Vitamin preparations for pregnant women. Comparison of prenatal vitamin complexes prices, reviews, composition of vitamins for expectant mothers

Pregnancy is a special period for any woman. At this time, the body is actively rebuilding, and the main task of the expectant mother is to help him in this. Of course, we all know what role vitamins play in the body. Pregnant girls need these more than others useful substances Oh. While waiting for a baby, a woman spends a lot of energy and must fully replenish the vitamin reserve. First of all, a balanced diet can help with this, but a significant part is covered by the intake of special complexes.

Let's figure out how to choose the most suitable vitamins for yourself in the happiest period for any woman:

1. Expert advice. It was not in vain that we mentioned this aspect in the very first place. Do not forget that when choosing any medicines, you first need to consult with a specialist. An experienced doctor will take into account the characteristics of each organism and tell you which monovitamins or complexes are most suitable for you.
2. Components. Naturally, the benefits of any drug directly depends on its components. Experts believe that the main components vitamin complexes for pregnant women should be: folic acid, iodine and calcium. Be sure to pay attention to the dosage of each element. In no case should you oversaturate the body with some substance - this can lead to backfire, as well as its disadvantage.
3. purpose. Vitamins for pregnant women are created taking into account the needs of the female orgasm during this period. Depending on the period, the need for certain substances changes. Manufacturers offer highly targeted preparations containing several of the most important elements for each particular trimester. They can be both complex and consist of one component.

Please note that the information is for informational purposes only and is NOT a guide to purchase and use. Choosing the right complex of vitamins can only specialist!

There are contraindications. Check with your doctor.

The best vitamins for pregnant women in the first trimester

4 Multi-tabs Perinatal

Top Reviews
Country: Denmark
Average price: 650 rubles.
Rating (2019): 4.4

The complex of Danish production Multi-tabs "Perinatal" is designed specifically to maintain a woman's well-being on early dates pregnancy. He has been collecting the best reviews for several years in a row and is the leader of the majority of votes on the forums. The composition includes 11 vitamins (A, E, C, D3, and a whole group B) and minerals, for example: copper, calcium, manganese, iodine, chromium, iron. Equally important, the manufacturer did not use preservatives.

So, a combination of iron, magnesium, selenium, zinc, vitamins A, E will reduce the likelihood of anemia, which is very often diagnosed by doctors in pregnant women in the 1st trimester. And the combination of copper, selenium, zinc, iodine, folic acid and vitamin B6 will significantly affect the correct and planned growth of the fetus. It is enough to drink one tablet during or after meals for a month. The only minor drawback, some women consider the rather large size of the tablets.

3 Elevit Pronatal

Most Appointed
Country: Germany
Average price: 1,800 rubles.
Rating (2019): 4.6

Most often, "Elevit Pronatal" is recommended for women in the 1st trimester of pregnancy. This is due to the fact that the drug has a high content of folic acid (800 mcg). The composition is also enriched with vitamins A, E, PP, B5, iron, phosphorus, biotin, zinc, etc. Such a complex contributes to the proper development of the fetus and reduces the likelihood of a miscarriage. Available in 30 or 100 pieces (for a month or three).

Due to the optimal content of the necessary elements for early pregnancy, you do not need to take extra vitamin B9 or iron. Drink "Elevit" should be one capsule once a day, which is very convenient. The advantages of the drug include a rich composition, a sufficient number of elements important for the 1st trimester, availability and excellent quality. Of the shortcomings, only the high price can be distinguished.

2 Femibion ​​Natalcare I

Choice of Gynecology and Obstetrics Specialists
Country: Austria
Average price: 500 rubles.
Rating (2019): 4.8

"Femibion ​​Natalcare I" was developed in an Austrian laboratory, taking into account the needs of the female body in the first 12 weeks of pregnancy. This period is the most milestone for the initial development of the fetus. The preparation contains metafolin, a substance that replaces folic acid and is easily absorbed in the body. The composition is enriched with 9 useful vitamins and iodine.

"Femibion" softens the unpleasant manifestations of toxicosis and makes it easier to endure this period. The recommended dosage is 1 tablet per day. The main advantage of the complex is the presence of many recommendations from experts. The advantages also include convenient use, excellent reviews from doctors, highest quality, thoughtful composition, well-being of a woman in the early stages. No deficiencies found.

1 One A Day Women's Prenatal

Perfectly calibrated daily allowance formula
Country: USA
Average price: 1,500 rubles.
Rating (2019): 5.0

The most main feature One A Day Women's Prenatal vitamin complex is that one serving of the tablet contains exactly 100% of the recommended daily dosage of important nutrients for a pregnant woman, with the exception of vitamin A, it is only 50%, but this is due to the fact that everyone the fetus reacts to it differently.Gynecologists in the reviews note that patients taking this complex felt energy, which is so lacking in the very early stages of pregnancy.

The monthly package contains 30 vitamin and mineral-combining tablets and 30 gelatin capsules with omega-3 fatty acids (DHA and EPA) that promote better development fetus in the 1st trimester of pregnancy, when the brain and eyes are formed. The manufacturer, of course, did not forget about folic acid, which reduces the risk of defects in the development of the brain and spinal cord. Both tablets should be taken at the same time with meals.

The best vitamins for pregnant women in the second trimester

4 Doppelherz V.I.P.

Most bought
Country: Germany
Average price: 750 rubles.
Rating (2019): 4.4

Iron, iodine, calcium, magnesium, zinc, omega 3, vitamins A, E, C, D, B - all this fits in one capsule of Doppelherz V.I.P. In the 2nd trimester, when the bones of the fetus are just beginning to harden, a combination of calcium, zinc, vitamins D3 and C will be very useful. And since every second pregnant woman is diagnosed with iodine deficiency, which leads to disruption of the thyroid gland and leads to constant fatigue, the manufacturer involved mineral such as iodine.

Omega 3 prevents the formation of blood clots in blood vessels and lowers cholesterol levels. Folic acid in symbiosis with vitamin B12 synthesize DNA cells and form hemoglobin. In the reviews, medical specialists confirm that after a course of taking the vitamin complex from Doppelherz, the analyzes of pregnant women show noticeable improvements. Hair loss and brittle nails also stop, a surge of strength is felt.

3 Minisun Mama Complex

High concentration of nutrients
Country: Finland
Average price: 1,050 rubles.
Rating (2019): 4.5

"Minisan Mama Complex" has been number 1 in Finland for several years in a row, and recent times This vitamin complex is no less popular in the CIS countries. It contains many B vitamins, including folic acid, without which no complex for pregnant women can do. Vitamin C will increase resistance immune system, because it is undesirable for expectant mothers to get sick and drink antiviral drugs.

The manufacturer decided not to use vitamin A, since the body of the mother and especially the fetus are prone to its overdose. Some may be put off by the price, but this is justified by the fact that the package contains 90 capsules, which is enough for the entire trimester. It is important to note that the complex is often prescribed by specialists for pregnant women with acute hypovitaminosis, because it contains a high concentration of vitamins, which can lead to an allergic reaction. Therefore, it is important to consult with your doctor.

2 Vitrum Prenatal Forte

Promotes proper fetal development
Country: USA
Average price: 1,700 rubles.
Rating (2019): 4.7

Vitamin-mineral complex "Vitrum Prenatal Forte" was created to compensate for the deficiency of useful elements during pregnancy. It has a universal effect and is suitable for use at any time, but experts recommend the drug in the second trimester. This is due to the high content of iodine, iron and magnesium, which are so necessary after 12 weeks.

The composition includes 8 minerals (calcium, manganese, etc.), 5 acids (for example, folic, biotin) and more than 7 vitamins. It helps to increase the resistance of the body of a pregnant girl to infections, maintain an optimal level of hemoglobin and normal development of the fetus. The advantages are: convenient dosage (1 capsule daily), rich composition, versatility. The disadvantages include: the unpleasant smell of tablets, can cause nausea.

1 Femibion ​​Natalcare II

The best vitamin complex for the 2nd trimester
Country: Austria
Average price: 1,000 rubles.
Rating (2019): 5.0

The popular Austrian drug "Femibion ​​Natalcare" has two forms of release, one of which was created specifically for the 2nd trimester of pregnancy. The composition includes a whole range of microelements necessary at this stage. Among them are folic acid, metafolin, iodine, various vitamins: B6 is responsible for protein metabolism, B12 for the formation of the nervous system, nicotinamide supports skin protection, etc. Consists of 30 tablets and 30 capsules to be taken one after the other.

