In recent years, people\’s awareness of safe medication use during pregnancy has improved, but relevant knowledge still needs to be popularized. Due to media propaganda and some misinformation, many pregnant women have concerns about taking medicines during pregnancy, and even refuse to take all medicines. Various medical, surgical diseases or obstetric complications may occur during pregnancy, which require drug treatment. However, many pregnant women are afraid to take medicine even if they are sick, or they have doubts about the medicine prescribed by the doctor. There are also some pregnant women who take some medications before they know they are pregnant. Afraid of affecting the fetus, they rashly abort the baby, resulting in lifelong infertility.
One of the most common questions asked during prenatal consultation is whether taking medicines during early pregnancy will cause fetal malformations? In fact, some drugs may cause abortion, teratogenesis, or growth retardation of the embryo or fetus. When it comes to prenatal counseling, doctors don\’t make yes or no guarantees. However, he or she can make a comprehensive analysis based on the type (nature) of the drug, the stage of embryonic development at the time of taking the drug, the dosage of the drug, the length of treatment, etc. Whether there are indications for terminating pregnancy can be provided for reference by pregnant women and their families.
The consequences of taking the drug at different times are different: if the drug is used within 1 week after the egg is fertilized, the fertilized egg has not yet implanted in the endometrium and is generally not affected by the drug; if the drug is used within 1-2 weeks after fertilization, the fertilized egg has implanted in the uterus. membrane, but the tissue has not yet differentiated, the effect of this drug will not cause teratogenesis except abortion, and it is a safe period. Therefore, taking some medicines before pregnancy or early pregnancy will have little effect on the fetus, so there is no need to worry too much, and there is no need to undergo artificial abortion.
3-8 weeks after fertilization (5-10 weeks after menopause) is the period when various organs of the embryo are differentiated and formed. It is extremely susceptible to the influence of drugs and other external factors, causing fetal malformations. It is a \”highly sensitive period\” for teratogenicity. Here During this period, if medication is not required, do not use it, including general health products and tonics. If you have any, or you can temporarily stop taking medication, then do not use it. If you need to take medication, you must use it carefully and safely under the guidance of a doctor. If the pregnancy continues, prenatal diagnosis (including B-ultrasound) can be performed at 16-20 weeks of pregnancy to further understand the growth and development of the fetus and rule out fetal malformations.
In addition, you can also view the latest pregnancy medication classification issued by the FDA (U.S. Food and Drug Administration—one of the most stringent drug review agencies in the United States) (divided into five levels: A, B, C, D, X ) world), providing a reference for clinical selection of safe medication during pregnancy.
Class A and B drugs have no harm or side effects to the fetus and are generally safe to use during pregnancy, such as multivitamins and some antibiotics (such as penicillins and cephalosporins).
Class C and D drugs are harmful to the fetus (teratogenic or miscarriage), but are beneficial to pregnant women. Use with caution after weighing the pros and cons. For example, some antibiotics and hormone drugs.
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Combined with some common diseases during pregnancy, such asFor colds, diarrhea, urinary tract infections, etc., some commonly used drugs can be used. According to the conventional dosage, common treatment courses and common methods, it generally has little effect on the fetus, so there is no need to avoid illness and medical treatment.
1. For respiratory diseases such as colds, you can choose Ganmao Antipyretic Granules, Isatis Granules, Shuanghuanglian Oral Liquid or cefradine, cephalexin, etc.
2. For urinary tract infections, in addition to drinking more water, you can also take drugs such as cephalosporins and amoxicillin. Avoid quinolones (norfloxacin, ofloxacin, ciprofloxacin), which may affect fetal bones.
3. For gastroenteritis such as diarrhea, berberine, amoxicillin, etc. can be taken orally, and Smecta, vitamin B complex, etc. can be taken orally.