Impact of Allergies and Medications on Pregnancy: Concerns for Second Child

Q: Impact of Allergies and Medications on Pregnancy: Concerns for Second Child

Dear Ms. <br>Lin： Currently, most medications can be classified according to the pharmacopoeia, with categories A and B being safe for use in pregnant women. <br>To avoid any unnecessary concerns, could you please ask the prescribing physician to explain this to you? Wishing you

Unexpectedly discovering a second pregnancy and experiencing hives—will it affect the baby?

In November 2003, I gave birth to my first child.
As I have polycystic ovary syndrome, I would consult a doctor whenever I wanted to get pregnant.
Eventually, I became pregnant with my first child while taking the blood sugar-lowering medication Metformin (it sounds like this).
Starting last year, I wanted to have a second child, but the medication didn't seem to work well.
In August, I unexpectedly found out I was pregnant, but there was no heartbeat, and I naturally miscarried in early October.
After that, the doctor advised me to rest well and not take any medication, suggesting I see a doctor again when I wanted to conceive.
On March 9 of this year, I felt very tired and took a pregnancy test, which confirmed I was pregnant.
I went to the clinic for an ultrasound, and I was five weeks and six days along, with a due date of November 3.
However, on February 16, I visited an ENT specialist and took cold medications for three days, which included Tarivid (200), Becolon, Danzen, Ponstan (500), Strocain, and Flucort 11.

1.
I am unsure if these cold medications could affect the fetus.

2.
I have a history of allergies, and during this pregnancy, my body has been itchy, especially at night, where I experience hives on my abdomen, shoulders, and buttocks, with red bumps that vary in location and are very itchy.
I am wondering if this is related, whether I need to take medication for it, how long it might last, and if it could affect the fetus.
What should I be cautious about in terms of food and lifestyle?
3.
After confirming my pregnancy, the doctor prescribed progesterone and blood sugar-lowering medication (stating it would reduce the risk of miscarriage for patients with polycystic ovary syndrome).
However, every time I took the blood sugar-lowering medication, I experienced abdominal pain and diarrhea, so I stopped taking it on my own.
Is this acceptable?
I appreciate your assistance with these questions.
Thank you.

Miss Lin, 30~39 year old female. Ask Date: 2007/03/12

Dr. Huang Jianxun reply Obstetrics and Gynecology

Dear Ms.
Lin: Currently, most medications can be classified according to the pharmacopoeia, with categories A and B being safe for use in pregnant women.
To avoid any unnecessary concerns, could you please ask the prescribing physician to explain this to you? Wishing you good health.
Sincerely, Dr.
Huang Chien-Hsun, 960406.

Reply Date: 2007/03/12

More Info

When considering the impact of allergies and medications on pregnancy, especially in the context of your journey to conceive a second child, it is essential to address several key concerns. Your history of polycystic ovary syndrome (PCOS) and the medications you've taken, along with your recent experiences of pregnancy and miscarriage, all play a significant role in understanding your current situation.

Firstly, regarding the medications you took for your cold, such as Tarivid, Becolon, Danzen, Ponstan, Strocain, and Flucort, it is crucial to note that the safety of these medications during pregnancy can vary. Some medications may have potential risks to the developing fetus, particularly during the first trimester when organogenesis occurs. Tarivid (an antibiotic) and Flucort (a corticosteroid) are generally classified under categories that warrant caution during pregnancy. While some medications are deemed safe (Category A or B), others may pose risks (Category C or D). It is advisable to consult with your healthcare provider regarding the specific medications you took and their potential effects on your pregnancy.

Secondly, your experience with allergies and the associated symptoms, such as itching and hives, raises important questions. Allergic reactions can be uncomfortable and may require treatment. However, the choice of medication during pregnancy is critical. Antihistamines are often used to manage allergy symptoms, but not all are safe for use during pregnancy. It is essential to discuss your symptoms with your healthcare provider, who can recommend safe options for managing your allergies without compromising your pregnancy.

The duration of allergic symptoms can vary widely among individuals. Some women may experience heightened sensitivity during pregnancy due to hormonal changes, while others may find their symptoms improve. Your healthcare provider can help determine the best course of action based on your specific symptoms and medical history.

Regarding the medications prescribed after confirming your pregnancy, such as progesterone and blood sugar-lowering medications, it is vital to follow your doctor's guidance. Progesterone is often prescribed to support early pregnancy, especially in women with a history of miscarriage or conditions like PCOS. If you experience side effects from any medication, such as gastrointestinal distress from the blood sugar-lowering medication, it is crucial to communicate this to your healthcare provider. They may adjust your treatment plan or suggest alternative medications that are better tolerated.

In terms of lifestyle and dietary considerations during pregnancy, maintaining a balanced diet, staying hydrated, and avoiding known allergens can be beneficial. Regular prenatal care is essential for monitoring both your health and the development of your baby. Your healthcare provider can offer personalized advice on nutrition, exercise, and any necessary precautions based on your medical history and current health status.

In conclusion, navigating pregnancy with a history of allergies and medication use requires careful consideration and open communication with your healthcare provider. By discussing your concerns and experiences, you can work together to ensure a healthy pregnancy for you and your baby. Always prioritize your health and well-being, and do not hesitate to seek guidance whenever you have questions or uncertainties about your treatment and pregnancy journey.

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