The main distinguishing feature of the drug is the thoughtful content of the most important components in the right amount. This ensures the healthy development of the fetus and keeps the woman comfortable. Experts highlight the following advantages of the complex: suitable for the 2nd and 3rd trimester of pregnancy, convenient dosage, proper development of the child. The disadvantages include high cost.

The best vitamins for pregnant women in the third trimester

3 Complivit Trimestrum 3

Improves overall well-being
Country Russia
Average price: 310 rubles.
Rating (2019): 4.5

"Complivit Trimestrum 3" is often called one of the best vitamin complexes in the budget segment for the 3rd trimester. He has an important distinguishing feature- a balanced composition, designed specifically for a specific period of pregnancy. The preparation is enriched with selenium, lutein, vitamin B9, iron, iodine and other useful trace elements. Produced in packs of 30 film-coated tablets with a pleasant sweetish taste.

Reviews of the girls indicate a significant improvement in well-being after the start of taking Complivit. They notice a decrease in swelling, an increase in the quality of hair, nails, skin and the removal of pain in the joints. The recommended dosage is 1 time per day after meals. Among the advantages, one can single out an excellent composition, good feedback doctors and customers, optimal cost, improved well-being. No deficiencies found.

2 Alphabet Mom's health

Excellent value for money and quality
Country Russia
Average price: 350 rubles.
Rating (2019): 4.7

The complex of vitamins "Alphabet Mom's Health" has proven itself well when taken in the 3rd trimester of pregnancy. Girls notice that they endure this period more easily. The main distinguishing feature of the drug is the separation of microelements into tablets, each of which has its own color for convenience. White contains biotin, calcium, phosphorus and 5 vitamins, blue contains various beneficial antioxidants, and yellow contains iron, folic acid, etc.

The developers took into account the compatibility of the components, so they divided them into different techniques. "Alphabet" does not cause allergic reactions. The advantages of the vitamin-mineral complex include positive reviews from doctors and customers, a high content of nutrients, and a unique formula. The only negative is inconvenient use (three tablets per day).

1 Astrum Mammy Complex

Rich composition. Quality Components
Country: USA
Average price: 2,000 rubles.
Rating (2019): 5.0

Mammy Complex. In anticipation of the baby "from the American brand Astrum is designed taking into account all the characteristics of the body of a pregnant woman in the 3rd trimester, preparing for childbirth and further breastfeeding. Vitamin B10 (PABA), which is rarely found in complexes, is involved in the activation of the body's production of natural folic acid, which helps to avoid the development of congenital malformations in the fetus.

The source of vitamin A was beta-carotene, which is synthesized when it enters the body through complex reactions. It is absolutely safe and non-toxic even in the highest doses, which pure retinol cannot boast of. Surprise the presence of such a component as L-carnitine, which has become famous as the best source of energy and endurance. Especially often, doctors prescribe these vitamins to pregnant women with heart problems, since taurine is present in the composition, which has a positive effect on the cardiovascular system.

The best monovitamins for pregnant women

4 Pyridoxine

Best Toxicosis Relief
Country Russia
Average price: 65 rubles.
Rating (2019): 4.2

Vital in metabolic processes, vitamin B6 has become famous among pregnant women due to its ability to block vomiting during the period of toxicosis, which usually begins in the early stages. Pyridoxine is involved in the development of the fetal nervous system and reduces congenital heart anomalies. Also, experts confirmed the benefits of vitamin B6 in the 2nd trimester, when the rudiments of permanent teeth are laid in a child, affecting their proper formation.

Studies have shown that in addition to the active elimination of toxins in the 1st trimester, women with a diet enriched with vitamin B6 have an average of 1.2 times more milk after childbirth. This vitamin can also reduce the risk of preterm birth. Curiously, pyridoxine deficiency leads to depression, especially postpartum. The daily intake of vitamin B6 is 2.1 mg.

3 Cyanocobalamin

Adjusts lipid and protein metabolism
Country: USA
Average price: 600 rubles.
Rating (2019): 4.6

Cyanocobalamin is one of the most commonly prescribed vitamins in combination with folic acid, as this tandem helps each other to be absorbed. It is equally important that their symbiosis generates methionine amino acids, setting up the metabolism of lipids and proteins. Doctors observe a frequent pattern: with vitamin B12 deficiency, children are more inclined to diabetes therefore, if there is such a heredity, then it is very important to monitor the sufficient intake of cyanocobalamin.

Also, experts in the field of obstetrics say that B12 will help to avoid the occurrence of diseases of the nervous system and problems with the gastrointestinal tract. In addition, cyanocobalamin is involved in the synthesis of DNA, as well as the renewal of blood cells. With sufficient intake of vitamin B12, the intensity of stretch marks can be reduced, as skin condition improves. For pregnant women daily rate cyanocobalamin - 2.8 mcg.

2 Folic acid

Helps prevent birth defects in the fetus
Country Russia
Average price: 35 rubles.
Rating (2019): 4.8

"Folic acid" or vitamin B9 is one of the most important elements in early pregnancy. It has a direct impact on the formation of the vital internal organs of the fetus, its neural tube. The use of this substance in insufficient quantities can lead to placental abruption, the threat of miscarriage and other unpleasant consequences. Experts prescribe the drug to absolutely all women in the 1st trimester.

Reception of "Folic acid" contributes to a calm and proper course of pregnancy. The manufacturer "Zdravcity" produces packs of 30 tablets, which should be taken one at a time. The advantages of the drug are considered to be proven effectiveness, low price, excellent reviews from doctors, accessibility, a positive impact on the condition of a woman. Cons: requires additional intake of other vitamins.

1 Tocopherol

It is important for the formation of the fetus in the early stages. Improves the quality of the epidermis
Country Russia
Average price: 30 rubles.
Rating (2019): 4.9

Vitamin E or as it is also called tocopherol is essential for both women and children. At an early stage, vitamin E is involved in the formation of a quality placenta. It is also the main supplier of oxygen to developing cells. The optimal period for use is 1 trimester. It is not advisable to drink tocopherol in the 3rd trimester, as under its influence muscle tissue becomes toned, which can cause premature contractions.

A sufficient content of tocopherol in the body will protect the fetus from the influence of the external environment, for example, from inhaled by the mother dirty air. In the reviews of pregnant women, as one of the best qualities of vitamin E, there is a decrease in the intensity of stretch marks, as active production of elastin is provoked, which is responsible for the quality of the epidermis, its elasticity and firmness. Tocopherol is prescribed only by doctors, since it is one of the most active and powerful vitamins, its overdose can have a negative effect.

Properly composed diet for the period of pregnancy is the key to the health of the expectant mother and her baby. But even the highest quality and diverse food products are not able to provide the body with all the necessary substances necessary for the successful bearing and full development of the fetus. Vitamins for pregnant women, produced in the form of pharmacological preparations, will help to cover the increased need for mineral components and organic compounds.

According to research conducted by the World Health Organization, women who are well-nourished need only folic acid and iron supplements. Pregnant women, whose diet is far from recommended by doctors, must, in addition to the above substances, also take multivitamin complexes that will make up for the deficiency of components that are indispensable for the development of the child.

In general, the appointment of certain drugs is carried out in accordance with the individual characteristics of each woman, taking into account the anamnesis, age, climatic conditions and working conditions. Be sure to prescribe multivitamins with multiple pregnancy, vegetarian women, with chronic diseases of the gastrointestinal tract and the presence of bad habits.

If a second pregnancy occurs less than two years after the previous one, it is necessary to drink vitamins.

There are also opponents of taking synthetic drugs, who consider it inappropriate to include them in the diet. In their opinion, all useful substances can be obtained from food, as it was in the days of our ancestors. However, the statement does not stand up to scrutiny, since the quality of food today leaves much to be desired. Therefore, you should not risk your own health and the condition of the baby, guided by these statements.

Vital prenatal vitamins

Currently, scientists know 13 vitamins, each of which has a certain effect on human body. All of them are involved in physiological and biochemical processes occurring in organs and tissues, affect metabolism and prevent various changes and disorders in cells. At the stage of pregnancy, the most important are 4 vitamins and 3 chemical elements.

