Wednesday, November 2, 2011

Kajian KFC dan McDonald makanan mengacam kesuburan

Dear Reader,

Should that extra crispy bucket of chicken from KFC be relabeled "bucket o' birth control"?

What about that bag of Doritos, Big Mac, or Crunchy Taco Supreme?

Every one of those foods could be contributing to reduced fertility, according to a new study by Harvard researchers.

It turns out that healthy young men who eat a lot of junk food aren't just wrecking their hearts and waistlines with all that trans fat--they could also be wrecking their chances of becoming dads.

The researchers analyzed sperm from men between the ages of 18 and 22. These men were determined to be in very good health without any other problems that might affect their fertility. Over the course of a few months, the men tracked their diets using food journals.

It was found that men whose diets were heavy in junk food produced sperm that weren't as likely to survive the trip to the egg as those produced by men who ate healthy diets. And this was regardless of whether the men were healthy and exercised.

The men who ate the highest levels of trans fat had the worst quality sperm. In contrast, the men that ate healthy diets centered on whole grains, vegetables, and fish had the best quality sperm.

This study goes hand-in-hand with another recent one out of Japan. That one showed that men who exercise moderately on a regular basis have more viable sperm than men who only exercise lightly.

If you know someone who is getting ready to start a family, here's the message for him: get off the couch and ditch the Taco Bell!

Yours in good health,

Christine O'Brien

P.S. Obviously, food is a powerful thing--for both good and bad. Want to unleash all the healing power food has to offer? 



Supplement kesihatan dan kesuburan




Foods that contribute to male fertility


Several studies attempt to establish the relationship between food and male fertility in this sense some have stated that a high protein diet affects the quality of semen.


We know that a balanced diet that provides all the nutrients needed by the body is essential for good health, if we include also recommended certain foods to increase fertility, we can enhance the quality of sperm.


To help you diversify your diet, here’s a list of foods that enhance fertility because of their specific nutrients.


Vitamin C: Ascorbic acid enhances sperm quality by preventing oxidation and prevent caking in the form of lumps. Among these the principalesalimentos containing vitamin can include: citrus, garlic, onions, strawberries, or strawberries, pineapples, cashews, papayas, hazelnuts, almonds.


Vitamin A: Protects the male reproductive cells of premature aging caused by free radicals. It promotes fertility and participating in the formation of steroid sex hormones base. This vitamin is abundant in milk fat from cream and butter, whole milk and liver. Also present as beta-carotene (precursor of vitamin A in the body) in carrots, pumpkin, apricots and vegetables most of the orange-red and in green leafy vegetables.


Vitamin E: antioxidant capacity for counteracting the harmful effects of free radicals on the mobility of sperm and semen quality. They are rich in vitamin wheat germ oil, extra virgin olive oil and nuts.


Folic Acid: A deficiency affects the number and mobility of sperm. Folic acid is abundant in green leafy vegetables, legumes, whole grains and products that are fortified with this vitamin.


Arginine: Contributes to the creation of sperm. Foods rich in this component are: onions, garlic, asparagus, oats, cabbage, peppers, oranges, carrots, lettuce, apples, almonds, potatoes, beans and spinach.


Carnitine: Increases testosterone, male reproductive hormone. Carnitine-rich foods include garlic, onions, peppers, papaya, oats, coconut, citrus, cucumbers, cabbage, squash, pears.


Tryptophan: an amino acid is considered the best natural relaxant. It is the precursor of serotonin, a neurotransmitter. Some foods that contain this component: Garlic, onion, cashews, oats, cabbage, pumpkin, chestnuts, citrus, tomatoes, figs, beans, mango.


Zinc: Increases testosterone, male reproductive hormone. Foods rich in zinc are: celery, asparagus, figs, potatoes, eggplant.


Selenium: Associate directly to male reproductive function, participates in the secretion of testosterone and improves mobility and sperm count. In supplement form, specialists often recommend in conjunction with vitamin E. 

Wednesday, September 21, 2011

Tambah Zuriat




Saya dari MERSING Johor,Baru-baru ini saya ada memasuki laman web doctor untuk mendapatkan maklumat berkenaan mendapatkan zuriat,Alhamdulillah banyak sekali maklumat dan kini saya sudah mula faham serba sedikit berkenaan pekara diatas.Terlebih dahulu saya ucapkan ribuan terima kasih atas pengkongsian ilmu yang bermanafaat ini akan saya gunakan dan sampaikan pada yang memerlukan,semuga allah memberikan kejayaan dan keberkatan pada doctor....amin.

