Amanda Turkiewicz

New Folic Acid guidelines in pregnancy


Recent guidelines for folic acid supplementation in the months (2-3) leading up to conception during pregnancy the first trimester of pregnancy in some patient populations in Canada. Here are the categories and the supplementation recommendations.

Group 1) 0.4-1mg folic acid - planned pregnancy, no health risks for birth defects or family history, good dietary and supplement compliance

Group 2) 5mg folic acid 3 months prior to conception (decrease to 0.4-1mg after the first trimester) - health risk including epilepsy, insulin dependent diabetes, obesity, family history of neural tube defects and patients who require increased dietary intake of folate-rich foods and daily supplementation

Group 3) 5mg folic acid 3 months prior to conception and throughout the pregnancy - patients who have a history of poor compliance with medications and additional lifestyle issues of variable diet, no consistent birth control, and possible teratogenic substance use (alcohol, tobacco, recreational non-prescription drugs).

If you have any questions regarding this or any other pregnancy related topic please don't hesitate to contact the CF team.