Can Taking Emergency Contraceptive Pills Affect My Baby? - Obstetrics and Gynecology

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Hello doctor, my last menstrual period was on May 21.
I took emergency contraception on June 21 and again twice in July.
On July 25, I went to the hospital and found out that I am seven weeks pregnant.
Will this affect the baby, and what recommendations do you have?

Xiao Zhen, 30~39 year old female. Ask Date: 2015/07/25

Dr. Lü Lizheng reply Obstetrics and Gynecology


In response to the use of emergency contraception but experiencing contraceptive failure, it is important to note that at the time of taking the medication, the embryo often has not yet formed or has not entered the organogenesis phase.
Currently, there is no evidence of an increased rate of fetal anomalies.
Therefore, if you wish to continue the pregnancy, it is generally feasible; however, it is advisable to discuss this in detail with your physician.
Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2015/07/25

More Info


Taking emergency contraceptive pills (ECPs) during early pregnancy raises valid concerns for expectant mothers. In your case, since you took ECPs after your last menstrual period and discovered you were pregnant shortly thereafter, it is essential to understand the implications of this medication on your pregnancy and the developing fetus.

Emergency contraceptive pills, such as levonorgestrel (Plan B) and ulipristal acetate (Ella), are designed to prevent pregnancy after unprotected intercourse. They work primarily by delaying ovulation, inhibiting fertilization, or preventing implantation of a fertilized egg. Importantly, if a woman is already pregnant when she takes ECPs, these medications are not effective in terminating the pregnancy and are not intended for that purpose.

Research indicates that ECPs do not have teratogenic effects, meaning they do not cause malformations or developmental issues in a fetus. Studies have shown that taking ECPs during early pregnancy does not increase the risk of birth defects or adverse pregnancy outcomes. Therefore, if you took ECPs after conception, it is unlikely that they would negatively affect your baby.

However, it is crucial to consult with your healthcare provider for personalized medical advice. They can assess your specific situation, including the timing of your ECP use relative to your pregnancy, and provide reassurance or additional monitoring if necessary. Regular prenatal care is vital for a healthy pregnancy, and your doctor can help ensure that both you and your baby remain healthy throughout this journey.

In addition to discussing the implications of ECP use, it is also essential to focus on maintaining a healthy lifestyle during pregnancy. This includes:
1. Prenatal Care: Schedule regular check-ups with your obstetrician to monitor your pregnancy's progress and address any concerns.

2. Nutrition: Eat a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Proper nutrition supports fetal development and maternal health.

3. Hydration: Drink plenty of water to stay hydrated, which is essential for both you and your baby.

4. Avoid Harmful Substances: Refrain from smoking, alcohol, and recreational drugs, as these can adversely affect fetal development.

5. Manage Stress: Engage in stress-reducing activities such as prenatal yoga, meditation, or gentle exercise, which can promote overall well-being.

6. Educate Yourself: Learn about pregnancy, childbirth, and parenting to prepare for the changes ahead. Knowledge can empower you and reduce anxiety.

7. Support System: Surround yourself with supportive friends and family who can help you through the emotional and physical challenges of pregnancy.

In summary, taking emergency contraceptive pills during early pregnancy is unlikely to harm your baby, but it is always best to consult with your healthcare provider for tailored advice and reassurance. Focus on maintaining a healthy lifestyle and attending regular prenatal appointments to ensure the best possible outcome for you and your child.

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