1. Vitamin B9. Participates in the formation of the neural tube and the brain of the unborn baby. Folic acid contributes to the proper development of the placenta, serves as a prevention of miscarriages, missed pregnancy and fetal defects.
2. Vitamin A. Participates in the development of bone tissue, mucous membranes and retina, promotes the production of red blood cells and ensures optimal blood counts.
3. Vitamin C. Increases immunity and resistance to pathogenic bacteria, facilitates the absorption of iron.
4. Vitamin E. It plays an important role in the development of the placenta, regulates blood circulation and blood clotting, prepares the lungs of the baby, reduces the risk of anemia and the threat of self-abortion.
5. Calcium. It is part of the bone, connective tissues, dentin, contributes to the proper development of internal organs, skin, eyes.
6. Iodine. It helps the fetus to receive hormones from the mother's body, ensures the formation of a healthy brain, genital organs, heart muscle, and the musculoskeletal system.
7. Iron. It serves as an anemia prevention, participates in the delivery of oxygen to the growing fetus.

The best vitamins for pregnant women should contain at least all of the listed substances and additional components that can be prescribed by a doctor according to indications.

The norm of vitamins during gestation

The rate of consumption of certain organic and inorganic compounds differ in individuals of different categories. For women carrying a child, the following vitamin standards are established:

• B9 - 0.8-1 mg;
• B1 - 1.5-2.0 mg;
• B5 - 4-7 mg;
• A - up to 2500 IU;
• D - 400-600 IU;
• E - 10-15 IU;
• B2 - 1.5-2.0 mg;
• B6 - 2.5 mg;
• B12 - 3.0-4.0 mcg;
• B3 - 15-20 mg;
• C - 70-100 mg;
• K - 65-80 mcg;
• H - 30-100 mcg.

Of the trace elements, calcium (1000-1200 mg), phosphorus (1200 mg), magnesium (320-355 mg) and iron (30-60 mg) should be supplied to the mother's body most of all.

Vitamins by trimester

Every three months of pregnancy is a certain stage in the development of the organism of the developing fetus. As the child grows and develops in the mother's womb, the needs for certain substances coming from outside also change. Hypo-, hypervitaminosis, lack or excess of minerals can lead to serious consequences for the fetus and are fraught with negative influence on a woman's health.

1st trimester

The first 12 weeks of gestation is the period of laying the fetal nervous system, which ensures the formation of mental functions after birth. For the favorable completion of this process, folic acid is responsible, which must be supplied in sufficient quantities.

Pyridoxine (vitamin B6) will help prevent toxicosis, convulsive symptoms and increased nervousness. He is also involved in the formation of the nervous system of the fetus, but the drug is prescribed from the eighth week of pregnancy. In order for pyridoxine to be well absorbed, it is taken along with the macronutrient magnesium.

Vitamin A is included in the diet at the end of the 1st trimester and continues to be consumed at the beginning of the second. Retinol will help maintain the correct proportions of the embryo, since at this time it begins to grow rapidly and increase in size.

2nd trimester

In this period, a woman is in dire need of calciferol - vitamin D for pregnant women provides an active and fast growth baby. The lack of this vitamin leads to the formation of intrauterine rickets - the bones do not acquire the necessary hardness, and the musculoskeletal system is formed incorrectly.

Tocopherol (vitamin E) must be included in the complex of vitamins of the second trimester. It has a beneficial effect not only on the growth and development of the child, but also ensures good uterine compliance, normal functioning of the placenta and reduces the risk of preterm birth.

Starting from the 12th week, the need for minerals increases, in particular, calcium and iron, since they are actively spent on building the skeleton and forming the baby's blood cells.

last trimester

There is no need for folic acid at this time, so it can be canceled. Until the end of pregnancy, you will have to take vitamins B6 and E, as well as iron and calcium supplements. They will support the fetus at the stage of the final formation of internal organs and will serve as a prevention of developmental delay.

Popular vitamin and mineral complexes

Women who are planning the birth of a baby and are responsible for their own health should listen to medical recommendations regarding the use of a complex of vitamins for pregnant women.

Modern pharmacological companies offer a large selection of drugs to maintain the health of the mother and the full development of the body of the future newborn. It is difficult to say which one is better or worse - each remedy has useful composition aimed at solving a particular problem.

Elevit

Multivitamin complex, which is available in the form of grayish-yellow tablets. The product contains 12 vitamins (A, E, D3, C, group B, PP) and 7 minerals (manganese, magnesium, phosphorus, iron, calcium, zinc, copper).

The dose of each substance is carefully selected in accordance with the needs of the mother's body and the growing fetus. Elevit is prescribed for the prevention of hypovitaminosis in women with malnutrition, as well as for individual indications. The recommended daily dose of the drug is 1 tablet.

Elevit pronatal tab. p.o. No. 100

Vitrum

The drug, developed by American pharmacists, is offered to customers in two forms: Prenatal and Forte. Both complexes are intended for pregnant women, but have a different composition and percentage of components. Vitrum Forte has a richer content of substances - this includes iodine, beta-carotene, calcium pantothenate, biotin, copper oxide, manganese, molybdenum, selenium and chromium.

Both versions are enriched with vitamins: A, E, C, B1, B2, B3, B6, B9, B12, D3, as well as macro- and microelements - iron, calcium, zinc.

Vitrum Prenatal is taken as a prophylactic during gestation, and Forte is intended to solve specific problems of the physiological state of the pregnant woman.

Vitrum prenatal tab. p.p.o. #100

Femibion

A complex that contains the optimal amount of folate (folic acid) and nutrients (minerals). An additional element of the product is the patented substance metafolin, a biologically active form of vitamin B9, which is absorbed much better than folic acid in its usual form. Therefore, the drug is intended for patients than the body is not able to fully convert and absorb B9.

In addition to the 9-component vitamin mix, Femibion ​​contains iodine, which is indispensable for the health and full functioning of the thyroid gland.

The form of the drug marked "1" is prescribed when planning conception and in the first 12 weeks of gestation, and marked "2" - starting from the second trimester of pregnancy.

Femibion ​​natalker i tab. p.o. No. 30

Alphabet

The full name of the remedy is “Mom's Health Alphabet”. The peculiarity of the drug is that in one blister there are tablets of three colors - pink, blue and milky. Each of them is intended for use strictly at certain hours - respectively, in the morning, afternoon and evening.

The developers of the tool claim that this approach allows a pregnant woman or a nursing mother to receive 30% more nutrients compared to other popular complexes.

Each of the tablets in the composition has a certain list of nutrients and vitamins that are best absorbed at a specific time of day.

Alphabet classic tab. #60

Pregnacare

Multivitamin for pregnant women, produced in the form of gelatin capsules of dark brown color. The composition of the drug includes a standard set of vitamins and minerals with only one difference - there is no calcium in Pregnacare, therefore, if this macronutrient is deficient, the drug will not work.

Otherwise, the complex has a beneficial effect on the body - it regulates metabolic processes, increases defenses, immunity, vitality and physical activity pregnant, prevents malformations of fetal development.

One capsule per day will be enough to make up for the deficiency of vital components.

Pregnacare caps. #30

materna

Materna is a prenatal vitamin, the positive effect of which is due to a carefully selected combination and concentration in combination with important nutrients.

Coated tablets contain vitamins B9, B5, B12, B2, B1, B6, C, E, D. Of the nutrients here are iron, manganese, zinc, iodine, chromium, selenium. Especially valuable is the content of calcium in the composition, the lack of which is extremely acutely felt in the last months of bearing a child.

The dose and regimen of taking the drug is developed by the attending physician in accordance with the individual needs of the pregnant woman.

Prenatal vitamins

The composition of these pills fully corresponds to the physiological needs of the female body in the process of bearing the fetus and provides it with 75% of useful substances.

Complivit Mom will be useful for nursing mothers and those who are just planning to conceive.

Complivit components are able to be absorbed into breast milk, which provides the baby with useful vitamins and minerals.

Complivit Mama for pregnant and lactating women tab. p / o captivity. #60

Multi-tabs Perinatal

The pharmacological agent is a source of folic acid and iodine, which contributes to the harmonious formation of the fetus and the optimization of the level of female hormones. The drug serves as a prevention of stillbirth, malformations of intrauterine development, malnutrition and vascular disorders of the embryo. The rich vitamin and mineral composition provides the mother's body with everything necessary for good health, good mood and easy pregnancy.

Tablets are taken orally without chewing once a day. It is necessary to drink the product with plenty of purified water for better absorption.

