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Policy Statements Regarding

Folic Acid

Folic Acid: The Vital Vitamin
     Women who might get pregnant should have 0.4 milligrams of folic acid daily. Pregnant women should have at least 0.4 milligrams each day during the first 3 months of pregnancy.
     Women who have had a child with a spine or skull defect are more likely to have another child with this problem. These women need higher doses of folic acid – 4 milligrams daily. It should be taken 1 month before pregnancy and during the first 3 months of pregnancy. These women should take folic acid alone, not as a part of a multivitamin preparation. To get enough folic acid from multivitamins, a woman would be getting an overdose of the other vitamins.
     This vitamin can be found in many food sources:

    • Dark, leafy greens and vegetables (such as spinach, collard and turnip greens, Romaine lettuce, broccoli, and asparagus)

    • Whole-grain breads and cereals

    • Citrus fruits and juices (such as strawberries, oranges, and orange juice)

    • Organ meats (such as liver)

    • Dried peas and beans (such as pinto, black, navy, and lima beans, chickpeas, and black-eyed peas)

    • Folic acid-fortified breakfast cereals

This is excerpted from the "Good Health Before Pregnancy: Preconceptional Care Brochure" by the American College of Obstetricians and Gynecologists :  click here to order this patient brochure.

Other Policy Statments:

American College of Medical Genetics: Statement on Folic Acid: Fortification and Supplementation
American Academy of Pediatrics: Folic Acid for the Prevention of Neural Tube Defects (RE9834)
Centers for Disease Control: Recommendations for the Use of Folic Acid to Reduce the Number of Cases of Spina Bifida and Other Neural Tube Defects
Food and Drug Administration: Folic Acid to Fortify U.S. Food Products to Prevent Birth Defects
Association of Women's Health, Obstetric, and Neonatal Nurses: Preconceptional Consumption of Folic Acid
Institute of Medicine: Food and Nutrition Board Recommendation Adults Need to Increase Intake of Folate;
Some Women Should Take More
Public Health Seattle and King County:  Family Planning Program Clinical Practice Guidelines

The Washington Academy of Family Physicians does not have an official policy statement regarding folic acid supplementation. However, there is an article advocating the importance of preconception folic acid supplementation in their July 2002 issue of Washington Family Physician. Click here for the pdf link to the journal (go to page 27).

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Last Update: December 2002 AJH




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