Some birth defects of the spine and brain can happen in the first few weeks of pregnancy, often before a person finds out they are pregnant. Almost half of all pregnancies in the United States are unintended. This is why it is important for all people who can become pregnant to take a multivitamin with folic acid every day, even if they are not planning a pregnancy. By the time a person realizes they are pregnant, it might be too late to prevent these birth defects.
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