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Your health in pregnancy<br />

VITAMIN SUPPLEMENTS<br />

It’s best to get vitamins and<br />

minerals from the food you eat.<br />

Some people, like those on a<br />

restricted diet, may need extra.<br />

FOLIC ACID<br />

This vitamin is special<br />

(see information in column on<br />

right). You need to take a 400<br />

microgram (0.4 milligram)<br />

tablet every day from the time<br />

you start trying to conceive.<br />

Continue taking the supplement<br />

right up until you’re 12 weeks<br />

pregnant. Even if you didn’t<br />

take folic acid before conceiving,<br />

it’s worth starting as soon as<br />

you find out that you’re<br />

pregnant, and you should still<br />

continue until you’re 12 weeks<br />

pregnant. If you have had a<br />

baby with spina bifida before,<br />

are taking medication for<br />

epilepsy, are diabetic or have<br />

coeliac disease, you will need to<br />

take a bigger dose of folic acid.<br />

Speak to your midwife or<br />

doctor about this. For more<br />

information about folic acid,<br />

you can read the leaflet Folic<br />

acid: one of life’s essentials<br />

or you find it at<br />

www.healthpromotionagency.<br />

org.uk<br />

Foods carrying<br />

this mark have<br />

added folic acid.<br />

VITAMIN A<br />

Don’t take extra vitamin A<br />

supplements or multivitamins<br />

containing vitamin A without<br />

advice as too much could harm<br />

your baby. Avoid eating liver<br />

while you’re pregnant because it<br />

contains high levels of vitamin A.<br />

VITAMINS AND MINERALS<br />

•<br />

Lean meat, green leafy vegetables,<br />

dried fruit and nuts (see page 12<br />

on peanuts) contain iron. If you<br />

are short of iron, you’re likely to<br />

get very tired and may suffer from<br />

anaemia. Try to have some food or<br />

drink containing vitamin C, such<br />

as fruit or vegetables or a glass of<br />

fruit juice. Good sources of iron<br />

include red meat, pulses, bread,<br />

green vegetables and fortified<br />

breakfast cereals. If the iron level in<br />

your blood becomes low, your GP<br />

or midwife will advise you to take<br />

iron supplements.<br />

•<br />

Citrus fruit, tomatoes, broccoli,<br />

blackcurrants and potatoes are<br />

good sources of vitamin C, which<br />

you need to help you to absorb<br />

iron. Some pure fruit juices are<br />

also high in vitamin C.*<br />

•<br />

Dairy products, fish with edible<br />

bones like sardines, bread, nuts (see<br />

page 12) and green vegetables are<br />

rich in calcium, which is vital for<br />

making bones and teeth.<br />

•<br />

The best source of vitamin D is<br />

summer sunlight. Only a few foods,<br />

e.g. margarine, oily fish (like<br />

sardines) and taramasalata contain it.<br />

You need extra vitamin D during<br />

pregnancy to keep your bones<br />

healthy and to provide your baby<br />

with vitamin D to last during the<br />

first few months of life. You do not<br />

need to sunbathe to make enough<br />

vitamin D. Just 15 minutes in the<br />

sun, two or three time a week,<br />

during the summer months can<br />

produce enough vitamin D. Make<br />

sure you wear 15+ factor sunscreen<br />

and never burn. If you have dark<br />

skin, or always cover your skin, you<br />

may be particularly at risk of<br />

vitamin D deficiency. Ask your<br />

pharmacist, midwife or GP for<br />

vitamin D supplements.*<br />

• You need extra folic acid from<br />

the time you start trying to<br />

conceive until the 12th week of<br />

pregnancy. This can help prevent<br />

birth defects, which are known as<br />

neural tube defects, such as spina<br />

bifida. You can get folic acid from<br />

green, leafy vegetables, but don’t<br />

overcook them as this destroys the<br />

vitamin. Some breakfast cereals and<br />

breads have had folic acid added to<br />

them, so look at the label. Regardless<br />

of what you eat, always take a 400<br />

microgram (0.4 milligram) folic<br />

acid tablet every day. These are<br />

available from pharmacies and<br />

supermarkets or your GP may be<br />

able to prescribe them for you.*<br />

* <strong>Health</strong>y Start vitamin supplements contain<br />

the recommended amounts of vitamin C, D<br />

and folic acid. Ask your pharmacist,<br />

midwife or GP for advice.<br />

10

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