Pregnant take the wrong medicine, the child [flow] or [stay]?

One kind of consultation that outpatient clinics often encounter is that after taking emergency contraceptives, they are pregnant again, or after taking cold medicine or even antibiotics, can the child still have it? This is actually a problem of medication during pregnancy.

On the issue of medication during pregnancy, two points should be made clear first, one is the classification of drugs and the other is the time of medication.

Classification of drugs during pregnancy

The vast majority of commonly used drugs can be classified into A, B, C, D and X.

Although pregnant, it is not that what drugs cannot be used. If it is Class A or Class B drugs, it is still OK to use them. Even Class C drugs are not necessarily taboo if necessary.

Most commonly used clinical drugs belong to Class B or Class C. For details, you can look at the drug instructions, and you can also use the [drug assistant] on your mobile phone to search for drug names to see the drug classification.

Time of medication during pregnancy

Pregnancy time is very long, and the effect of medication varies from time to time.

Within 14 days of implantation

If the drug is affected, it will directly act on embryonic cells, causing direct death of embryos. Or there are not enough cells affected and there will be no serious consequences of what. This is medically called a [all or no] effect.

Therefore, either they are not pregnant. If they are pregnant successfully, then the drug has no influence on what.

14 days to 3 months of implantation

This period of time is the time when various systems differentiate. If there is any influence, it is the most serious time point for teratogenicity. Therefore, it is generally believed that the first three months of pregnancy are the sensitive period for teratogenicity. Three months later, the differentiation of each system basically ended, which was a process of development and growth. Teratogenicity in this period decreased again.

Effects of contraceptives

Emergency contraceptives are commonly used synthetic progesterones such as [Yuting] (usually norgestrel) and mifepristone.

Judging from the classification of drugs, both are Class X. That is to say, if pregnancy is clear, it is clinically prohibited.

However, from the time point of view, the time for taking emergency contraceptives is usually within 72 hours after sexual intercourse. Therefore, this period of time is either not implanted or just implanted, so the impact on embryos should be [all or none] mentioned above.

That is to say, if the contraceptive pill does not cause embryo death and abortion, then the impact on the embryo should have no serious consequences of what.

Therefore, if you take emergency contraceptives immediately after sex and are still pregnant, then you can continue your pregnancy.

However, some people may have delayed taking the medicine, or have taken the medicine continuously for one month, or have had unprotected sex before taking the medicine. In these cases, the impact on the fetus is hard to say. Even if the so-called “safe period contraception” is used, it is actually unsafe and may already be pregnant. Therefore, be careful.

It is said that some people directly suggest abortion. I think this is a bit too hasty.

In China, it is really too easy to suggest a fetus. For doctors, directly suggesting an abortion can be said to be the least risky choice, but it is also a life.

According to a study with a large sample, the probability of obvious birth malformation is about 8.4% for women who have taken norethindrone before and after conception. Although it shows that drugs are related to birth defects, this is also a probability problem, depending on how you understand this [8.4%].

Therefore, after taking the contraceptive pill, whether the child will stay or not should all depend on the attitude of both men and women.

In fact, since I think of taking contraceptives, it means that I probably didn’t want children, but I failed in contraception and was afraid of the damage caused by abortion, which is why I have this kind of tangle.

Therefore, the most fundamental solution is not to use emergency contraception as a routine method of contraception!

What should I do if I take the wrong medicine carelessly?

In addition to contraceptives, it is not uncommon to take [wrong] drugs during pregnancy.

For example, when I didn’t know I was pregnant, I accidentally took what cold medicine or even antibiotics. During the first three months of my wife’s pregnancy, she mistakenly took cold medicine as vitamins. Such a thing is really not uncommon.

Many people will be very anxious, afraid that this mistake will affect their children, and even want to abort it altogether.

In fact, I really took the wrong medicine accidentally during pregnancy. I don’t need to be too anxious. I might as well check what kind of medicine this medicine belongs to first.

Under normal circumstances, the commonly used cephalosporin antibiotics are Class B drugs and are safe. Some commonly used cold medicines are generally not a big problem if they are taken only once or twice occasionally instead of for a long time.

Therefore, if you accidentally use what drugs during pregnancy or will use what drugs, don’t panic first, please consult a professional doctor and let the doctor help you judge the possible impact.

Author: Tian Jishun

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