Sebenarnya saya telah mendirikan rumah tangga hampir 14 tahun,saya telah dikurniakan anak setelah hampir 7 tahun berkhawin dan kini anak pertama telah masuk usia 6 tahun,apa yang menjadi permasalahan saya dan isteri kami ingin menambah zuriat lebih ramai lagi kalau boleh kembar, tapi sehingga kini kami masih mencuba apatah lagi memandangkan usia kami sudah menjangkau 35tahun,kerisauan semakin kami rasai.saya ingin mendapatkan pandangan ikhlas dan cadangan dari doctor,seandainya doctor di JB rasanya saya tentu sudah berjumpa doctor untuk mendapatkan rawatan yang sewajarnya,saya tidak tahu harus kemana kerana khuatir dengan takut ditipu dengan orang yang tidak bertauliah...kami tiada masalah keewangan insyallah rezeki yang ada rasanya mencukupi untuk buat IVF,tapi saya harapkan doctor dapat  bagi cadangan sebelum IVF dilakukan.

Masalah untuk memperolehi zuriat yang pertama dahulu ialah isteri saya kitaran haid tidak menentu kekadang datang pada bulan itu tapi tak lama 2-3hari je kadang2 5hari dan selalunya sampai 2-3bulan tak datang haid.semasa buat check up dihospital poliklinik pasir gudang jumpa pakar sakit puan JB ujian sperma dia kata ok,ujian salur peranakan wife ok Cuma telur tak besar2 dan  lambat matang.sememangnya wife saya kata dari sebelum khawin kitaran haid dia tak menentu.pakar poliklinik tu bagi ubat dan beliau pantau sehingga isteri saya disahkan mengandung anak pertama..alhamdulillah.tapi kini pakar poliklinik tu kini telah berpindah dan saya masih tercari cari pakar yang sesuai,sekiranya doctor ada kenalan  atau cadangan dikawasan tempat tinggal saya dapatlah kiranya membantu,untuk ketempat yang jauh agak sukar bagi saya kerna komitment berkerja outstation selalu.saya tinggal di felda tenggaroh 5 mersing johor.rasanya jika sekitar kota tinggi atau johor insyallah saya tiada masalah untuk hadir apa yang penting pakar sakit puan yang bertauliah dan berpengalaman seperti doctor.

Sekian terima kasih,


Wasalam,

Dari cerita saudara, isteri tuan munkin mengidap apa yang digelar 'Polycystic Ovary Syndrome' atau PCOS. Alhamdulillah status kewangan sdr baik dan ini membolihkan anda dapat rawatan pakar. munkin IVF belum diperlukan lagi. Dalam PCOS masalah utama memanglah telor sukar matang/menetas, dan ini punca utama sukar hamil.

  Jika isteri anda gemok , penting sangat beliau kuruskan badan sehingga 60 - 65 Kg dengan amalan 'dieting' , kurangkan makanan bergula dan  yang mengandungi karbohaidret. Jauhkan sama sekali 'fast dan junk foods'. Lebihkan sayur2 dan buah2.

Untuk rangsang pematangan telor, ubat clomid dos tinggi 200mg (4biji) atau 250mg (5biji) sehari selama 5 hari mulai hari ke 2 atau ke 3 haid. Pematangan telor bolih dikesan dengan melakukan vaginal scanning.

Jika ubat clomid gagal, cuba pula suntikan hormon, tapi harga agak mahal sedikit munkin dalam RM 2000 untuk satu rawatan.

Jika itu pun gagal , munkin bolih lakukan pembedahan 'laparoscopy + ovarian drilling'

Sdr bolih datang keklinik saya untuk dapat rawatan2 tersebut atau dimana2 hospital pakar diJohor Baharu. Sila hubungi staff klinik saya.

