When can I start taking prenatal vitamins? Rating of vitamins for pregnant women

It is widely believed that it is imperative to take vitamins for pregnant women in the 1st trimester, because a growing child needs a lot of useful substances for full formation and development. This information has long been perceived as an unconditional truth. However, are vitamins so harmless?

A pregnant woman needs an increased intake of nutrients into the body, since the baby takes most of the trace elements and minerals. To make up for the deficiency, you need to take vitamins. It is desirable to ensure their intake from food. But it is not always possible to establish good nutrition. In this article, we will tell you which vitamins are necessary and how to choose the “right” vitamin complexes.

If we take into account the recommendations of the World Health Organization, the question of whether vitamins are needed for the first trimester of pregnancy can have two radically different answers. The question of the need to take multivitamin complexes is decided individually in each case based on data on the state of health, the results of laboratory tests, as well as on the usefulness of the diet of a pregnant woman.

With insufficient intake of nutrients from the food of the expectant mother, you should enrich your daily diet with fresh vegetables and fruits, meat and dairy products, or start using vitamin preparations.

There are such minerals and vitamins for pregnant women that absolutely everyone needs in the 1st trimester:

The rest of the vitamins should be taken only as directed by a doctor.

What is the body's need for additional vitamins during this period?

During the bearing of a child, serious changes occur in the body of a woman. The formation and growth of the fetus requires significant costs from the mother's body. To replenish resources, it is necessary to ensure the intake of nutrients from food. In the absence of adequate nutrition, it is recommended to take vitamins and mineral complexes for pregnant women in the first trimester, which will maintain the condition of the woman and take part in laying the baby's organs.

In order to understand what is the need for vitamins during the period of bearing a child, you need to remember some facts:

1. Regardless of whether there is an intake of nutrients into the female body from the outside, the fetus will still take the amount of vitamins that it needs, using maternal reserves.
2. The child receives trace elements not from food, but from the organs and tissues of the mother.
3. With a lack of vitamins, it is the woman who begins to have health problems - teeth are destroyed due to a lack of calcium, fragility of blood vessels occurs with hypovitaminosis C, skin elasticity decreases if there is not enough vitamin E.

Therefore, the use of vitamins is necessary first of all for a pregnant woman, and it is desirable that they come from food.

What can't be done without

Any expectant mother who cares not only about her health, but also about the normal development of the baby, is interested in what vitamins they drink in the first trimester of pregnancy and whether they should be taken at such an early stage. Consider the best vitamins for pregnant women, which doctors advise to use after the onset of conception.

Iodine

Since iodine is heavily excreted from the body during pregnancy, it should be supplied from outside. Its deficiency causes pathologies of intrauterine development of the baby. Iodine is required for the formation of the thyroid gland, and also serves as a means of preventing cretinism that occurs when there is a deficiency of thyroid hormones.

Vitamin E

Thanks to the action of vitamin E, the metabolism in the body of a pregnant woman is normalized. This substance allows you to save pregnancy and reduces the likelihood, in addition, it takes part in the formation.

Doctors recommend drinking vitamin E, along with folic acid, as it is involved in the normal development of the child. At the planning stage, tocopherol allows you to regulate menstruation, and also improves the functioning of the entire reproductive system.

Vitamin A

Vitamin A intake in the first trimester of pregnancy should be strictly prescribed by a doctor, since exceeding the permissible dosage can do more harm than good. In a normal and controlled amount, vitamin A takes part in the formation of the visual analyzer, and also provides skin elasticity.

It is best to get this substance from food than from drugs, however, when using it, it is important to remember that the presence of fats is required for its absorption, since the vitamin belongs to the fat-soluble group.

Folic acid

Perhaps this is the most important vitamin that you should definitely take in the first trimester of pregnancy. B9 plays an important role in the formation of the neural tube of the fetus, participates in hematopoiesis and allows the full laying of the internal organs of the unborn baby to occur.

Obstetrician-gynecologists advise drinking folic acid not only from the first days after conception, but also at the family stage. Moreover, vitamin B9 will be useful not only for the female body, but also for.

A lack of folic acid can lead to the following consequences:

• difficulties with maintaining pregnancy;
• congenital disorders;
• mental retardation;
• developmental pathology of the brain and spinal cord.

Vitamin C

The lack of this vitamin in the early period of bearing a child leads to a decrease in the immunity of the mother, which poses a threat to the development of the fetus. It also increases the elasticity of the vascular wall and protects it from fragility.

Vitamin D

Other vitamins

In some situations, in the first trimester of pregnancy, it is recommended to drink a course of B vitamins, as well as minerals such as iron, magnesium, manganese, potassium, sodium and chromium. However, such a decision should be made only by a doctor if it is necessary to strengthen the mother's body and create favorable conditions for the formation of the organ systems of the unborn baby.

Overview of the most popular vitamins

There is a list of the best vitamins for pregnant women. The choice is based on the correctness of the composition specifically for expectant mothers, as well as on the positive feedback from patients.

Popular multivitamins for pregnant women:

1. Elevit Pronatal. The complex contains 12 vitamins and 7 minerals. It contains folic acid and iron in the required concentration, so you do not need to take them additionally. However, iodine is absent in the composition. Multivitamins are recommended for pregnant and lactating mothers. More about the drug
2. Alphabet for pregnant women. The drug is presented in the form of colored tablets, the color of which depends on the content of a particular element. The complex contains vitamins, as well as iodine, iron and calcium compounds.
3. Materna. Contains 10 vitamins. In addition to them, the drug contains folic acid and iodine in a concentration that covers the daily requirement of the body of a pregnant woman in these trace elements.
4. Pregnacare. The complex includes 11 vitamins and 5 trace elements, including folic acid and iron. However, the iron content is not enough, so it should be taken separately, like iodine, which is not included in the composition.

It is difficult to decide on the best vitamins for pregnant women in the 1st trimester, because the choice depends not only on the composition, the price also plays an important role. Listen to your doctor's advice and choose the remedies that he recommends to you.

What foods contain vitamins necessary for the first trimester of pregnancy

With good nutrition, you can replenish the daily intake of vitamins without the use of additional drugs.

