-

Sunday, April 12, 2009

Antibiotic Treatment During Pregnancy

QUESTION: During a regular check up for my pregnancy, my doctor discovered bacteria in my urine.
Though I have no symptoms, my physician claims that it must be treated and wants to use an antibiotic.
I am against all medicining during the time I am carrying the baby, and feel he is being over cautious. May I have your opinion, please?

ANSWER: Your point of view that resists medications of any kind during early pregnancy is a fine one, and I wish more mothers-to-be understood the principles.
However, your physician is aware of the dangers of urinary infection to both you and your baby, and is not merely playing it safe but is most wise in his advice to you.
During your pregnancy your body undergoes many changes, including alterations in both the structure and function of your urinary system.
Urinary tract infections can be far more dangerous now than under other conditions, and can lead to a condition called pyelonephritis which is one of the most frequent reasons that pregnant women require hospital care.
Though you may have no symptoms now, if left untreated, symptoms can develop 30 to 40% of the time.
Your physician has a wide choice of medications that can be used.
Penicillins, cephalosporins and erythromycin type medications are considered safe.
Others, such as sulfonamides, nitrofurantoin, metronidazole, aminoglycosides and isoniazid may be used with caution.
I doubt that your doctor will chose a tetracycline or chloramphenicol, which are contraindicated for you.
His choice will depend upon the type of infection you have as well as your own sensitivities, tolerance to the medication, and any possible allergies to medications. Though you are to be complimented on your caution, this is one time when your physician's advice is right in line with the best of current medical practice for situations such as yours, and should be carefully followed.


The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician.
Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.