Pregnancy and drugs: how the tablets affect fetus
Probably all women know how important it is to pay special attention to the drugs that you take during pregnancy, especially during the first trimester, which is the most important period in the development of your baby.If you are taking prescription drugs before pregnancy, talk to your doctor about the safety of these drugs as soon as they learned that you are pregnant.Making a decision on the admission of a particular drug in each case, the doctor weighs all the possible risks for the child and the benefits that the drug brings mother.Sometimes the risk associated with the discontinuation of the drug is much more than a risk that threatens the child if his mother will continue to take the medicine.
During pregnancy, you can not start taking any medication (including OTC) without first consulting with your doctor.
What medications are safe during pregnancy
prenatal vitamins, which are now sold over the counter, of course, are safe for pregnant women.However, choosing the vitamins, it is better to consult a doctor - you may need a special dosage of certain vitamins and minerals.If you are going to take any other vitamins and / or herbs, also consult a physician.The safety of many herbal medicines has not been proved - including the fact that they are not medicines in the full sense and are less rigorous certification.The general recommendation is: do not take any medications, including over the counter, without a pressing need and a doctor's approval.
presented in this table are drugs considered safe for pregnant women:
|Allergic reactions |
Colds and flu
brine for washing the nose and throat
Milk of Magnesia
(take no more than 24 hours and only after 12 weeks of pregnancy)
Nausea and vomiting
Emetol (if a woman does not have diabetes)
Ointments andhydrocortisone creams
cream or lotion Kaladril
Candles Monistat or Terazol
List all unsafe drugs for pregnant women are not possible;In some cases, however, doctors prescribe intake of potentially harmful drugs to pregnant women.With the correct dosage and constant monitoring of the condition of the patient can usually avoid complications for both mother and the baby.
means of alternative medicine, which should be avoided during pregnancy
Alternative medicine is not as safe as we would like to think.As already mentioned, the means it uses are not subject to scrutiny as as conventional pharmaceutical preparations, so we can not confidently assert that they are not dangerous.
Avoid ingestion of infusions and extracts of the following plants: black cohosh, cascara, Chinese angelica, cinchona, root of cotton, pyrethrum, ginseng, juniper, kava kava, licorice, saffron, sage Sage - cvyaschennaya grass , senna, white peony, wormwood.
during pregnancy is not recommended to use aromatherapy essential oils: sage, mint Mint and its useful properties: aromatic freshness marsh, sage, wintergreen, basil, myrrh, marjoram and thyme.
toxic effects of drugs on the fetus
reaction of the fetus depends on the effects of drugs:
- of gestational age and the stage of fetal development at the time of treatment;
- penetration rate of the drug through the placenta from mother to fetus;
- on the characteristics of the exchange of the drug to the mother, the fetus and placenta.
decisive role here, of course, belongs to the stage of fetal development.Most sensitive to the damaging effects of drugs has the embryo in the first 3 months of development.During this period, drugs can cause malformations of organs and tissues (teratogenic effects), and the death of the embryo (fetotoxic effects).If a drug has teratogenic, pregnant woman gets in a short amount of time, then this is reflected in the structure of the body, the tab is going at the moment of taking the medicine.If a woman gets a drug for a long time, the result will be the emergence of multiple malformations.
But after the first three months of pregnancy can not exclude the negative impact of drugs on the fetus.The reaction of the fetus during this period depends on which body is currently in the development stage (in this period developed eyes, ears, teeth, external genitalia, and the central nervous system).
impact of drugs on the fetus can be done not only through the placenta, but also by the penetration of the drug through the membranes in the amniotic fluid that the fetus absorbs.Some drugs (mainly antibiotics) have an increased ability to accumulate in the amniotic fluid - the effect is used in the treatment of intrauterine infection.
drugs have varying degrees of adverse effects on the fetus.
effects on the fetus antibacterial drugs
Among the drugs used during pregnancy, antibiotics occupy a special place.This is due to a relatively common complication of pregnancy, a variety of infectious diseases and the development of intrauterine infection.For the treatment of intrauterine infections using ampicillin, amoxicillin, oxacillin, and which, when properly administered normally no fetal complications.
Streptomycin during prolonged administration of high doses, especially between 3 and 5 months of pregnancy can cause hearing loss in the form of congenital deafness, so it is not used during pregnancy.At the hearing also affect kanamycin and gentamicin.
But particularly dangerous for the fetus antibiotics tetracycline tetracycline - a natural broad-spectrum antibiotic .These antibiotics can cause birth defects, growth retardation, a massive decay details about caries - take care of your teeth is too late teeth in the first year of the child's life.Tetracycline is contraindicated in all stages of pregnancy.
is not recommended for pregnant women also use chloramphenicol because of its toxic effects on the liver and blood of the fetus.
not recommended for use in pregnant women long-acting sulfa drugs (such as Biseptol) in connection with their effects on the liver of the fetus, resulting in the blood increases the content of the gall pigment bilirubin, which has a toxic effect on the brain.
in varying degrees have teratogenic (causing malformation) almost all the antifungals.
fetal effects of some other drugs
negative impact on the fetus non-steroidal anti-inflammatory drugs, especially acetylsalicylic acid (aspirin) and indomethacin, they can cause abnormal development of the skeleton, the splitting of the hard palate (cleft palate), and so on.
Most antihistamines may reduce the allergic reaction (diphenhydramine, suprastin, tavegil, etc.) do not have a toxic effect on the fetus, so can be used during pregnancy when indicated.
Remember that any medication during pregnancy can be used only on prescription.