What vitamins do foods contain:

• vitamin A - butter, liver, egg yolk, carrots, spinach, green onions;
• vitamin C - rose hips, cranberries, currants, citrus fruits, sea buckthorn;
• vitamin D - chicken eggs, cottage cheese, cheese, seafood, butter;
• vitamin E - nuts, cereals, legumes, sunflower seeds, broccoli, spinach;
• vitamin B 1 - liver, wheat bran, oatmeal;
• vitamin B 2 - white cabbage, peas, almonds, tomatoes, beans, veal, liver, egg yolk;
• vitamin B 6 - bananas, pork, carrots, wheat bran, beans, cabbage;
• vitamin B 12 - dairy products, liver, chicken eggs, greens.

Dosage and instructions

A woman should receive the following amount of vitamins in the first trimester of pregnancy:

• vitamin A - 800 mcg;
• vitamin C - 70 mg;
• vitamin E - 10 mg;
• vitamin D - 10 mg;
• vitamin K - 65 mcg;
• vitamin B 1 - 1.5 mg;
• riboflavin (B 2) - 1.6 mg;
• pyridoxine (B 6) - 2.2 mg;
• cyanocobalamin (B 12) - 2.2 mcg;
• folic acid - 400 mcg.

Vitamins needed in the first trimester of pregnancy should be taken according to the instructions in compliance with the recommended dose once or twice a day throughout the course.

Is there a danger in taking vitamins in the first trimester of pregnancy?

Very good , if useful substances enter the body of the expectant mother from food, since the use of multivitamin complexes at an early stage of pregnancy is not always justified, and in some cases may pose some danger. If there is a need to drink vitamins, then carefully read the composition before buying and give preference to products of well-known pharmaceutical companies, so you will reduce the likelihood of impurities of various substances in preparations.

A healthy lifestyle during pregnancy has a significant impact on both the development of the baby in the womb and its future. It is important to have a good rest, limit yourself in physical activity and, of course, monitor nutrition. It is from food that a woman with a child receives trace elements important for life. But sometimes they are simply not enough, so doctors prescribe multivitamins for pregnant women. Which is better, it is impossible to say unequivocally because when choosing, one must proceed from the individual characteristics of the organism. Be sure to consult with your family doctor to find the right option for you.

Should pregnant women take multivitamins?

It is important to know that any vitamins that are intended for pregnant women contain synthetic substances that make up for their deficiency in the body. But there is not always a need to purchase such drugs.

Who Should Take a Multivitamin:

• Pregnant women who are constantly at work and malnourished.
• Those who previously had diseases associated precisely with a lack of vital vitamins in the body.
• Women who have previously had a miscarriage or a child born with developmental anomalies.
• Pregnant women who are over 30 years old.

As you can see, not all pregnant women need to take multivitamins without fail. They give a big load on the kidneys and liver, and this is also bad for the intrauterine development of the child. Try to eat right, eat fruits and vegetables, then there will be no need for other trace elements. You should not choose those multivitamins for pregnant women, reviews of which your friends gave you. For each woman, an individual complex is selected, which can only be done by the attending physician.

When should you start taking multivitamins?

Multivitamins for pregnant women contain much more substances than conventional vitamin complexes. They should be taken only if the body really needs it. It is not advisable to start taking supplements at the stage of pregnancy planning. If you want to prepare yourself for the conception of a child, then the best option would be to drink simple vitamins, they do not greatly overload the body.

When should you start taking a prenatal multivitamin? 2nd trimester is the best time. During this period, the threat of miscarriage is minimized, the fetus begins to grow and develop, a woman may lack nutrients in the body. However, when choosing a drug, individual characteristics must be taken into account, so it is better to entrust it to a doctor who monitors pregnancy.

Do not ask your friends what kind of multivitamins they took, which ones are better. Reviews for pregnant women about drugs very often play an important role, but remember: each body is special, and if a friend did not have enough iodine, then you may have a lack of vitamin E. You need to choose the composition of the drug for yourself.

What to look for when choosing a multivitamin?

Before you buy this or that drug, be sure to study its composition well. It is better to pick up several bottles and compare the percentage of trace elements in each of them. Choosing the best multivitamin for pregnant women is almost impossible because some may have a lack of iodine, others may have calcium, and others may have too much vitamin A. It is for this reason that it is important to listen to the opinion of your doctor so that he explains the advantages and disadvantages of each drug.

Almost all vitamin complexes cannot boast of a huge amount of calcium in their composition. This is completely normal, because we get this element from food. An excess of calcium is much more dangerous than its deficiency. If it so happened that during the period of bearing a child you were diagnosed with a lack of this element in the blood, then you can correct the situation by taking it separately.

The same situation can be observed with iodine. But its deficiency is also not a problem to compensate by eating foods such as seaweed or shrimp.

Only your obstetrician-gynecologist can help you choose the right multivitamin. You need to take into account both your individual characteristics, and the trimester, season and other factors.

Multivitamins for pregnant women: 1 trimester

In the early stages of bearing a child, multivitamins are not contraindicated, but it is better at this time to limit yourself to proper nutrition and taking certain drugs if your body lacks any specific substances.

Let's start with vitamin E. It is best to get it from food. This microelement is contained in large quantities in vegetable oils, meat, peas, spinach. It is undesirable to take an additional vitamin in the preparation because its excess can adversely affect the health of the expectant mother and her child.

In the first trimester of pregnancy, special attention should be paid to folic acid, but it should not be taken in combination, but separately. It is vitamin B9 that contributes to the proper formation of the placenta, protects against miscarriage and normalizes hemoglobin. With its lack, the manifestation of anemia is possible, which does not affect the fetus in the best way. The dosage of folic acid is prescribed by the family doctor.

Additionally, vitamin B9 can be obtained from foods such as carrots, spinach, peaches, celery.

Second trimester of pregnancy

Multivitamins for pregnant women 2 trimester should contain:

• Calcium.
• Iron.

Iodine is very important for the formation of the correct skeleton of the child, its deficiency can lead to metabolic disorders in women and, as a result, to weight gain. And with excess weight, it is much harder to prepare for childbirth.

Calcium contributes to the proper development and formation of the kidneys, the endocrine system. You can find it in large quantities in dairy products. As you know, calcium is not absorbed by the body in the best way, for this reason, expectant mothers are recommended to use it in combination with other vitamins.

Iron is an important trace element for the prevention of anemia. Participates in protein synthesis and the formation of muscle tissue. Iron can be found in foods such as meat (especially pork and beef) plant foods.

Multivitamins for pregnant women (2nd trimester) should be taken in combination because at this time the organs of the fetus begin to form. It is very important that the body has enough of the necessary substances for this.

