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Pregnancy Bliss | Reproductive Health Hub

Biceptol, Cefotaxim etc. in early pregnancy

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.

Microwave ablation and future pregnancy

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.

Fetal ‘kidney problem’ during pregnancy

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:

Brown vaginal discharge in pregnancy

Question:  Could you please give me some information on the appearance of a brown discharge at about 17 weeks, where the placenta has moved and looks like its been torn. Baby very mobile. Many thanks. J.H. (UK)

Answer: It sounds like you have had a little bleed from underneath the placenta; the so-called retro-placental bleed. The clot that forms there will dissolve slowly and some of that blood will escape through the vagina giving you the sort of discharge you describe. A scan will then show features consistent with a retroplacental haematoma (blood clot) which, I think, is what you are describing. This sort of finding is not uncommon.

In the vast majority of cases, there is spontaneous resolution but this may take several days, even a few weeks which is inevitably an anxious time for the expectant mother.

Trauma to lower abdomen/pelvis in early pregnancy

Question:  I am just 11 weeks pregnant and my 5 yr old was trying to get my attention and ended up punching me in my lower pelvis, I would say pubic bone area.... I am scared that this may have caused injury to the fetus....what are the odds? K. (USA)

Answer: Virtually none. The chances of the fetus sustaining injury from such an encounter are so remote as to be virtually non-existent. You know, below 12 weeks, a pregnancy is entirely pelvic. The bony pelvis offers a very effective protection against external forces. You can relax.

Avoiding pregnancy without contraception

Question:  My menstrual period time is 3 days, and average time is 25 days. What is the safe time to have sex??  I don’t like to use condom or pills. R. (Bangladesh)

Answer: If what you want to do is avoid getting pregnant, you should refrain from having sex in the mid-cycle. The least fertile times are the few days (3-4) after your period and the 3 4 days just before your next period starts. I am not sure whether the 25 day cycle you have described includes the 3 days when you are having a period. If you have not included them, your cycle is actually 28 days. In such a case, the time when you are most likely to conceive is from day 12 to around day 17 (the count starts on the first day of your period). I need to remind you, however, that this method of avoiding a pregnancy is not particularly reliable in the long term. If available, you can inquire about other long term forms of contraception which are completely reversible. Those methods are discussed in more detail here:

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