CINXE.COM

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this.features)));n.length>0&&(0,e.R)(36,{targetFeature:r.featureName,missingDependencies:n}),this.features[r.featureName]=new r(this)}))}catch(t){(0,e.R)(22,t);for(const e in this.features)this.features[e].abortHandler?.();const r=(0,R.Zm)();delete r.initializedAgents[this.agentIdentifier]?.api,delete r.initializedAgents[this.agentIdentifier]?.features,delete this.sharedAggregator;return r.ee.get(this.agentIdentifier).abort(),!1}}}({features:[he,w,N,Ne,_e,_,D,ot,ct,je,nt],loaderType:"spa"})})()})();</script><meta http-equiv="Expires" content="0" /><meta name="google-site-verification" content="8JsUO-7v0e8nDKGNuXZSOYAnwU3OdMfkodMPyWhN1Bc" /><meta name="twitter:card" content="summary_large_image"><meta property="og:title" content="Where We Stand: Folic Acid" /><meta property="og:description" content="In an effort to reduce the prevalence of spina bifida, the American Academy of Pediatrics (AAP) endorses the recommendation of the US Public Health Service that all women capable of becoming pregnant consume 400 micrograms per day of folic acid (a B vitamin)." /><meta property="og:type" content="article" /><meta property="og:article:published_time" content="2019-11-19T00:00:00" /><meta property="og:fb:app_id" content="115427621803" /><meta property="og:url" content="https://www.healthychildren.org/English/ages-stages/prenatal/Pages/Where-We-Stand-Folic-Acid.aspx" /><meta property="og:site_name" content="HealthyChildren.org" /><meta property="og:image" content="https://www.healthychildren.org/https://www.healthychildren.org/SiteCollectionImagesArticleImages/folic_article.jpg " /><meta property="og:image" content="https://www.healthychildren.org/_layouts/15/AAP.HealthyChildren/images/hc_favicon_square.png" /><meta name="publish_date" content="2019-11-19"><meta name="publish_image" content="https://www.healthychildren.org/https://www.healthychildren.org/SiteCollectionImagesArticleImages/folic_article.jpg "><title> Where We Stand: Folic Acid - HealthyChildren.org </title> 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href="/English/ages-stages/baby/sleep/Pages/default.aspx" target="_self">Sleep</a><a href="/English/ages-stages/baby/teething-tooth-care/Pages/default.aspx" target="_self">Teething ＆ Tooth Care</a></li></ul></li><li><a href="/english/ages-stages/toddler/pages/default.aspx" target="_self">Toddler 1-3yrs.</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/ages-stages/toddler/fitness/Pages/default.aspx" target="_self">Fitness</a><a href="/English/ages-stages/toddler/nutrition/Pages/default.aspx" target="_self">Nutrition</a><a href="/english/ages-stages/toddler/toilet-training/pages/default.aspx" target="_self">Toilet Training</a></li></ul></li></ul><ul><li><a href="/english/ages-stages/preschool/pages/default.aspx" target="_self">Preschool 3-5yrs</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/ages-stages/preschool/nutrition-fitness/Pages/default.aspx" target="_self">Nutrition ＆ Fitness</a></li></ul></li><li><a href="/english/ages-stages/gradeschool/pages/default.aspx" target="_self">Grade School 5-12yrs.</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/ages-stages/gradeschool/fitness/Pages/default.aspx" target="_self">Fitness</a><a href="/English/ages-stages/gradeschool/nutrition/Pages/default.aspx" target="_self">Nutrition</a><a href="/english/ages-stages/gradeschool/puberty/pages/default.aspx" target="_self">Puberty</a><a href="/English/ages-stages/gradeschool/school/Pages/default.aspx" target="_self">School</a></li></ul></li><li><a href="/english/ages-stages/teen/pages/default.aspx" target="_self">Teen 12-18yrs.</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/ages-stages/teen/dating-sex/Pages/default.aspx" target="_self">Dating ＆ Sex</a><a href="/English/ages-stages/teen/fitness/Pages/default.aspx" target="_self">Fitness</a><a href="/English/ages-stages/teen/nutrition/Pages/default.aspx" target="_self">Nutrition</a></li></ul></li><li><a href="/english/ages-stages/young-adult/pages/default.aspx" target="_self">Young Adult 18-21yrs.