Third trimester of pregnancy

Multivitamins for pregnant women (3rd trimester) should contain the following components:

• Vitamin A.
• Iron.
• Vitamin C.
• Vitamin D

Taking vitamin C in the third trimester is very important because it has a strong effect on the immune system. But you need to be careful with the dosage, because with an excess in the blood of a woman, the placenta begins to perceive it as a hostile element and filter it out. Therefore, the more the expectant mother consumes, the less the child gets. It is for this reason that during this period of bearing a child, you need to take a complex of multivitamins. It contains the optimal amount of all trace elements.

As you know, vitamin C is found in citrus fruits, which are not recommended to be eaten in large quantities, they provoke the development of allergies. And if you didn’t feel it on yourself, then the effect can affect the child.

Vitamin D is important for a child because bones are actively developing in the third trimester. It is found in food in small quantities, which is why it is recommended to take a multivitamin complex.

Complex of vitamins "Elevit"

This complex is one of the most popular among expectant mothers. In its composition, it contains a large amount of magnesium, for this reason, doctors recommend using it for those women who have a threat of miscarriage. Magnesium has a positive effect on the uterus, relaxes it, improves blood flow. Also, this complex contains a sufficient amount of folic acid, which is very important for expectant mothers.

However, it should be noted that if you were previously diagnosed with an iodine deficiency, then you need to choose multivitamins with iodine for pregnant women, because this element is not in the composition of Elevit.

Complex of vitamins "Materna"

You can take this complex only on the recommendation of a doctor. The fact is that it contains too much vitamin A and B. These are strong allergens, which, if excessive, can have a detrimental effect not only on the health of a woman, but also on the fetus.

But the complex "Materna" boasts an ideal dose of folic acid and iodine. It is for this reason that opinions about this drug are divided. In no case do not make a decision about taking it on your own, only after consulting with an obstetrician-gynecologist!

Complex of vitamins "Vitrum Prenatal"

This drug is considered the most optimal in terms of quality and cost. The composition contains iodine, which gives it a clear advantage over other complexes. There is also iron, the use of which is necessary for expectant mothers to prevent and correct anemia. The dose of vitamin A is small, but sufficient. There is magnesium and folic acid in the required amount in order to limit the intake of only this complex of vitamins.

Multivitamins "Vitrum" for pregnant women is a great option for any woman. The drug contains the whole complex of necessary trace elements for the normal development of the fetus and maintaining the health of the expectant mother.

AlfaVit Mom's health complex

This preparation differs from others in that the daily dose of the required vitamins is divided into three tablets. It is perfectly absorbed by the body, nourishing it with the necessary substances for the normal development of the fetus.

However, there is one minus - this is a small content of folic acid, so you have to take it extra. Among the advantages is the presence of iodine in the composition. If the expectant mother is allergic to vitamin B or A, then you can simply not take the pill that contains them.

If you are looking for a suitable prenatal multivitamin for you, you can check the names with your doctor. It is believed that "Alphavit Mom's Health" is the best drug for taking at any period of bearing a child.

Complex of vitamins "Pregnakeya"

The drug appeared on the market not so long ago, but has already managed to gain great confidence among pregnant women. In its composition, it contains all the necessary trace elements, including the correct dose of folic acid, iron and iodine. At a cost, the drug is quite affordable, so many doctors now recommend it for taking it. However, do not forget that any multivitamin for pregnant women can be taken only after consultation with your obstetrician-gynecologist. This is necessary in order to study the individual characteristics of your body.

• Start eating right, don't overeat. But if you suddenly want something tasty, you should not deny yourself pleasure because the body will begin to experience stress, and this is bad. You can eat everything, but in reasonable quantities. Denying yourself a piece of chocolate because you are afraid of gaining extra pounds is just stupid.
• Keep an eye on the condition of your teeth, if your gums start to bleed, contact your doctor immediately.
• Train yourself every morning to do exercises for pregnant women. This will not only improve your health, but also help prepare for childbirth.
• Take a walk - fresh air during the period of bearing a child is very useful.
• If there is a lack of vitamins in the body, start taking them additionally, consult your doctor first.
• Give up bad habits. Smoking, alcohol and other addictions will affect your child's health and development.
• Rest, try to get enough sleep - the body simply needs it.

Features of taking a complex of vitamins

If you decide to start taking a prenatal multivitamin, first make sure you really need it. In the event that you live in a region where it is problematic to get fresh fruits and vegetables, additional nourishment to the body, of course, is necessary.

If your pregnancy fell on the warm season, then you can get most of the vitamins and minerals without drugs. In order to protect yourself, you can take the complex for several weeks, then take a break from it for a while. This will save your body from excessive stress.

The lifestyle of a pregnant woman also plays a very important role. If you are constantly at work, then you need to be extremely careful, because there is a risk of contracting SARS. In this situation, multivitamins for pregnant women are simply necessary. It is also recommended to take additional vitamin C.

Some women may be at risk of preterm labor in the third trimester of pregnancy. To avoid this, in addition to the multivitamin complex, use additional magnesium. Be sure to check with your doctor about dosage.

Carrying a child is a huge responsibility. If you make the wrong decision, it can have a detrimental effect on your condition or the health of the unborn child. Is it worth taking multivitamins for pregnant women, which ones are best for you - all these issues are discussed with an obstetrician-gynecologist. Remember that vitamins are not a panacea, and you need to take them in a complex only if you really need it.

Absolutely every person needs vitamins and minerals, and a pregnant woman is no exception, rather, she even needs it doubly. The reason for this state of affairs is the growth and active development of the fetus.

Deficiency of vitamins and microelements, including in the first trimester, can adversely affect the formation of vital organs and the health of the child as a whole. Therefore, it is so important to saturate your body with these beneficial substances daily. To solve this problem will help special vitamins, designed to meet the needs of a pregnant woman. What vitamins to drink during pregnancy?

It is known that everything necessary for a person vitamins and minerals found in food. This is true, however, it is worth noting that we are talking about.

Alas, it is not always possible to monitor your diet and get all the necessary substances from food. It is for this reason that very often pregnant women need taking vitamin complexes. Let's consider the main questions on this topic.

Can pregnant women take vitamins

No physician can give a universal answer to this question. On the one hand, the lack of nutrients will adversely affect the health of the unborn baby. But it should be remembered that their overabundance will also not be beneficial. The vitamin complex has a standard composition and does not adapt individually to the needs of each woman, but the need depends on the region of residence, nutritional conditions and even the time of year.

Should pregnant women take vitamins?

