Question: Hi! Could you please help me? I've got a pneumonia, when i was pregnant (but i didn't now about it 3 weeks). I used some drugs that shouldn't be used in pregnancy Biceptol, Cadefemol, Cefotaxim (in muscle 3 times a day) and Bromgexin. Are they harmful for baby? Do I need to make an abortion? Thanks. S. (Ukraine)
Answer: Congratulations on your pregnancy. Biceptol is a long established antibiotic more popularly known by brand names Septrin or Bactrim. Its generic name is Co-trimoxazole. This antibiotic is safe to use in pregnancy as long as it is a short course. For a longer course (more than a week), folic acid supplements are recommended.
Cefotaxim, like other third generation cephalosporins, is another antibiotic that is safe to use in pregnancy. With regard to Bromhexin (I think this is what you meant), this is a mucolytic agent which is supposed to help if you are coughing. Its use in pregnancy has not been associated with any harm to the baby in the womb. It is regarded to be safe. I can therefore say with a fair degree of confidence that you should be reassured that, with regard to these three drugs, your baby is safe. I am sorry I cannot comment on ‘Cadefemol’ as I am not familiar with this drug.
Question: I had microwave endometrial ablation three years ago. Now I am thinking of having another baby but the doctor says it is not a good idea. What do you think? I’m 34. Z.C. (Canada)
Answer: I think you had better listen to your doctor on this one. He/she is completely right. Pregnancy after any form of endometrial ablation is absolutely contra-indicated. It is dangerous, not only for the baby but also for the mother. There is a real danger of severe uncontrollable internal bleeding during pregnancy which can be fatal. In fact, there have been actual such deaths. I would have thought this aspect of the treatment would have been discussed before you had it? Anyhow, I would urge you to really listen to your doctor on this one.
Question: My daughter is 37 weeks pregnant and has SPD and polyhydramnios and has been told her baby has a problem with one of his kidneys. She has had no other treatment other than the usual two weekly appointment with a midwife.Is this usual or should she be seeing someone more regular? She has not received any information regarding her conditions. J.C. (UK)
Answer: Ok, there in fact three issues you have highlighted here: Your daughter has SPD which would inevitably be causing her ongoing pain with day to day activities. Sadly, this is one condition that is quite hard to manage satisfactorily during pregnancy. On a more positive note, she can be reasonably confident that it should resolve within days after delivery as do in the majority of affected women. A small proportion of those affected can have ongoing problems for weeks, even months after delivery but this is an exception rather than the rule.
The second issue you mentioned is polyhydramnios. Your daughter may have been told that once you have excluded diabetes and a number of viral infections, there is little that requires doing in a case of uncomplicated polyhydramnios. More frequent visits that the two weekly ones she is having at the moment are unlikely to be of any more benefit.
Regarding the kidney problem that the baby is supposed to have, I am not really in a position to comment since I do not have the necessary details. I can only hazard a guess that a scan may have shown what is technically described as a ‘dilated renal pelvis’ since this is the commonest benign kidney abnormality usually detected. If this is mild and non-progressive, conservative management is all that is required and a paediatrician will usually be asked to review the baby after the birth. They would normally arrange a scan of the infant’s kidneys and in the majority of cases, there is spontaneous resolution requiring no further action. We answered a similar question here:
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