Multi-tabs perinatal tab. p / o captivity. #60

Other complexes

The list of multivitamin complexes for expectant mothers can be continued. Their composition is largely similar, but every woman gets the opportunity to choose the best drug for herself, which will not cause allergic reactions and will be feasible for the family budget.

What else do pharmacies offer:

• emfetal;
• Amway;
• Pregnavit;
• Magnelis;
• Orthomol;
• Fertilovit;
• Pregnazon.

The advantage of vitamins in tablets is the ability to accurately control and regulate the dosage of nutrients, which, when used familiar products food is difficult to do.

The importance of choosing drugs with a doctor

Any multivitamin complexes are not harmless drugs that a future woman in labor can prescribe herself. Excess substances, as well as their lack, can lead to serious consequences for the fetus and mother.

For example, the abuse of tocopherol leads to a violation of the functionality of platelets, a supersaturation of calciferol causes calcification of the placenta and fetal skeleton, an overdose of ascorbic acid is fraught with kidney disease.

Therefore, doctors strongly advise not to self-prescribe drugs and strictly follow the dosage prescribed by the gynecologist. Pharmaceuticals often cause allergic reactions, so you have to review their intake and select products that will be well tolerated by the female body.

Individual characteristics, anamnesis, living conditions, blood counts - all this should be assessed by the doctor before prescribing this or that vitamin complex.

Simultaneous intake of several drugs containing a complex of vitamins and nutrients is not recommended during pregnancy.

Conclusion

Pregnancy is a wonderful and at the same time difficult period in a woman's life. Properly organized nutrition will saturate the body with the necessary substances for the successful bearing and feeding of the child.

But vitamin preparations cannot be ignored - they will allow you to clearly control the intake of the most important components in the diet and serve as a prevention of serious pathologies of the embryo.

According to studies that have been repeatedly conducted by WHO, women who are expecting a child with good nutrition should only take pregnant women with iron and folic acid in their composition.

But if the diet of a pregnant woman does not meet the recommendations of doctors, then in addition to the substances listed above, multivitamins should also be taken: they will make up for the lack of components necessary for the normal development of the child.

The appointment of specific drugs is carried out taking into account:

• individual characteristics of each woman;
• medical biography;
• age;
• working conditions;
• chronic diseases of the gastrointestinal tract;
• the presence of bad habits;
• climatic conditions.

Taking multivitamins is mandatory if a woman is carrying more than one fetus, as well as with one that occurred less than 2 years after the previous one.

But there are also opponents of the statement that pregnant women should take synthetic drugs. They believe that a woman in position can get all the necessary substances from food, as, in fact, this happened in the time of our ancestors.

However, today this statement is not very logical, since the quality of the products leaves much to be desired. And therefore, you should not risk either your health or the condition of the baby.

Vitamins vital during pregnancy

Currently, scientists name 13 vitamins that have a certain effect on the human body.

All of them are extremely important for the biochemical and physiological processes occurring in the body, and the prevention of various disorders in cells. During pregnancy, a woman most needs the following vitamins and chemical elements (in general, there are 7 of them):

1. Vitamin A. Important for the development of bone tissue, retina, promotes the production of red blood cells.
2. Vitamin B9 (folic acid). It is necessary for the formation of the brain of the unborn baby, also contributes to the proper development of the placenta, serves as a prevention of miscarriages, missed pregnancy and fetal defects.
3. Vitamin C. Increases resistance to pathogenic bacteria, promotes the absorption of iron.
4. Vitamin E. Important for the development of the placenta, regulation of blood circulation, prepares the baby's lungs for action, and minimizes the risk of anemia.
5. Calcium. It is part of the bone, connective tissues, dentin, promotes the proper development of internal organs, skin, eyes.
6. Iodine. Helps the fetus to receive hormones from the mother's body, ensures the correct formation of the brain, genitals, heart muscle, ODA.
7. Iron. It is necessary for the prevention of anemia, with its participation, oxygen is delivered to the developing fetus.

Ideally, vitamins for pregnant women should contain all of the above substances. If any additional components are required, they are prescribed by the doctor according to indications.

What are the features of vitamins for pregnant women

Multivitamin complexes that should be used during pregnancy differ from the usual ones. Therefore, you only need to drink special preparations. At the same time, the reviews of girlfriends about which vitamins are the best during pregnancy should not be the determining criterion.

Read the instructions carefully before taking vitamins.

After all, what suits one woman does not necessarily work properly for another. It should not be ruled out that there may be an excess of any elements in the body of a pregnant woman (which is no better than their deficiency).

In this case, the question - whether to drink certain vitamin preparations at all, can only be answered by the doctor on the basis of the tests prescribed for the pregnant woman.

When deciding which vitamins are best taken during pregnancy, it is also necessary to take into account the developmental period of the baby. After all, the child is gradually increasing and, consequently, a woman needs more and more vital elements. Usually, taking a vitamin preparation is prescribed after the first trimester of pregnancy, according to the indications.

What should be included in prenatal vitamins

In multivitamins indicated for use by pregnant women should not be absent:

• folic acid (it is prescribed even before pregnancy, at the planning stage);
• iodine (it is worth noting that in complexes its content usually does not exceed 150 mcg, this amount is not enough for a pregnant woman, therefore, to replenish iodine in the body, it is required to use an additional iodine-containing drug or include appropriate foods in food).
• calcium (without it, the correct formation of the baby's skeleton is impossible).

What amount of vitamins is considered optimal when carrying a child

It is for women who are carrying a child that the norm of vitamins indicated for use is as follows:

• A - up to 2500 IU;
• B1 - 1.5-2.0 mg;
• B2 - 1.5-2.0 mg;
• B3 - 15-20 mg;
• B5 - 4-7 mg;
• B6 - 2.5 mg;
• B9 - 0.8-1 mg;
• B12 - 3.0-4.0 mcg;
• D - 400-600 IU;
• E - 10-15 IU;
• C - 70-100 mg;
• K - 65-80 mcg;
• H - 30-100 mcg.

And the norm of trace elements that should enter the body of the expectant mother is:

• iron (30-60 mg);
• magnesium (320-355 mg);
• calcium (1000-1200 mg);
• phosphorus (1200 mg).

Vitamins by trimester

As the child grows and develops in the womb, the needs for certain substances that come to the baby from the outside also change. Therefore, a deficiency or, on the contrary, an excess of vitamins and nutrients can lead to very unpleasant consequences, both for the fetus and for the health of the woman herself.

Folic acid is taken not only during pregnancy, but also at the planning stage

1st trimester

During this period, laid nervous system child. In order for this process to end favorably, a sufficient amount of folic acid must enter the mother's body.

And the prevention of toxicosis, increased nervousness and convulsions of pregnant women is facilitated by the intake of vitamin B6. It is prescribed from the third month of gestation. For better absorption, the vitamin is taken along with magnesium.

Vitamin A begins to drink at the end of the 3rd month of pregnancy and continue to do so. From now on, the fetus grows more intensively and it is very important that when further development the correct proportions of the embryo were observed.

You can not take several multivitamin complexes at once

2nd trimester

At this time, vitamin D is urgently needed to ensure the active growth of the baby of the pregnant woman. Its deficiency is fraught with the formation of intrauterine rickets, the incorrect formation of the child's ODA.

Vitamin E, taken by a woman during this period of pregnancy, favors the growth and development of the baby, and also ensures optimal uterine compliance, normal functioning of the placenta and minimizes the risk of preterm birth.

By the end of the 3rd month of pregnancy, the woman, and therefore the baby, needs more iron and calcium, which are actively spent on building the skeletal system and the formation of the baby's blood cells.

last trimester

On the this period you can stop taking vitamin B9, since the need for it comes to naught.

Until the very birth, a woman needs to take vitamins B6, E, calcium and iron preparations - they all help to support the fetus at the completion of the formation of internal organs and serve as a prevention of developmental delays.

The nutrition of a pregnant woman should be balanced and should not contain harmful products.

Popular vitamin and mineral complexes

Women who are planning the birth of a baby and are responsible for their own health should listen to medical recommendations regarding the use of a complex of vitamins for pregnant women.

Modern pharmacological companies offer a large selection of drugs to maintain the health of the mother and the full development of the body of the future newborn. It is difficult to say which one is better or worse - each remedy has a useful composition aimed at solving a particular problem.

Complivit Mom

This drug will be useful for nursing mothers (its components are absorbed into breast milk, which provides the baby with nutrients and minerals), as well as for those women who are just planning a pregnancy. And, of course, the composition of the vitamin complex fully corresponds to the physiological needs of the female body during the period of bearing a child.

