In 1991, a randomized trial funded by the Medical Research Councildemonstrated that folic acid supplementation before pregnancyand during its early stages markedly reduced the risk of neural-tubedefects in newborns.1 This finding which indicated thatneural-tube defects may be considered to represent a vitamin-deficiencydisorder led to the recommendation that all women whoare planning to become pregnant should take folic acid supplementsbeginning before pregnancy is recognized and continuing throughits early stages. Once a pregnancy has been confirmed, it isprobably too late for supplemental folic acid to be protective.
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Mills, J. L., Signore, C. C., Quinlivan, E. P., Gregory, J. F. III, Czeizel, A. E., Wald, N. J.
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(2004). Are Maternal Autoantibodies to Folate Receptors a Cause of Neural-Tube Defects?. JWatch General
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