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We cannot live only for ourselves. A thousand
fibers connect us with our fellow-men; and along those fibers, as
sympathetic threads, our actions run as causes, and they come back to us as
effects.
- Henry Melville
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Six essential qualities that
are the key to success: Sincerity, personal integrity, humility, courtesy,
wisdom, charity. - William Menninger
6/30/07 The U.S. Public Health Service recommends that all
women of childbearing age consume >400 μg of folic acid daily through either
supplementation or fortified foods. CDC recommends offering, as a component
of maternity care, one pre-pregnancy visit to a health care provider for women
planning pregnancy to enable women to receive risk assessment, health
education, and specific interventions to address identified risks before
conception. Analysis of data collected from women in Oklahoma during
2000-2003 from the Pregnancy Risk Assessment Monitoring System (PRAMS)
indicated that 21.5 percent of women with a recent live birth were not aware
of folic acid benefits before they became pregnant, 73.5 percent did not
consume multivitamins at least four times per week during the month before
pregnancy, and 84.8 percent did not receive preconception counseling from a
health-care provider. Although pre-pregnancy awareness of the benefits of
taking vitamins with folic acid in the prevention of some birth defects was
high among Oklahoma women with a recent live birth, actual consumption of
multivitamins during the month before pregnancy was low. Promoting
preconception health of women is a key public health strategy in the United
States to decrease morbidity and mortality associated with negative maternal
and infant outcomes. Increased folic acid consumption before conception and
during the first trimester of pregnancy can reduce the incidence of neural
tube defects by 50-70 percent.