Research shows that the use of topical corticosteroids during pregnancy does not increase the risk of birth defects. Pregnant women have long been skeptical about using corticosteroid creams for psoriasis and other skin conditions out of fear of the unknown.
The study showed that potent topical steroids, used in an amount not exceeding grams during the entire pregnancy, does not harm the unborn child or result in delivery complications. In amounts higher than grams, some low birth weights were recorded. Also, the National Psoriasis Foundation recommends that women who are pregnant or trying to conceive avoid the topical retinoid tazarotene. Chi Ching-Chi, director of dermatology at Chang Gung Memorial Hospital in Taiwan, said the study took into account socioeconomic factors that could cause some women to have smaller babies.
He told Healthline that some women with severe skin conditions may need to use more than grams of steroid cream during a pregnancy, but it would be uncommon. In the case of psoriasis, symptoms usually improve during pregnancy. However, when nursing, women should never use topical steroids on or near their nipples. Colby Evans, a Texas dermatologist and National Psoriasis Foundation board member, told Healthline that the new study provides badly needed clarification for doctors and patients.
Instead, the researchers retrospectively examined health records from 10, pregnant women in the U. Evans noted that medical records are better kept in England than in the U. Evans said the study makes him feel better about prescribing topical steroids to pregnant women. Still, he said women should discuss any other risk factors for low birth weight with their doctor before using steroid medications. Lawrence Green, a Washington, D.
Up to 1 out of every 5 pregnancies ends in a miscarriage, and 1 in 40 babies are born with a birth defect. These are referred to as the background population risks. Most medicines used by the mother will cross the placenta and reach the baby.
Sometimes this may have beneficial effects for the baby. How a medicine affects a baby may depend on the stage of pregnancy when the medicine is taken.
If a new medicine is suggested for you during pregnancy, please ensure the doctor or health care professional treating you is aware of your pregnancy. Our bumps leaflets are written to provide you with a summary of what is known about use of a specific medicine in pregnancy so that you can decide together with your health care provider what is best for you and your baby. Every pregnancy is unique. The decision to start, stop, continue or change a prescribed medicine before or during pregnancy should be made in consultation with your health care provider.
It is very helpful if you can record all your medication taken in pregnancy in your hand held maternity records. Disclaimer: This information is not intended to replace the individual care and advice of your health care provider. New information is continually becoming available. Whilst every effort will be made to ensure that this information is accurate and up to date at the time of publication, we cannot cover every eventuality and the information providers cannot be held responsible for any adverse outcomes following decisions made on the basis of this information.
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