Can You Keep the Baby After Taking Emergency Contraceptive Pills?

If you took emergency contraceptive pills and still became pregnant, is it possible to keep the baby?

Hello doctor, I had my menstrual period starting on November 2nd, which lasted about 5 days.
I had sexual intercourse between November 8th and November 16th, and I took emergency contraception twice, although I forgot the exact timing; I took the pills the day after each sexual encounter.
On November 22nd, I took a pregnancy test, which was negative.
However, on December 6th, the test showed two lines, and on December 10th, I saw the embryo.
When I returned for a check-up on December 14th, I informed the doctor that I had taken emergency contraception, and the doctor advised against continuing the pregnancy.
I would like to know, is it really not advisable to continue the pregnancy?

Xiao Yang, 30~39 year old female. Ask Date: 2016/12/14

Dr. Lü Lizheng reply Obstetrics and Gynecology

The active ingredient in emergency contraceptive pills is progestin, which generally does not cause fetal abnormalities.
Please rest assured.
Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2016/12/14

More Info

The question of whether one can keep a baby after taking emergency contraceptive pills (ECPs) is a complex and sensitive topic that involves understanding the nature of these medications, their effects on pregnancy, and the individual circumstances surrounding each case.

Emergency contraceptive pills, such as Plan B (levonorgestrel) and Ella (ulipristal acetate), are designed to prevent pregnancy after unprotected intercourse or contraceptive failure. They work primarily by delaying ovulation, preventing fertilization, or inhibiting implantation of a fertilized egg. Importantly, ECPs are not considered abortifacients; they do not terminate an existing pregnancy. Therefore, if a woman is already pregnant at the time of taking ECPs, the medication will not affect the pregnancy.

In your case, you mentioned that you had a menstrual period on November 2 and engaged in sexual activity between November 8 and November 16, during which you took ECPs. You subsequently took a pregnancy test on November 22, which was negative, but later tests indicated a positive result, confirming pregnancy. This timeline suggests that the ECPs were taken after the potential window for ovulation and fertilization, but since you have confirmed pregnancy, it is essential to consider the next steps carefully.

The advice given by your doctor regarding the use of ECPs and the recommendation not to continue with the pregnancy may stem from concerns about the potential effects of the medication on fetal development. While research has not conclusively shown that ECPs cause harm to a developing fetus, some healthcare providers may err on the side of caution, especially if there are other complicating factors involved, such as the timing of the ECPs relative to conception.

Ultimately, the decision to continue or terminate a pregnancy is deeply personal and should be made based on a thorough discussion with your healthcare provider, considering your health, circumstances, and preferences. It is crucial to have open communication with your doctor about your concerns, the potential risks, and the implications of your choices. If you feel uncertain or pressured, seeking a second opinion from another healthcare provider or a specialist in reproductive health may provide additional clarity and support.

In summary, while ECPs do not terminate an existing pregnancy, the decision to continue with a pregnancy after taking them should be made with careful consideration of all factors involved. It is essential to consult with a healthcare professional who can provide personalized advice and support based on your specific situation.

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