Spina Bifida Defying Folic Acid Supplementation

Pre-conceptional supplementation of folic acid is well known to reduce the incidence of spina bifida. But Athena is frequently perplexed to see this anomaly occurring despite folate supplementation. In a largest Canadian study, De Wal et al [1] screened 1.9 million live births to study the effect of...

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Bibliographic Details
Main Author: Raveenthiran V
Format: Article
Language:English
Published: EL-Med-Pub 2012-07-01
Series:Journal of Neonatal Surgery
Subjects:
Online Access:http://jneonatalsurg.com/documents/vol-1/pdf/jns-1-65.pdf
Description
Summary:Pre-conceptional supplementation of folic acid is well known to reduce the incidence of spina bifida. But Athena is frequently perplexed to see this anomaly occurring despite folate supplementation. In a largest Canadian study, De Wal et al [1] screened 1.9 million live births to study the effect of mass fortification. On comparing pre and post fortification periods they noted only 46% reduction in the incidence of neural tube defects (NTD). What happens to the remaining 54%? Why do they defy “folic acid” logics? Recently several publications have shed more light on this intriguing question.
ISSN:2226-0439