Does Traditional Chinese Medicine Affect Fetal Development? - Obstetrics and Gynecology

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Does traditional Chinese medicine affect the fetus?


I am currently 5 weeks pregnant, but unknowingly took a Chinese herbal supplement called "Tai Tai Oral Liquid" for a month.
It claims to contain 13 herbal ingredients, including Angelica sinensis, safflower, and Huangqi, but not all ingredients are clearly labeled.
The main component is Ferulic Acid, which is said to be similar to aspirin.
I am concerned about whether this will affect my child and where I can have this product tested.
Thank you for your response.

Roberta, 30~39 year old female. Ask Date: 2001/12/27

Dr. Zhan Deqin reply Obstetrics and Gynecology


Hello: 1.
The Chinese herbal medicine safflower is often used in traditional Chinese medicine for abortion and should be avoided during the first twelve weeks of pregnancy.
2.
It may be necessary to go to a medical center such as Veterans General Hospital.

Reply Date: 2001/12/27

More Info


The question of whether Traditional Chinese Medicine (TCM) affects fetal development is a complex one, particularly when considering the specific herbal formulations and their ingredients. In your case, you mentioned having unknowingly consumed a product containing various herbs, including Ferulic Acid, during the early stages of your pregnancy. This raises valid concerns about potential impacts on fetal health.

First, it's important to understand that TCM operates on principles that differ significantly from Western medicine. TCM emphasizes the balance of bodily systems and the use of natural substances to promote health. However, not all herbal remedies are safe during pregnancy, especially in the first trimester when fetal development is most vulnerable.

In your case, the presence of certain herbs in the product you consumed, such as "Honghua" (Carthamus tinctorius, or safflower), is particularly concerning. Honghua is sometimes used in TCM to promote blood circulation and is known for its potential to induce menstruation or even abortion if taken in significant quantities during early pregnancy. Therefore, it is generally advised that pregnant women avoid this herb, especially in the first trimester.

Ferulic Acid, while not as commonly discussed in the context of TCM, is a compound found in various plants and has been studied for its antioxidant properties. However, its effects during pregnancy are not well-documented, and its similarity to aspirin (acetylsalicylic acid) raises questions about its safety. Aspirin is known to have potential risks during pregnancy, particularly in the third trimester, but its effects in early pregnancy are still a topic of research.

Given that you have already consumed this product for a month before realizing you were pregnant, it is crucial to consult with a healthcare professional who specializes in maternal-fetal medicine. They can provide personalized advice based on your specific situation and may recommend monitoring for any potential effects on fetal development. Additionally, they may suggest further testing or evaluations to ensure that your pregnancy is progressing healthily.

In terms of where to get this product tested, you may consider reaching out to a medical center or a laboratory that specializes in pharmacology or toxicology. They may be able to analyze the product for its active ingredients and assess any potential risks associated with its use during pregnancy.

In summary, while TCM can offer benefits for many health conditions, caution is warranted when using herbal products during pregnancy. The first trimester is a critical period for fetal development, and any substances that may pose risks should be avoided. Always consult with qualified healthcare providers before taking any medications or supplements during pregnancy to ensure the safety of both mother and child.

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