</a></li></ul></li></ul></div></li><li><span></span><a href="/english/healthy-living/pages/default.aspx" target="_self" class="root-desktop-link"><span>Healthy Living</span></a><a href="https://www.healthychildren.org/English/ages-stages/prenatal/Pages/Where-We-Stand-Folic-Acid.aspx#" class="root-mobile-link"><span>Healthy Living</span></a><div class="nav-dropdown two-col-container"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/healthy-living/pages/default.aspx">Healthy Living</a></div><ul><li><a href="/english/healthy-living/emotional-wellness/pages/default.aspx" target="_self">Emotional Wellness</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/healthy-living/emotional-wellness/Building-Resilience/Pages/default.aspx" target="_self">Building Resilience</a></li></ul></li><li><a href="/english/healthy-living/fitness/pages/default.aspx" target="_self">Fitness</a></li><li><a href="/english/healthy-living/growing-healthy/pages/default.aspx" target="_self">Growing Healthy</a></li><li><a href="/english/healthy-living/nutrition/pages/default.aspx" target="_self">Nutrition</a></li></ul><ul><li><a href="/english/healthy-living/oral-health/pages/default.aspx" target="_self">Oral Health</a></li><li><a href="/English/healthy-living/sleep/Pages/default.aspx" target="_self">Sleep</a></li><li><a href="/english/healthy-living/sports/pages/default.aspx" target="_self">Sports</a></li></ul></li></ul></div></li><li><span></span><a href="/english/safety-prevention" target="_self" class="root-desktop-link"><span>Safety & Prevention</span></a><a href="https://www.healthychildren.org/English/ages-stages/prenatal/Pages/Where-We-Stand-Folic-Acid.aspx#" class="root-mobile-link"><span>Safety & Prevention</span></a><div class="nav-dropdown"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/safety-prevention">Safety and Prevention</a></div><ul><li><a href="/english/safety-prevention/all-around/pages/default.aspx" target="_self">All Around</a></li><li><a href="/english/safety-prevention/at-home/pages/default.aspx" target="_self">At Home</a><ul class="dropdown-root-grandchild-container"><li><a href="/english/safety-prevention/at-home/medication-safety/Pages/default.aspx" target="_self">Medication Safety</a></li></ul></li><li><a href="/english/safety-prevention/at-play/pages/default.aspx" target="_self">At Play</a></li><li><a href="/english/safety-prevention/immunizations/pages/default.aspx" target="_self">Immunizations</a></li><li><a href="/english/safety-prevention/on-the-go/pages/default.aspx" target="_self">On The Go</a></li></ul></li></ul></div></li><li><span></span><a href="/english/family-life/pages/default.aspx" target="_self" class="root-desktop-link"><span>Family Life</span></a><a href="https://www.healthychildren.org/English/ages-stages/prenatal/Pages/Where-We-Stand-Folic-Acid.aspx#" class="root-mobile-link"><span>Family Life</span></a><div class="nav-dropdown two-col-container"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/family-life/pages/default.aspx">Family Life</a></div><ul><li><a href="/english/family-life/family-dynamics/pages/default.aspx" target="_self">Family Dynamics</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/family-life/family-dynamics/communication-discipline/Pages/default.aspx" target="_self">Communication ＆ Discipline</a><a href="/English/family-life/family-dynamics/types-of-families/Pages/default.aspx" target="_self">Types of Families</a></li></ul></li><li><a href="/english/family-life/community//pages/default.aspx" target="_self">Getting Involved in Your Community</a></li><li><a href="/english/family-life/media/pages/default.aspx" target="_self">Media</a></li></ul><ul><li><a href="/english/family-life/health-management/pages/default.aspx" target="_self">Medical Home</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/family-life/health-management/pediatric-specialists/Pages/default.aspx" target="_self">Pediatric Specialists</a></li></ul></li><li><a href="/English/family-life/power-of-play/Pages/default.aspx" target="_self">Power of Play</a></li><li><a href="/English/family-life/work-and-child-care/Pages/default.aspx" target="_self">Work ＆ Child Care</a></li></ul></li></ul></div></li><li><span></span><a href="/english/health-issues/pages/default.aspx" target="_self" class="root-desktop-link"><span>Health Issues</span></a><a href="https://www.healthychildren.org/English/ages-stages/prenatal/Pages/Where-We-Stand-Folic-Acid.aspx#" class="root-mobile-link"><span>Health Issues</span></a><div class="nav-dropdown