> Multivitamins in pregnancy: are often an unnecessary expense

According to a recent research the majority of women who take multivitamimici pregnant waste their money becauseé you do not need them.

A review of the available evidence, published by the Drugs and Therapeutic Bulletin says that pregnant women who want to ensure the best start for their children should first of all concentrate on improving your diet. They should also follow the guidelines in the official guidelines for folic acid and for vitamin D.

Complications in pregnancy

deficiencies of nutritional factors key have been linked to various complications in the pregnancy and birth, including the preeclampsia, the delay of the growth, the neural tube defects such as spina bifida, deformità, skeletal and low birth weight.

This has led to the emergence of a market of multivitamimici is specifically designed for pregnant women and are advertised as able to protect their own health and that of their children.

The review found that in general, this products contain 20 vitamins and minerals and involve a cost of approximately 15 euros per month.

The NHS argues that the women in pregnancy should have a balanced diet. They should also take 10 micrograms of vitamin D every day during pregnancy and lactation, 400 micrograms folic acid every day prior to conception and until the 12th week of pregnancy for prevention of neural tube defects and five milligrams of folic acid for prevention of neural tube defects, where there is a family history of neural tube defects, in pregnant women suffering from diabetes and where there has been a previous child affected by neural tube defects.

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The NHS instead puts in guard against the intake of vitamin A as può damage to the child.

In the classes extremely disadvantaged (there is a schema in the United States that are used to assess the risk of malnutrition), some women may be included among those for which it is best to receive the vitamin supplement.

The review has found strong evidence for the administration of 400 mcg for prevention of neural tube defects and of 5 mg for women who have had children alreadyà with. Researchers have not found enough data to assess the actual needà of vitamin D supplement, but believe that we can agree with the recommendation of the NHS about the usefulness; of the supplement of 10 mg for the health of bones and teeth.

The researchers found no evidence that justifies the administration of multivitamins to all mothers. “We have not found any evidence of the needà to administer multivitamins to all pregnant women except for the folic acid and vitamin D that can be purchased as a generic with little cost,” they explained.

The point is that the great majority of studies that demonstrate the usefulness; of multivitamins have been carried out in countries where women have a high probability; to be malnourished and underfed and not in the United Kingdom.

For the majority of women who plan a pregnancy or are pregnant, there is no evidence that taking a multivitamin will serve to something. Is just an unnecessary expense. The researchers recommend that forò the use of the schema of the anglo-saxon for the evaluation of the risk of malnutrition. Recommend altresì that it is possible to obtain low-priced medications with vitamin C, D and folic acid

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A varied diet and healthy

dr. Janet Fyle of the Royal College of Midwives, said: “We want to encourage women planning a pregnancy or who are pregnant to have a balanced diet that includes fresh fruit and vegetables and take folic acid supplements indicated to them. We also want to emphasize that it is absolutely necessary to eat for two is a myth that must be busted becauseé you need a diet balanced between the different food.”

The information service on food supplements, founded by the industries of health has commented that this review creerà confusion among women who do not take the più their supplements.

Fonti:

Vitamin supplementation in pregnancy, Drug and Therapeutics Bulletin

National Institute for Health and Care Excellence (NICE)

NHS Choices

Royal College of Midwives

Health Supplements Information Service

Medscape, Peter Russel

Pregnancy low risk: the information contained in the video, così as the text of the song correspond to, and reflect recommendations taken from the guidelines of the schools of the Sanità international.

17 luglio 2016