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Most Pregnant Moms Use Medications: New Study
This week, a report in the Journal of Obstetrics and Gynecology tells us that lots of expecting moms are using medications during pregnancy.
Over the last 30 years, prescription medication use has gone up more than 60 percent, and the use of four or more medications in the first trimester has tripled.
Researchers from the CDC and Boston University’s Sloan Epidemiology Center analyzed data on more than 30,000 women from two large studies to look at patterns of prescription and over the counter drug use during pregnancy. The goal was to paint a picture of what moms are using so that researchers know where to focus their energy with safety studies.
One class of medications more moms are taking: antidepressants. Here’s more:
- 70-80 percent of women reported using at least one medication in the first trimester. Researchers are particularly interested in this because the first trimester is when a fetus’ fundamental organ systems form.
- The use of prescription medication goes up with maternal age and education, and it is the highest for non-hispanic white moms.
The problem is that most drugs don’t have adequate safety data for pregnancy. Very few medications have 100% clearance and certain drugs are demonstrably unsafe for the fetus — but the the vast majority of drugs are somewhere in between, with potential effects but no solid data (for obvious reasons, it’s hard to do rigorous controlled studies of drugs in pregnancy).
On the other hand, some moms worry about the potential effects on the fetus to the point of not taking medications that might be important for their health.
We’ve come a long way from the days when we thought the placenta was a perfect filter, protecting baby from every environmental element in mom’s world. Now we know that’s not true, but moms are still somewhat in the dark about what exactly is okay to put in their bodies.
How do you feel about medications in pregnancy: did you simply call your OB to find out if something is safe? Do you look at the listings of drugs and safety information? Did you swear off all drugs completely?
Image: flickr
Baby Blues: Why taking anti-depressants during pregnancy might not be a bad idea.
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10 Comments
Perfecting Dad commented on Apr 26 11 at 5:47 pmMy wife refuses to use anything at all to control things like headaches or nausea, she just lives with it while pregnant or breast feeding. Even when she’s not pregnant she uses medications very very sparingly. I’ve known mothers who take a drink of wine once in a while during pregnancy. I’ve always thought that was a real no-no, but some mothers seem to think a little is ok — no wonder some people are willing to take other drugs. Then of course you see the smoking moms from time to time …
Perfecting Parenthood
Meagan commented on Apr 26 11 at 6:47 pmI’ve done the best I can… I stopped taking my asthma steroids because I wasn’t convinced they were doing anything anyway, but have continued using my inhaler (albuterol)… once a week to once a day usually… sometimes more depending on outside factors. It is thought to possibly be associated with some birth defects such as cleft pallet, but nothing showed up on the ultrasound so I’m hoping we’re ok. I stopped taking allegra, but continued taking singulair because it helps control asthma as well as allergies, and it’s thought to be safe for pregnancy. I also take benydril and tylonol as when I need them.
ASB commented on Apr 26 11 at 8:25 pmI wonder how this connects to women experiencing infertility. As an IVF FET mom, I’ve been on prescription drugs during the first trimester for all three of my pregnancies – not by choice but by necessity.
MsFortune commented on Apr 27 11 at 12:17 amThe problem with getting data on how drugs effect fetuses is that it is impossible to do a randomized clinical study, and you have to wait for pregnant women to take the drug and report a result.
We need to do a better job and encouraging women to enroll in pregnancy registries when they are on medications. For pregnant women on medication, google your med and the term “pregnancy registry”. I’m in a registry that followed me through my pregnancy and will follow up with my son for five years.
Katy E commented on Apr 27 11 at 9:06 amI am on MORE medications while pregnant than not pregnant. Its super annoying. I take zyrtec all the time but while Pregnant, I end up on prevacid, colace, and benadryl so I can deal with the uglier side effects of my pregnancies.
As an RN married to a Physician, I look up the meds for pregnancy classifications/possible fetal risks but I also don’t take them unless my OB feels comfortable giving me permission to do so.
DKM commented on Apr 27 11 at 12:16 pmI avoid all medication while pregnant and nursing, but I am fortunate that I do not depend on or need any medication on a regular basis. I’m sure most expectant mothers would choose not to use medication but often have no choice (for example, one of my friends has arthritis and needed to continue taking her medication during pregnancy or she could not get out of bed).
Kari commented on Apr 27 11 at 1:21 pmHow dare you moms take medications that help you to breathe, move and function in day to day activities. I’m sure the baby would be much better off if you quit taking your asthma medication and died of suffocation. I’m sure the baby would be much better off if you took time off from work now because of unbearable nausea and reflux instead of being able to save it up for after the baby is here and needs bonding time with you. The baby would obviously be better off if you stop taking psycho-tropic meds and killed yourself. Please read sarcasm into my statements. I get so sick of extremists who are self-righteous snobs. (Nasal intonation) I would never take any medications, prescribed or OTC, eat hot dogs, use disposable diapers, let my child have a pacifier, let a drop of formula pass my child’s mouth, or fall asleep with my child in my arms in bed. I have done all of these things, some more out of necessity than a part of routine, and not necessarily to extreme and my children are fine. In fact, they are healthy, bright, developing, beautiful children. The majority of us make it without parents doing everything *perfectly*. We would probably do even better if everyone would set their judgements aside and realize that no two situations are exactly alike and the majority of parents want to do the best for their children.
Jessica commented on Apr 27 11 at 4:11 pmI went into pregnancy determined not to take anything stronger than Tylenol. And then I got hyperemesis gravidarum and had to wear a pump delivering anti-nausea meds for three months in addition to various other anti-nausea pills. It was either that or the baby and I were both going to die of dehydration.
I didn’t have much choice and am happy to report that she is a very healthy and happy 2 year old.
Katy E commented on Apr 27 11 at 6:07 pmKari, That’s hysterical! I love the smug sanctimonious nature of some “perfect parents” who hold no degree in developmental psych, early childhood development or medicine. I’ll listen to my doctor since I’m actually paying said doctor to give me advice and care, thanks so much!
ALH commented on Jan 07 12 at 1:16 pmI am 16 weeks pregnant with my third child during the first two I took nothing but required anti depressants, however after the birth of my second I developed a severe case of rheumatoid arthritis and was put on a daily high dose of pain medication and xanax. with this surprise pregnancy I weaned myself off of the xanax immediately and got on a taper plan for the pain medication. However my anxiety rose to the point where I could not function, take care of my children, eat, sleep or literally leave the house. My ob does not like the fact that I have been having to take very very small doses of my xanax throughout the day but the second opinions I have received state that the benefits outweigh the risk. The level of constant anxiety without it is not good for me or baby. I am still currently weaning off of the pain meds slowely as to not shock my system or the babys, I have ultrasounds every 4 weeks and so far everything looks great, baby is growing, active and good development and heartrate. Unfortunately some medications are necessary for normal day to day functioning for the mother, such as the steroids I am on for ra, but had this pregnancy been planed I would have been sure my body wasn’t dependant on the medication at the time of conception. As of now all I can do is put it in Gods hands that my baby will be born healthy.
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