As with many health issues, the truth lies somewhere in the middle here. If, before pregnancy, a woman had a deficiency of some vitamins or microelements, especially B12 and iron, and the situation was also aggravated by the cold season, then taking a special complex is fully justified. In addition, due to allergies to certain foods from which we obtain useful substances, it is also recommended to drink vitamins. In the case when a pregnant woman eats fully and correctly, and everything is summer outside, which means that you can eat fresh fruits and vegetables every day, there is no point in taking artificial vitamins.

Need extra vitamins women over 30 years of age and women whose previous pregnancy ended unsuccessfully or the child was born with anomalies.

Contraindications

As before the use of any medicines, before taking vitamins also need to be aware of the side effects.

If speak about contraindications, then first of all it is urolithiasis and an excess of vitamins A and D, as well as iron and calcium. Their uncontrolled intake can provoke health problems.

The need for consultation with a doctor and proper nutrition

Before you start taking a special vitamin complex for pregnant women, need to consult a doctor. Only he, having assessed the state of your health, can make the right decision on the advisability of prescribing vitamins. I would also like to note that it is still better if a pregnant woman adjusts her diet and thus receives all vitamins and other useful substances in their natural form from food.

How much and what vitamins are necessary for a pregnant woman

What vitamins to drink when planning a pregnancy for women

Folic acid or B9. One of the important vitamins that are recommended for those planning a pregnancy. The role in the emergence of a new life can hardly be overestimated: it is responsible for the growth and development of cells, the correct formation of the neural tube, brain and soft tissues of the body.

A deficiency of this vitamin can lead to serious fetal malformations even in the initial stages of pregnancy, and even when a woman is not yet aware of her condition. That is why gynecologists prescribe folic acid already at the time of planning. As a rule, it is recommended to take this vitamin separately, since its share in the composition of multivitamin complexes is small. The norm of folic acid entering the body is 400 mcg.

B group vitamins. We are talking about vitamins B1, B2, B6 before pregnancy. They are necessary already at the initial stage in order to ensure the normal development of the brain and the nervous system as a whole. Also, these vitamins contribute to the growth and proper formation of the skeleton and muscles of the unborn child.

What vitamins to drink in the first trimester of pregnancy

During early pregnancy, a few more vitamins are added to the necessary folic acid.

Vitamin E. This is a vitamin that affects the ability to both give birth and give birth without pathologies. He is responsible for cell renewal. Also, vitamin E provides the right balance of hormonal levels necessary for conceiving a child. Normally, vitamin E should be ingested in the amount of 100-300 IU per day.

Vitamin A. It provides the mother's resistance to infections, participates in the growth and strengthening of bones, hair and teeth. However, with this vitamin you need to be extremely careful, because its overdose can lead to the appearance of pathologies. It is best to get it from natural food. Its dose ranges from 250 IU per day.

With the beginning of the second trimester, the leading role begins to play iodine, iron and calcium.

Iodine necessary to maintain the proper functioning of the endocrine system and the metabolism of the mother and its formation in the unborn child. It is also involved in the mental development of the fetus. Ideally, a pregnant woman should receive at least 250 IU daily.

Calcium. It is directly involved in the formation of the skeleton, endocrine system and kidney function. It is best taken in the form of vitamins, as it is not well absorbed from regular food. 1500 mg is the daily dose of calcium.

Iron. Necessary for the prevention of uterine tone. Also, iron prevents development and is involved in protein synthesis. Its amount per day is 30-60 mg per day.

Vitamins in the third trimester

In late pregnancy, a woman's body especially needs iron, vitamins A, C, D. We have already mentioned the properties of the first two above, but we will consider the other two in detail.

Vitamin C. It has a direct effect on strengthening the immune system and increases the body's resistance to various infections, which is so important at this stage of pregnancy. Its norm per day is 90-100 mg.

Vitamin D. It is prescribed for the prevention of rickets in an unborn child. Its dose is 400 IU per day. However, if pregnancy occurs in the summer, you can simply be in the sun more often.

How to choose and which complex of vitamins for pregnant women is better

What vitamins to drink during pregnancy? In practice, there is no such thing as "the best" prenatal vitamins. You can look at reviews, ask the opinions of friends, but this should not become a determining factor when choosing.

The choice of vitamin complex also depends on the time of year, gestational age, health conditions and even the weight of the woman.

Here are the key points need to pay attention Firstly:

• compound;
• possible reaction of the body to specific components of the vitamin complex.

To pick up vitamins, it will be more correct if you consult a specialist. Already taking into account your health, the characteristics of the course of pregnancy, the time of year, place of residence and nutritional conditions, he will select which vitamins to take during pregnancy for you.

Rating of the TOP 5 best vitamins for pregnant women

To make it easier for you to navigate the variety of vitamin complexes available on the market today, we have highlighted the most popular ones.

1. Elevit. This popular preparation contains 12 vitamins and 7 minerals. Its peculiarity is in the high content of magnesium and folic acid, so gynecologists recommend it to women at risk of miscarriage. However, there is no iodine here, and therefore it must be taken separately.
2. Vitrum Prenatal. It contains all the vitamins necessary for the body of a pregnant woman. In vitamins for pregnant women, Vitrum Prenatal is especially rich in iron, which is necessary for the prevention of anemia.
3. Femibion. The complex, taking into account the latest developments in science. It is divided into two types: Femibion ​​1 - for the first trimester and Femibion ​​2 - for the 2nd and 3rd. In vitamins for pregnant women, Femibion ​​lacks iron and calcium, which is due to a possible overdose.
4. Pregnacare. Another popular vitamin Contains 11 vitamins and 5 minerals, including folic acid and iron. Iodine is absent and must be taken separately.
5. Alphabet. The complex of vitamins for pregnant women Alphabet is different from the rest by dividing into 3 capsules containing a different set of vitamins. So, if a pregnant woman is allergic to some vitamin, then taking a tablet containing it can be excluded.

Video about vitamins during pregnancy

We present to your attention a short video in which a specialist answers popular questions about prenatal vitamins. What are they for? What and how much do they contain? Is it necessary to use them?

"Vitamin-mineral complexes bring huge benefits to manufacturers of vitamin-mineral complexes"

“Do pregnant women need vitamins” is one of the most relevant holivars of our time. Dozens of spears have been broken, doctors are accused of collaborating with pharmaceutical companies, and manufacturers of vitamin complexes are accused of conspiring to destroy all life on earth.

