Medication in Pregnancy: What You Need To Know

Obstetrician and gynaecologist, Dr Adam Urato, explains why he is concerned about the huge increase in medications now taken by pregnant women. A figure that has surged in the last few decades. Across the world, women are taking more drugs than ever before while pregnant. In the US, around 90% of women expecting a baby will now take some kind of medication during pregnancy

Adam argues the notion a drug is safe until proved otherwise goes completely against the precautionary principle and common sense.

He was one of the first doctors to highlight the risks of a synthetic hormone called Makena, which was supposed to reduce the risk of preterm birth. It was on the market for two decades, even when the evidence showed it didn’t work, it took a further four years to get it withdrawn.

Today Adam is particularly concerned about the number of women taking selective serotonin reuptake inhibitors - or SSRIs for short -  in pregnancy and doesn’t believe they are usually fully informed about the risk.

Yet studies have shown that the medications can increase the likelihood of miscarriage, birth defects, an early birth, a low birth weight and postpartum haemorrhage. In some cases, there also appears to be a potential impact on the baby after birth.

Dr Adam Urato is a board certified obstetrician and gynaecologist, who trained at Harvard Medical School and  who practices in Massachusetts in the US. He has a particular interest in the risks and benefits of medications during pregnancy and has written a number of peer-reviewed papers on the topic.

The host of the podcast, Liz Tucker is an award winning medical journalist and former BBC producer and director.  You can follow Liz on Twitter at https://twitter.com/lizctucker and read her Substack newsletter about the podcast at https://liztucker.substack.com

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