formation of the fetus, increases the risk of miscarriages in the early stages, the birth of premature babies.

Lack of vitamin B9 can be assumed by the deterioration of health, decreased performance, lack of appetite, increased irritability.

In the event of the appearance of these symptoms in an adult woman, it is enough to consume 400 micrograms of vitamin per day in addition to the usual diet. During pregnancy, the dosage of folic acid should be increased to 600 micrograms, but not more than 1000 micrograms (1 mg) per day.

Folate deficiency occurs when:

• deficiency needed for the absorption of folate;
• violations of the absorption of vitamins from incoming food;
• a genetic defect in the folate cycle - the absence of the MTHFR enzyme, due to which folic acid is not converted into an active form;
• taking antiepileptic drugs;
• treatment with hormonal drugs;
• alcohol abuse.

The maximum need for pregnant women in an increased dosage of folic acid is noted in the first trimester when laying the fetal organ systems.

If a woman does not suffer from megaloblastic anemia, and there is no folate deficiency in the body, then during pregnancy it is enough to take 400 micrograms of folic acid in tablets.

How to take folic acid tablets correctly, how much to drink during pregnancy, so as not to cause an overdose, is described in detail in separate articles:

Benefits for a woman

In the first 4 weeks, folic acid is especially needed for a pregnant woman. During this period, new cells are actively formed and the consumption of vitamin for DNA synthesis increases. But the main thing for which folic acid is needed for pregnant women at this time is the formation of the nervous system at 3-4 weeks of the first trimester.

In addition to the formation of the nervous system, fetal organ systems develop in this period, the kidneys and heart are laid. Increased consumption of folic acid and the formation of placental tissues.

If in the first three months a woman's body lacks vitamin B9, then the consequences of this may be congenital malformations of the fetal nervous system, spontaneous miscarriage at an early stage.

In the second half of pregnancy, folate deficiency can provoke preeclampsia, a condition characterized by high blood pressure with swelling of the extremities.

With preeclampsia, blood flow through the placenta is disturbed, which worsens the conditions for the development of the fetus, and the child may be born with a lag in physical development. Preeclampsia is one of the causes of premature birth, the development of eclampsia, a condition that is dangerous for both the pregnant woman and the fetus.

In late pregnancy, folic acid is needed to prevent early rupture of the amniotic membrane, premature birth.

Fetal benefits of folate

In the early stages, the need for folates is especially high for the formation of the neural tube - the rudiment of the baby's nervous system. As a result of the non-closure of the anterior part of the neural tube at the 4th week of pregnancy, a defect such as anencephaly is formed - a malformation in which the cerebral hemispheres are partially or completely absent.

In the second half of pregnancy, the lack of folates negatively affects the state of the circulatory system, and through it indirectly negatively affects all the organs of the fetus. This is due to the fact that vitamin B9 deficiency causes an increase in the concentration of homocysteine ​​in the child's blood, which damages the endothelium of blood vessels and provokes the formation of blood clots in small vessels.

The death of the fetus when the endothelium of the blood vessels is damaged does not occur, but the child develops malformations:

• neural tube defects - anencephaly, brain herniation;
• heart defects;
• impaired maturation of erythrocytes;
• violation of the formation of the kidneys;
• cleft palate - cleft of the upper palate;
• limb deformity.

Additional use of folates in the second trimester prevents the appearance of developmental defects, reduces the likelihood of an umbilical hernia, Down syndrome, and contributes to normal weight gain and development of the baby.

The level of homocysteine ​​in the blood is one way to determine the folate status of a pregnant woman. It can be determined by direct measurements of the folate content in the blood, as well as by the analysis of existing mutations in the MTHFR genes responsible for the folate cycle in a woman.

When such mutations are detected for a pregnant woman, they individually select how to take it, determine how much folic acid she needs to drink every day in the first, second, third trimesters.

Possible harm

Active use of folates for the prevention of a neural tube defect in the fetus during pregnancy began in the 70s of the last century, and over the past years a lot of data has accumulated that indicate not only the benefits, but also the possible negative consequences of taking synthetic vitamin B9 in tablets.

This is due to the fact that with high dosages of folic acid, the need for ascorbic acid and vitamin B12 increases. In the event of a shortage of these nutrients, part of the folic acid will not be absorbed and will be excreted from the body in the urine.

And to improve the absorption of folates, it is necessary not only to increase the dosage of vitamin B9, but to combine the drug with the required amount of vitamins C and B12.

