Glucocorticoids are a type of corticosteroid, a class of anti-inflammatory and immunosuppressive drugs. They are used to treat autoimmune conditions and are often administered during pregnancy. Glucocorticoids are considered relatively safe during pregnancy when used in low doses. However, there are some risks associated with their use, including an increased risk of cleft lip and palate in the offspring, as well as preterm birth, low birth weight, and preeclampsia. The benefits and risks of glucocorticoid use during pregnancy should be carefully weighed, and it is important to consult with a healthcare provider before making any changes to medication.
Characteristics | Values |
---|---|
--- | --- |
Is glucocorticoid safe during pregnancy? | Yes, but with some risks. |
Is it safe to take glucocorticoid during early pregnancy? | Yes, but with some risks. |
Is it safe to take glucocorticoid during late pregnancy? | Yes, but with some risks. |
Is it safe to take glucocorticoid during the entire pregnancy? | Yes, but with some risks. |
What You'll Learn
- The use of glucocorticoids during pregnancy is associated with an increased risk of cleft lip with or without cleft palate
- Glucocorticoids are considered relatively safe in pregnancy when used in low doses
- Glucocorticoids are used to treat symptoms of autoimmune conditions
- Glucocorticoids are used to treat preterm birth
- Glucocorticoids are used to treat recurrent miscarriage
The use of glucocorticoids during pregnancy is associated with an increased risk of cleft lip with or without cleft palate
A meta-analysis found a 3.5-fold increase in the risk of cleft palate in fetuses with first-trimester exposure to corticosteroids. The risk of cleft lip with or without cleft palate in infants was found to be increased by 60% in a large case-control study. Another study found that corticosteroid exposure during the first trimester was associated with a 2.0 to 9-fold greater risk of cleft lip with or without cleft palate.
The use of glucocorticoids during pregnancy is a complex issue, and the benefits and risks must be carefully weighed. The decision to use glucocorticoids should be made after a thorough assessment of the risks and benefits in consultation with a healthcare professional.
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Glucocorticoids are considered relatively safe in pregnancy when used in low doses
Glucocorticoids are associated with a small increase in the risk of cleft lip with or without cleft palate. However, there is little evidence that systemic glucocorticoid use in pregnancy independently increases the risk of preterm birth, low birth weight, or preeclampsia.
Glucocorticoids are also associated with a reduced risk of perinatal death, neonatal death, respiratory distress syndrome, and intraventricular haemorrhage. They have little to no effect on birth weight.
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Glucocorticoids are used to treat symptoms of autoimmune conditions
Glucocorticoids are used to treat a wide range of conditions caused by inflammation, including:
- Chronic obstructive pulmonary disease (COPD)
- Rheumatoid arthritis
- Crohn's disease and other types of inflammatory bowel disease
- Eczema and other skin conditions
- Asthma
- Allergies
- Adrenal insufficiency
- Heart failure
- Cancer
- Organ transplants
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Glucocorticoids are used to treat preterm birth
Glucocorticoids are considered relatively safe to use during pregnancy, but they may increase the risk of cleft palate in the foetus. They can also increase the mother's risk of hypertension, gestational diabetes, osteoporosis, premature rupture of membranes, and giving birth to a small baby.
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Glucocorticoids are used to treat recurrent miscarriage
Glucocorticoids are a group of classic drugs for autoimmune diseases. They are used to treat recurrent miscarriage, congenital adrenal hyperplasia, and preterm birth. Glucocorticoids are considered relatively safe in pregnancy when used in low doses and are designated as category B medications. Nonetheless, corticosteroids may increase the maternal risk of hypertension, edema, gestational diabetes, osteoporosis, premature rupture of membranes, and small-for-gestational-age babies.
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Frequently asked questions
Glucocorticoids are considered relatively safe to take during pregnancy when used in low doses. However, they may increase the maternal risk of hypertension, edema, gestational diabetes, osteoporosis, premature rupture of membranes, and small-for-gestational-age babies.
Glucocorticoids are used to treat symptoms of autoimmune conditions, as many standard immunosuppressive drugs and biologic agents are regarded as riskier in pregnancy or as having unknown effects on fetal development. Synthetic corticosteroids are often used to manage patients' disease severity and flares. They are also used to treat asthma and allergic rhinitis during pregnancy.
The use of glucocorticoids during pregnancy has been associated with cleft lip with or without cleft palate, intrauterine growth restriction, and preterm birth.