The slogans of the opponents of vitamins are well known: “in no developed country of the world, especially in the USA, vitamins are used”, “the effectiveness of essential micronutrients has not been proven”, “vitamin B6 is thiamine, and thiamine is toxic to the liver!”.

However, even those who occupy the most radical positions are forced to admit that it is impossible to completely do without vitamins and minerals.

As a result of these positional contradictions, domestic vitamin phobia began to take completely ridiculous forms: considering vitamin and mineral complexes an absolute evil, doctors “make concessions” and continue to recommend a certain set of vitamins and micronutrients to pregnant women.

Concession #1: "It's Enough to Take Folic Acid"

Deny the importance of taking folic acid at a dose of 400–800 mcg/day. impossible. The association of folate deficiency with neural tube defects in the fetus has been well documented in the popular and professional literature. The incidence of other birth defects in folate deficiency is much higher. First of all, these are congenital heart defects (incidence 1:100), defects in large arteries, fetal hypotrophy, Down syndrome, cleft palate.

At the same time, there is a misconception that the use of folic acid to prevent fetal malformations is sufficient. Unfortunately, this is absolutely not the case. There are two extremely important points in the folate story. First, start taking folic acid 12-16 weeks before conception. Only in this case can one count on a preventive effect, because neural tube defects and the most gross defects form very early - before the 28th day of gestation. Secondly, it is necessary to take the correct dose of folic acid.

In Russia, there has been an alarming trend - the appointment and consumption of folic acid in excess doses of 5000 mcg per 1 tab. and 1 mg (1000 mcg) 3-6 tablets per day.

I have a theory to explain this phenomenon. To the question: “What dose of folic acid should be recommended at the preconception stage (in preparation for pregnancy) and during it?” - most obstetrician-gynecologists confidently answer: "400-800 mcg / day." There is probably some arithmetic gap in our education. I remind you: 1 mg \u003d 1000 mcg. The recommended dose of folate is 0.4–0.8 mg = 400–800 mcg. If you bought folic acid at a dosage of 1 mg, the correct regimen is ½ tab. in a day.

The fact that in our country people “bruise their foreheads” in their zeal has been known for a very long time. Therefore, today I meet masterpiece appointments: folacin 1 tab. x 3 times a day = 15,000 mcg of folic acid angiovit 1 tab. 2 times a day + folic acid 1 tab. x 3 times a day = 13,000 mcg per day

Why doesn't "more" mean "better"? What is the reason for the anxiety? Folic acid in a dose corresponding to the daily requirement for pregnant and lactating women belongs to the "A" safety category. The use of doses of folic acid in excess of the daily requirement, transfer this vitamin to the category "C" (risk to the fetus cannot be ruled out). Enough research has been accumulated on this topic. For example, high plasma folate levels in pregnant women are associated with a high risk of obesity and insulin resistance in children.

Concession No. 2: “Perhaps you will still need iodine”

In the Soviet Union, there were state programs for the comprehensive prevention of vitamin deficiencies. With the start of reforms in Russia, the iodine deficiency prevention program was completely discontinued, although it has been known since the 1920s that Russia is an iodine-deficient region. Therefore, since the 1990s, cases of congenital iodine cretinism have appeared in the Russian Federation, which were practically not observed in the USSR. What is easier - salt iodization and the use of potassium iodide at a dose of 150 mcg / day. at the pregravid stage, 200 mcg / day. during pregnancy and lactation.

Unfortunately, it is impossible to assess the intellectual damage that has already been done to the nation. In regions of iodine deficiency, according to studies, IQ is 10–15 points lower than in regions of iodine availability.

Concession No. 3: "We need to add iron"

Sadly, the Russian Federation is recognized as an endemic region for iron deficiency. An epidemic of "anemia in pregnancy" is victoriously marching across the country, covering almost 100% of all pregnant women observed in antenatal clinics. Anemia is not just low hemoglobin. This is a whole set of pathological processes: placental insufficiency, growth retardation and fetal development, chronic intrauterine hypoxia, weakness of labor, hypotonic bleeding. Having missed the latent iron deficiency at the very beginning of pregnancy, we quite naturally get anemia by 22 weeks, along with a full range of related problems.

Concession No. 4: “We forgot about calcium!”

By the way, the need to take calcium is rarely forgotten. And if the doctor forgets, the patient will definitely remind. The fear of losing teeth during pregnancy prevails over the fears of excessive "ossification" of the head, which, by the way, really makes it difficult to configure the head when passing through the birth canal.

It is desirable to attach vitamin D3 to calcium, a little copper, zinc and manganese. Calcium without manganese - as they say - money down the drain.

Concession No. 5: “But what about without magnesium?”

With the help of magnesium preparations, modern obstetrics is trying to maintain pregnancy, provide light sedation, reduce blood pressure, treat preeclampsia (a disease of the second half of pregnancy, symptoms: increased blood pressure (BP), sudden onset of edema, and the presence of protein in the urine), as well as improve perinatal outcomes .

Concession #6: "Vitamin E is a must"

Why did you prescribe vitamin E to a pregnant woman?
- It has a progesterone-like effect.
- Why do you need a progesterone-like action? Progesterone is not destiny?

I think it's just a tradition that takes roots in pre-morning and pre-Dufaston times. At a dose of 400 IU, vitamin E can have a teratogenic effect (impaired fetal development with the occurrence of malformations of the body structure).

It's monstrous, but I still meet pregnant women taking Aevit. This medicine contains 35 mg of retinyl acetate (more than 100,000 IU of vitamin A), which is 30 times the upper limit of consumption in the Russian Federation and 10 times the threshold for teratogenesis. In the instructions for the drug, it is written in black and white that the drug is not recommended for pregnant women. But no, until now, someone “preserves” something using high doses of vitamins A and E.

Opinion: “Let the pregnant woman just eat well!”

There is also such a point of view. And we are not against, we are only for! But the real situation with nutrition is not encouraging. The website of the Federal State Statistics Service published a detailed report of the State System for Monitoring the Nutrition of the Population for 2013, which revealed a monstrous failure in the consumption of fish. Less than 30% of citizens eat fish daily or several times a week. At the same time, the abuse of bakery products, potatoes leads to an increase in alimentary-dependent non-communicable diseases.

There is also a problem with the amount of vitamins and minerals contained in food. Modern technologies of food production do not allow to accumulate vitamins in fruits and vegetables in sufficient volume. We eat fish that have never swum in the sea or in the river. We buy a bird that has grown up in a cage without ever pecking at a worm. We eat apples in which the core does not darken due to the vanishingly small amount of ascorbic acid. It's no secret that the vast majority of vitamins and micronutrients are simply destroyed during the cooking process.