anchor-right"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/health-issues/pages/default.aspx">Health Issues</a></div><ul><li><a href="/english/health-issues/conditions/pages/default.aspx" target="_self">Conditions</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/health-issues/conditions/abdominal/Pages/default.aspx" target="_self">Abdominal</a><a href="/English/health-issues/conditions/adhd/Pages/default.aspx" target="_self">ADHD</a><a href="/English/health-issues/conditions/allergies-asthma/Pages/default.aspx" target="_self">Allergies ＆ Asthma</a><a href="/English/health-issues/conditions/Autism/Pages/default.aspx" target="_self">Autism</a><a href="/English/health-issues/conditions/chest-lungs/Pages/default.aspx" target="_self">Chest ＆ Lungs</a><a href="/English/health-issues/conditions/chronic/Pages/default.aspx" target="_self">Chronic Conditions</a><a href="/English/health-issues/conditions/Cleft-Craniofacial/Pages/default.aspx" target="_self">Cleft ＆ Craniofacial</a><a href="/English/health-issues/conditions/COVID-19/Pages/default.aspx" target="_self">COVID-19</a><a href="/English/health-issues/conditions/developmental-disabilities/Pages/default.aspx" target="_self">Developmental Disabilities</a><a href="/English/health-issues/conditions/ear-nose-throat/Pages/default.aspx" target="_self">Ear, Nose ＆ Throat</a><a href="/English/health-issues/conditions/emotional-problems/Pages/default.aspx" target="_self">Emotional Problems</a><a href="/English/health-issues/conditions/eyes/Pages/default.aspx" target="_self">Eyes</a><a href="/English/health-issues/conditions/fever/Pages/default.aspx" target="_self">Fever</a><a href="/English/health-issues/conditions/flu/Pages/default.aspx" target="_self">Flu</a><a href="/English/health-issues/conditions/from-insects-animals/Pages/default.aspx" target="_self">From Insects or Animals</a><a href="/English/health-issues/conditions/genitourinary-tract/Pages/default.aspx" target="_self">Genitals and Urinary Tract</a><a href="/English/health-issues/conditions/head-neck-nervous-system/Pages/default.aspx" target="_self">Head, Neck ＆ Nervous System</a><a href="/English/health-issues/conditions/heart/Pages/default.aspx" target="_self">Heart</a><a href="/English/health-issues/conditions/infections/Pages/default.aspx" target="_self">Infections</a><a href="/English/health-issues/conditions/learning-disabilities/Pages/default.aspx" target="_self">Learning Disabilities</a><a href="/English/health-issues/conditions/seizures/Pages/default.aspx" target="_self">Seizures</a><a href="/English/health-issues/conditions/sexually-transmitted/Pages/default.aspx" target="_self">Sexually Transmitted Infections</a><a href="/English/health-issues/conditions/skin/Pages/default.aspx" target="_self">Skin Conditions</a><a href="/English/health-issues/conditions/treatments/Pages/default.aspx" target="_self">Treatments</a></li></ul></li><li><a href="/English/health-issues/injuries-emergencies/Pages/default.aspx" target="_self">Injuries ＆ Emergencies</a><ul class="dropdown-root-grandchild-container"><li><a href="/English/health-issues/injuries-emergencies/sports-injuries/Pages/default.aspx" target="_self">Sports Injuries</a></li></ul></li><li><a href="/english/health-issues/vaccine-preventable-diseases/pages/default.aspx" target="_self">Vaccine Preventable Diseases</a></li></ul></li></ul></div></li><li><a href="/english/News/pages/default.aspx" target="_self" class="root-desktop-link"><span>News</span></a><a href="/english/News/pages/default.aspx" class="root-mobile-link"><span>News</span></a></li><li><span></span><a href="/english/tips-tools/pages/default.aspx" target="_self" class="root-desktop-link"><span>Tips & Tools</span></a><a href="https://www.healthychildren.org/English/ages-stages/prenatal/Pages/Where-We-Stand-Folic-Acid.aspx#" class="root-mobile-link"><span>Tips & Tools</span></a><div class="nav-dropdown two-col-container anchor-right"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/tips-tools/pages/default.aspx">Tips and Tools</a></div><ul><li><a href="/english/tips-tools/ask-the-pediatrician/pages/default.aspx" target="_self">Ask The Pediatrician</a></li><li><a href="/English/asthmatracker/pages/asthmatracker.aspx" target="_self">Asthma Action Tracker</a></li><li><a href="/English/fmp/Pages/MediaPlan.aspx" target="_self">AAP