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. 2023 Aug 7;21:292. doi: 10.1186/s12916-023-03000-8

Table 2.

Post-conception folic acid supplementation and risk of congenital malformations

Variants of folic acid supplementation Risk of congenital malformations
No. of malformations No. of infants Prevalence,% (95% CI) Adjusted odds ratio (95% CI)a P value
Supplementation
 No 21 887 2.37 (1.37–3.37) 1.00
 Yes 128 8695 1.47 (1.22–1.73) 0.64 (0.40–1.03) 0.063
Initiation
 No supplement 21 887 2.37 (1.37–3.37) 1.00
 The first month 57 4430 1.29 (0.95–1.62) 0.55 (0.33–0.91) 0.02
 The second month 51 3343 1.53 (1.11–1.94) 0.64 (0.38–1.07) 0.086
 The third month 20 922 2.17 (1.23–3.11) 0.91 (0.49–1.70) 0.77
Duration
 No supplement 21 887 2.37 (1.37–3.37) 1.00
 1 month 33 1993 1.66 (1.10–2.22) 0.68 (0.39–1.19) 0.17
 1.01 months ~  63 4572 1.38 (1.04–1.72) 0.59 (0.36–0.98) 0.041
 2.01 months ~  32 2130 1.50 (0.99–2.02) 0.66 (0.38–1.17) 0.15

aAdjusted for region, maternal age, ethnicity, parity, conception mode, education level, family income, history of adverse pregnancy outcomes, medicine exposure, and early pregnancy conditions