Determining the nutritional norms for pregnant women is also not easy. In practice, questions immediately arise. What if this woman has three children and is pregnant with her fourth? And if before pregnancy there were very plentiful periods? And if vomiting 5-6 times a day up to 14 weeks?

What happens? Refusing to use balanced vitamin-mineral complexes containing verified physiological doses of vitamins and micronutrients, are we trying to assemble a kind of puzzle in the body of a pregnant woman from folic acid, iodine, calcium, iron, magnesium, selenium, manganese and zinc?

Why did we decide that we would do it better and more accurately than in a specialized production? Why did we feel that a handful of pills was better and safer than one? Isn't this the same "drug promiscuity" that we talk about so much at congresses from high tribunes?

“Unfortunately, some of the lecturers at such conferences are not only very loose with the facts (whether scientific or legal documents), but also present their personal fictions as the ultimate truth.

They especially love to attack vitamins, pointing out their "uselessness" or "harmfulness" or "lack of evidence", and in the fight against vitamins they even forget that a woman, even without any pregnancy, needs daily replenishment of physiological doses of vitamins and trace elements. As if before pregnancy, a woman is a person who, according to the norms of Rospotrebnadzor, is recommended to consume vitamins and micronutrients, and with the onset of pregnancy, she is a Martian who needs only folic acid and iodine from micronutrients.

Olga GROMOVA, Doctor of Medical Sciences, Professor of the Department of Clinical Pharmacology of the Ivanovo Medical Academy, Scientific Consultant of the Russian Branch of the Center of the UNESCO Institute of Trace Elements

Oksana Bogdashevskaya

Photo thinkstockphotos.com

According to studies that have been repeatedly conducted by WHO, women who are expecting a baby with good nutrition should only take pregnant women with iron and folic acid in their composition.

But if the diet of a pregnant woman does not meet the recommendations of doctors, then in addition to the substances listed above, multivitamins should also be taken: they will make up for the lack of components necessary for the normal development of the child.

The appointment of specific drugs is carried out taking into account:

• individual characteristics of each woman;
• medical biography;
• age;
• working conditions;
• chronic diseases of the gastrointestinal tract;
• the presence of bad habits;
• climatic conditions.

Taking multivitamins is mandatory if a woman is carrying more than one fetus, as well as with one that occurred less than 2 years after the previous one.

But there are also opponents of the statement that pregnant women should take synthetic drugs. They believe that a woman in position can get all the necessary substances from food, as, in fact, this happened in the time of our ancestors.

However, today this statement is not very logical, since the quality of the products leaves much to be desired. And therefore, you should not risk either your health or the condition of the baby.

Vitamins vital during pregnancy

Currently, scientists name 13 vitamins that have a certain effect on the human body.

All of them are extremely important for the biochemical and physiological processes occurring in the body, and the prevention of various disorders in cells. During pregnancy, a woman most needs the following vitamins and chemical elements (in general, there are 7 of them):

1. Vitamin A. Important for the development of bone tissue, retina, promotes the production of red blood cells.
2. Vitamin B9 (folic acid). It is necessary for the formation of the brain of the unborn baby, also contributes to the proper development of the placenta, serves as a prevention of miscarriages, missed pregnancy and fetal defects.
3. Vitamin C. Increases resistance to pathogenic bacteria, promotes the absorption of iron.
4. Vitamin E. Important for the development of the placenta, regulation of blood circulation, prepares the baby's lungs for action, and minimizes the risk of anemia.
5. Calcium. It is part of the bone, connective tissues, dentin, promotes the proper development of internal organs, skin, eyes.
6. Iodine. Helps the fetus to receive hormones from the mother's body, ensures the correct formation of the brain, genitals, heart muscle, ODA.
7. Iron. It is necessary for the prevention of anemia, with its participation, oxygen is delivered to the developing fetus.

Ideally, vitamins for pregnant women should contain all of the above substances. If any additional components are required, they are prescribed by the doctor according to indications.

What are the features of vitamins for pregnant women

Multivitamin complexes that should be used during pregnancy differ from the usual ones. Therefore, it is necessary to drink only special preparations. At the same time, the reviews of girlfriends about which vitamins are the best during pregnancy should not be the determining criterion.

Read the instructions carefully before taking vitamins.

After all, what suits one woman does not necessarily work properly for another. It should not be ruled out that there may be an excess of any elements in the body of a pregnant woman (which is no better than their deficiency).

In this case, the question - whether to drink certain vitamin preparations at all, can only be answered by the doctor on the basis of the tests prescribed for the pregnant woman.

When deciding which vitamins are best taken during pregnancy, it is also necessary to take into account the developmental period of the baby. After all, the child is gradually increasing and, consequently, a woman needs more and more vital elements. Usually, taking a vitamin preparation is prescribed after the first trimester of pregnancy, according to the indications.

What should be included in prenatal vitamins

In multivitamins indicated for use by pregnant women should not be absent:

• folic acid (it is prescribed even before pregnancy, at the planning stage);
• iodine (it is worth noting that in complexes its content usually does not exceed 150 mcg, for a pregnant woman this amount is not enough, therefore, to replenish iodine in the body, it is required to use an additional iodine-containing drug or include appropriate foods in food).
• calcium (without it, the correct formation of the baby's skeleton is impossible).

What amount of vitamins is considered optimal when carrying a child

It is for women who are carrying a child that the norm of vitamins indicated for use is as follows:

• A - up to 2500 IU;
• B1 - 1.5-2.0 mg;
• B2 - 1.5-2.0 mg;
• B3 - 15-20 mg;
• B5 - 4-7 mg;
• B6 - 2.5 mg;
• B9 - 0.8-1 mg;
• B12 - 3.0-4.0 mcg;
• D - 400-600 IU;
• E - 10-15 IU;
• C - 70-100 mg;
• K - 65-80 mcg;
• H - 30-100 mcg.

And the norm of trace elements that should enter the body of the expectant mother is:

• iron (30-60 mg);
• magnesium (320-355 mg);
• calcium (1000-1200 mg);
• phosphorus (1200 mg).

Vitamins by trimester

As the child grows and develops in the womb, the needs for certain substances that come to the baby from the outside also change. Therefore, a deficiency or, on the contrary, an excess of vitamins and nutrients can lead to very unpleasant consequences, both for the fetus and for the health of the woman herself.

