Abstract
An earlier preliminary paper is expanded. Women who had given birth to one or more infants with a neural tube defect were recruited into a trial of per conceptional vitamin supplementation. Two hundred mothers attending five centres were fully supplemented (FS), 50 were partially supplemented (PS), and 300 were unsupplemented (US). Neural tube defect recurrences in the study pregnancies were 1 (0.5%), in FS, none in PS, and 13 (4%) in US mothers. The difference in outcome between FS and US mothers is significant. The most likely explanation is that supplementation has prevented some neural tube defects, but further studies are needed.
Full text
PDF







Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Clarke C., Hobson D., McKendrick O. M., Rogers S. C., Sheppard P. M. Spina bifida and anencephaly: miscarriage as possible cause. Br Med J. 1975 Dec 27;4(5999):743–746. doi: 10.1136/bmj.4.5999.743. [DOI] [PMC free article] [PubMed] [Google Scholar]
- James W. H. Birth ranks of spontaneous abortions in sibships of children affected by anencephaly or spina bifida. Br Med J. 1978 Jan 14;1(6105):72–73. doi: 10.1136/bmj.1.6105.72. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Laurence K. M., James N., Miller M., Campbell H. Increased risk of recurrence of pregnancies complicated by fetal neural tube defects in mothers receiving poor diets, and possible benefit of dietary counselling. Br Med J. 1980 Dec 13;281(6255):1592–1594. doi: 10.1136/bmj.281.6255.1592. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nevin N. C. Recurrence risk of neural tube defects. Lancet. 1980 Jun 14;1(8181):1301–1302. doi: 10.1016/s0140-6736(80)91755-9. [DOI] [PubMed] [Google Scholar]
- Pritchard J. A., Scott D. E., Whalley P. J., Haling R. F., Jr Infants of mothers with megaloblastic anemia due to folate deficiency. JAMA. 1970 Mar 23;211(12):1982–1984. [PubMed] [Google Scholar]
- RECORD R. G., McKEOWN T. Congenital malformations of the central nervous system; maternal reproductive history and familial incidence. Br J Soc Med. 1950 Jan;4(1):26–50. doi: 10.1136/jech.4.1.26. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Seller M. J., Embury S., Polani P. E., Adinolfi M. Neural tube defects in curly-tail mice. II. Effect of maternal administration of vitamin A. Proc R Soc Lond B Biol Sci. 1979 Nov 30;206(1162):95–107. doi: 10.1098/rspb.1979.0093. [DOI] [PubMed] [Google Scholar]
- Smithells R. W., Ankers C., Carver M. E., Lennon D., Schorah C. J., Sheppard S. Maternal nutrition in early pregnancy. Br J Nutr. 1977 Nov;38(3):497–506. doi: 10.1079/bjn19770115. [DOI] [PubMed] [Google Scholar]
- Smithells R. W., Sheppard S., Schorah C. J., Seller M. J., Nevin N. C., Harris R., Read A. P., Fielding D. W. Possible prevention of neural-tube defects by periconceptional vitamin supplementation. Lancet. 1980 Feb 16;1(8164):339–340. doi: 10.1016/s0140-6736(80)90886-7. [DOI] [PubMed] [Google Scholar]
- Smithells R. W., Sheppard S., Schorah C. J. Vitamin deficiencies and neural tube defects. Arch Dis Child. 1976 Dec;51(12):944–950. doi: 10.1136/adc.51.12.944. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wynn V. Vitamins and oral contraceptive use. Lancet. 1975 Mar 8;1(7906):561–564. doi: 10.1016/s0140-6736(75)91570-6. [DOI] [PubMed] [Google Scholar]
