To the Editor: Palomaki et al. (April 1 issue)1 reported recentlythat 96 women from Maine had pregnancies, with estimated oractual dates of delivery between 1991 and 1996, in which openspina bifida or anencephaly developed in the fetuses. In addition,they found no decrease in the prevalence of these preventablebirth defects.
In 1991, the Medical Research Council Vitamin Study ResearchGroup reported the results of a randomized, controlled trialthat found that synthetic folic acid taken in the form of apill prevents 72 percent of cases of spina bifida and anencephaly.2Had an effective program of . . . [Full Text of this Article]
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