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Abnormal pregnancy is
an unwelcome and unusual event in the life of a would-be mother
but it does happen.
Studies have shown that
complications in pregnancy result from a diet that is inadequate
in the nutritional needs of both the would-be mother and the
baby.
Much attention has been
focussed on the role of folic acid or folates in the increased
risk of certain birth defects called neural tube defects (NTD's).
Folic acid and folates or folacin are both vitamin B compounds,
which are often used interchangeably. Although they are chemically
different compounds, they have the same function. Folates
or folacin are naturally occurring compounds found in foods
while folic acid is the synthetic form of folate used as dietary
supplements.
NTD's are serious birth
defects such as spina bifida, encephalocoele and anencephaly.
In these conditions, the tissues that form the brain and spinal
cord do not develop properly. In the Philippines, studies
on folic acid and folates and it's role in the development
of NTD's are lacking. Although it has been well documented
in the United States (US).
The US studies found
that people with poor eating habits, dieters, cigarette smokers,
alcohol and drug users, and birth control pill users have
increased risk to folic acid or folate deficiency. If one
falls into any of these categories, it is even more important
that taking a multivitamin pill with folic acid everyday is
recommended.
Folic acid and folates
are necessary for proper cell growth and development of embryo.
They take part in the synthesis of DNA, necessary to make
fetal tissues and organs early in pregnancy. They are also
required in the formation of red blood cells. Folate deficiency
produces immature red blood cells, which are unable to carry
oxygen properly, a condition called megaloblastic anemia.
It is for this reason that all women capable of being pregnant
need to have enough of folic acid or folates in their bodies
before and during pregnancy.
The Recommended Dietary
Allowance (RDA), 1989 of Filipinos for folate or folic acid
is 350 microgram for pregnant women. The current RDA for the
different nutrients including folic acid or folate are under
review by the Food and Nutrition Research Institute, Department
of Science and Technology (FNRI, DOST) together with the RDA
Task Force whose members are experts from the academe and
from the government and private institutions.
To meet the dietary requirement
for folic acid or folate, all women of child- bearing age
can take multivitamins supplements with folic acid in addition
to eating foods high in folates. Chief dietary sources of
folates in plants include green leafy vegetables (spinach,
kangkong, asparagus), fruits (melon, oranges, banana, avocado)
and legumes. Animal sources that have high folate content
include beef liver and lean beef. Overcooking can destroy
folate in foods, and the amount of folate absorbed from foods
varies. A daily multivitamin pill containing 0.4 milligrams
of folic acid can guarantee a woman of receiving the right
amount of folic acid. At this level, no toxicity has been
reported.
Give your baby the best
chance to live and be healthy with good nutrition!!!
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