Folic Acid

Section 1.1

Midwives may independently prescribe, order and administer this drug.

Folic Acid taken prior to conception and during early pregnancy has a role in preventing neural tube defects. Individuals at low risk and who are planning a pregnancy benefit from a good diet of folate-rich foods and a daily multivitamin with folic acid.

Dosage – low risk:

0.4-1.0 mg orally per day.
Individuals at high risk for neural tube defects require increased daily amounts of folic acid in the first trimester of pregnancy and ideally prior to conception. Risk factors include: Family history of neural tube defects, congenital anomaly; current health risks such as diabetes, BMI >35 kg/m2, celiac disease, gluten-free diet, poor diet, or substance use; certain ethnic groups; currently taking a folic acid antagonist medication in early pregnancy.

Dosage – high risk:

5 mg orally per day, ideally beginning three months before conception and until 10 to 12 weeks post conception.

From 12 weeks post-conception and throughout pregnancy and the postpartum period (for as long as breastfeeding continues), supplementation should consist of a multivitamin with folic acid 0.4-1.0 mg.

Folic Acid greater than 1.1 mg requires a prescription