PT - JOURNAL ARTICLE AU - Ahn, Eric AU - Nava-Ocampo, Alejandro A AU - Koren, Gideon TI - Multivitamin supplements for pregnant women. New insights. DP - 2004 May 01 TA - Canadian Family Physician PG - 705--706 VI - 50 IP - 5 4099 - http://www.cfp.ca/content/50/5/705.short 4100 - http://www.cfp.ca/content/50/5/705.full SO - Can Fam Physician2004 May 01; 50 AB - QUESTION: One of my patients is planning pregnancy and has started taking multivitamin supplements. She is experiencing gastric discomfort. What are the alternatives? ANSWER: Gastric discomfort is usually related to iron intake; pregnant women could use supplements with less iron. Pregnant women need 0.4 to 1.0 mg of folic acid daily. If they have a family history of neural tube defects (NTDs), insulin-dependent diabetes mellitus, or epilepsy, or are currently taking valproic acid, carbamazepine, or antifolates (eg, sulfonamides), they are at intermediate-to-high risk of having babies with NTDs and need 4.0 to 5.0 mg of folic acid daily.