Family Media Plan</a></li><li><a href="/english/tips-tools/find-pediatrician/Pages/Pediatrician-Referral-Service.aspx" target="_self">Find a Pediatrician</a></li><li><a href="/English/tips-tools/HealthyChildren_Magazine/Pages/default.aspx" target="_self">Healthy Children Magazine</a></li><li><a href="/English/tips-tools/healthy-children-podcast/Pages/podcast.aspx" target="_self">Healthy Children Podcast</a></li></ul><ul><li><a href="/English/tips-tools/HealthyChildren-Texting-Program/Pages/default.aspx" target="_self">Healthy Children Texting Program</a></li><li><a href="/English/MotorDelay/Pages/default.aspx" target="_self">Motor Delay Tool</a></li><li><a href="/english/tips-tools/newsletters/pages/default.aspx" target="_self">Newsletters</a></li><li><a href="/English/healthy-living/fitness/StopWatch-Tool/Pages/default.aspx" target="_self">Physical Activity Checker</a></li><li><a href="/english/tips-tools/symptom-checker/pages/default.aspx" target="_self">Symptom Checker</a></li><li><a href="/english/tips-tools/webinars/pages/default.aspx" target="_self">Webinars</a></li></ul></li></ul></div></li><li><span></span><a href="/english/our-mission/pages/default.aspx" target="_self" class="root-desktop-link"><span>Our Mission</span></a><a href="https://www.healthychildren.org/English/ages-stages/prenatal/Pages/Where-We-Stand-Folic-Acid.aspx#" class="root-mobile-link"><span>Our Mission</span></a><div class="nav-dropdown anchor-right"><ul class="dropdown-root-container"><li><div class="dropdown-root-link-container"><a href="/english/our-mission/pages/default.aspx">Our Mission</a></div><ul><li><a href="/english/our-mission/aap-in-action/pages/default.aspx" target="_self">AAP in Action</a></li><li><a href="/english/our-mission/Pages/contributors.aspx" target="_self">Medical Editor & Contributors</a></li><li><a href="/english/our-mission/sponsors/pages/default.aspx" target="_self">Sponsors</a></li><li><a href="/english/our-mission/pages/sponsorship-opportunities.aspx" target="_self">Sponsorship Opportunities</a></li><li><a href="/english/our-mission/pages/spread-the-word.aspx" target="_self">Spread the Word</a></li></ul></li></ul></div></li><li><a href="http://shop.aap.org/for-parents/" class="btn-shop-aap" target="_blank">Shop AAP</a></li></ul> <div class="mobile-nav-extra"> <div class="extra-pic"> <a id="ctl00_aapTopNavigation_lnkFAP" class="mobile-fap-link" href="/english/tips-tools/find-pediatrician/pages/pediatrician-referral-service.aspx">Find a Pediatrician</a> </div> <div class="mobile-nav-search"> <input name="ctl00$aapTopNavigation$txtMobileSearch" type="text" id="ctl00_aapTopNavigation_txtMobileSearch" /> <input type="submit" name="ctl00$aapTopNavigation$btnMobileSearch" value="" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("ctl00$aapTopNavigation$btnMobileSearch", "", true, "", "", false, false))" id="ctl00_aapTopNavigation_btnMobileSearch" class="btn-search" /> </div> </div> </div> </div> </nav> <div class="clear"> </div>  <section class="page-content"> <div id="hcMainContainer"> <div class="left-col-container col-xs-3 col-sm-3 col-md-3 col-lg-3"> <h5 class="title rail-left-title"> Ages & Stages </h5> <div class="rail-left"> <div class="vertical-nav-header-top"></div> <div id="ctl00_cphLeftNav_QuickLaunchNavigationManager"> <div class="vertical-navigation"> <table id="zz1_QuickLaunchMenu" class="ms-navSubMenu1 zz1_QuickLaunchMenu_7 zz1_QuickLaunchMenu_2" cellpadding="0" cellspacing="0" border="0"> <tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun0"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3" href="/English/ages-stages/Your-Childs-Checkups/Pages/default.aspx" style="border-style:none;font-size:1em;">Your Child’s Checkups</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun1"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3" href="/English/MotorDelay/Pages/default.aspx" style="border-style:none;font-size:1em;">Motor Delay Tool</a></td> </tr> </table></td> </tr><tr 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zz1_QuickLaunchMenu_5" href="/English/ages-stages/prenatal/decisions-to-make/Pages/default.aspx" style="border-style:none;font-size:1em;">Decisions to Make</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverStatic(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun4"> <td><table