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All fertile women should take folic acid
Chris Laker02.09.09
All women of child-bearing age are being advised to take extra folic acid after a rise in spina bifida cases.
The Scottish Spina Bifida Association (SSBA) said 15 babies had been born in the country with the condition this year - around twice the normal number.
Research already suggests that folic acid supplements help prevent spina bifida, but the charity is warning that factors such as unplanned pregnancies can mean the vitamin is taken too late.
Spina bifida causes vertebrae in the backbone to form incorrectly, often leading to paralysis from the waist down and other damage to the nervous system.
SSBA chairman Dr Margo Whiteford told the BBC: "This year we've had as many contacts from families in the first half of the year as we'd expect to see for the full year.
"We don't know if this is down to folic acid but we do know that most women don't take enough folic acid at the right time.
"Ladies do know about folic acid preventing spina bifida but they wait until they've missed a period before they start taking it.
"The spinal cord develops within the first four weeks of pregnancy so by that stage it's too late - if the baby's going to have spina bifida it will already have developed it."
It is not known whether there has been a similar rise in spina bifida cases in England, Wales and Northern Ireland.
The Food Standards Agency currently recommends pregnant women take a daily 400 micrograms folic acid supplement until the 12th week of pregnancy.
This is as well as eating foods containing the natural form of folic acid such as green vegetables, brown rice, and breakfast cereals.
Currently, it is not mandatory in the UK to add the vitamin to food, although experts are assessing the evidence to make a decision.
Reader views (3)
We had a very balanced diet and ate lots of fruit and veg as I was a greengrocer at the time, but my son was born with Spina-Bifida.
Ignoring this advice is plain silly for bringing up a severely handicapped child is a job for life.
I really thought Spina Bifida had all but disappeared and I'm very sad to hear that it is on the increase.
Unfortunately, although folic acid will help prevent it,
we still don't know what causes it. However, it knows no social boundaries and can affect any pregnant woman, so please do everything in your power to ensure a safe and happy pregnancy.
- Scotty, Cambridge UK
Read up about cardiac health and folic acid. *Everyone* should take a folic acid supplement, not just fertile women.
Nature equipped us to get folic acid by eating fresh raw green veg, but folic acid is lost very soon after the green is cut from the plant. In modern life, most of us never eat raw green vegetables cut less than two days ago, and so all of us are folic-acid deficient.
- Nigel, London
Until a couple of days ago asprin was good for us! Encouraging people to eat a balanced diet is the best advice that can be given.
- Michael, London