Large doses of the free form in the bloodstream can adversely affect health. So, with a high concentration of folic acid, there is a decrease in the number of T-lymphocytes, which reduces the activity of specific immunity, reduces the body's ability to resist infection.

Uncontrolled intake of folic acid in large doses during pregnancy is also dangerous for the fetus:

• at high doses, the risk (by 25%) of asthma in children increases;
• increased risk of respiratory tract infections at an early age.

An excess of folate over a long period of time can cause:

• allergic reactions - angioedema, urticaria;
• a decrease in the concentration of vitamin B12 in the body and the development of pernicious anemia;
• changes in the epithelium of the renal tubules;
• side effects from the digestive tract - diarrhea, nausea, flatulence;
• neurological disorders - insomnia, convulsions, irritability.

An excess of the vitamin may be associated with the genetic characteristics of a woman. If a woman during pregnancy has a high content of folic acid caused by a genetic mutation, then is it possible to drink pills additionally, in what dosage and how much, the doctor decides, based on her state of health.

Additional vitamin intake in this case is dangerous for the fetus and can cause retinoblastoma in an infant - a tumor of the retina.

For women planning a child, or already in a position, doctors prescribe vitamin B9 (folate, folacin) to drink. What is it, what does it give, what does it look like in the photo and why is it useful to take folic acid during pregnancy?

Folacin is a water-soluble vitamin that is actively involved in the fundamental processes of the body. It is synthesized by bacteria that live in the intestines in small quantities. Therefore, the basic need can only be satisfied from the outside.

Prescribe acid with a shortage in the body. With a deficiency, the processes of hematopoiesis, the formation of leukocytes, platelets, erythrocytes, and the absorption of iron are disrupted. The substance is involved in the synthesis of RNA and DNA amino acids, helps the egg to mature, and maintains the optimal level of homocysteine, which is responsible for heart health.

At the beginning of gestation, acid is prescribed to prevent the development of defects in the fetal nervous system; in the later stages, it helps the expectant mother to normalize the functioning of the body. Such is the valuable effect of this vitamin.

The benefits and harms of folic acid during pregnancy

If prescribed, then it is not enough

At the beginning of gestation, an intensive division of the neural tube of the embryo occurs, and the spinal cord and brain are formed. A woman may not know that she has conceived, but important processes of the birth of a new life are already taking place in her body.

At the beginning of gestation, acid is especially useful. Its intake prevents a child from spinal fissures, congenital absence of the spinal cord or brain, cerebral hernia.

Lack of vitamin B9 is harmful because:

• increases the likelihood of mental retardation in a child;
• violates the formation of the placenta, provokes detachment, causes spontaneous abortion;
• leads to congenital malformations, fetal deformities, pathologies of the cardiovascular system, the formation of a cleft lip and a cleft palate (cleft palate).

It is necessary to take folacin at later dates. A sufficient amount of it prevents the development of postpartum depression, reduces apathy, improves lactation.

Problems can be minimized even when planning pregnancy and during the period of bearing a baby, if you take acid preparations. After all, it is impossible to create its stock, and it is difficult to get it from food.

According to statistics, folate deficiency is observed in 50% of women. Studies have shown that their regular intake during planning and at the beginning of pregnancy reduces the risk of fetal defects by 80%. In large doses, acid is harmful. Therefore, it should be taken according to the doctor's recommendations.

Symptoms of excess and lack of folic acid during pregnancy

B9 deficiency is developing rapidly. The first symptoms appear within a week, and a monthly lack of acid leads to a critical condition:

• pallor of the skin;
• irritability;
• nervousness;
• fatigue;
• low performance;
• impaired memory, attention;
• the appearance on the skin of age spots, acne;
• drastic weight loss.

These signs are nonspecific and may indicate stress or be a variant of the norm during pregnancy. But if you do not make up for the lack of acid, this is fraught with dangerous consequences for the fetus and the expectant mother.

You can accurately determine the level of folacin in the body by passing a blood test. Normal values ​​range from 7–45 nmol/l.

Very useful for the child

Instructions for use of folic acid

Vitamin B9 in tablets is the same drug as the rest. Therefore, it should not be taken without a doctor's prescription. The instructions of official manufacturers contain recommended daily and single doses, methods of taking acid, how long to use, how to use it correctly. Therefore, it is a must read for all women.

According to clinical guidelines by order 572n, the daily intake of folacin is 0.4 mg. According to other sources, in order to maintain pregnancy in the first months, it is necessary to take 0.8 mg per day. The doctor decides whether it is a lot or a little.