Folic acid is taken not only during pregnancy, but also at the planning stage

1st trimester

During this period, the nervous system of the child is laid. In order for this process to end favorably, a sufficient amount of folic acid must enter the mother's body.

And the prevention of toxicosis, increased nervousness and convulsions of pregnant women is facilitated by the intake of vitamin B6. It is prescribed from the third month of gestation. For better absorption, the vitamin is taken along with magnesium.

Vitamin A begins to drink at the end of the 3rd month of pregnancy and continue to do so. From now on, the fetus grows more intensively and it is very important that the correct proportions of the embryo are observed during further development.

You can not take several multivitamin complexes at once

2nd trimester

At this time, vitamin D is urgently needed to ensure the active growth of the baby of the pregnant woman. Its deficiency is fraught with the formation of intrauterine rickets, the incorrect formation of the child's ODA.

Vitamin E, taken by a woman during this period of pregnancy, favors the growth and development of the baby, and also ensures optimal uterine compliance, normal functioning of the placenta and minimizes the risk of premature birth.

By the end of the 3rd month of pregnancy, the woman, and therefore the baby, needs more iron and calcium, which are actively spent on building the skeletal system and the formation of the baby's blood cells.

last trimester

At this time, you can stop taking vitamin B9, since the need for it comes to naught.

Until the very birth, a woman needs to take vitamins B6, E, calcium and iron preparations - they all help to support the fetus at the completion of the formation of internal organs and serve as a prevention of developmental delays.

The nutrition of a pregnant woman should be balanced and should not contain harmful products.

Popular vitamin and mineral complexes

Women planning the birth of a baby and responsible for their own health should listen to medical recommendations regarding the use of a complex of vitamins for pregnant women.

Modern pharmacological companies offer a large selection of drugs to maintain the health of the mother and the full development of the body of the future newborn. It is difficult to say which one is better or worse - each remedy has a useful composition aimed at solving a particular problem.

Complivit Mom

This drug will be useful for nursing mothers (its components are absorbed into breast milk, which provides the baby with nutrients and minerals), as well as for those women who are just planning a pregnancy. And, of course, the composition of the vitamin complex fully corresponds to the physiological needs of the female body during the period of bearing a child.

In addition to the fact that pills provide 75% of the expectant mother with useful substances, they are also very pleasant to take (and this is especially important if a woman suffers from toxicosis), thanks to citric acid and sugar in the composition.

Alphabet

The peculiarity of the drug is that one blister contains pills of 3 colors. Each of them is intended for use at the time allotted for this: morning, afternoon and evening.

As part of the tablets - a certain list of biologically active elements and vitamins that are best absorbed at a specific time of day.

Vitrum

The drug, intended for pregnant women, was developed by US pharmacists and exists in 2 forms: Prenatal and Forte. They differ in different composition, as well as the percentage of components.

Both versions are rich in all the vitamins necessary for the body of the expectant mother, as well as macro- and microelements. However, Vitrum Forte has a more extensive set of useful substances in its composition: so, in addition to calcium, iron, zinc, the drug also contains molybdenum, selenium, chromium, calcium pantothenate, biotin, iodine, beta-carotene, copper oxide, manganese.

Vitrum Prenatal is shown as a prophylactic during pregnancy, and the purpose of Forte is to solve very specific problems that are characteristic of the physiological state of a woman who is expecting a baby.

Femibion

This is a complex that is rich in vitamin B9 and essential minerals. It also includes an additional element - metafolin, which is the active form of vitamin B9 and is absorbed better than folic acid in its usual form. In particular, the drug is prescribed to those patients whose body is not able to fully absorb B9.

The drug is produced in 2 forms: marked "1" - it should be taken when planning conception, and in the first 3 months of gestation; and marked "2" - reception is indicated from the 4th month of pregnancy.

Pregnacare

The composition of the drug includes the usual set of vitamins and minerals, however, there is no calcium in Pregnacare, so if the female body experiences the deficiency of this particular macroelement most of all, then the drug will not work.

Otherwise, one capsule of the drug per day is enough to increase the immunity of a pregnant woman, her physical activity, and also regulate metabolic processes. In addition, Pregnacare is a worthy remedy for the prevention of malformations of fetal development.

Only a doctor can choose the right vitamins

materna

A feature of this drug (coated tablets) is the optimal selection of the combination and concentration of the necessary vitamins (B9, B5, B12, B2, B1, B6, C, E, D) in combination with biologically important active elements (iodine, chromium, selenium, iron , manganese, zinc, calcium - the latter is especially valuable, because its deficiency is acutely felt in the last months of pregnancy).

The dose and mode of taking the drug is determined by the doctor.

Elevit

The multivitamin complex in the form of grayish-yellow tablets includes: 12 vitamins (A, E, D3, C, group B, PP), 7 minerals (manganese, magnesium, phosphorus, iron, calcium, zinc, copper).

Each substance in the composition is carefully dosed in accordance with the needs of the body of the expectant mother and the growing fetus.

Elevit is prescribed for the prevention of hypovitaminosis in women with malnutrition, and in connection with individual indications.

Multi-tabs Perinatal

The composition of the complex rich in vitamins and minerals (in particular, Multi-tabs is the optimal concentration of folic acid and iodine) provides the mother's body with everything necessary for the harmonious formation of the fetus, easy gestation, serves as a prevention of stillbirth, vascular disorders of the embryo, and also contributes to good health and excellent mood women.

Tablets are consumed without chewing and washed down with plenty of water for better absorption. This is done once a day.

Other vitamin complexes

On the above multivitamin complexes, the list does not end there. The composition of such drugs is largely the same, but every woman expecting a baby is free to choose for herself the remedy that will not cause allergic reactions and, of course, is acceptable according to the financial capabilities of the family.

In particular, pharmacies also offer the following:

• Amway;
• Magnelis;
• Orthomol;
• Pregnavit;
• emfetal;
• Fertilovit;
• Pregnazon.

What are the benefits of taking vitamins in tablets? With them, precise control and regulation of the dose of useful components is possible. Indeed, including food with such substances in the composition in the diet is not easy to do.

It should be noted that all iron-containing preparations can stain the feces and urine of a pregnant woman in a dark color - this should not disturb the woman.

The best vitamins for pregnant women, reviews

If for some reason you are unable to eat a balanced and healthy diet - whether due to a lack of time for frequent cooking, a busy work schedule, or a lack of funds - taking vitamins will solve the problem of saturating the body, and, consequently, the unborn child. And to determine the best vitamins for pregnant women, reviews of women who took medication during the gestation period will help.

