Prenatal indications (Printable version)

Nutritional and vitamin supplements for an adequate fetal development and satisfactory evolution of pregnancy in the mother.

For indications for frequent discomfort during pregnancy visit the safe medication article in pregnancy

Omega 3

Fish Oil: 500 mg: 1 (ONE) capsule daily during pregnancy. If you repeat the medication (burp frequently) with uncomfortable gas, take it at night to avoid discomfort.

Even though omega 3 oil has an “anticoagulant” effect, we have not noticed more bleeding during delivery / cesarean in its users when compared to women who do not use it, so we do not suspend it before the birth of the baby

Folate

FOLIC ACID 5 mg: 1 (ONE) tablet daily throughout pregnancy. Once we start using iron with folic acid we will suspend this medication (week 16-18). If the selected iron does not contain folic acid, it should continue its use. The iron will be used from week 18, do not forget about this! If there is anemia iron is indicated early

Multivitamins

Any Brand: 1 daily tablet during the whole pregnancy and the post-partum period until the end of the existence.

Calcium

Any Brand: 1 (ONE) daily tablet during the whole pregnancy and the post-partum period until the end of existence.

Vitamin D

Recent research suggests that daily supplementation of high doses of vitamin D during pregnancy has beneficial effects for the mother and the fetus. Traditionally, 400-800 IU / day have been indicated but currently the use of 2000 – 4000 IU / day is suggested. They report 50% fewer cases of Preeclampsia, Gestational Diabetes, Preterm Birth and infections and better neonatal evolution. If you want to participate, you will be given 2000-4000 IU / day after evaluating your levels of Vitamin D in blood. Desirable blood levels are in the range of 30-100 ng / mL (40-60 ng / mL in pregnancy). It is considered that the maximum safe dose in pregnancy is 10,000 IU / day. Literature (English 2014)

A recent study showed a 28% decrease in risk in fetal growth disorders and a 65% reduction in the risk of fetal and neonatal mortality with the use of 2000 mUI per day (the approximate dose indicated)

(1) Association Between Vitamin D Supplementation During Pregnancy and Offspring Growth, Morbidity, and Mortality. A Systematic Review and Meta-analysis. Wei Guang Bi, BSc. et al. May 29, 2018. (2) John D. Cowden, MD, MPH reviewing Bi WG et al. JAMA Pediatr 2018 May 29. Vitamin D Supplementation in Pregnancy May Benefit Infants

Iron

Any Brand: 1 (ONE) daily tablet during the whole pregnancy, starting from week 18. If there is anemia I will indicate its use before week 18. IMPORTANT NOTE: the use of iron You can dye your stools black, it’s an expected effect. The oral use of iron can cause or worsen constipation.