The medication is started 6 months before the planned conception, and the optimal duration is up to 12 weeks of gestation. In the last trimester, doctors also often advise you to consume acid.

Usually, the entire dose is given at one time. This should be done in the morning a quarter of an hour after breakfast, drinking water. Do not take folacin before meals, as it increases acidity on an empty stomach, causing problems with the gastrointestinal tract. And in pregnant women with toxicosis, it can lead to nausea, vomiting.

Doses higher than prophylactic, the doctor prescribes to pregnant women with an established deficiency of vitamin B9, as well as in the following cases:

• the presence of factors that increase folate intake or accelerate its excretion;
• high risk of anomalies of the nervous system (epilepsy, diabetes mellitus in a pregnant woman);
• the presence of malformations in a family history;
• violation of the stomach, intestines.

Reception strictly according to the prescription

What is the dosage of folic acid for pregnant women

Folacin deficiency is especially critical in the earliest stages, in the first 2 weeks. Therefore, doctors recommend starting taking it at the planning stage. But there is no definite answer for how long you need to drink the drug. Some prescribe it even in the later months of pregnancy.

Doctors insist that a woman drink vitamin B9 in the first trimester. During this period, it has a maximum value, even a small lack of it can adversely affect the fetus.

Many pregnant women are advised not to stop taking all 9 months. This is especially true for women with pathologies or twins. Here, folacin in the second and even last trimester will not hurt.

Prophylactic doses according to the instructions:

• minimum - 400 mcg (0.4 mg) / day;
• maximum - 800 mcg (0.8 mg) / day.

If the deficiency is pronounced, a dosage of 5 mg is needed. Unauthorized use of such an amount of vitamin is contraindicated, as it can be dangerous.

Can be prescribed for prevention

Acid tablets are available in 100, 400, 1000, 5000 mcg. For the prevention of deficiency, capsules containing 400–1000 mcg are prescribed in the amount of 1 piece daily. The dose of 0.5 mg is therapeutic. Often folacin is prescribed with vitamin E. Substances potentiate each other's action during gestation.

When to stop taking folic acid

The question, until what week they drink folacin, is individual. The term of cancellation is decided by the doctor.

Consultations with a doctor are required

What is the best folic acid to drink during pregnancy

Most often, women are prescribed complexes. These are preparations containing prophylactic doses of vitamins, minerals (E, folacin, ascorbic acid, iodine, iron, zinc, magnesium, calcium). Here are their names and photos:

• Folio;
• Elevit;
• Pregnavit;
• Spirulina;
• Multitabs;
• Centrum.

When taking any of these drugs, the body is replenished with the necessary daily intake of vitamin B9, as well as other trace elements. The advantage of complex remedies is that you do not need to purchase different medicines, since all substances are contained in one tablet.

Folacin monopreparations are often prescribed in conjunction with other drugs: Omega-3, Iodomarin, Vitamin E. The patient and the doctor decide which method and regimen to choose.

Rich in vitamin B9

List of folic acid foods for pregnant women

If a woman prefers to use natural sources of folate instead of drugs, you need to know which foods are high in folate. This:

• cereals: rice, buckwheat, oatmeal;
• vegetables: carrots, tomatoes, asparagus, beets;
• walnuts;
• cottage cheese;
• powdered milk;
• beans;
• green pea;
• egg yolk;
• wholemeal bread;
• beef liver.

These foods must be included in the daily diet to prevent folate deficiency.

Folic acid has no analogues

Folic acid analogues

Those who are allergic to folacin are interested in how to replace it in order to ensure the health of the unborn baby? There are no analogues of vitamin B9. The only way out is to give up drugs based on it and get the required daily amount with food.

Allergy to folic acid during pregnancy: symptoms and treatment

Signs:

• widespread rash, accompanied by itching, burning, urticaria;
• Quincke's edema - mucous, skin or fiber, poses a threat to life if it spreads to the larynx;
• anaphylactic shock;
• eczema;
• bronchial asthma.

If a woman notices symptoms, as in the photo, while taking vitamin B9, what should I do? You must stop taking the medicine and consult a doctor. Usually, antihistamines and enterosorbents are prescribed for the treatment of allergies.

Causes allergies in the form of acne and swelling

What is dangerous overdose

An overabundance of the vitamin can lead to:

• increased excitability: a woman becomes irritated, prone to insomnia, frequent mood swings;
• digestive disorders: nausea, a bitter or metallic taste in the mouth, stool disorders appear;
• functional changes in the kidneys;
• allergic reactions: skin rash, itching, urticaria.