In addition to the fact that pills provide 75% of the expectant mother with useful substances, they are also very pleasant to take (and this is especially important if a woman suffers from toxicosis), thanks to citric acid and sugar in the composition.

Alphabet

The peculiarity of the drug is that one blister contains pills of 3 colors. Each of them is intended for use at the time allotted for this: morning, afternoon and evening.

As part of the tablets - a certain list of biologically active elements and vitamins that are best absorbed at a specific time of day.

Vitrum

The drug, intended for pregnant women, was developed by US pharmacists and exists in 2 forms: Prenatal and Forte. They differ in different composition, as well as the percentage of components.

Both versions are rich in all the vitamins necessary for the body of the expectant mother, as well as macro- and microelements. However, Vitrum Forte has a more extensive set of useful substances in its composition: so, in addition to calcium, iron, zinc, the drug also contains molybdenum, selenium, chromium, calcium pantothenate, biotin, iodine, beta-carotene, copper oxide, manganese.

Vitrum Prenatal is shown as a prophylactic during pregnancy, and the purpose of Forte is to solve very specific problems that are characteristic of the physiological state of a woman who is expecting a baby.

Femibion

This is a complex that is rich in vitamin B9 and essential minerals. It also includes an additional element - metafolin, which is the active form of vitamin B9 and is absorbed better than folic acid in its usual form. In particular, the drug is prescribed to those patients whose body is not able to fully absorb B9.

The drug is produced in 2 forms: marked "1" - it should be taken when planning conception, and in the first 3 months of gestation; and marked "2" - reception is indicated from the 4th month of pregnancy.

Pregnacare

The composition of the drug includes the usual set of vitamins and minerals, however, there is no calcium in Pregnacare, so if the female body experiences the deficiency of this particular macroelement most of all, then the drug will not work.

Otherwise, one capsule of the drug per day is enough to increase the immunity of a pregnant woman, her physical activity, and also regulate metabolic processes. In addition, Pregnacare is a worthy remedy for the prevention of malformations of fetal development.

Only a doctor can choose the right vitamins

materna

A feature of this drug (coated tablets) is the optimal selection of the combination and concentration of the necessary vitamins (B9, B5, B12, B2, B1, B6, C, E, D) in combination with biologically important active elements (iodine, chromium, selenium, iron , manganese, zinc, calcium - the latter is especially valuable, because its deficiency is acutely felt in the last months of pregnancy).

The dose and mode of taking the drug is determined by the doctor.

Elevit

The multivitamin complex in the form of grayish-yellow tablets includes: 12 vitamins (A, E, D3, C, group B, PP), 7 minerals (manganese, magnesium, phosphorus, iron, calcium, zinc, copper).

Each substance in the composition is carefully dosed in accordance with the needs of the body of the expectant mother and the growing fetus.

Elevit is prescribed for the prevention of hypovitaminosis in women with malnutrition, and in connection with individual indications.

Multi-tabs Perinatal

The composition of the complex rich in vitamins and minerals (in particular, Multi-tabs is the optimal focus of folic acid and iodine) provides the mother's body with everything necessary for the harmonious formation of the fetus, easy gestation, serves as a prevention of stillbirth, vascular disorders of the embryo, and also contributes to good health and excellent mood women.

Tablets are consumed without chewing and washed down with plenty of water for better absorption. This is done once a day.

Other vitamin complexes

On the above multivitamin complexes, the list does not end there. The composition of such drugs is largely the same, but every woman expecting a baby is free to choose for herself the remedy that will not cause allergic reactions and, of course, is acceptable according to the financial capabilities of the family.

In particular, pharmacies also offer the following:

• Amway;
• Magnelis;
• Orthomol;
• Pregnavit;
• emfetal;
• Fertilovit;
• Pregnazon.

What are the benefits of taking vitamins in tablets? With them, precise control and regulation of the dose of useful components is possible. Indeed, including food with such substances in the composition in the diet is not easy to do.

It should be noted that all iron-containing preparations can stain the feces and urine of a pregnant woman in a dark color - this should not disturb the woman.

The best vitamins for pregnant women, reviews

If for some reason you are unable to eat a balanced and healthy diet - whether due to a lack of time for frequent cooking, a busy work schedule, or a lack of funds - taking vitamins will solve the problem of saturating the body, and, consequently, the unborn child. And to determine the most best vitamins for pregnant women - to help reviews of women who took medication during the gestation period.

You can highlight for yourself both the advantages and disadvantages of the presented vitamin complexes, and then choose the most suitable option.

Proper nutrition will help provide a woman with vitamins, but not in full

"Alphabet"

Advantages:

• the interaction of trace elements contained in the preparation was taken into account;
• since the tablets are multi-colored, in case of an allergy, you can stop using pills of a certain color;
• contains the largest amount of iodine compared to other drugs of a similar nature, so you do not have to take this mineral additionally.

Cons: insufficient content of vitamin B9, so you will have to ensure its additional intake at least up to 3 months of pregnancy.

"VitrumPrenatal"

Advantages:

• high iron content, the intake of which serves as an anemia prevention and helps to treat it on early stages development;
• the optimal amount of vitamin B9.

Disadvantage: lack of iodine, although this minus is compensated by the drug "VitrumPrenatal forte".

"Materna"

Advantages: the optimal amount of iodine and vitamin B9.

Disadvantage (and it is very significant): high saturation with vitamins A and group B, which often leads to allergic reactions.

"Pregnavit"

Advantages: provides the body with all the necessary vitamins during pregnancy.

Disadvantage: there is also no iodine, so an additional intake of preparations containing this mineral is required.

Iodine is essential for a pregnant woman

"ElevitPrenatal"

Advantages:

• rich in magnesium (this is the best prevention of a possible miscarriage);
• improves blood circulation.

No negative reviews found.

"Femibion"

Advantages: it is considered the best drug to date, containing all the elements important during pregnancy. Therefore, there is no need for additional intake of appropriate drugs.

Disadvantage: this mainly concerns not the characteristics of the composition of the drug, but its high cost.

After weighing and comparing all the pros and cons, you should not forget that any multivitamin complex (and this does not depend on its quality) has its own contraindications. Therefore, choosing the best vitamins for pregnant women, as well as determining the methods of their use, should only be a doctor who observes a woman while waiting for a baby.

Vitamins that are allocated to pregnant women for free

Currently, in Russia, the law provides for free provision of pregnant women with vitamins. This is done in accordance with relevant laws and regulations.

In particular, they indicate that women who are expecting a child have the opportunity to receive free vitamins, calcium and iron preparations (all of them are included in a special list) in an amount not exceeding 30% of the cost of a birth certificate.

It is not difficult to get free vitamins: for this, the gynecologist must write out a special prescription for the woman, and it must be used within 10 days at the state pharmacy of the area where the women's clinic is located.

You can get a prescription for free prenatal vitamins from your gynecologist

The only aspect that somewhat limits the distribution of free vitamins to pregnant women is the following. The procedure for issuing such drugs is carried out by territorial medical associations.

Each of them, unfortunately, is funded differently (it depends on the number of people attached to it), respectively, and the situation with the issuance of free vitamin preparations to pregnant women can also be different.

In some antenatal clinics, the delivery is made to all pregnant women in the amount they need. And in others, where there is no sufficient funding, vitamins are given free of charge only to certain categories of women expecting a baby: those with many children, the unemployed, etc.

Currently, free distribution of such vitamins and other drugs is possible:

• Alpha tocopherol acetate capsules;
• Beviplex dragee;
• Bio-Max tablets;
• Vitamin E and Vitamin E Zentiva;
• Vitrum vitamin E;
• Vitaspectrum tablets;
• Vitaress tablets;
• Vitrum tablets;
• VitrumPrenatal, VitrumPrenatal forte and Vitrum Superstress tablets;
• Doppelherz vitamin E;
• Hexavit dragee;
• Gendevit dragee;
• Glutamevit tablets;
• Zytrum vitamin E;
• Iodbalance;
• Iodomarin;
• Potassium iodide;
• Complivit, Complivit Mom, Complivit Active tablets;
• Maltofer solution and tablets for oral administration;
• Megadin and Megadin Pronatal tablets;
• Microiodide;
• Multimax tablets;
• Multi-Tabs Active, Multi-TabsIntensive, Multi-Tabs Classic and Multi-Tabs;
• Perinatal tablets;
• Multivitamin dragee;
• Revit and Revit-UVI dragee;
• Selmevit tablets;
• Supradin tablets;
• Teravit, TeravitAntistress, TeravitPregna tablets;
• Tocopherocaps;
• Tocopherol acetate 5%, 10% and 30% solution;
• Tri-Vee Plus tablets;
• Undevit and Undevit-UVI dragee;
• Fenyuls Complex;
• Ferretab complex;
• Ferrovit and Ferrovit forte tablets;
• folic acid tablets;
• Elevit Prenatal tablets.

