Can the child be kept in case of pregnancy issues?
Hello Doctor, I had my period from September 11 to 15 for 5 days.
I underwent an MRI with contrast on September 20, and ovulated on September 22.
I took a pregnancy test on October 5 and got two lines.
I would like to ask if I was already pregnant before the MRI with contrast or if I conceived afterward.
The nurse mentioned that the contrast agent would be expelled within a day and that it wouldn't affect a pregnancy conceived afterward, but if I was already pregnant before the contrast, it could be problematic.
I am really confused about when I conceived and whether I can keep the baby.
I'm feeling extremely low and uncertain about the impact of the contrast agent on the baby.
Thank you, Doctor!
Hi, 30~39 year old female. Ask Date: 2023/10/07
Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, theoretically it should not have any impact.
Wishing you good health.
Reply Date: 2023/10/07
More Info
When it comes to understanding the implications of undergoing an MRI with contrast during early pregnancy, it's essential to consider several factors, including the timing of the MRI in relation to conception, the safety of the contrast agent used, and the overall health of both the mother and the developing fetus.
From your timeline, you had your menstrual period from September 11 to September 15, and the MRI with contrast was performed on September 20. You ovulated on September 22 and confirmed your pregnancy with a positive test on October 5. Based on this information, it is likely that you conceived after the MRI was conducted. Sperm can survive in the female reproductive tract for several days, but since you ovulated just two days after the MRI, it is reasonable to conclude that the MRI did not affect your pregnancy, as conception likely occurred after the procedure.
Regarding the safety of MRI with contrast during pregnancy, current medical guidelines indicate that MRI is generally considered safe for pregnant women, especially when performed without gadolinium-based contrast agents. Gadolinium, the contrast agent used in some MRIs, is not recommended during pregnancy unless absolutely necessary due to potential risks to the fetus. However, studies have shown that when gadolinium is used, it is typically eliminated from the body within 24 hours, and the risk of harm to the fetus is considered low, especially if the MRI was performed early in the pregnancy.
It is understandable to feel anxious about the potential effects of the MRI and contrast agent on your baby. However, the consensus among medical professionals is that the benefits of obtaining critical diagnostic information through MRI often outweigh the potential risks, particularly when the procedure is deemed necessary for the mother's health. If the MRI was performed for a valid medical reason, it is unlikely that it would have caused harm to the developing fetus, especially since you likely conceived after the procedure.
If you are still feeling uncertain or anxious about your pregnancy, it is crucial to communicate openly with your healthcare provider. They can provide reassurance, conduct further evaluations if necessary, and monitor the health of both you and your baby throughout the pregnancy. Regular prenatal care is vital to ensure that any potential issues are addressed promptly.
In summary, based on the timeline you provided, it appears that you conceived after the MRI with contrast. The MRI itself, when performed appropriately, is generally safe during pregnancy, and the risks associated with gadolinium contrast are considered low. It is essential to maintain open communication with your healthcare provider to address any concerns and ensure a healthy pregnancy moving forward. Remember, many women have healthy pregnancies and babies after undergoing medical imaging procedures, and your healthcare team is there to support you through this journey.
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