Monday, September 19, 2011

Mulakan ujian dan rawatan kesuburan awal

Jangan tunggu terlalu lama untuk memulakan ujian dan rawatan kesuburan kerana rata2 wanita sekarang ini kahwin lambat, setelah habis belajar dan dapat kerja baru kahwin dan biasanya umur pun sudah melebihi 25 tahun sedangkan umur terbaik untuk kali pertama hamil ialah antara 18 - 20 tahun. Zaman emak dan dan nenek2 kita dulu, mereka kahwin sebaik sahaja mula datang haid ,iaitu lengkongan umor 12 -  14 tahun, sebab itu mereka sangat subur dan banyak anak , ada yang beranak lebih 20 kali. Mereka juga makan bahan2 makanan asli, segar dan berkhasiat tanpa dicemari bahan kimia dari racun serangga, bahan pengawet, perisa atau pemanis. Mereka sering makan ulam, sayur2 tempatan saperti cekor manis, bayam, kangkong, daun ubi muda dll. Mereka juga makan ubi, keledek dan keladi yang memang banyak khasiat untuk kesuburan. Wanita zaman sekarang tidak kenal sayur2 dan ulam2 tempatan, mereka lebih suka makanan segera dan yang diperoses.

Dalam rawatan kemandulan dengan tujuan untuk hamil, langkah pertama ialah pemeriksaan pasangan suami isteri dan beberapa ujian kesuburan saperti ujian benih suami, vaginal scan isteri dan buat xray HSG untuk buka saluran fallopian perlu dilakukan secepat munkin, selepas tahun kahwin.



Lepas HSG  dan jika benih suami normal  serta saluran fallopian tidak sumbat, kita ajar isteri untuk catit suhu badan BBT untuk kesan penetasan telor/ovulation. tentukan pada waktu subur ini ada hubungan kelamin. Biasanya 30 % dari mereka akan hamil dalam tempuh 3-6 bulan. Jika carta BBT tidak menubjukkan ovulation, ubat subur akan dimulakan pada hari ke2-3 haid  selama 5 hari.

Rawatan ini akan diulang untuk tiga kali pusingan haid. Kalau masih belum hamil walau pun penetasan telor/ovulation berlaku, rawatan selanjutnya ialah D&C, polpectomy dan Hydrotubation



Monday, September 12, 2011

Jaga kesuburan sejak dari zaman kanak2 dan remaja



Saya sangat khuatir generasi akan datang akan lebih sukar untuk hamil sebab banyak perkara yang berkaitan dengan cara gaya hidup (lifestyle) sejak zaman kanak2 lagi yang bolih mengganggu kesihatan dan kesuburan seseorang. Kita cuba perhatikan anak2 kita apa jenis makanan yang mereka sukai, bukan saperti kita dulu makan nasi, lauk ikan dan sayur. Sekarang mereka makan terlalu banyak fast dan junk foods yang mengandungi terlalu banyak gula, karbohaidret, bahan2 pengawet, perisa dan pemanis. Kesemua bahan2 tersebut akan menjejaskan kesihatan dan kesuburan dimasa hadapan.

Ibu bapa sekarang munkin terlalu sibuk dengan kerjaya mereka atau aktibiti2 sosial diluar rumah sehingga mereka tidak ada kesempatan untuk menentukan anak2 mereka makan bahan2 yang berzat dan berkhasiat. Kerana malas atau tidak mahu kisah tentang pemakanan anak2 mereka ambil jalan senang dengan memberi makanan segera dan junk foods yang banyak mengandungi bahan2 bahaya. Kesan jangka pendek anak2 menjadi hyperactive dan kurang tumpuan menjadikan sukar untuk mereka didisiplinkan dan diajar membaca atau menulis. Kesan jangka panjang pula ialah masalah obesity yang sering dikaitkan dengan seribu macam masalah kesihatan dan kesuburan.

Tabiat makan adalah diantara banyak tabiat2 yang sering ditanamkan pada seseorang sejak zaman kanak2. Bila sudah jadi tabiat atau caragaya hidup , ia sangat sukar diubah. Sebab itu ibu bapa perlu ajar anak2 tabiat dan perangai yang baik, akhlak mulia dan disiplin hidup yang positif. Kita sering beranggapan tugas2 tersebut sepatutnya dipikul olih para guru, itu anggapan yang salah. Ibu bapa memainkan peranan yang sangat penting dalam membentuk peribadi dan personality seseorang anak. Luangkan sedikit masa dan tenaga untuk mereka walau bagaimana sibuk tugas kita.

Saya lihat anak2 sekarang terlalu manja dan selesa dengan segala kemudahan dan kemewahan yang diberikan olih ayah dan ibu sehingga mereka menjadi insan lemah tanpa berani menghadapi cabaran, rintangan dan dugaan.