Often, pregnant women decide to take the so-called fish oil, but its intake must be agreed with the doctor.

Why is it important to choose vitamin preparations with a doctor

Do not forget that any multivitamin complex cannot be a harmless drug, and without consulting a doctor future mom should not assign anything to themselves. Since both the excess of substances and their deficiency are fraught with serious consequences for the fetus and mother.

And if a vitamin preparation is prescribed by a gynecologist, you should strictly adhere to the prescribed dosage.

It is also worth remembering that often taking such pharmaceutical drugs entails the appearance of allergic reactions. In such cases, the doctor reconsiders his appointment and selects for the pregnant woman the means that will be well tolerated by her body.

Instead of a conclusion

The purpose of multivitamins, which can be freely purchased at pharmacies, is exclusively prevention. That is, they cannot be used as a way to treat diseases that develop from a deficiency of vitamins and nutrients. When according to medical recommendations, they do not cause an overdose.

Do not forget the following: like any drug with many active ingredients in the composition, multivitamins can cause allergic reactions.

One more important nuance should be noted: during pregnancy, it is not recommended to take several drugs at once containing a complex of vitamins and biologically active substances.

It is rare that the diet of a pregnant woman is sufficiently balanced, so taking vitamins is mandatory.

As for whether it is worth taking vitamin complexes at all for up to 3 months of pregnancy, or is it enough to limit yourself to taking drugs containing specific vitamins, then the opinions of experts are divided.

So, gynecologists-obstetricians, who are negative about the fact that the embryo is subjected to additional exposure chemicals, advise to stop taking multivitamins.

Other doctors, on the contrary, are supporters of early vitamin prophylaxis, referring to the fact that scientists have not proven the harmful effects of these drugs on the development of the embryo.

Therefore, the final decision should still remain with the future mother.

"Vitamin-mineral complexes bring huge benefits to manufacturers of vitamin-mineral complexes"

“Do pregnant women need vitamins” is one of the most relevant holivars of our time. Dozens of spears have been broken, doctors are accused of collaborating with pharmaceutical companies, and manufacturers of vitamin complexes are accused of conspiring to destroy all life on earth.

The slogans of opponents of vitamins are well known: “in no developed country of the world, especially in the USA, vitamins are used”, “the effectiveness of essential micronutrients has not been proven”, “vitamin B6 is thiamine, and thiamine is toxic to the liver!”.

However, even those who occupy the most radical positions are forced to admit that it is impossible to completely do without vitamins and minerals.

As a result of these positional contradictions, domestic vitamin phobia began to take completely ridiculous forms: considering vitamin and mineral complexes an absolute evil, doctors “make concessions” and continue to recommend a certain set of vitamins and micronutrients to pregnant women.

Concession #1: "It's Enough to Take Folic Acid"

Deny the importance of taking folic acid at a dose of 400–800 mcg/day. impossible. The association of folate deficiency with neural tube defects in the fetus has been well documented in the popular and professional literature. The incidence of other birth defects in folate deficiency is much higher. First of all, these are congenital heart defects (incidence 1:100), defects in large arteries, fetal hypotrophy, Down syndrome, cleft palate.

At the same time, there is a misconception that the use of folic acid to prevent fetal malformations is sufficient. Unfortunately, this is absolutely not the case. In the folate story, there are two extremely important moments. First, start taking folic acid 12-16 weeks before conception. Only in this case can one count on a preventive effect, because neural tube defects and the most gross defects form very early - before the 28th day of gestation. Secondly, it is necessary to take the correct dose of folic acid.

In Russia, there has been an alarming trend - the appointment and consumption of folic acid in excess doses of 5000 mcg per 1 tab. and 1 mg (1000 mcg) 3-6 tablets per day.

I have a theory to explain this phenomenon. To the question: “What dose of folic acid should be recommended at the preconception stage (in preparation for pregnancy) and during it?” - most obstetrician-gynecologists confidently answer: "400-800 mcg / day." There is probably some arithmetic gap in our education. I remind you: 1 mg \u003d 1000 mcg. The recommended dose of folate is 0.4–0.8 mg = 400–800 mcg. If you bought folic acid at a dosage of 1 mg, correct mode reception - ½ tab. in a day.

The fact that in our country people “bruise their foreheads” in their zeal has been known for a very long time. Therefore, today I meet masterpiece appointments: folacin 1 tab. x 3 times a day = 15,000 mcg of folic acid angiovit 1 tab. 2 times a day + folic acid 1 tab. x 3 times a day = 13,000 mcg per day

Why doesn't "more" mean "better"? What is the reason for the anxiety? Folic acid in a dose corresponding to the daily requirement for pregnant and lactating women belongs to the "A" safety category. The use of doses of folic acid in excess of the daily requirement, transfer this vitamin to the category "C" (risk to the fetus cannot be ruled out). Enough research has been accumulated on this topic. For example , high levels plasma folate in pregnant women is associated with a high risk of obesity and insulin resistance in children.

Concession No. 2: “Perhaps you will still need iodine”

In the Soviet Union, there were state programs for the comprehensive prevention of vitamin deficiencies. With the start of reforms in Russia, the iodine deficiency prevention program was completely discontinued, although it has been known since the 1920s that Russia is an iodine-deficient region. Therefore, since the 1990s, cases of congenital iodine cretinism have appeared in the Russian Federation, which were practically not observed in the USSR. What is easier - salt iodization and the use of potassium iodide at a dose of 150 mcg / day. at the pregravid stage, 200 mcg / day. during pregnancy and lactation.

Unfortunately, it is impossible to assess the intellectual damage that has already been done to the nation. In regions of iodine deficiency, according to studies, IQ is 10–15 points lower than in regions of iodine availability.

Concession No. 3: "We need to add iron"

Sadly, the Russian Federation is recognized as an endemic region for iron deficiency. An epidemic of "anemia in pregnancy" is victoriously marching across the country, covering almost 100% of all pregnant women observed in antenatal clinics. Anemia is not just low hemoglobin. This is a whole set of pathological processes: placental insufficiency, growth retardation and fetal development, chronic intrauterine hypoxia, weakness of labor, hypotonic bleeding. Having missed the latent iron deficiency at the very beginning of pregnancy, we quite naturally get anemia by 22 weeks, along with a full range of related problems.

Concession No. 4: “We forgot about calcium!”

By the way, the need to take calcium is rarely forgotten. And if the doctor forgets, the patient will definitely remind. The fear of losing teeth during pregnancy prevails over the fears of excessive "ossification" of the head, which, by the way, really makes it difficult to configure the head when passing through the birth canal.

It is desirable to attach vitamin D3 to calcium, a little copper, zinc and manganese. Calcium without manganese - as they say - money down the drain.

Concession No. 5: “But what about without magnesium?”

With the help of magnesium preparations, modern obstetrics is trying to maintain pregnancy, carry out light sedation, reduce blood pressure, treat preeclampsia (a disease of the second half of pregnancy, symptoms: increased blood pressure(BP), sudden onset of edema, and the presence of protein in the urine), as well as improve perinatal outcomes.

Concession #6: "Vitamin E is a must"

Why did you prescribe vitamin E to a pregnant woman?
- It has a progesterone-like effect.
- Why do you need a progesterone-like action? Progesterone is not destiny?

I think it's just a tradition that takes roots in pre-morning and pre-Dufaston times. At a dose of 400 IU, vitamin E can have a teratogenic effect (impaired fetal development with the occurrence of malformations of the body structure).

It's monstrous, but I still meet pregnant women taking Aevit. This medicine contains 35 mg of retinyl acetate (more than 100,000 IU of vitamin A), which is 30 times the legal limit. Russian Federation the upper level of consumption and 10 times the threshold of teratogenesis. In the instructions for the drug, it is written in black and white that the drug is not recommended for pregnant women. But no, until now, someone “preserves” something using high doses of vitamins A and E.

