Drugs and choice of medication during pregnancy
During pregnancy, due to the biological connection between the mother and the foetus, special care is required for the use of drugs, especially narcotic drugs, by pregnant women. The choice of narcotic drugs during pregnancy is not only of concern to the safety of pregnant women, but also directly to the health and development of the foetus. This paper will provide the public with a general science guide on the effects of narcotic drugs on pregnant women and the foetus, principles for the selection of narcotic drugs during pregnancy, safety assessments of commonly used narcotic drugs and attention to the use of drugs during pregnancy.
The effects of anaesthesia on pregnant women and on the foetus The effects of anaesthesia and sedation are mainly achieved through the suppression of the central nervous system, the components of which may enter the foetus through the placenta barrier, with potential effects on the foetus. 1. Growth and development effects: Certain narcotic drugs may interfere with the development of vital organs such as the foetus ‘ s nervous system, cardiovascular system, respiratory system, etc., leading to abnormal or stunted functioning at birth. 2. Neural behavioural effects: Studies have shown that the newborn child may exhibit behavioral abnormalities, a lack of focus and a decrease in learning abilities following the birth of a pregnant woman with a full body anesthesia or some local anesthesia. Respiratory inhibition: Some of the narcotic drugs have respiratory inhibition, which can lead to an oxygen deficiency or respiratory distress in the womb, threatening the life of the foetus.
1. Select the appropriate method of anaesthesia according to the type of operation, the condition of the pregnant woman and the condition of the foetus. For most deliveries, local or regional anaesthesia is usually the preferred because it has a lesser impact on the foetus. 2. Priority is given to low-risk drugs: in the selection of narcotic drugs, priority is given to those that have a lower impact on the foetus. Avoid the use of substances known to be harmful to the foetus. 3. Control of drug doses and duration: strict control of the dose and duration of narcotic drugs to reduce potential risks to the foetus.
1. Local narcotic drugs, such as Lidocaine and Plucaine, are generally considered safe for use during pregnancy, subject to careful dose control. Adekhin, Bubikain and Acarin are also usually safe, but equally need to be used with caution. 2. All-body anesthesia: The whole-body anesthesia has a greater impact on the foetus and use during pregnancy should be avoided as far as possible. If necessary, dosage and duration should be strictly controlled and vital signs of pregnant women and foetuses closely monitored. 3. Analgesics: Acetaminophenol is the most preferred analgesics in pregnancy, as it affects the foetus less. In contrast, aspirin and non-parathalmic anti-inflammatory drugs can lead to arterial catheter contraction, post-partum haemorrhage and late delivery, and should be avoided during pregnancy.
1. Adequate assessment of risks and benefits: Before receiving any medical intervention during pregnancy, full assessment of the risks and benefits of narcotic drugs should be made to ensure the reasonableness of the use. 2. Following medical instructions: Pregnant women should strictly follow medical instructions and do not change their drug dosage or stop. 3. Enhanced monitoring: In the course of drug use, the monitoring of pregnant women and foetuses should be strengthened to detect and address anomalies in a timely manner. Psychological preparation: Pregnant women should be fully aware of the potential risks of narcotic drugs to the foetus and psychologically prepared to reduce anxiety and fear.
In short, the choice of narcotic drugs for use in pregnancy is a complex and sensitive issue. Pregnant women should be fully aware of the potential effects of narcotic drugs on the foetus, be guided by the use of medicines by doctors, and be better monitored to ensure the safety of mothers and children. At the same time, health-care personnel should constantly improve their professional skills and knowledge and provide more safe and effective medical care for pregnant women.
