Vitamin A in Pregnancy - Risks


From:         YTDP43A@prodigy.com (MS GAIL M HART)
Subject:      vitamin A in pregnancy

RE <<< too much Vitamin A in pregnancy causing toxicity.<<<

It don't know the amount which would cause a toxic reaction, but large doses of vitamin A have been associated with cranial deformities; and for many years women were advised to be cautious about taking mega-dose vitamins in pregnancy.

In October the Associated Press reported on a study showing that relatively small amounts of supplemental vit A may cause problems (I have a copy of the release -- if anyone wishes the entire post, let me know -- and I 'll send it off to you). Has anyone heard an update? Is this study 'holding up"?

The gist of the study (by researchers at Boston University ; published in the New England Journal of Medicine: Dr. Kenneth J. Rothman, the principal author) says that "surprisingly low doses of vitamin A -- as little as the amount contained in two or three multivitamin pills -- may increase the risk of birth defects when taken early in pregnancy".

Their article states that consuming an excess of 10,000 international units of vitamin A each day may be dangerous to the developing fetus.

Prenatal and daily vitamines usually contain 5,000 units or less, but some multivitamin brands, (especially those sold in health food stores), can have much larger amounts, and vitamin A capsules may contain as much as 25,000 units.

In the Boston study --- the researcher found that """""one of every 57 babies born to women who take more than 10,000 units of vitamin A will have a birth defect as a result. The problems involved malformations of the face, head, heart and nervous system". -"""""

"""""-Women who took vitamin pills with more than 10,000 international units of vitamin A were five times as likely as those who took less than 5,000 units to have a birth defect linked to vitamin use.

--The increased risk was greatest when women took vitamin A during their first seven weeks of pregnancy -- a period when women often are not even certain they are pregnant.

--Defects linked with vitamin A included cleft lips and palates, serious heart problems and fluid on the brain. """""

Fortunately women rarely consume excessive amounts of vitamin A. The Boston study covered 23,000 pregnancies, and found less 2 percent of the women took more than 10, 000 international units of vitamin A daily from supplements..and only five or six babies were found which the researchers thought were harmed by vitamin A.

The authors advise women to check their multivitamin bottles to be certain their vitamin A levels do not exceed 5,000 international units, (this is the current U.S. RDA. Women should also not take additional vitamin A pills and might be advised to be watchful of large doses of liver (very high in vitamin A) and even some packaged foods -- a bowl of some types of ready to eat cereal can contain 5,000 units. A woman may unknowingly accumulate a large dose from several different sources.. (It' s not unusual for women to take several different supplements -- check out the vitamin A totals!).

The researches say that carotene -- the vegetable form of vitamin A - - appears to be completely safe and can be substituted for straight vitamin A -- also called "retinol".

This research was based on 22,748 births in the mid-1980s.Some vitamin manufacturers have reduced the level of retinol vitamin A in multivitamins, substituting beta carotene.

The Council for Responsible Nutrition, a vitamin makers group, currently (October) recommends that vitamin pills contain no more than 10,000 units of vitamin A.