Opinion: “Let the pregnant woman just eat well!”

There is also such a point of view. And we are not against, we are only for! But the real situation with nutrition is not encouraging. On the website of the Federal Service state statistics detailed report published State system monitoring of the nutrition of the population in 2013, which revealed a monstrous failure in the consumption of fish. Less than 30% of citizens eat fish daily or several times a week. At the same time, the abuse of bakery products, potatoes leads to an increase in alimentary-dependent non-communicable diseases.

There is also a problem with the amount of vitamins and minerals contained in food. Modern technologies food production do not allow to accumulate vitamins in fruits and vegetables in sufficient volume. We eat fish that have never swum in the sea or in the river. We buy a bird that has grown up in a cage without ever pecking at a worm. We eat apples in which the core does not darken due to the vanishingly small amount of ascorbic acid. It's no secret that the vast majority of vitamins and micronutrients are simply destroyed during the cooking process.

Determining the nutritional norms for pregnant women is also not easy. In practice, questions immediately arise. What if this woman has three children and is pregnant with her fourth? And if before pregnancy there were very plentiful periods? And if vomiting 5-6 times a day up to 14 weeks?

What happens? Refusing to use balanced vitamin-mineral complexes containing verified physiological doses of vitamins and micronutrients, are we trying to assemble a kind of puzzle in the body of a pregnant woman from folic acid, iodine, calcium, iron, magnesium, selenium, manganese and zinc?

Why did we decide that we would do it better and more accurately than in a specialized production? Why did we feel that a handful of pills was better and safer than one? Isn't this the same "drug promiscuity" that we talk about so much at congresses from high tribunes?

“Unfortunately, some of the lecturers at such conferences are not only very loose with the facts (whether scientific or legal documents), but also present their personal fictions as the ultimate truth.

They especially like to attack vitamins, pointing out their "uselessness" or "harmfulness" or "lack of evidence base", and in the fight against vitamins they even forget that a woman, even without any pregnancy, needs daily replenishment of physiological doses of vitamins and trace elements. As if before pregnancy, a woman is a person who, according to the norms of Rospotrebnadzor, is recommended to consume vitamins and micronutrients, and with the onset of pregnancy, she is a Martian who needs only folic acid and iodine from micronutrients.

Olga GROMOVA, Doctor of Medical Sciences, Professor of the Department of Clinical Pharmacology of the Ivanovo Medical Academy, Scientific Consultant of the Russian Branch of the Center of the UNESCO Institute for Trace Elements

Oksana Bogdashevskaya

Photo thinkstockphotos.com

Pregnancy is a special state of a woman. During this period, she is simply obliged to take care of herself, her health, what she eats and drinks, what drugs she takes. In addition, during this period, the needs of a woman also change, because her body must supply nutrients, vitamins and oxygen not only to herself, but also to an unborn child. This article will focus on complex vitamins for pregnant women, the feasibility of taking them and the complexity of the choice.

To drink or not to drink vitamins for pregnant women is a complex issue and still causes a lot of controversy. On the one hand, the lifestyle of the average woman today, unfortunately, does not favor a healthy balanced diet. This means that she, by definition, receives less vitamins and minerals than she needs.

But this has a detrimental effect on the state of the woman's body, to say nothing of the child. On the other hand, an excess of vitamins can be no less harmful for both than their lack.

In addition, the need of each particular woman for a particular vitamin is very individual, and depends on a host of factors, including a woman's diet, her health, lifestyle, and even the time of year. And vitamin complexes are designed in such a way as to satisfy the needs of a woman in any condition, in any season, in any situation. Naturally, with the composition with this approach, excesses occur.

So is it necessary to take vitamins during pregnancy? It is definitely difficult to answer this question. Someone is an ardent fan of taking vitamins both at the conception planning stage and throughout pregnancy. Others believe that taking vitamins can cause serious pathologies, which means that they should not be taken categorically. Whose side is the truth on?

As always, she is somewhere in the middle. If the thing happens summer, and the pregnant woman is correct and eats varied, consumes a lot of fruits and vegetables, then she most likely does not need an additional complex of vitamins for pregnant women. You may need to drink some vitamins separately, but this should be determined by the doctor. If even before pregnancy she had all the signs beriberi and it's happening winter, then you can not do without multivitamins.

As a result, it turns out that, like various medicines, vitamin complexes for pregnant women must be taken not just like that, but only after consultation with a doctor. And, perhaps, the most important thesis that women should remember: it is best to receive vitamins from food. Of course, there are much fewer nutrients in products than in tablets. However, most natural vitamins are absorbed many times better, which means that it is easier to get the daily norm with them.

A set of vitamins for pregnant women

Before you figure out which vitamin complexes are better, you need to understand how many and what vitamins does a pregnant woman need woman. Given that another, albeit small, but already a person is developing in her body, her need for vitamins increases.

The norm of vitamins during pregnancy or a set of vitamins for pregnant women are also compiled without taking into account individual characteristics, but you can still focus on them in order to understand which vitamins are best for pregnant women.

On average, the daily intake of vitamins for pregnant women increases by 15-20%. However, you need to understand that the norms of vitamins differ by trimester. After all, in different periods development of the child, he needs different vitamins and minerals.

Vitamins when planning pregnancy

Some experts and many women believe that vitamin complexes for pregnant women should be taken even at the stage of pregnancy planning. However, this issue should also be examined in more detail. First of all, when we are just planning a pregnancy, the need for vitamins has not yet been increased, which means that if you drink vitamins, then for sure not for pregnant women After all, an excess of vitamins affects the body no less detrimentally than their lack.

Should I even take vitamins to prepare for pregnancy? The answer to this question is also individual and requires consultation with a doctor. In the end, if you have already decided to consciously prepare for pregnancy, then you can hardly do without a visit to the doctor. So check with him which vitamins are better for you to drink before pregnancy.

In most cases, women during this period have a deficiency of substances such as iodine and folic acid. It makes sense to drink them on the planning stage. If there are general signs of vitamin deficiency, then the doctor may prescribe a regular multivitamin complex to normalize the condition.

Vitamins in the 1st trimester of pregnancy

Which vitamins are the most important for early pregnancy? Usually, in response to this question, they call the same folic acid, as well as vitamins A and E. Let's try to figure out in more detail why these vitamins are so necessary, and how many of them are needed.

Let's start with vitamin E , because it is about him that the most fierce disputes usually go. The dose of vitamin E during pregnancy is 15 mg. It regulates the production of female sex hormones, normalizes the menstrual cycle - this is still before conception. In the early stages, it participates in the formation of the placenta, and also protects against miscarriage.

Now let's move on to folic acid . Another name for folic acid is vitamin B9 . His reception also begins three months before the planned conception, and ends at the end of the first trimester. The choice of dosage should be carried out by a doctor, depending on the condition of a particular woman. On average, it is 0.4 to 0.8 mg per day.

Folic acid promotes rapid cell division, which has a positive effect on the development of the fetal egg in the early stages. In addition, it contributes to the correct transfer of genetic information, like vitamin E, participates in the formation of the placenta, "insures" against miscarriage and miscarriage. Folic acid plays an important role in the synthesis of hemoglobin, and with its deficiency, anemia can develop. This condition adversely affects the child, because it is hemoglobin that carries oxygen through the body of the mother and fetus.

This is what concerns the body of the mother. But also in fetal development vitamin B9 takes the most active part. In particular, it is very important to receive it in the first 4 weeks of pregnancy. It is at this time that the neural tube is laid, and then the brain develops from it. If folic acid is not enough, then various malformations of the brain may occur, including nerve herniation.

Vitamin B9 is found in animal liver, spinach, asparagus, lentils, Brussels sprouts, beans and wholemeal flour. However, it is absorbed very poorly from food, no more than 50%. That is why it is prescribed to almost all pregnant women.

But don't start taking folic acid on your own. Remember that the dosage must be prescribed by a doctor.

Vitamin A taken in the first 2 months of pregnancy, as well as in the last 2 months. In the second trimester, it is not necessary to take it. In the 1st trimester of pregnancy, vitamin A should be taken no more than 2500 IU per day. Before pregnancy, this figure is twice as much - 5000 IU. Exceeding the dosage is dangerous because it causes the development of heart disease in the fetus, a violation of the development of the nervous system.

At the same time, a lack of vitamin A can be fatal, because it is involved in the development of the skeleton, vision and nervous system.

