Hi
Paivi,
Iron
should only be taken by women who are anaemic, or you can see they are heading
that way (ie Hb going down.) Of course these women need full investigation too,
with iron studies and a medical examination and history. There has been some
question that giving iron to women who don't need it can lead to blood which is
more viscid, and reduces the blood flow through the
placenta.
Folic
acid on the other hand, drastically reduces the incidence of neural tube defects
such as spina bifida and anencephaly, with a possible side effect of a small
increase in the possibility of having twins. Women who have a history of a
previous baby with a neural tube defects are prescribed higher doses. Folic acid
should be taken pre-conception and for the first fourteen
weeks.
I
don't see the need for any other supplementation than folic acid, unless the
woman has a demonstrated deficiency or they are strict vegans, in which case I
believe supplementation with B12 is recommended.
Regards,
Nicole.
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