In pregnant women, an overdose can be recognized by an excessive increase in fetal weight. There is a risk of obesity, diabetes, asthma, a tendency to allergies in a child.

To achieve an excess of acid is difficult, since its excess is excreted in the urine. Usually a lot of it happens with pathologies of the kidneys, liver.

Adverse reactions are rare, folacin preparations are well tolerated, with the exception of people prone to allergies. For them, the remedy can be dangerous.

Beware of an overdose

Should I take folic acid after a missed pregnancy?

When the fetus dies, a balanced diet and vitamins, including folacin, must be observed to ensure a normal next pregnancy. This will help improve the body, restore immunity and hormonal levels.

How much does folic acid cost for pregnant women: price in pharmacies

You can buy vitamins with folate content at the following cost:

• Acid in tablets - 38 rubles;
• Folacin - 130 rubles;
• Folio - 690 rubles;
• Elevit - 580 rubles;
• Spirulina - 1115 rubles;
• Centrum - 514 rubles.

Folic acid throughout pregnancy: reviews

Xenia Sumskaya.

I took Elevit. It contains folk too. The gynecologist canceled at 20 weeks. Said it was good for the baby.

Oksana Surova.

I don't trust doctors. They gave birth before without all these dietary supplements and vitamins. And nothing. And in order for the folk to be in the body, you need to eat buckwheat, eggs and beef liver.

Thank you 0

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Many expectant mothers have a question: should I take folic acid? during pregnancy and, if necessary, from which week of the period? The answer is unequivocal - to drink, especially if pregnancy is only in your plans. And this applies not only to women, but also to men. According to most obstetricians and gynecologists, folic acid when planning pregnancy much helps prevent infertility and reduce the risk of miscarriage.

Folic acid belongs to the B vitamins (vitamin Bs, B9, M, folate, folacin, pteroylglutamic acid) and its importance during pregnancy cannot be overestimated. This acid does not tend to accumulate and persist in the body for a long time, and as a result, the supply of vitamin B9 should be replenished daily. Nowadays, folic acid is sold in many pharmacies and the instructions for use, which you can find below in Russian, contain information on the dosage and method of administration both before and during the pregnancy period.

Women planning a pregnancy , special attention should be paid to the use of folic acid, tk. she minimizes the risk of developing any disease in the fetus . During pregnancy planning and throughout pregnancy, you need to consume 0.8 mg of folic acid per day. If a woman has previously given birth to a baby who had birth defects, then the amount of folic acid should be increased to 4 mg per day (but only after consulting a doctor!).
This acid is necessary in preparation for conception, not only the body of a woman. Insufficient amount of vitamin B9 can significantly reduce the percentage of healthy sperm. Therefore, future dads also need to consume folic acid at least 100-150 mcg.

Dosage of folic acid during pregnancy: During pregnancy expectant mothers need to consume 400-600 mcg of vitamin B9 per day.
A huge amount of folic acid is found in fresh vegetables and fruits. In particular, dark green leafy vegetables are rich in it, as well as the kidneys and liver of animals. For medical purposes, a synthetic acid is obtained.
Even if you became aware of pregnancy much later than you would like, you should still consume folic acid in the right amount. The neural tube of a developing fetus undergoes a variety of changes during the first trimester of pregnancy.

Folacin acquires special significance at the initial stages of the development of a new life. Lack of vitamin B9 can lead to the development of quite severe defects in the baby. Folic acid is involved in the formation of the nervous system of the developing fetus , and is also needed for the regeneration of trillions of cells in the mother's body, which are constantly in need of renewal. Folic acid, together with vitamin B12, is essential for cell division. The acid takes part in hematopoiesis and is needed for the formation of DNA and RNA involved in the transmission of hereditary traits.

Folic acid deficiency in the body of a pregnant woman can lead to such undesirable consequences as:
1) mental retardation in a baby;
2) complete or partial placental abruption;
3) spontaneous abortion in a woman;
4) miscarriage;
5) the birth of a dead child;
6) congenital deformities and defects in a child, including anencephaly (neural tube defects affecting the spinal cord and brain);
7) development of defects in the cardiovascular system;
8) the baby's cleft palate or cleft lip.

It can be unequivocally argued that folic acid during pregnancy plays a significant role in the full development of the fetus from the first weeks of the gestation period and affects the well-being of a pregnant woman. especially in the 3rd trimester. Below you will find detailed information on how folic acid affects the development and functioning of the body as a whole, and instructions for use of the drug answer questions about dosage, method of administration, contraindications for use before and during pregnancy.

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