You can highlight for yourself both the advantages and disadvantages of the presented vitamin complexes, and then choose the most suitable option.

Proper nutrition will help provide a woman with vitamins, but not in full

"Alphabet"

Advantages:

• the interaction of trace elements contained in the preparation was taken into account;
• since the tablets are multi-colored, in case of an allergy, you can stop using pills of a certain color;
• contains the largest amount of iodine compared to other drugs of a similar nature, so you do not have to take this mineral additionally.

Cons: insufficient content of vitamin B9, so you will have to ensure its additional intake at least up to 3 months of pregnancy.

"VitrumPrenatal"

Advantages:

• high iron content, the intake of which serves as an anemia prevention and helps to treat it at the initial stages of development;
• the optimal amount of vitamin B9.

Disadvantage: lack of iodine, although this minus is compensated by the drug "VitrumPrenatal forte".

"Materna"

Advantages: the optimal amount of iodine and vitamin B9.

Disadvantage (and it is very significant): high saturation with vitamins A and group B, which often leads to allergic reactions.

"Pregnavit"

Advantages: provides the body with all the necessary vitamins during pregnancy.

Disadvantage: there is also no iodine, so an additional intake of preparations containing this mineral is required.

Iodine is essential for a pregnant woman

"ElevitPrenatal"

Advantages:

• rich in magnesium (this is the best prevention of a possible miscarriage);
• improves blood circulation.

No negative reviews found.

"Femibion"

Advantages: it is considered the best drug to date, containing all the elements important during pregnancy. Therefore, there is no need for additional intake of appropriate drugs.

Disadvantage: this mainly concerns not the characteristics of the composition of the drug, but its high cost.

After weighing and comparing all the pros and cons, you should not forget that any multivitamin complex (and this does not depend on its quality) has its own contraindications. Therefore, choosing the best vitamins for pregnant women, as well as determining the methods of their use, should only be a doctor who observes a woman while waiting for a baby.

Vitamins that are allocated to pregnant women for free

Currently, in Russia, the law provides for free provision of pregnant women with vitamins. This is done in accordance with relevant laws and regulations.

In particular, they state that women who are expecting a child have the opportunity to receive free vitamins, calcium and iron preparations (all of them are included in a special list) in an amount not exceeding 30% of the cost of a birth certificate.

It is not difficult to get free vitamins: for this, the gynecologist must write out a special prescription for the woman, and it must be used within 10 days in the state pharmacy of the area where the antenatal clinic is located.

You can get a prescription for free prenatal vitamins from your gynecologist

The only aspect that somewhat limits the distribution of free vitamins to pregnant women is the following. The procedure for issuing such drugs is carried out by territorial medical associations.

Each of them, unfortunately, is funded differently (it depends on the number of people attached to it), respectively, and the situation with the issuance of free vitamin preparations to pregnant women can also be different.

In some antenatal clinics, the delivery is made to all pregnant women in the amount they need. And in others, where there is no sufficient funding, vitamins are given free of charge only to certain categories of women expecting a baby: those with many children, the unemployed, etc.

Currently, free distribution of such vitamins and other drugs is possible:

• Alpha tocopherol acetate capsules;
• Beviplex dragee;
• Bio-Max tablets;
• Vitamin E and Vitamin E Zentiva;
• Vitrum vitamin E;
• Vitaspectrum tablets;
• Vitaress tablets;
• Vitrum tablets;
• VitrumPrenatal, VitrumPrenatal forte and Vitrum Superstress tablets;
• Doppelherz vitamin E;
• Hexavit dragee;
• Gendevit dragee;
• Glutamevit tablets;
• Zytrum vitamin E;
• Iodbalance;
• Iodomarin;
• Potassium iodide;
• Complivit, Complivit Mom, Complivit Active tablets;
• Maltofer solution and tablets for oral administration;
• Megadin and Megadin Pronatal tablets;
• Microiodide;
• Multimax tablets;
• Multi-Tabs Active, Multi-TabsIntensive, Multi-Tabs Classic and Multi-Tabs;
• Perinatal tablets;
• Multivitamin dragee;
• Revit and Revit-UVI dragee;
• Selmevit tablets;
• Supradin tablets;
• Teravit, TeravitAntistress, TeravitPregna tablets;
• Tocopherocaps;
• Tocopherol acetate 5%, 10% and 30% solution;
• Tri-Vee Plus tablets;
• Undevit and Undevit-UVI dragee;
• Fenyuls Complex;
• Ferretab complex;
• Ferrovit and Ferrovit forte tablets;
• folic acid tablets;
• Elevit Prenatal tablets.

Often, pregnant women decide to take the so-called fish oil, but its intake must be agreed with the doctor.

Why is it important to choose vitamin preparations with a doctor

Do not forget that any multivitamin complex cannot be a harmless drug, and without consulting a doctor, a future mother should not prescribe anything for herself. Since both the excess of substances and their deficiency are fraught with serious consequences for the fetus and mother.

And if a vitamin preparation is prescribed by a gynecologist, you should strictly adhere to the prescribed dosage.

It is also worth remembering that often taking such pharmaceutical drugs entails the appearance of allergic reactions. In such cases, the doctor reconsiders his appointment and selects for the pregnant woman the means that will be well tolerated by her body.

Instead of a conclusion

The purpose of multivitamins, which can be freely purchased at pharmacies, is exclusively prevention. That is, they cannot be used as a way to treat diseases that develop from a deficiency of vitamins and nutrients. When according to medical recommendations, they do not cause an overdose.

Do not forget the following: like any drug with many active ingredients in the composition, multivitamins can cause allergic reactions.

One more important nuance should be noted: during pregnancy, it is not recommended to take several drugs at once containing a complex of vitamins and biologically active substances.

It is rare that the diet of a pregnant woman is sufficiently balanced, so taking vitamins is mandatory.

As for whether it is worth taking vitamin complexes at all for up to 3 months of pregnancy, or is it enough to limit yourself to taking drugs containing specific vitamins, then the opinions of experts are divided.

So, gynecologists-obstetricians, who are negative about the fact that the embryo is subjected to additional exposure to chemicals, are advised to stop taking multivitamins.

Other doctors, on the contrary, are supporters of early vitamin prophylaxis, referring to the fact that scientists have not proven the harmful effects of these drugs on the development of the embryo.

Therefore, the final decision should still remain with the future mother.