Sunday, August 21, 2011

Doa untuk zuriat mustajab dimalam2 akhir ramadan

Bagi mereka yang sedang giat berusaha untuk mendapat zuriat, berdoa sambil beribadah dimalam2 terakhir ramadan adalah sangat besar pahalanya dan doa2 kita insyaallah akan dimakbulkan olih Allah SWT.
Disamping berdoa, lain2 faktor yang bolih meningkatkan kesuburan perlu juga diamalkan khususnya amalan pemakanan yang berzat dan berkhasiat, makanan segar dan mentah (sayur dan buah2). Jauhkan makanan yang diperoses (fast dan junk foods), yang banyak mengandungi pengawet, perisa dan pemanis.

Tenangkan fikiran dan lapangkan dada, banyak solat, baca quran dan berzikir. Jauhkan dari berbuat maksiat dan kemunkaran. Banyakkan bersedekah walau sedikit pun , ikut kemampuan kita.

Kesan waktu subur dengan apa cara yang mudah dipelajari (BBT, ovulation test kit dll) dan adakan hubungan waktu penetasan telor/ovulation.

Teruskan makan supplemen vitamins - Multivitamins, folic, vitamin E dan C dan habbatus saudda.

Doa2 untuk zuriat

Dalam bulan ramadan ini saya lihat diklinik saya , setiap hari tidak putus2 ada pesakit2 yang  hamil . Bila masuk bilek perundingan saya, kelihatan wajah mereka berseri2  gembira dengan berita baik. Inilah suatu kurniaan dari Allah yang sangat2 dinantikan olih pasanagan 2 yang menghadapi masalah ketidak suburan.

Friday, August 12, 2011

Dari senggugut jadi endometriosis



Endometriosis
Jangan pandang ringan senggugut atau sakitketika haid, sama ada masih gadis atau wanita belum kahwin. Jika sudah kahwin pun masih lagi ada senggugut , ini munkin menandakan adanya penyakit endometriosis.
Tidak semua senggugut pada gadis atau wanita belum kahwin dikaitkan dengan penyakit, malah kebanyakkan disebabkan olih kuncupan rahim yang kuat akibat pintu rahim sempit dan lepas kahwin senggugut jenis ini akan hilang.



, 

Pesakit ini telah kahwin lebih tiga tahun tapi tidak pernah hamil. setiap bulan akan mengalami senggugut teruk. Gambar dari teropong laparoscopy , rahim didepan dan usus dikelakang dan kelihatan ovary berwarna puteh dan didalam nya ada endometriotic cyst. Pada dinding rahim pula ada tumbuhan fibroid.


Lihat darah kotor warna coklat kehitaman, yang terkandung dalan endometriotic cyst dalam ovary (warna putih)


Kandungan endometriotic cyst - darah kotor- ia juga digelar dengan nama 'chocolate cyst'

Penyakit endometriosis merosakan organ2 peranakan. dalam pesakit ini ovary rosak, akibat dari reaksi inflammation/radagan, timbul adhesion dan scarring yang bolih melanda kilang ovary dan saluran fallopian dan dinding belakang rahim. Seringkali juga saluran benih/fallopian menjadi tersumbat atau sempit dan ini meyukarkan peroses percantuman benih lelaki dan telor permpuan.

Dalam situasi yang teruk , rahim menjadi rosak dan tumbuhan adenomyosis timbul menyebabkan senggugut yang amat sangat.


Adenomyosis, rahim bengkak macam 3 bulan mengadung. Lihat gambar diatas, saya belah rahim dan kelihatan dinding rahim jadi sangat tebal akibat adenomyosis.

Sesiapa yang mengalami senggugut, sukar hamil atau sering gugur, perlu jumpa pakar sakitpuan utuk pemeriksaan dan scanning. Jika ada retroverted uterus, kemunkinan besar dia ada penyakit endometriosis.

Bedah laproscopy adalah sangat penting untuk mengsahkan dan seterusnya merawat penyakit endometriosis, Kedudukan rahim yg retroverted perlu diperbetulkan waktu laparoscopy , jika ada cyst . ia perlu dibuang, jika saluran sumbat perlu dibetulkan dengan 'tubal repair' dan jika ada adhesion perlu lakukan 'adhesionolysis' semuanya dilakukan sekali gus.

