Obs and Guidelines

Vitamin and Mineral Supplementation and Pregnancy (C-Obs 25)


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RANZCOG guideline finalised November 2019. 


Prescribing recommendations:

Folic acid: 0.8 mcg PO daily (5 mg if BMI >30, prev NT defect, diabetes, risk of malabsorption, anticonvulsants)

Iodine: 150 mcg PO daily

Iron: Ferrous fumarate (60 mg elemental Fe) 200 mg PO daily, or on alternating days. Alternatively use Ferro-F-Tab (100 mg elemental Fe).

Calcium carbonate: 1.25 g PO BD

Cholecalciferol: 1.25mg x2 for loading dose followed by 1.25mg monthly (contains ~40,000 IU per dose)

Vitamin K: 10 mg PO daily in last 4 weeks of pregnancy complicated by cholestasis (use IV formulation)

B12: As part of multivitamin


Multivitamins: Elevit, Blackmores Gold, Swisse, GO Healthy


This podcast is not endorsed by RANZCOG and has no affiliation with RANZCOG. This podcast does not constitute medical advice and comes with no assurance of accuracy. Amazing cover artwork by Anna Lovisa - Ngā mihi nui!

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