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Updated: Sep 27, 2026

Modifying Levels of Maternal Dietary Folic Acid or Choline to Study the Impact of Deficiencies on Offspring Health Outcomes
Published on: June 28, 2024
Neural tube defects in the offspring of thalassemia carriers
Rosa Maria Ibba1, Maria Angelica Zoppi, Marcella Floris
1Department of Obstetrics and Gynecology, Prenatal and Preimplantation Diagnosis and Fetal Therapy, Regional Hospital for Microcythemia, Cagliari, Italy.
Insights
Thalassemia carriers, who may have lower folate levels, showed a higher prevalence in pregnancies with neural tube defects (NTDs). This suggests a potential link, underscoring the importance of folate supplementation for pregnant women with thalassemia.
Area of Science:
- Obstetrics and Gynecology
- Genetics
- Public Health
Background:
- Maternal folate levels are crucial for preventing neural tube defects (NTDs).
- Thalassemia carriers can exhibit lower red blood cell folate concentrations.
- A potential association between thalassemia trait and NTD risk warrants investigation.
Purpose of the Study:
- To determine if thalassemia carriers have an elevated risk of offspring with neural tube defects.
- To investigate the prevalence of thalassemia carriers among women with prenatal diagnoses of NTDs.
Main Methods:
- Retrospective analysis of 75 women with prenatal NTD diagnoses.
- Evaluation of the prevalence of thalassemia carriers within this cohort.
Main Results:
- A significantly higher prevalence of beta-thalassemia carriers was observed (22.5%) compared to the general population (14%).
- The difference in carrier prevalence was statistically significant (p < 0.05).
Conclusions:
- The findings suggest a possible increased risk of NTDs in offspring of thalassemia carriers.
- Folate supplementation is strongly recommended for women with thalassemia planning pregnancy.
Objectives:
The risk of neural tube defects (NTDs) is negatively correlated with maternal folate levels in early pregnancy. Thalassemia carriers often have reduced red cell folate contents. The aim of this study was to verify whether thalassemia carriers are at increased risk of having offspring with a NTD.
Methods:
We retrospectively evaluated the prevalence of thalassemia carriers among 75 women who had prenatal diagnoses of NTDs made at our center.
Results:
The prevalence of beta-thalassemia carriers among the affected pregnancies was significantly higher than in the general population (22.5 versus 14%, p < 0.05, chi(2) test).
Conclusion:
Although inconclusive, these data indicate that folate supplementation is mandatory among women with thalassemia who are planning a pregnancy.
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