Mengapa perlu ambil tindakan awal?
Penyakit endometriosis bila sudah bertapak biasanya akan berterusan dan tidak berkesudahan.
Selain faktor rahim retroverted, faktor kelemahan immunity sangat penting. Perkara2 yang melemahkan immunity ialah stress (fizikal, mental dan emosi) dan ia sering meningkat bila gadis mula bersekolah, pergi kolej atau university. Stress juga meningkat dalam tempat kerja. Pemakanan tidak berkhasiat dan kurang berzat juga bolih melemahkan imunity.
Jangan pandang ringan bawa anak2 gadis yang senggugut jumpa pakar gyne untuk scanning dan nasihat sewajar.

Tuesday, July 12, 2011

Fertility Herbs For Women

Fertility Herbs For Women

Female Fertility Herbs



Dong Quai - Dong Quai is used for many gynecological problems. It has been shown to balance estrogen activity and has been used to help with endometriosis and menopausal conditions. It is a blood purifier and it promotes circulation. It is known to restore menstrual regularity. It regulates a weak uterus and regulates hormones and the menstrual cycle. Caution: It is not recommended during pregnancy or for people taking blood thinners or those who have clotting disorders. It is not to be used by diabetics.

Chaste Tree Berry (Vitex) - Vitex is a PMS (Premenstrual Syndrome) and fertility herbal supplement. It is known to stimulate the release of LH and promote Ovulation. It has been known to bring on Ovulation sooner. It may help to restore or regulate periods. It helps to improve chances of conception. It can be purchased in tablet form, dried berry or tincture form. Side effects may include nausea, stomach upset, headache and/or allergic reaction.

Red Clover Blossoms - Red Clover Blossoms are rich in estrogen-like compounds and may promote fertility in women who have low estrogen levels. It may also help to regulate hormone levels. Caution: Individuals on anticoagulants or antiplatelet therapy should not use this. It may also increase the risk of bleeding.

Licorice - Licorice improves menstruation in women who have infrequent periods.  It also helps women who have high testosterone and low estrogen levels, which is characteristic of PCOS.  Licorice should not be used during pregnancy.  Side effects can include increased blood pressure.  Caution should be used if there is a history of stroke, glaucoma, high blood pressure, kidney disease, diabetes, edema, heart disease, and severe menstrual problems.  When taking licorice, blood pressure should be monitored and potassium intake should be increased.

Siberian Ginseng - This herb improves overall health and vitality.  It also regulates reproductive hormones.  This herb may interfere with the absorption of Vitamin C.  It should not be used in people taking anticoagulants or antiplatelet therapy.  May interact with Warfarin.  May induce mania if used with Phenelzine.  May exacerbate seizures.  Should not be used if you have Diabetes Mellitus.  May interfere with Digoxin.


Evening Primrose Oil (EPO) - EPO aids in the production of fertile quality cervical mucus.  EPO also helps to alleviate signs and symptoms of PMS (Premenstrual Syndrome). Should only be taken from menstruation to ovulation because it can cause uterine contractions.  Use caution if pregnant or lactating.  Side effects may include headaches, nausea and/or diarrhea.  Should not be used by people with Epilepsy or Schizophrenia.


Black Cohosh - This is used widely as a uterine tonic, to restore suppressed menstruation.  It is also used for aching of the ovaries, inflammation of the uterus or ovaries, infertility, threatened miscarriage and relief of menstrual or labor pains.  The estrogen-like effects of Black Cohosh are controversial.  Caution: the use of Black Cohosh may cause intermittent contractions of the uterus. Side effects may include nausea, vomiting, dizziness, and/or weight gain.  Some reports show a few serious problems possibly resulting from Black Cohosh use including hepatic and circulatory conditions.


Maca - Maca is used for infertility enhancement.  Maca does not contain hormones, as many other supplements do, but it does help women to produce a natural balance of her own hormones.  Maca promotes the production of LH (Lutenizing Hormone).  LH causes ovulation.  Maca has been shown to increase chances of conception.  Maca may help with menstrual irregularities, female hormonal imbalances, menopause and Chronic Fatigue Syndrome.  It has shown to increase energy and stamina, which is important while trying to conceive.


