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Low maternal vitamin B 12, defined as serum concentration less than 148 pmol/L, increases the risk of miscarriage, newborn low birth weight and preterm birth. [ 36 ] [ 34 ] During pregnancy the placenta concentrates B 12 , so that newborn infants have a higher serum concentration than their mothers. [ 33 ]
An estimated 97 percent of pregnant Americans take prenatal vitamins, according to a 2017 survey by the March of Dimes, and the options on the market have multiplied in recent years.
It is recommended to accompany regular meals with a daily prenatal vitamin supplement that has sufficient folic acid and iron content. [30] If the fetus is predicted to have low birth weight, in addition to the general recommendations, it would be ideal to increase caloric intake, which can be done by having extra Food Guide Servings daily. [30]
This could produce fussiness in the baby. Alcohol use is strongly discouraged. Consuming fish is healthy and provides vitamins, minerals and proteins. Consumption of oily fish like haddock, herring, sardines, grouper, and tuna may need to be limited due to pollutants. [20] [21] Weight loss should be monitored to ensure recovery.
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For example, many [citation needed] prescription prenatal vitamins will contain a more bioavailable form of folate, 5-methyltetrahydrofolate (5-MTHF). Doses of folic acid over 1 mg are prescription only. The amount of non-prescription prenatal vitamins needed to achieve this dose may have too much vitamin A and lead to fetal toxicity. [2]