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GPs to continue advising folic acid in pregnancy despite flour fortification

GPs to continue advising folic acid in pregnancy despite flour fortification

Folic acid will be added to flour in the UK in a bid to avoid around 200 spinal conditions in babies each year, the Government has announced. 

However, GPs will still advise pregnant women to take supplements, it added.

Following a public consultation in 2019, the Department of Health and Social Care (DHSC) announced today that folic acid will be added to non-wholemeal wheat flour across the UK following a regulatory review.

It said this will ‘help avoid around 200 neural tube defects each year’, which represent around 20% of the annual UK total.

It added: ‘The NHS strongly recommends women who could become pregnant or are planning a pregnancy take a 400 micrograms folic acid tablet every day before pregnancy and until they are 12 weeks pregnant. 

‘This advice will continue, but with around 50% of pregnancies in the UK unplanned, the Government is taking action to increase folic acid intake nationally to help protect more babies, especially where a pregnancy is unplanned and supplements are not taken early enough.’

The UK will join 80 countries including Canada, New Zealand and Australia – where the public health policy has resulted in falls in neural tube defects – in adding folic acid to staple food products, the DHSC said.

The decision will be implemented following a four-nation review of bread and flour regulations, it added.

Health secretary Sajid Javid said: ‘We are committed to giving more children a healthy start in life. With the safe and taste-free folic acid baked into the national diet, hundreds more babies will be born healthy each year.

‘Focusing on preventing life-threatening health issues such as spina bifida will ensure fewer people will require hospital treatment, and more individuals and families are able to live healthier lives.’

In 2018, a study showed that high-dose folic acid supplements do not prevent pre-eclampsia in women at high risk for the condition.

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