Micronutrient supply during pregnancy

Abstract

V.E. Balan, E.V. Tikhomirova, V.V. Ovchinnikova Moscow Regional Research Institute of Obstetrics and Gynecology, Moscow, Russian Federation The article highlights the critical role of preconception planning including the subsidy of vitamins and minerals (primarily folates, iodine, iron, vitamin D and polyunsaturated fatty acids). Deficiency of macro- and micronutrients before pregnancy and especially during gestation increases the risk of perinatal pathology, increases infant mortality and causes prematurity, congenital disorders, impaired physical and mental development of children. That is why it is extremely important to start taking multivitamins before conception and accumulate all the necessary nutrients by the most critical date — 21–26 days, the period of neural tube closure in the embryo. The article discusses non- and modifiable risk factors for congenital disorders, one of which is the lack of nutrients, as well as the choice of the vitamin-mineral complex (VMC) (balanced composition, the use of highly active forms of vitamins and minerals, etc.) using the example of Pregnoton Mama. The evidence b ase on the effectiveness and safety of VMC for pregnant women and in the period of preconception is given including data on reducing the risk of congenital disorders, obstetric and neonatal complications. Keywords: preconception planning, pregnancy, congenital disorders, vitamin-mineral complex, Pregnoton Mama. For citation: Balan V.E., Tikhomirova E.V., Ovchinnikova V.V. Micronutrient supply during pregnancy. Russian Journal of Woman and Child Health. 2019;2(4):280–285.