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13/07/2016

Report Suggests Pregnancy Multivitamins Are 'Unnecessary Expense'

A report has suggested that multivitamins for pregnant women are an "unnecessary expense".

The study, which has been published in the journal Drug and Therapeutics Bulletin (DTB), found that the multivitamins and mineral supplements are unlikely to be needed by most expectant mothers, but said that women should continue to take folic acid and vitamin D supplements.

The DTB reviewed the published research on folic acid, vitamin D, iron, vitamins C, E, and A, and multivitamin supplements.

It found that folic acid had the strongest evidence to support current national UK guidance for vitamin supplements recommended for pregnant women. Currently, women are recommended to take 400ug of folic acid daily from before, until 12 weeks of, pregnancy.

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A daily dose of 5mg is recommended for women at higher risk of having a child with neural tube defects – those who have neural tube defects themselves, a family history of the condition, or who have diabetes.

However, the review found that evidence for vitamin D supplementation was not as clear, with little of the trial data showing any impact on reducing the risk of complications of pregnancy or birth. A daily dose of 10ug is still recommended throughout pregnancy and breastfeeding.

In relation to the other supplements, the report added that there was no evidence of any obvious clinical benefit for most women who are well nourished, while high doses of vitamin A may harm the developing fetus.

The review added that much of the evidence on which the marketing claims for multivitamin supplements are based, comes from studies carried out in low income countries, where women are more likely to be undernourished or malnourished than women in the UK.

The DTB said: "We found no evidence to recommend that all pregnant women should take prenatal multinutrient supplements beyond the nationally advised folic acid and vitamin D supplements, generic versions of which can be purchased relatively inexpensively."

The DTB review can be found here.

(JP/MH)

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"A report has suggested that multivitamins for pregnant women are an "unnecessary expense"."