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Moms may feel like they shouldn’t take medications during pregnancy to protect the baby but, the illness or condition may be more harmful for the baby than the medication. Toughing out an illness usually isn’t better for baby.
Holly Menino sits down with Al Romeo, a registered nurse with the Utah Department of Health’s MotherToBaby/Pregnancy Risk Line program on this episode of the Baby Your Baby Podcast. Together they discuss the risks and benefits of taking certain medications and vitamins.
*Correction: Carbamazepine use in pregnancy may have an increased risk of approximately 1% for neural tube defects (spina bifida). Ondansetron (Zofran) use in pregnancy is not associated with an increased risk of neural tube defects (spina bifida). *
There is always a chance for a baby to have a birth defect since the background chance for a major birth defect for all healthy pregnancies is between 3% to 5%. When we look at the research studies, we expect to see some birth defects in each study. We are looking to see if the rate of birth defects is higher than that background risk and we are looking for the same pattern across the studies.
Sometimes the condition is worse than the medication. Talk to your doctor to weigh the risks and benefits especially when it comes to fever, depression and diabetes.
Some vaccines do more to protect mom while other vaccines do more to protect baby. We’ll talk about 3 common vaccines. The influenza vaccine helps protect mom from the flu virus. Having the flu during pregnancy increases the chance that mom will have difficulty breathing and adults can die from complications of the flu. The varicella, or chicken pox, vaccine is one that helps protect baby. Getting the chicken pox vaccine before pregnancy helps mom avoid chicken pox during pregnancy which can lead to scarring in the fetus, limb defects, eye defects, and other complications. The tDap vaccine, tetnaus, diptheria, and pertussis, helps protect baby. Getting the Tdap vaccine late in pregnancy gives a boost of immunity just before baby is born in case baby gets exposed to whooping cough, which can be deadly for baby.
Listen to our podcast about immunizations here.
Protecting baby sometimes means that mom has to take care of her own health so that those illnesses and chronic conditions don’t harm the baby. It’s a complex balance that may require different decisions for different situations based on mom’s medical condition. If moms or providers have concerns or questions about a particular medication or the situation, they can contact MotherToBaby.utah.gov.
The Baby Your Baby program provides many resources for all pregnant women and new moms in Utah. There is also expert advice from the Utah Department of Health and Intermountain Healthcare that air each week on KUTV 2News.