In our community of perinatal psychiatrists, we have recently seen many questions regarding the use of folic acid supplementation in women taking lamotrigine (Lamictal). While all recognize that all women of childbearing age should receive [...]
Vitamin D deficiency is more common than ever, and many experts are concerned that this deficiency may lead to a wide variety of health problems, including depression.
In the developing baby, iodine is necessary for thyroid function and normal brain development. According to a recent Lancet study, even children born to women with mild-to-moderate iodine deficiency during pregnancy are at increased risk for lower IQ and reading ability (assessed at age 9). The most severe effects were observed among children born to women with severe deficiency.
Last week was National Folic Acid Awareness Week at the Centers for Disease Control (CDC), so this seems like a great time to remind women (and their caregivers) of the importance of folic acid in the prevention of birth defects. By taking the recommended dosage of folic acid daily, women will reduce the risk of neural tube defects by 50% - 70%. In addition, women who take folic acid supplements are less likely to give birth to a child with an autism spectrum disorder.
Women are strongly encouraged to take prenatal vitamins, and there is significant data to indicate multiple benefits to the child, including decreased risk of various congenital defects and certain types of childhood cancers. Less understood is the impact of these supplements on the mother’s mental status and her risk for mood disorder during the perinatal period. A group of researchers from Alberta, Canada has recently examined the risk for postpartum depressive symptoms in women enrolled in the Alberta Pregnancy Outcomes and Nutrition (APrON) study, specifically examining the nutrients ingested through supplements to determine whether any individual supplementary nutrients may modulate the risk of postpartum depressive symptoms.
Many promote the use of certain vitamins and minerals for the treatment of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD), but controlled studies supporting the use of nutritional supplements are sparse.
