Yesterday in the Irish Times, Dr Rhona Mahony, Master of the National Maternity Hospital, had something to say about folic acid. Up till now, you see, women people planning to become pregnant have been advised to take folic acid supplements daily. Ireland has a high rate of neural tube defects– which cause everything from spina bifida to anencephaly- the majority of which can be prevented with folic acid.
As of yesterday, this advice has changed:
“Up to 50 per cent of all pregnancies are unplanned, but a baby’s crucial neural tube develops in the first few weeks of pregnancy when many women may be unaware they are pregnant,” Dr Mahony said. …“Women who are sexually active should start taking the vitamin daily even if a baby is the last thing on their mind”
Taken at face value, this seems like good advice. If you’re at risk of getting pregnant, then taking a simple step to prevent painful or fatal birth defects seems sensible. And from a purely medical standpoint, I can see her point. Unplanned pregnancies happen! If I were at risk of getting pregnant and thought there was a reasonable chance I’d keep any pregnancy that resulted, I would seriously consider adding some folic acid to my daily routine. And I’m sure that, as a medical practitioner, Dr Mahony sees more of the suffering that neural tube defects can cause than most.
However, this doesn’t mean that Dr Mahony’s perspective- while important- is complete, or that she fully understands the context in which she speaks. Because medical advice is never given in a vacuum, and in this context Dr Mahony’s well-intentioned advice is ill thought-out, ignorant of context and in certain cases may be actively harmful.
Let me explain. Let’s go to the beginning.
Check out the rest, over at the original post in the Tea Cosy.