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Table 4 Pre- and post-conception folic acid supplementation and risk of heart defects

From: Initiation and duration of folic acid supplementation in preventing congenital malformations

Folic acid supplementation

Pre-conception FA use

Post-conception FA use

No. of malformations/infants

Adjusted odds ratio (95% CI)a

P value

No. of malformations/infants

Adjusted odds ratio (95% CI)a

P value

Supplementation

 No

7/873

1.00

 

7/873

1.00

 

 Yes

28/6808

0.68 (0.28–1.66)

0.40

31/8598

0.45 (0.20–1.03)

0.059

Initiation

 No supplementation

7/873

1.00

 

7/873

1.00

 

 Earlier than 4 months before pregnancy

3/559

0.99 (0.24–4.12)

0.99

   

 Between 4 and 3 months before pregnancy

7/1210

1.03 (0.34–3.14)

0.96

 

–

 

 Between 3 and 2 months before pregnancy

6/1466

0.67 (0.22–2.10)

0.49

 

–

 

 Between 2 and 1 month before pregnancy

2/1053

0.29 (0.06–1.43)

0.13

 

–

 

 Within 1 month before pregnancy

10/2520

0.60 (0.22–1.62)

0.31

 

–

 

 The first month of pregnancy

 

–

 

16/4389

0.45 (0.18–1.12)

0.085

 The second month of pregnancy

 

–

 

10/3302

0.37 (0.14–0.98)

0.045

 The third month of pregnancy

 

–

 

5/907

0.65 (0.20–2.06)

0.46

Duration

 No supplementation

7/873

1.00

 

7/873

1.00

 

 1 month

 

–

 

6/1966

0.36 (0.12–1.08)

0.68

 1.01–2 months

 

–

 

15/4524

0.41 (0.17–1.03)

0.057

 2.01–3 months

10/1928

0.79 (0.29–2.15)

0.64

10/2108

0.59 (0.22–1.59)

0.30

 3.01–4 months

1/1200

0.12 (0.02–1.02)

0.052

   

 4.01–5 months

3/922

0.53 (0.13–2.11)

0.36

   

 5.01–6 months

9/1939

0.77 (0.27–2.19)

0.63

   

  > 6 months

5/819

1.18 (0.34–4.10)

0.79

   
  1. aAdjusted for region, maternal age, ethnicity, parity, conception mode, education level, family income, history of adverse pregnancy outcomes, medicine exposure, and early pregnancy conditions