Medications in Pregnancy: rules of
Pregnancy is one of the most important and difficult periods of a woman's life.After all, from its current, lifestyle and nutrition affects the health of the expectant mother of the child.And, of course, pregnancy is considered the most vulnerable period for the various diseases that require medication.According to statistical data, about 80-90% of all women ever to take medication during the childbearing.Some women undergoing treatment for acute diseases, but most were forced to take drugs during pregnancy due to the presence of chronic health problems.Accordingly, the question arises of how drugs affect pregnancy and whether or not to use them?
prescription drugs during pregnancy requires special care.First, many (almost all drugs have an effect on the fetus), and secondly, during pregnancy a woman's body undergoes a series of changes that may affect the mechanism of action of the drug (the accelerated destruction of drugs, delayed absorption, the development of allergic reactions).Compliance with the rules of use of drugs during pregnancy can help reduce the risk of complications to the fetus and the development of side effects:
- Disclaimer self
pregnant woman should be remembered that in the period of gestation of the child in any case can not be alone, without a doctor's prescription to take anydrugs, even if it took them before and absolutely sure of them.
- Accounting gestational
the appointment of treatment, the doctor must necessarily take into account the gestational age and the so-called critical periods.If possible, avoid taking medications in the first trimester (12 weeks).During this period there is a bookmark of the vital organs and the fetus is no natural protection - placenta.Taking medication is the most dangerous in the first three weeks of pregnancy, and is fraught with miscarriage Miscarriage - whether it can be insured? (law of "all or nothing" - a pregnancy develops without consequences or is interrupted).
- Use only safe products
There are a number of medicines that are safe during pregnancy.If the expectant mother with the disease should be the appointment of harmful drugs, you should choose the least toxic drugs, or address the issue of whether the drug will bring more good than harm.
Monitor the woman and the fetus
During the treatment a pregnant woman should be under close medical attention, regularly take the necessary tests and undergo additional tests (ultrasound of the fetus, cardiotocography, and others).
risk groups of drugs
All drugs on the possible harmful effects on the fetus are conditionally divided into five groups:
- first group
This group includes drugs that have as a result there is no controlled trialsthe risk of adverse effects on the fetus in the first trimester of pregnancy and there is no evidence of teratogenicity at a later date (multivitamin complexes, potassium chloride, iron supplements, iodine).
- second group
This group includes drugs, studies are conducted on animals, causing their safety has been identified, but is strictly controlled experiments in pregnant women were not conducted (heparin, insulin Principles of insulin - the science comes to the rescuelife , antibiotics Antibiotics - whether they will help you in the foreseeable future? penicillin).
- third group
When conducted tests on animals have found their adverse effects on the fetus, or the medicine has not been studied (isoniazid, fluoroquinolones, gentamicin, antidepressants, drugs to treat Parkinson's disease).
- fourth group
Drugs in this group have an adverse effect on the fetus, but the potential benefits from their use outweighs the potential risk (kanamycin, diclofenac Diclofenac - relieve inflammation and pain , anticonvulsants, doxycycline).
- fifth group
This group includes drugs, teratogenic effects have been proved.They are absolutely contraindicated during pregnancy and planning (izotretion, cytostatics, streptomycin, carbamazepine).