topicFolic Acid Pregnancy Guideline
claim5 6 7 8 9 However, a significant gap exists globally between folic acid supplementation practices and scientific evidence.
evidence level3
citationLi Jiahe (2026)
sourceBest Evidence Summary of Folic Acid Supplementation for Prevention of Neural Tube Defects in Women of Childbearing Age
topicFolic Acid Pregnancy Guideline
claimA study in China found that only 16.1% of pregnant women took folic acid at the correct time [].
evidence level3
citationLi Jiahe (2026)
sourceBest Evidence Summary of Folic Acid Supplementation for Prevention of Neural Tube Defects in Women of Childbearing Age
topicFolic Acid Pregnancy Guideline
claimA systematic review of global data (2000–2014) found that folate deficiency (serum folate < 10 nmol/L) affected >20% of women of reproductive age in many lower-income countries, while folate insufficiency (red blood cell folate < 906 nmol/L for NTD risk reduction) exceeded 40% in most countries surveyed [].
evidence level3
citationLi Jiahe (2026)
sourceBest Evidence Summary of Folic Acid Supplementation for Prevention of Neural Tube Defects in Women of Childbearing Age
topicFolic Acid Pregnancy Guideline
claim1 2 3 4 Neural tube defects (NTDs) constitute a major global public health issue, with a prevalence at birth of 18.6 per 10,000 live births worldwide.
evidence level3
citationLi Jiahe (2026)
sourceBest Evidence Summary of Folic Acid Supplementation for Prevention of Neural Tube Defects in Women of Childbearing Age
topicFolic Acid Pregnancy Guideline
claimUncontrolled maternal seizures increase the risk of maternal morbidity, foetal hypoxia and miscarriage.
evidence level4
citationBirbal S (2026)
sourceEvaluation of the management of high-risk obstetric patients living with epilepsy: A retrospective study from KwaZulu-Natal, South Africa.
topicFolic Acid Pregnancy Guideline
claimMethods A retrospective quantitative study was conducted at a high-risk obstetrics clinic in a public tertiary hospital in KwaZulu-Natal, South Africa, using clinical records from a 5-year period.
evidence level4
citationBirbal S (2026)
sourceEvaluation of the management of high-risk obstetric patients living with epilepsy: A retrospective study from KwaZulu-Natal, South Africa.
topicFolic Acid Pregnancy Guideline
claimConclusion The study identified gaps in care, including suboptimal AED selection, limited TDM, inconsistent ultrasound use, frequent polytherapy and increased admissions from poor seizure control.
evidence level4
citationBirbal S (2026)
sourceEvaluation of the management of high-risk obstetric patients living with epilepsy: A retrospective study from KwaZulu-Natal, South Africa.
topicFolic Acid Pregnancy Guideline
claimBackground Epilepsy affects approximately 60 million individuals worldwide, with women comprising nearly 50% of the cases.
evidence level4
citationBirbal S (2026)
sourceEvaluation of the management of high-risk obstetric patients living with epilepsy: A retrospective study from KwaZulu-Natal, South Africa.