When should I start taking folic acid?

At least one month before conception, or earlier if you’re trying for a baby.

Can folic acid prevent spina bifida entirely?

Not always, but it significantly reduces the risk by up to 80%.

Can I get enough folic acid from food alone?

It’s challenging to meet your requirements through diet; supplements are essential.

Is folic acid safe for everyone?

Yes, it’s safe, water-soluble, and recommended for all women of childbearing age.

Why is folic acid essential even before pregnancy?

Because your baby’s brain and spine form within the first few weeks, often before you know you’re pregnant.

Why Taking Folic Acid Before Getting Pregnant Is Important for Spina Bifida

The health of your future baby starts even before you get pregnant. Adding folic acid before you are pregnant is a little but powerful thing you can do. This essential B vitamin helps your baby's brain and spinal cord grow properly, lowering the chance of spina bifida and other neural tube problems.

What Is Spina Bifida?

Spina bifida is a congenital disability where the baby’s spinal cord doesn’t close completely during early pregnancy. It’s part of a group of conditions called neural tube defects, which can lead to mobility, nerve, and developmental issues later in life.

In simple terms, if the “tube” that forms your baby’s brain and spinal cord doesn’t seal properly in the first few weeks, it leaves part of the spinal cord exposed. The good news? Most cases are preventable with sufficient folic acid before pregnancy.

Why Folic Acid Matters So Much?

Folic acid and spina bifida are closely linked: it’s the most effective vitamin for neural tube defect prevention. Folic acid helps the body form new cells and supports DNA synthesis, both essential for early foetal development.

Taking this supplement early ensures:

70–80% reduction in spina bifida and other defects.
Healthy formation of the baby’s brain and spine.
Reduced risk of premature birth or low birth weight.
Support for maternal red blood cell production.

These prenatal folic acid benefits make it a non-negotiable part of your pregnancy nutrition plan.

When Should You Start Taking Folic Acid?

Experts recommend beginning folic acid at least one month before conception. If you’re trying for a baby or could become pregnant, it’s best to start right away.

It is because your baby’s brain and spinal cord begin forming in the first 28 days — often before you realise you’re pregnant. Starting early gives your baby protection from day one. Even if pregnancy is confirmed later, continue your supplement, as vitamin B9 in pregnancy supports ongoing growth and cell repair.

Recommended Dosage of Folic Acid

For most women: 400 micrograms (mcg) daily before and during early pregnancy. Knowing this can provide a sense of relief, as you have clear guidance on how to support your baby's development.

If you have risk factors such as a previous neural tube defect, diabetes, or epilepsy, your doctor may prescribe 5 mg per day. Always follow medical guidance for your specific health needs.

Foods High in Folic Acid That You Should Eat

Supplements are essential; however, eating foods high in folic acid also helps you get enough:

Leafy greens like spinach, methi, and moringa are beneficial.
Oranges and delicious limes are both citrus fruits.
Beans, lentils, and chickpeas.
Avocado, beetroot, and papaya.
Whole grains and cereals that have been fortified.

Cooking methods matter, such as lightly steaming or sautéing to preserve folate.

Long-Term Impact of Folic Acid Deficiency

Deficiency of folic acid before pregnancy or in early gestation can have lasting consequences for both mother and baby. Beyond increasing the risk of spina bifida, low folate levels are linked to:

Anaemia in mothers: leading to fatigue, weakness, and dizziness.
Higher miscarriage risk: due to poor cell division and tissue growth.
Developmental delay occurs because insufficient folate affects brain formation.
Heart and limb malformations: in severe deficiency cases.

These long-term risks highlight the importance of folic acid not just before conception, but throughout the first trimester and beyond.

Folic Acid in the Indian Context

In India, awareness around folic acid before pregnancy is still low. Many women begin prenatal care only after missing a period. To change this, the Indian government and organisations like UNICEF are promoting food fortification and preconception counselling to prevent spina bifida and related congenital disabilities.

This proactive approach ensures more women benefit from **prenatal folic acid** even before planning pregnancy.

Other Health Benefits of Folic Acid

Beyond neural tube defect prevention, folic acid offers multiple benefits:

Improves fertility and ovulation health.
Supports placental growth.
Reduces anaemia risk.
This product promotes healthy skin and hair during pregnancy.

Taking folic acid before pregnancy is a simple act of preparation that leads to long-term wellness.

Whether you’re pregnant, a new mom, or navigating postpartum, you don’t have to do it alone. Join our support group to connect, share, and support one another.

FAQs on Folic Acid and Spina Bifida: Why Pre-Pregnancy Supplementation Matters

When should I start taking folic acid?
At least one month before conception, or earlier if you’re trying for a baby.
Can folic acid prevent spina bifida entirely?
Not always, but it significantly reduces the risk by up to 80%.
Can I get enough folic acid from food alone?
It’s challenging to meet your requirements through diet; supplements are essential.
Is folic acid safe for everyone?
Yes, it’s safe, water-soluble, and recommended for all women of childbearing age.
Why is folic acid essential even before pregnancy?
Because your baby’s brain and spine form within the first few weeks, often before you know you’re pregnant.