Birth defects after maternal exposure to corticosteroids

Birth defects after maternal exposure to corticosteroids

But TENS machines aren’t effective during the later stages when the contractions become longer and more frequent. If this is something you’re considering, make sure you talk to your maternity team so you can make any arrangements well in advance. Cyclophosphamide is the only anti-rheumatic drug which we know for certain should not be taken by men wanting to try for a baby.

You will need to take folic acid tablets of 5mg per day, which need to be prescribed by your doctor. Breastfeeding should also be fine if the baby is healthy, but you should be cautious if the baby is premature. It’s recommended that all pregnant women have at least two ultrasound scans. The first scan is used to check the pregnancy dates, while the second is used to check that the baby is healthy.

Does it matter if the father is taking drugs for arthritis?

In which case, it’s important to let your rheumatology team know as soon you become pregnant. They can check everything is fine and make sure you’re on the right medication. This medication is widely used in pregnancy and is known to be safe for mum and baby. It can help reduce the risk of Ro antibodies crossing the placenta.

  • However, if you accidentally continue taking any of the drugs in this group of biologics in early pregnancy, it’s unlikely to be harmful to your baby.
  • Discuss any plans for fertility treatment with your rheumatologist.
  • It is always best to discuss your medication with your team and plan their use safely.
  • I was concerned about taking drugs throughout the pregnancy, as no drug can be 100% safe.

In some cases, you may need to take medication to boost your egg supply to increase the chances of success. Corticosteroids can weaken your immune system and make you more vulnerable to infection. This means you should avoid any live vaccine until at least 3 months after your course of corticosteroids has finished. The HIV medication may increase the level of corticosteroid in your body.

Will the pregnancy affect my arthritis?

If you think you might have trouble with holding, dressing or washing your baby, speak to your health visitor about arranging extra support. Epidurals are a special type of local anaesthetic given into the back which, for most women, give complete pain relief. While usually a straightforward procedure, conditions like ankylosing spondylitis can make it more difficult.

Diabetes medication

The risk of oral clefts increases threefold in foetuses exposed to corticosteroids during the first trimester. It’s generally recommended that rituximab should be stopped six months before pregnancy. However, if you accidentally continue taking any of the drugs in this group of biologics in early pregnancy, it’s unlikely to be harmful to your baby. At the moment there is limited data on all of these drugs, and they are generally avoided during pregnancy.

Medicines that can interact with corticosteroids

However, there are also drugs that we don’t have a lot of information on, so it’s important to discuss these with your doctor. All women get aches and pains, particularly backache, during pregnancy. As the baby grows, it could put more strain on some of your joints. If you’re struggling to get pregnant after a year of trying, you should seek advice from a fertility expert.

If you’re over 36 years old, or already know you may have fertility problems, you should seek advice sooner. It’s better to try for a baby when your condition isn’t very active, as this will improve the chances of having a successful pregnancy for both you and your baby. It’s never too early to start the conversation with your doctor so that you can get on the right treatment plan. It’s completely normal to feel concerned about the effect of the pregnancy on your condition and the effect of your condition on the pregnancy.

Even though I was on my meds, I did flare a little when I was seven months pregnant. I recognised the signs early and got some steroids from my doctor. I did panic though, as I didn’t want the flare to dictate whether I could have Elfie as a home birth.