Folate supplementation prior to conception could mask a potential deficiency. Health professionals need to be aware of this fact in order to save many couples facing potentially expensive, unnecessary treatments or remaining childless. Low B12 also has links to post natal depression and pre eclampsia.
Information below supplied with kind permission of Sally M. Pacholok R.N. and Dr. Jeffrey J. Stuart.
Pregnancy represents a huge challenge for those who have an undiagnosed B12 deficiency, the growing baby will take all the B12 supplies it needs leaving the mother desperately short.
In addition, the use of nitrous oxide during labour can completely inactivate any remaining supply of B12. Pregnant women at greatest risk for deficiency include vegans and vegetarians, those with autoimmune pernicious anaemia or malabsorption syndromes such as Crohn's disease or coeliac disease. Those with a history of gastric bypass for weight loss, strict dieting, anorexia, or bulimia.
B12 deficiency and Miscarriage: Far More Common Than Doctors Think
A recurring theme in medical literature is that B12 deficiency is a fairly rare cause of miscarriage or stillbirth. The evidence, however, suggests otherwise. One recent study, for instance, compared thirty-six women who'd suffered recurrent foetal loss to forty women who'd carried healthy babies to term. The researchers found that 31 percent of the women who'd lost several babies had high homocysteine levels. (Elevated homocysteine is caused by low levels of folate, B12 and/or vitamin B6, and is easily treated with these vitamins).
Sixteen percent of the women who'd suffered recurrent foetal loss carried two copies of the MTHFR gene that causes abnormally high homocysteine levels, and three of the women had overt B12 deficiency.
B12 deficiency and Neural Tube Defects
When mothers are deficient in B12 the damage to their babies starts in the womb. You've probably heard of neural tube defects (NTDs), which are very common, severe birth defects occurring when the brain or spinal cord fails to form correctly. Low levels of folic acid increase the risk for NTDs which is why doctors now ensure that their pregnant patients get plenty of this vitamin. However, research strongly implicates low B12 levels as a factor in NTDs, which isn't surprising, since folic acid and B12 work hand in hand.
Tests that could save a mother's sanity and a child's life
More research is needed to determine the incidence of B12 deficiency in women with post natal depression or post natal psychosis. In the meantime, we believe that all women diagnosed with post natal mental illness should undergo screening, including serum B12 and urinary MMA tests. Pregnancy can dramatically worsen a pre-existing B12 deficiency, because B12 is transferred to the growing foetus throughout pregnancy, and prenatal vitamins contain only six micrograms of this nutrient (compared to the 1,000 micrograms needed to treat deficiency). Pregnant women at greatest risk for deficiency include vegans and vegetarians, those with autoimmune pernicious anaemia or malabsorption syndromes such as Crohn's disease (an inflammatory intestinal disease) or coeliac disease, and those with a history of gastric bypass for weight loss, strict dieting, anorexia, or bulimia. However, any women who develops symptoms of mental illness following pregnancy needs B12 screening.
Mothers with depleted B12 stores...
who exclusively breast feed their babies unknowingly put them at great risk for developmental disability or even death. This is a common cause of B12 problems in infants; one study for instance, found that a group of six infants became ill after being nursed by vegetarian mothers. (The other half were born to mothers with undiagnosed pernicious anaemia).
Vegetarian and vegan mothers are devastated and feel tremendous guilt when their children suffer harm due to B12 deficiency, but in reality, most of these tragedies are the fault of doctors who fail to screen pregnant and nursing mothers for this deficiency - and who then often misdiagnose these women's children as intellectually disabled or autistic, rather than considering B12 deficiency when the infants lose their speech, social skills and motor skills.