Folic acid: role in reproductive health and prevention of birth defects

Food sources of folic acid leafy green vegetables
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Food sources of folic acid leafy green vegetables

Folic acid (or vitamin B9) plays a key role in the normal functioning of the body, especially during the period of active cell division.

It is essential for DNA synthesis and cell division, making it especially important during pregnancy.

Recent studies emphasize the importance of folic acid in the prevention of birth defects, especially neurodevelopmental malformations such as spinal clefting and anencephaly.

This article aims to clarify the role of folic acid in reproductive health and its importance in the prevention of disease in newborns.

A young girl taking pills

The role of folic acid in reproductive health

Folic acid is actively involved in the process of forming new cells, which is important not only for the general health of the body, but also for the proper development of the fetus.

Vitamin B9 promotes normal cell growth and maturation, and its deficiency can lead to developmental abnormalities such as preterm labor, pregnancy failure, and fertility problems.

Research:

  • Czeizel AE, Dudas I. Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. Lancet. 1992;340(8812):81-83.
  • Berry RJ, Li Z, Erickson JD, et al. Prevention of neural-tube defects with folic acid in China. N Engl J Med. 1999;341(20):1485-1490.

A child

Prevention of birth defects

Folic acid taken before and during the first weeks of pregnancy significantly reduces the risk of birth defects, especially those related to the development of the neural tube.

The importance of its intake during conception and early pregnancy has been proven in a number of clinical studies.

Table 1: Recommended folic acid doses according to health status

Health status Folic acid dose
Pregnancy planning 400-800 mcg/day
Pregnancy 600-1000 mcg/day
Folate deficiency 5000 mcg/day (as prescribed by a physician)

Folic acid

How does folic acid affect a baby’s development?

Folic acid not only supports neural tube development, but also promotes proper fetal cell division.

It also improves brain development and promotes normal vascular system function.

Research:

  • Hemminki E, Lehtonen L, Salonen L, et al. Folic acid supplementation and its effect on maternal and child health. Obstet Gynecol. 2004;104(4):787-791.
  • De Wals P, Tairou F, Van Allen MI, et al. Reduction in neural-tube defects after folic acid fortification in Canada. N Engl J Med. 2007;357(2):135-142.

Pensive girl sitting at a table with a bunch of pills

Practical recommendations for folic acid intake

Health professionals recommend that women who plan to become pregnant start taking folic acid several months before conception to maximize its protective effects.

It is important to remember that folic acid is absorbed best when combined with other B vitamins.

Table 2: Sources of folic acid in food

Product Amount of folate (µg/100 g)
Leafy green vegetables 150-250 mcg
Whole-grain bread 50-100 mcg
Legumes (peas, lentils) 100-150 mcg
Citrus fruits 30-50 mcg

Conclusion

Folic acid is not just a vitamin, but a vital substance for maintaining women’s health and preventing malformations in children.

Taking folic acid in recommended doses during pregnancy planning and early pregnancy can significantly reduce the risk of diseases such as spinal cleft and anencephaly.

Reference List:

  1. Czeizel AE, Dudas I. Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementation. Lancet. 1992;340(8812):81-83.
  2. Berry RJ, Li Z, Erickson JD, et al. Prevention of neural-tube defects with folic acid in China. N Engl J Med. 1999;341(20):1485-1490.
  3. Hemminki E, Lehtonen L, Salonen L, et al. Folic acid supplementation and its effect on maternal and child health. Obstet Gynecol. 2004;104(4):787-791.
  4. De Wals P, Tairou F, Van Allen MI, et al. Reduction in neural-tube defects after folic acid fortification in Canada. N Engl J Med. 2007;357(2):135-142.

About the Author

Author Photo

Nikolay Bondarenko is a Ukrainian dermatologist and expert in skin diseases.   A graduate of Ukraine's leading medical university, he specializes in diagnosing and treating dermatological issues.   As the author of numerous expert articles, he actively contributes to the development of dermatology and shares his knowledge with the medical community.





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