My Pregnancy

Higher Doses of Folic Acid Preconception: Who Needs Them and Why

Higher Doses of Folic Acid Preconception: Who Needs Them and Why

If you are at a higher risk of having a baby with a neural tube defect, such as spina bifida, it’s essential to take a daily dose of 5 milligrams (mg) of folic acid before conception. This recommendation is particularly important for those who fall into the following categories:

1. Personal or Family History of Neural Tube Defects: If you or the baby’s biological father have a neural tube defect or a family history of such defects, your risk increases significantly.

2. Previous Pregnancy with Neural Tube Defect: Women who have previously had a pregnancy affected by a neural tube defect are at a higher risk in subsequent pregnancies.

3. Medical Conditions: Certain medical conditions, such as diabetes and coeliac disease, can increase the risk of neural tube defects.

4. Medications: If you take specific medications, such as anti-epilepsy medicine or anti-retroviral medicine for HIV, you may need a higher dose of folic acid.

5. High BMI: A body mass index (BMI) of 30 or more also places you in a higher risk category.

6. Blood Disorders: Conditions like sickle-cell anaemia or thalassaemia not only increase the risk of neural tube defects but also benefit from the higher dose of folic acid to prevent and treat anaemia. For these conditions, it is recommended to continue taking folic acid throughout the pregnancy.

Conclusion

Ensuring adequate folic acid intake before and during early pregnancy is crucial, especially if you are at a higher risk of having a baby with a neural tube defect. Taking a daily dose of 5 milligrams (mg) of folic acid can significantly reduce this risk. If you fall into one of the higher-risk categories, such as having a personal or family history of neural tube defects, certain medical conditions, or if you are taking specific medications, it is vital to consult with your healthcare provider about the appropriate dosage.

Wishing you the best on your journey,

Dr. Bushra Gul’s message:

Dear patients, 

“Your health and your baby’s development are my top priorities. If you have any of the risk factors mentioned, please consult with your healthcare provider to discuss the appropriate dosage of folic acid. By following these guidelines, you can take an important step towards ensuring a healthy pregnancy and reducing the risk of neural tube defects.”
Taking proactive steps with the right dosage of folic acid can make a significant difference in the health and development of your baby. Always seek personalized advice from your healthcare provider to ensure you’re meeting your specific needs.

Wishing you the best on your journey,