class="ms-navitem zz1_QuickLaunchMenu_6" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navitem zz1_QuickLaunchMenu_5" href="/English/ages-stages/prenatal/delivery-beyond/Pages/default.aspx" style="border-style:none;font-size:1em;">Delivery and Beyond</a></td> </tr> </table></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun5"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3" href="/English/ages-stages/baby/Pages/default.aspx" style="border-style:none;font-size:1em;">Baby</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun6"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3" href="/English/ages-stages/toddler/Pages/default.aspx" style="border-style:none;font-size:1em;">Toddler</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun7"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3" href="/English/ages-stages/preschool/Pages/default.aspx" style="border-style:none;font-size:1em;">Preschool</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun8"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3" href="/English/ages-stages/gradeschool/Pages/default.aspx" style="border-style:none;font-size:1em;">Gradeschool</a></td> </tr> </table></td> </tr><tr onmouseover="Menu_HoverRoot(this)" onmouseout="Menu_Unhover(this)" onkeyup="Menu_Key(this)" id="zz1_QuickLaunchMenun9"> <td><table class="ms-navheader zz1_QuickLaunchMenu_4" cellpadding="0" cellspacing="0" border="0" width="100%"> <tr> <td style="width:100%;"><a class="zz1_QuickLaunchMenu_1 ms-navheader zz1_QuickLaunchMenu_3" 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href="/English" >Healthy Children</a> > <a href="https://www.healthychildren.org/English/ages-stages" >Ages & Stages</a> > <a href="https://www.healthychildren.org/English/ages-stages/prenatal" >Prenatal</a> > Where We Stand: Folic Acid </div> </div> <div class="int-page-header"> <div class="page-section">Ages & Stages </div> </div> <div class="layout-content">  <div class="article-social-container"> <div class="article-social-left"> <div class="reader-listen-container"> </div> </div> <div class="article-social-right">  <div class="sharethis-inline-share-buttons"></div>  </div> </div> <div id="read_content" class="fontScalerWrapper"> <h1 class="page-title">Where We Stand: Folic Acid</h1> <div class="middle-bottom-wpz"> <menu class="ms-hide"> <ie:menuitem id="MSOMenu_Help" iconsrc="/_layouts/15/images/HelpIcon.gif" onmenuclick="MSOWebPartPage_SetNewWindowLocation(MenuWebPart.getAttribute('helpLink'), MenuWebPart.getAttribute('helpMode'))" text="Help" type="option" style="display:none"> </ie:menuitem> </menu> </div>  <div id="ctl00_cphPageContent_EditModePanel1"> <div class="article-image"> <span class="img-desktop-responsive"> <img alt="Click here to insert a picture from SharePoint." src="https://www.healthychildren.org/SiteCollectionImagesArticleImages/folic_article.jpg " style="BORDER: 0px solid; "> </span> <span class="img-mobile-responsive print-no"> <img alt="Click here to insert a picture from SharePoint." src="/SiteCollectionImagesArticleImages/folic_article.jpg" style="BORDER: 0px solid; "> </span> </div> </div> <div> <div id="ctl00_cphPageContent_ctl00_label" style='display:none'>Page Content</div><div id="ctl00_cphPageContent_ctl00__ControlWrapper_RichHtmlField" class="ms-rtestate-field" style="display:inline" aria-labelledby="ctl00_cphPageContent_ctl00_label"><p>In an effort to reduce the prevalence of <a href="/English/health-issues/conditions/developmental-disabilities/Pages/Spina-Bifida.aspx" data-uw-rm-brl="PR" data-uw-original-href="https://www.healthychildren.org/English/health-issues/conditions/developmental-disabilities/Pages/Spina-Bifida.aspx">spina bifida</a>, the American Academy of Pediatrics (AAP) endorses the recommendation of the U.S. Public Health Service that all women capable of becoming pregnant consume 400 micrograms (mcg) per day of folic acid, a B vitamin.