Thanks Doctor. I will be taking a proper dose of folic acid.Thanks a lot for replying me.
According the the American College of Obstetric & Gynecology ACOG Practice Bulletin Number 44, July 2003:
"For women at high risk of NTDs, or who have had a previous pregnancy with an NTD, folic acid supplementation of 4 mg per day is recommended:
NTD means neural tube defect which is what your baby had with Spina bifida.
Your doctor may not know this.
Your doctor may not be an obstetrician-gynecologist and I recommend that you see an OB/GYN if you can.
Hi,
Thanks for your advice. Yes I have PCOS , but I conceived on my own during my first pregnancy. My family physician told me to try for 6 months, if there is no luck then she will refer me to gyn...
I am hoping for some miracle to happen as it happened earlier to me.......
I have requested my doctor to prescribe me high dose of folic acid, but she is telling 800mcg of folic acid that I have in prenatal is sufficient. What I can do in this case?
Can I get prescription from else?
If you really have PCOS, your chances of pregnancy without some type of treatment would be low. If you have PCOS, I suggest that you see a specialist called a Reproductive Endcrinology and Infertility specialist who can design a plan to help you get pregnant.
If you had a previous pregnancy with Spina bifida, I imagine that you received genetic counseling and that your next pregnancy would be followed closely with a targeted ultrasound.
You also probably know that you should be on increased doses of folic acid ie at least 4mg before you even start to try to get pregnant.