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Pregnancy: Folic acid protects against the development of neural tube detects and supplementation during pregnancy is advised. Vitamin B12 supplementation may also be warranted.
Lactation: Folic acid is excreted into breast milk. No adverse effects have been observed in breast-fed infants whose mothers were receiving folic acid.
Supplementation did not significantly affect thiamine concentration in breast milk of healthy, well-nourished women when compared with those not given thiamine.
Vitamin B6 is excreted into breast milk. While some have expressed concern over the inhibition of breast milk secretion by pyridoxine, others have cautioned that pyridoxine deficiency may cause seizures in the neonate.
Vitamin B12 is distributed into breast milk.
Use of folic acid, Vit. B1, B6 and B12 is considered to be compatible with breast feeding.
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