Vitamin A is found in fish oil, animal liver, sea buckthorn, mountain ash, apricots, rose hips, carrots, peaches, celery and spinach. Please note that vitamin A is fat-soluble, that is, for its absorption, all these foods must be consumed in combination with fats.

Vitamins in the 2nd trimester of pregnancy

In the 2nd trimester of pregnancy, the following vitamins and minerals are needed: iodine, calcium and iron.

Iodine pregnant women are usually prescribed in the first trimester. However, it is especially important in the second. The only contraindication for taking drugs containing iodine may be some diseases of the thyroid gland. Its daily dose is 250 mg per day.

Iodine takes an active part in the synthesis of thyroid hormones, and they, in turn, are involved in the formation of the child's skeleton, as well as in his mental development.

Lack of iodine in pregnant women causes metabolic disorders, namely its slowdown. As a result, expectant mothers begin to gain weight, they develop weakness.

Iodine is easiest to get from seafood and sea or iodized salt. However, it is worth remembering that iodine is destroyed by temperature effects, which means that after heat treatment the amount of iodine in the products is sharply reduced.

Daily dose calcium for pregnant women is 1500 mg per day. And there is no point in talking about why calcium is needed in the second half of pregnancy, everyone knows this: calcium is needed for bone formation. In addition, he is involved in the formation endocrine system and kidneys.

However, an overdose of calcium preparators will not lead to anything good, because it has the ability to accumulate in the placenta.

Calcium is found mainly in fermented milk products . At the same time, animal fats impede the absorption of calcium, so preference should be given to low-fat foods. There is calcium in plant foods, in particular in broccoli, white cabbage, kohlrabi and the like. Chocolate, coffee and soda reduce absorption of calcium.

Since calcium is very poorly absorbed from food, it is still recommended to take vitamins with calcium for pregnant women. The third generation drugs, such as Calcemin, are considered the best. In addition to calcium, these preparations include vitamin D, zinc, manganese, boron, copper and magnesium, which promote the absorption of calcium.

Equally important for a pregnant woman in the second trimester iron . The average daily dosage is 30-60 mg. In some cases, this amount may be greater: if the woman's iron supply was initially reduced.

Iron is necessary, first of all, for the prevention of anemia. After all, it is part of hemoglobin, which, as we have already found out, carries oxygen throughout the body of the mother and child. In addition, iron is involved in protein synthesis, which is involved in the formation of muscle tissue. Iron deficiency can lead to increased uterine tone.

If a woman has a risk of miscarriage, then she must check the level of iron in the blood. Normally it is 15.

Iron contained in meat, especially a lot of it in veal, turkey, hare, pork and beef. There is iron in plant foods, but from there it is absorbed much worse.

Vitamins in the 3rd trimester of pregnancy

In the third trimester, vitamins such as A, C, D and iron are most relevant. We have already written about iron and vitamin A above. So now we will talk about vitamins C and D.

Vitamin C it is especially important during this period, although in some cases it may be prescribed during the planning period, for example, if a woman smokes. The dose of vitamin C during pregnancy is 90-100 mg.

Vitamin C has a strong effect on the immune system, but has an interesting feature: when oversupply of this vitamin in the blood of a woman, the placenta begins to perceive it as a hostile element and filter it out. That is, the more vitamin C intake, the less the child receives.

It is known that vitamin C is found in citrus fruits, but they provoke the development of allergies, so they are not recommended for pregnant women. It is much more expedient to eat potatoes, greens, sweet peppers, currants, carrots, cabbage. When exposed to air, vitamin C is destroyed.

Vitamin D needed for bone development. Therefore, in the third trimester, it is prescribed for the prevention of rickets in a baby. The daily intake of vitamin D is 400 IU.

In food, vitamin D is found in too small quantities, so talking about it simply does not make sense. But it is easily synthesized in the human body under the influence of sunlight. That is, in the summer, instead of taking certain drugs, you just need to be in the sun more often.

Which vitamins are best?

Taking vitamins during pregnancy is not at all mandatory, however, if you still decide to take them or have been prescribed them to you by a doctor, then you will face a difficult problem: how to choose vitamins during pregnancy?

The fact is that now there are a lot of different manufacturers of vitamin complexes in general, and multivitamins for pregnant women in particular. Almost all of them are good in their own way, and how do you determine which vitamins to take during pregnancy?

1. The content of vitamins and microelements in a particular complex, and in almost all complexes it is different.
2. The individual response of the body to specific drugs.

The list of vitamins for pregnant women is very extensive, and it is very difficult to understand all this diversity. To facilitate this process, we want to provide a comparative table of vitamins for pregnant women.

Nicotinamide (Vitamin PP) 20 mg

Many people have a question Are pregnant women entitled to free vitamins?? Vitamins are really required, especially if a woman has indications for this. However, it should be understood that they will give you quite specific vitamins for free and you will not have the opportunity to choose. Bearing in mind that many women do not like to work with tables and numbers, below we will consider the most common vitamin complexes and give them a brief description.

Vitamins for pregnant women Pregnavit : today it is perhaps the most popular complex in pregnant women in our country. However, it lacks iodine and some trace elements. Stopping your choice on it, it is important to consider this point.

Vitamins for pregnant women Elevit : This vitamin complex has a high magnesium content, so it is often prescribed to women with a threatened miscarriage. However, the composition of the complex does not include such a microelement as iodine.

Vitamins for pregnant women Alphabet : the complex is different in that different vitamins and elements in it are separated into different tablets, painted in certain colors. This allows you to divide in time the intake of substances that conflict with each other. In addition, this also allows you to simply refuse one of the tablets in the presence of an allergy. The complex of vitamins for pregnant women contains iodine, which is clearly its plus.

Vitamins for pregnant women Vitrum Prenatal Forte : These prenatal vitamins contain iron in required quantities. Therefore, the complex is very useful for women suffering from anemia. Equally important is the presence of folic acid in the composition of vitamins, and such important trace elements as iodine and antioxidants (selenium, manganese, molybdenum).

Vitamins for pregnant women Complevit Mom : in the complex, the content of iodine, vitamin A, D and vitamins B6 and B12 for pregnant women is significantly lower compared to other vitamins. On the one hand, this can be considered a minus of the complex. On the other hand, this complex is suitable for those who are sure that they receive all these vitamins with food.

Vitamins for pregnant women Centrum Materna : one of the few complexes that contains folic acid and iodine, but it contains a high content of vitamins A and B, which means that you should not take it without consulting a doctor. Do not opt ​​for these vitamins and those who are prone to allergies.

Vitamins for pregnant women Multi-tabs Prenatal : the complex can be considered basic, suitable for a normal, without pathology ongoing pregnancy.

Vitamins for pregnant women Femibion : this is the newest complex of vitamins, which include a special, easily digestible form of folic acid. It does not contain iron and vitamin A, since the first is far from being absorbed with every vitamin. And vitamin A is too dangerous in case of an overdose, and according to European doctors, there should be additional reasons for prescribing a drug with its content.

Vitamins for pregnant women Amway : These vitamins cause a huge amount of controversy: someone is completely delighted with the use of these vitamins, someone is embarrassed that they are not sold in a pharmacy, but by people without a medical education. It makes sense to familiarize yourself with all the certificates, composition, and so on, and make a decision on this basis. The convenience of vitamins from Amway is that almost all the vitamins in them are placed in different tablets, and a woman can select an individual composition.

Vitamins for pregnant women Emfetal : vitamins are new on the Russian market, and therefore raise many questions. Many women are afraid to buy something new, and prefer old and proven products.

Vitamins for pregnant women Pregnakeya : also new and inexpensive vitamins. Reviews about them are still very controversial and ambiguous. These vitamins contain almost all the necessary vitamins and minerals, including folic acid, iodine and iron.

In conclusion, I would like to say once again that it is best to try to balance your diet in such a way that taking vitamins is simply not needed. However, if the lack of vitamins still bothers you, be sure to consult your doctor.

Keep in mind that you can always run into individual intolerance certain vitamins. This is usually expressed in weakness, nausea and other similar sensations. In this case, it is better to refuse taking vitamins and ask your doctor to prescribe you new drug. Approximately 2/3 of all negative reviews about any vitamins fall precisely on cases of individual intolerance.

In addition, do not forget that synthetic vitamins greatly increase the load on the liver. Therefore, it is recommended to drink vitamins in courses: drink for 1 month, take a break for 1-2 weeks, and only then resume taking vitamins. Be healthy!

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