Folic acid during pregnancy: how to drink and how much to take, the dosage

Brief Medication

Folic acid - a vitamin B₉ (Refers to folate), which is necessary for the flow of vital processes:

• cell regeneration;
• protein synthesis;
• construction of DNA and RNA chains;
• maintaining healthy tissue structure;
• blocking malignant transformation of cells;
• improvement of hematopoiesis;
• increase the body's immune forces;
• Stimulation of metabolic processes.

In pregnancy, folic acid is needed in order to ensure:

• facilitate the process of gestation;
• prevent pregnancy pathology;
• to ensure the formation of uteroplacental blood flow;
• prevent violations in the formation of the placenta.

And for those who are afraid of taking folic acid during pregnancy, but willingly drink the prescribed vitamins and minerals you need to re-read information about the drug first. This is also a vitamin that has a positive effect on fetal development and pregnancy.

How dangerous vitamin deficiencies of vitamin B₉

Before you decide whether or not to take folic acid during pregnancy, read the information offered about the danger of a lack of vitamin B₉ for the pregnant woman and the fetus.

Vitaminodifitsit during pregnancy can cause:

• Bookmarks violation neural tube;
• abnormalities in the central nervous system development (debility, hydrocephalus, mental development problems);
• violation forming skeleton (nezarastanie bifida, intrauterine bone curvature);
• pathology oropharyngeal structures ( "hare lip", "palate");
• miscarriages in early pregnancy;
• the birth of a premature baby;
• fetal death;
• appearance toxicosis pregnant;
• the emergence of a future mother to depression and nervousness.

Folic acid is required for pregnant women. It is an important vitamin that helps prevent the occurrence of fetal abnormalities and to make a healthy baby.

Reasons vitaminodifitsita

Before we find out why there is a deficiency of folic acid, Explore the origin of the vitamin B₉.

Folic acid is found in the following products:

• broccoli;
• soybeans;
• leafy greens;
• green pea;
• carrot;
• citrus;
• bananas;
• bread;
• yeast;
• cottage cheese;
• cheese;
• meat;
• liver;
• eggs.

But with products supplied less than half the vitamin the body needs, the main part is synthesized in the large intestine.

The main cause of hypovitaminosis - increased need for folic acid in pregnancy.

Further exacerbates the situation the presence of a pregnant woman:

• diseases of the stomach and intestines, accompanied by malabsorption;
• dysbacteriosis (vitamin synthesis is difficult);
• lack of enzymes for digestion of folate;
• reception drugs (anticonvulsants, anti, salicylic acid derivatives);
• the use of alcohol.

In addition, the loss of vitamin B₉ of food takes place in the following cases:

• vysokotermicheskaya processing;
• long-term storage in the refrigerator;
• cultivation of plants and animals with the use of growth promoters;
• adverse environmental conditions for animals and plants.

You need to drink folic acid to avoid the lack of vitamin in pregnancy. Studies have shown that food comes less than half the necessary dose for a future mother. This is due to the fact that during pregnancy, metabolic processes are accelerated, and the need for folate increases.

Terms folic acid intake during pregnancy

Figure out what is needed during pregnancy folic acid, move on to the main questions asked by the future mothers.

When to start taking in₉

Doctors prescribe the drug, when a woman comes to the first reception about pregnancies. The best option - to start drinking folic acid when planning pregnancy beforehand.

Folic acid before pregnancy can help:

• reduce the risk of possible complications;
• strengthen the immune system;
• hypovitaminosis eliminate symptoms (fatigue, attention impairment, memory loss).

In healthy women are more likely to carry and give birth to a healthy baby.

The optimal option: folic acid when planning pregnancy shall be made within 1-3 months prior to the date of the alleged conception. Well, if the pregnancy is unplanned but welcome - a drug should be taken as soon as it became aware of an interesting position.

The duration of treatment

If we consider how much time you need to take folic acid, then the best option:

• 1-3 months prior to conception;
• 9 months carrying a child;
• Throughout the entire period of breastfeeding.

But who is afraid of a possible overdose (this will be discussed below), but some do not feel like a long time to drink vitamins. So you should remember the main thing: folic acid during the first trimester of pregnancy is required.

During the first 12 weeks (I term) occurs tab major vital systems:

• embryonic neural tube;
• vascular bundle;
• breathing tube;
• spinal chord.

Lack of vitamin B₉ violates the full tab tissues and does not adversely affect the subsequent development of the fetus and not always caused defects can be detected in utero. Therefore, in early pregnancy folic acid is necessary. In the II trimester, unless there is evidence of vitamin deficiencies, taking medication is allowed to stop.

admission rules

Consider how much to drink during pregnancy folic acid.

