Friday, 25 October 2013

FOLIC ACID AND PREGNANCY

Supplementation with folic acid is one of the most significant preventative interventions available in the preconceptual/antenatal period:

All women should take at least 400 micrograms/day whilst trying to become pregnant and for at least the first three months of pregnancy to reduce the risk of neural tube defects (NTDs).

Women at high risk of NTD should take a higher dose of 5 mg/day until 12 weeks of pregnancy. High risk is defined as:

Where either partner has an NTD or has already had a pregnancy affected by NTD.
Family history of NTD.
Anti-epileptic medication.
Coeliac disease.
Diabetes (type 1 or 2).
Thalassaemia trait (5 mg daily until birth of the baby).
Haemolytic anaemia, particularly thalassaemia or sickle cell anaemia (5-10 mg until birth of the baby).
Women with a BMI >30 kg/m2.



Folic acid, is an important B-complex vitamin found mostly in leafy green vegetables like spinach, kale, broccoli and romaine lettuce.

Numerous studies have shown that women who get 400 micrograms daily prior to conception and during early pregnancy reduce the risk that their baby will be born with a serious neural tube defect by up to 75%.


These defects involve malformation of a structure in the fetus called the neural tube.

As the baby develops, the top part of this tube helps form the baby's brain, and the bottom part unfolds to become the baby's spinal column.

The most common neural tube defects is spina bifida.

When the neural tube fails to close properly, serious brain and spinal problems can be the result.

This is very important during the first three months of pregnancy. This is the period when all the organs of the baby’s body are formed and when optimum nutrition is extremely important.

he benefits of folic acid foods seems to have this profound effect on the prevention of neural tube defects because this vitamin is crucial in the development of DNA.


As a result, juicing recipes which contain foods with folic acid, can play a large role in cell growth and development, as well as tissue formation in the fetus.

The incidence of this condition is far higher when mothers have had a nutritionally poor diet with inadequate supplies of folic acid.

Foods high in folic acid should be consumed in their raw condition as cooking it will destroy most of this vital nutrient.

If these foods are taken in the form of freshly extracted juicing recipes they will provide the benefits of folic acid as well as the numerous additional vitamins, minerals and enzymes.

Juicing for you and your baby's health is the single most powerful and the fastest way to get foods high in folic acid into your system.


TIMING OF PREGNANCY

In couples having regular sexual intercourse every 2 or 3 days, and not using contraception, 84% will become pregnant within a year, and 92% within two years. The rest may take longer to conceive, and some may need help or intervention.

The optimum biological age for pregnancy is between 20-35 years of age.

The best time to get pregnant and have sex intercourse is the so-called "fertile fertility window." The fertile fertility window extends for 6 days starting at 5 days before ovulation until the day of ovulation. Your most fertile days are the 1-2 days before and the day of ovulation 

When is the best time to get pregnant?

The fertile window which is the best time to get pregnant has been defined as the days of the menstrual cycle during which intercourse is most likely to result in pregnancy. This fertile window extends for 6 days starting at 5 days before ovulation until the day of ovulation. Your   fertile days are the 4-5 days before and the day of ovulation, but the most fertile days are just the 2 days before and the day of ovulation.

Sexual intercourse the day after established ovulation is unlikely to improve your chances getting pregnant. and chances getting pregnant if you make love after ovulation is nearly zero.

Increasing amounts of estrogen in the cervical mucus and reproductive tract of a women approaching ovulation generally allows the sperm to live for up to 6 days.

Does timing of  intercourse improve your pregnancy chances?  

Studies have shown that even in women with regular cycles, ovulation can possibly happen any time, so "timing" of intercourse and trying to answer the question when is the best time to get pregnant has never been shown to significantly improve your pregnancy chances. You are probably not improving your chances of getting pregnant if you wait with intercourse until the temperature goes up or the OPK has become positive. You may already have ovulated by that time, and sex after ovulation is unlikely to get you pregnant.

Every day versus every other day?

Couples who tried to get pregnant were previously told to have sex once every other day during their fertile days. Recent studies have shown that for the average couple who is trying to conceive the best time to get pregnant is that they  should make love regularly 2-3 times a week, every week because you don't know exactly when ovulation happens.

 In addition, you may improve your chances if you have sex once a day (as long as his sperm are OK) during the fertile 4-5 days prior to, and the day of, ovulation. In those rare circumstances when the man does not have enough sperm (oligospermia), the old rule of once every other day still holds true.

Couples who tried to get pregnant were previously told to have sex once every other day during their fertile days. Recent studies have shown that for the average couple who is trying to conceive the best time to get pregnant is that they  should make love regularly 2-3 times a week, every week because you don't know exactly when ovulation happens.

 In addition, you may improve your chances if you have sex once a day (as long as his sperm are OK) during the fertile 4-5 days prior to, and the day of, ovulation. In those rare circumstances when the man does not have enough sperm (oligospermia), the old rule of once every other day still holds true.

Sex during fertile days: % Pregnancy
  • Sex every day: 37% Pregnancy
  • Sex every other day: 33% Pregnancy
  • Sex once a week: 15% Pregnancy