The Brain and Spine Institute is made up of experts in the field of neuroscience in order to bring patients the best healthcare in East Tennessee for a full range of neurological diseases and disorders.
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The Brain and Spine Institute is made up of experts in the field of neuroscience in order to bring patients the best healthcare in East Tennessee for a full range of neurological diseases and disorders.
We provide a comprehensive continuum of cancer services, including prevention, outreach, diagnostic, treatment and support services delivered by our highly skilled staff with compassion and care.
The Center for Women & Children's Health is a hub for supporting women's and children's individual healthcare needs. The center provides support, research and unmatched patient-centered care.
Emergency and Trauma Services is the only Level I Trauma Center in the area and serves as the tertiary referral center for medical care in East Tennessee, serving Knox County and 21 surrounding counties.
The Heart Lung Vascular Institute brings together expertise in clinical care, teaching and research. Patients receive exceptional healthcare combined with patient-centered care.

Prevention of birth defects with folic acid (folate)
Question:
Does folic acid use help prevent birth defects?
Answer:
There is good evidence that you can reduce the risk of certain birth defects (spina bifida , anencephaly, and some heart defects) by taking a daily dose of 400 micrograms folic acid before conception through the first trimester of pregnancy. Therefore, if you would like to become pregnant in the near future, you should take a multivitamin with this amount of folic acid.
Women who have had a baby with a neural tube defect will need a higher dose of folic acid. If you have had a baby with a neural tube defect, you should take 400 micrograms of folic acid every day, even when you are not planning to become pregnant. If you plan to become pregnant, you should talk to your doctor and increase your folic acid intake to 4 milligrams each day during the month before you become pregnant until at least the 12th week of pregnancy.
Johnson TRB, Gregory KD, Niebyl JR. Preconception and prenatal care: Part of the continuum. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2007:chap 5.
Neural tube defects. ACOG Practice Bulletin No. 44. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2003;102:203–213.
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