The dosage required, first of all, depends on the length of gestation:

• Planning. How to take folic acid when planning pregnancy, chosen individually. If a woman has no signs of vitamin deficiencies, the standard dosage is 400 mg of the drug per day. When vitamin deficiency amount received medication increases.
• I term. In this period of pregnancy the maximum requirement of folic acid, a lack of vitamin B₉ a negative impact on a child's development. The daily dose is increased to 600-800 mg / day.
• Trimesters II and III. 400-600 mg / day depending on the condition of the woman. If there are no signs of vitamin A deficiency, then, if desired, may be pregnant stop
• Breastfeeding in the postpartum period. The dose amount of 400 mg per day.

The maximum dosage of folate - 800 mcg / day. High doses of folic acid in any period of pregnancy are assigned in the following cases:

• Taking antibiotics. During antibiotic therapy is disturbed intestinal microflora and is a synthesis of the required amount of vitamin B₉.
• Hormone treatment. Hormonal drugs impede the absorption of folate, but due to illness, some women can not stop drinking hormones during pregnancy. To prevent vitamin deficiencies, pregnant women are prescribed a shock dose of folic acid.
• Anticonvulsants. Medicaments for the treatment of epilepsy are highly toxic and provoke variations in fetal development. Detoxifying, throughout pregnancy, women need to take folic acid at the maximum dosage.

There are other conditions (gastrointestinal disease, diabetes, and others.) When necessary during pregnancy drink large amounts of folic acid. the drug dose is selected individually, taking into account the gestational age and condition of the pregnant woman. The number designated by the drug does not affect the amount of vitamin released to the body with food.

Is it possible to overdose

In pregnancy, folate dosage tablets containing 100 ug, is 4-8 pills per day depending on the state of health. Long-term use of such a quantity of the drug is safe because of the following features of the product:

• in a minor amount deposited in the liver;
• rapidly eliminated from the body through the kidneys.

The cumulative effect does not arise from the fact that during pregnancy increases the need for folic acid and vitamin rapidly absorbed by cells.

Overdosing may occur if the dose of folic acid daily amount of 25-30 tablets or prolonged intake of 15 tablets per day.

In this case, a pregnant woman will appear:

• unpleasant bitter metallic taste in the mouth;
• nausea and vomiting;
• diarrhea;
• flatulence, and abdominal pain;
• insomnia;
• irritability;
• hot temper and irritability unfounded;
• swelling due to kidney disorders;
• arterial hypertension;
• hives;
• shortness of breath (bronchospasm develops).

The study of blood zinc deficiency can be identified and B₁₂-scarce anemia.

In hypervitaminosis₉ increases a child's risk of overweight or with a predisposition to diabetes.

But the dosage of folic acid during pregnancy planning is 4 tablets I in trimester - 8 pills, and then daily dose decreases. Overdose during pregnancy arises: if a woman takes folic acid supplements without a doctor or considering vitamin harmless arbitrarily increase the dose.

But the use of large quantities contained in the product₁₂ subject to the prescribed dosage is safe. This is due to the fact that the amount of food received since the folic acid requirements of the organism provides less than 50%.

Contraindications for folic acid

Take vitamin B₉ during pregnancy can not, if the woman is revealed:

• folic acid intolerance;
• obstructive bronchitis;
• cardiac or bronchial asthma;
• In gipovitaminoz₁₂;
• chronic renal disease.

Precautions folic acid is administered in liver diseases. In healthy women during pregnancy the body retains a small amount of the vitamin, which is then absorbed by the body. When liver disease may develop cumulative effect, which is accompanied by symptoms of overdose.

Possible side effects

Subject doses of the designated side effects do not arise. In pregnancy, a negative reaction to folic acid in the following situations:

• prolonged excess dose;
• uncontrolled taking the drug without taking into account contraindications;
• first revealed intolerance to vitamin B₉.

The side effects are similar to the symptoms of an overdose. When the reaction to the drug you need to stop taking the pill and seek medical advice.

To drink or not to drink

Having studied the proposed information, you can draw the following conclusions about the use of the drug during pregnancy:

• strengthens the immune system (reduced likelihood of disease catarrhal infections;
• reduces the severity of toxicosis;
• It reduces the risk of miscarriage or premature birth;
• prevents developmental abnormalities in a fetus;
• improve health expectant mother (disappears lethargy, irritability);
• rarely causes adverse effects.

But it must be remembered that vitamin B₉ tablets absorbed by the body much better than coming with food, so do not abuse the intake of folic acid. Hypervitaminosis during pregnancy is not less harmful than vitamin deficiencies.

Summing up the short, you can say that folic acid for women is needed in the planning and pregnancy in the I trimester. The drug will help ease the pregnant woman and the unborn fetus to prevent a child. In early pregnancy folic acid is necessary to drink. A late in gestation need for the drug is considered individually.

sources:

Vidal: https://www.vidal.ru/drugs/folic_acid__33566
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = 41e55b8d-98b2-40bf-8a79-92c1ecc3a912 & t =

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