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Medication Exposures During Pregnancy

Why is taking medication a concern for pregnant and breastfeeding women?
We know that taking certain medications – such as thalidomide, isotretinoin or Accutane© - during pregnancy may cause serious birth defects in the baby. These medications should be avoided by all pregnant women. However, we do not have enough information about the safety of many other medications when they are taken by pregnant women.It is important that we know more about which medications may be harmful during pregnancy and which are not.

Are there times when a pregnant woman must take medication?
Yes. Some pregnant women must take medications to treat health conditions like asthma, epilepsy (seizures), high blood pressure, depression, and others. If these conditions are not treated, the mother or the child could be harmed. It is important when treating these conditions to know which medications are safest for pregnant women.

What are the most common medications used by women of childbearing age?
Pain medications are the most common over-the-counter drugs. Next are medications used to treat the common cold. Many pregnant women may take these medications before they realize they are pregnant.

Among prescription drugs, birth control pills were used most often by women in their childbearing years. However, some women have health conditions – like asthma, epilepsy (seizures), high blood pressure, depression, and others – for which they must take medication. It is important that we know whether medications used to treat these conditions could be harmful to pregnant women, or to their unborn children.

Is it safe to take herbals and other dietary supplements during pregnancy?
Many herbals and other dietary supplements are made from natural ingredients, and many people think they are safer than other medications. However, herbals and other dietary supplements are not regulated by the FDA. Some could have side effects or other problems. It is important that we learn more about the effects of herbals and other dietary supplements, especially their effects on a pregnant woman and her unborn child. You should talk with your physician before taking any medications – including herbals and other dietary supplements – if you are pregnant or could become pregnant.

Some vitamins are important to a healthy pregnancy. Folic acid is a B vitamin. It is used by the body to make new cells. If a woman has enough folic acid in her body before she is pregnant, some major birth defects of her baby’s brain and spine – called neural tube defects (NTDs) – can be prevented. Women need to take folic acid every day starting before they are pregnant to help prevent NTDs. The CDC and the U.S. Public Health Service urge every woman who could become pregnant to get 400 micrograms (400 mcg) of synthetic folic acid every day. Most multivitamin preparations contain this amount of folic acid.

Some vitamins, such as vitamin A, are important to a healthy pregnancy but can be harmful if taken in high doses. Taking more vitamin A than the recommended amount could be harmful to an unborn child. It is important to talk with your physician before taking any extra vitamins if you are pregnant or might become pregnant.

What should I do if I am pregnant and have taken a medication, or need to take a medication?
The first thing to do is talk with your physician. Some medications are harmful when taken during pregnancy, but others are not. The effects depend on many factors such as: How much was taken, and when during the pregnancy? Do you have other health conditions?

 

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