High versus standard dose folic acid supplementation for miscarriage prevention: systematic review and meta-analysis of randomized controlled trials.
- 2026-05
- Meta-Analysis · n = 5,144
- American journal of obstetrics & gynecology MFM 8(5)
- Daniele Vinti
- Alexander Fiore
- Gianfranco Fornelli
- Marco Reschini
- Paola Viganò
- Edgardo Somigliana
- Noemi Salmeri
- PubMed: 41825593
- DOI: 10.1016/j.ajogmf.2026.101934
- High evidence
- Adults
An additional intention-to-treat (ITT) analysis, which included all randomized participants regardless of pregnancy status, showed a nonsignificant reduction in miscarriage risk (RR 0.79; 95% CI: 0.61-1.04).
- Effect
- Neutral
- Effect size
- Small
- Significant
- No
- Dose
- 4-5 mg/day (high dose) vs 0.4 mg/day (standard dose)