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PEDIATRICS Vol. 104 No. 2 August 1999, pp. 325-327

AMERICAN ACADEMY OF PEDIATRICS:
Folic Acid for the Prevention of Neural Tube Defects

Committee on Genetics

The American Academy of Pediatrics endorses the US Public Health Service (USPHS) recommendation that all women capable of becoming pregnant consume 400 µg of folic acid daily to prevent neural tube defects (NTDs). Studies have demonstrated that periconceptional folic acid supplementation can prevent 50% or more of NTDs such as spina bifida and anencephaly. For women who have previously had an NTD-affected pregnancy, the Centers for Disease Control and Prevention (CDC) recommends increasing the intake of folic acid to 4000 µg per day beginning at least 1 month before conception and continuing through the first trimester. Implementation of these recommendations is essential for the primary prevention of these serious and disabling birth defects. Because fewer than 1 in 3 women consume the amount of folic acid recommended by the USPHS, the Academy notes that the prevention of NTDs depends on an urgent and effective campaign to close this prevention gap.

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Statement of reaffirmation:

AAP Publications Reaffirmed, January 2007
Pediatrics 119: 1031-1031. [Full Text]



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