</p><h2>Help prevent neural tube defects </h2><p align="left">Folic acid helps to <a href="/English/ages-stages/prenatal/Pages/Reduce-the-Risk-of-Birth-Defects.aspx" data-uw-rm-brl="PR" data-uw-original-href="https://www.healthychildren.org/English/ages-stages/prenatal/Pages/Reduce-the-Risk-of-Birth-Defects.aspx">prevent neural tube defects (NTD)</a>, which include spina bifida. Although some foods are fortified with folic acid, it is not possible for women to meet the 400 mcg goal through a typical diet. Thus, the <a href="http://pediatrics.aappublications.org/content/104/2/325.abstract" target="_blank" data-uw-rm-brl="PR" data-uw-original-href="http://pediatrics.aappublications.org/content/104/2/325.abstract" aria-label="AAP policy statement - open in a new tab">AAP policy statement</a> recommends a daily multivitamin tablet that contains folic acid in the recommended dose. Studies show that if all women of childbearing age met these dietary requirements, 50% or more of NTDs could be prevented.</p><h2>Talk with your doctor about folic acid</h2><p align="left">Women who are at high risk for an NTD-affected pregnancy (for example because of a previous NTD-affected pregnancy, having <a href="/English/health-issues/conditions/chronic/Pages/Diabetes-Mellitus.aspx" data-uw-rm-brl="PR" data-uw-original-href="https://www.healthychildren.org/English/health-issues/conditions/chronic/Pages/Diabetes-Mellitus.aspx">diabetes mellitus</a>, or taking <a href="/English/health-issues/conditions/head-neck-nervous-system/Pages/Difference-Between-Seizure-and-Convulsion.aspx" data-uw-rm-brl="PR" data-uw-original-href="https://www.healthychildren.org/English/health-issues/conditions/head-neck-nervous-system/Pages/Difference-Between-Seizure-and-Convulsion.aspx">antiseizure medications</a>) are advised to discuss their risk with their doctor. This includes possible treatments with very high doses of folic acid (4,000 mcg per day), beginning one month before becoming pregnant and continuing throughout the first trimester. As the doctor will explain, however, women should not attempt to achieve this very high dose of folic acid by taking multivitamin supplements, but rather only under the care of a physician.</p><h2>More information </h2><ul><li><p> <a href="http://pediatrics.aappublications.org/content/104/2/325.abstract" target="_blank" data-uw-rm-brl="PR" data-uw-original-href="http://pediatrics.aappublications.org/content/104/2/325.abstract" aria-label="Folic Acid for the Prevention of Neural Tube Defects - open in a new tab">Folic Acid for the Prevention of Neural Tube Defects </a>(AAP Policy Statement) </p></li><li><p> <a href="http://www.cdc.gov/ncbddd/folicacid/recommendations.html" target="_blank" data-uw-rm-brl="PR" data-uw-original-href="http://www.cdc.gov/ncbddd/folicacid/recommendations.html" aria-label="Folic Acid Recommendations - open in a new tab">Folic Acid Recommendations</a> (CDC) </p></li><li><p> <a href="http://www.cdc.gov/features/folicacidbenefits/" target="_blank" data-uw-rm-brl="PR" data-uw-original-href="http://www.cdc.gov/features/folicacidbenefits/" aria-label="Folic Acid Helps Prevent Neural Tube Defects - open in a new tab">Folic Acid Helps Prevent Neural Tube Defects</a> (CDC) </p></li><li><p> <a href="http://www.youtube.com/watch?v=_mSSsRo2n4g" target="_blank" aria-label="The Story of Folic Acid Fortification - open in a new tab">The Story of Folic Acid Fortification</a> (CDC) – Short video that chronicles the hard work behind folic acid fortification in the United States and its positive effects on the health and well-being of so many children and families. </p></li></ul></div> <div id="ctl00_cphPageContent_PublishingPageContentField_label" style='display:none'>Article Body</div><div id="ctl00_cphPageContent_PublishingPageContentField__ControlWrapper_RichHtmlField" class="ms-rtestate-field" style="display:inline" aria-labelledby="ctl00_cphPageContent_PublishingPageContentField_label"></div> <dl id="ctl00_cphPageContent_dlLastUpdated" class="article-details"> <dt><span id="ctl00_cphPageContent_lblLastUpdated">Last Updated</span></dt> <dd><span id="ctl00_cphPageContent_lblDate">11/19/2019</span></dd> </dl> <dl id="ctl00_cphPageContent_dlSource" class="article-details"> <dt><span id="ctl00_cphPageContent_lblArticleSource">Source</span></dt> <dd><span id="ctl00_cphPageContent_lblSource">Caring for Your Baby and Young Child: Birth to Age 5, 6th Edition (Copyright © 2015 American Academy of Pediatrics)</span></dd> </dl> <div class="disclaimer"> <span id="ctl00_cphPageContent_lblDisclaimer">The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. 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