Wild Yam  - Wild Yam contains natural progesterone and may increase the production of progesterone.  It is not recommended while pregnant or nursing.  Wild Yam would be used during the second half of the cycle (the Luteal Phase) when progesterone is important for implantation to occur and to be maintained.  Rarely one may have an allergic reaction that may include difficulty breathing, swelling and/or hives.


Flax Seed Oil - Flax Seed Oil is one of nature’s greatest sources of omega-3 fatty acids, an essential fatty acid.  It has shown to regulate steroid production, hormonal synthesis and nerve transmissions.  It can help with infertility, pre-menstrual syndrome and irregular periods.  Flax Seed Oil can spoil and should be kept refrigerated.  Side effects may include diarrhea, gas and/or nausea.  Should not be used with laxatives or stool softeners.  People with inflammatory disease of the intestines, esophagus or stomach should use caution while using Flax Seed Oil.


Red Raspberry Leaf - This herb is used as a uterine tonic.  While this herb does not affect ovulation it does cause mild uterine contractions therefore toning the uterus.  The more toned a uterus is the more likely that it will be able to carry a fetus to term.  Caution: This herb does cause uterine contractions and therefore should not be used during pregnancy or if you think that you may be very early pregnant.


Nettle Leaf - Nettle Leaf is a uterine tonic and general nourisher.  It is known to improve the hormonal system.  Side effects may include an allergic reaction, which may consist of skin rashes or stomach upset.  Caution should be used if taking sedatives or by diabetics or by a person taking blood pressure medication.  This herb can be toxic if used in higher does than indicated.


Tussin (Brand name Robitussin) - Though Tussin is not an herb, many women who are trying to conceive use it.  It helps to thin out thick or hostile cervical mucus.  It is important for cervical mucus to be at a perfect state to ensure that the sperm will make it past the cervix and into the uterus.  Tussin is an expectorant used to loosen and thin mucus in the lungs.  While it loosens and thins mucus in the lungs it also thins it in other areas of the body where there are mucus membranes and mucus is produced, such as on the cervix.  
There have been no “official” studies noted, but many women swear by it, especially women with a predisposal to the production of thick mucus such as in women with Cystic Fibrosis.  Be sure when you purchase the Tussin that you purchase the plain kind with only “Guaifenesin” as the active ingredient.  There should be no other active ingredients contained in it.  Many times, women on clomid take Tussin to help their cervical mucus.  I use it for the five days leading up to ovulation until ovulation has occurred.  This means that if you ovulate on day 15, it is recommended that you start taking it on day 9 and continue on to day 15.  Plenty of water should be consumed while using the Tussin.  This will help to thin the cervical mucus even more.  The usual dose is 2 tsp (200mg) 3 times a day.  It usually comes in a syrup form.  Recently they made available the purchase of the 600 mg time released pills without a prescription.  One of the brand names of these pills is Mucinex and can be purchased at Wal-Mart and most drug stores.



Herbal Conclusion 

Looking at all of these herbs can seem a little overwhelming.  Which ones should you take?  If you have a specific problem, for example – not enough cervical mucus or hostile cervical mucus, you may want to talk to your doctor about trying the Evening Primrose Oil.  You may also want to try taking Tussin.  The Evening Primrose Oil helps your body to produce extra mucus while the Tussin will thin out the mucus that you already have.  Some people don’t feel that they have one specific problem or don’t know why they are having troubles conceiving.  
If this is the case maybe you should consider buying a Fertility Supplement that combines many commonly used herbs into one pill.  There are several advantages to buying herbs this way.  First of all, it will be cheaper.  You will not have to buy several different herbs and spend a bunch of money - you can just buy one that will cost less.  Second, if you buy the combined Fertility Supplement then you don’t have to figure out how many of each herb to take and worry about contraindications with other herbs or overdosing on too many herbs. 
There are several different Fertility Supplement combinations to choose from.  There are two different combined supplements that I would recommend.  My sister used one of these and she got pregnant within the first month.  This was after 7 years of not getting pregnant.  Click on the following links to read more about these amazing products for women - Fertilaid and Fertility Blend. 


Whatever herbal supplement you choose to take you should also take a good prenatal vitamin.  This prenatal vitamin should have at least 800 mcg of Folic Acid in it.  Folic Acid helps to prevent deformities, such as Spina Bifida, in babies.  Also important in the prenatal vitamin is Vitamin B6.  Be sure that there is at least 100 percent of the daily value of B6 in your choice.  Find a quality inexpensive prenatal vitamin here.