Recommendations made
pediatrician - Dr. Victоr Аbdоw
Rоckville, МD, USА.
Is it allowed to take Folate during lactation? |
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Soluble B group vitamin that is very abundant in green vegetables, legumes and fruits (citric fruits). It is actively excreted in breast milk with priority over maternal folate in such extent that may even cause maternal deficit. Exclusive breastfeeding meets the daily allowances of infant folic acid.The concentration is higher in mature milk (85 micrograms / L) than in colostrum and premature breast milk.Administration to nursing mothers increases slightly the usual concentration of folate in breast milk. Folic acid needs are increased during pregnancy and lactation (500-600 micrograms / day) and in case of taking anticonvulsant medication. No harmful effects have been observed by taking folic acid during lactation. Excess of folic acid is eliminated by the kidneys every day. No supplements are needed if diet and nutritional status are adequate. The American Academy of Pediatrics rates it as a mediation usually compatible with breastfeeding.WHO List of Essential Medicines 2002: compatible with breastfeeding. |
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Would you like to ask something else about Folate ? |
Types of risk
VERY LOW RISK
It is allowed while breastfeeding. It is not dangerous for a baby. It is moderately safe. more...
LOW RISK PROBABLE
Possible presence in breast milk is allowed. Follow the doctor's recommendation. more...
HIGH RISK PROBABLE
An unsafe drug, it is necessary to assess the risks while taking. Use safer analogs. more...
VERY HIGH RISK
It is not recommended. You need to stop breastfeeding or choose a safe analog. more...
Scientific literature
The level of risk for breastfeeding is confirmed in these scientific publications:- http://www.ncbi.nlm.nih.gov/pubmed/26084735
- http://www.ncbi.nlm.nih.gov/pubmed/26383056
- http://www.elsevier.es/en/linksolver/ft/pii/S1695-4033(15)00305-7
- http://www.ncbi.nlm.nih.gov/pubmed/24084052
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3820052/pdf/nutrients-05-03920.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/22585913
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649471/pdf/362.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/22852064
- http://www.ncbi.nlm.nih.gov/pubmed/22932279
- http://ajcn.nutrition.org/content/96/4/789.full.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/23024859
- http://www.ncbi.nlm.nih.gov/pubmed/23111948
- http://www.ncbi.nlm.nih.gov/pubmed/22123635
- http://www.ncbi.nlm.nih.gov/pubmed/22296250
- http://onlinelibrary.wiley.com/doi/10.1111/j.1740-8709.2010.00276.x/epdf
- http://www.ncbi.nlm.nih.gov/pubmed/19056550
- http://www.ncbi.nlm.nih.gov/pubmed/17056807
- http://www.ncbi.nlm.nih.gov/pubmed/16802699
- http://www.ncbi.nlm.nih.gov/pubmed/15817867
- http://ajcn.nutrition.org/content/81/4/880.full.pdf
- http://whqlibdoc.who.int/hq/2002/55732.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/11533352
- http://pediatrics.aappublications.org/content/108/3/776.full.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/9989694
- http://www.ncbi.nlm.nih.gov/pubmed/9508012
- http://www.ncbi.nlm.nih.gov/pubmed/7735452
- http://www.ncbi.nlm.nih.gov/pubmed/7832045
- http://www.ncbi.nlm.nih.gov/pubmed/2525394
- http://www.ncbi.nlm.nih.gov/pubmed/3409858
- http://www.ncbi.nlm.nih.gov/pubmed/3565292
- http://ajcn.nutrition.org/content/45/4/661.full.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/3673936
- http://www.ncbi.nlm.nih.gov/pubmed/3728001
- http://www.ncbi.nlm.nih.gov/pubmed/6685760
- http://www.ncbi.nlm.nih.gov/pubmed/6859917
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1627853/pdf/archdisch00746-0055.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/6685974
- http://www.ncbi.nlm.nih.gov/pubmed/6896957
- http://www.ncbi.nlm.nih.gov/pubmed/7424809
- http://www.ncbi.nlm.nih.gov/pubmed/7355792
- http://www.ncbi.nlm.nih.gov/pubmed/5464396
- http://ajcn.nutrition.org/content/23/6/843.full.pdf
- http://www.ncbi.nlm.nih.gov/pubmed/14278635
- http://ajcn.nutrition.org/content/23/6/843.full.pdf