Gedschold J, Becker R, Falk M
Abt. Humangenetik Medizinischen Akademie Magdeburg.
Arztl Jugendkd. 1990;81(5):318-20.
In a series of 153 women with intake of drugs during early pregnancy the pregnancy was terminated in 22% of all cases. There were the following results of the 119 non-terminated pregnancies: delivery of a normal, healthy baby: 84%; abortion: 5%; still birth and premature birth, respectively: 3,5%. An abnormal phenotype was seen in 7% of the newborns, but only 3 cases with major malformation (cleft lip, club-foot, cataract) could be noted. Compared with normal pregnancies the results do not confirm an enhanced risk for malformations by intake of drugs during early pregnancy. Unfounded anxiety of physicians as well as of pregnant women with indicated pharmacotherapy should be reduced by better information and education.
在一系列153例孕早期摄入药物的女性中,22%的病例终止了妊娠。119例未终止妊娠的结果如下:分娩出正常健康婴儿:84%;流产:5%;死产和早产分别为3.5%。7%的新生儿出现异常表型,但仅发现3例有严重畸形(唇裂、马蹄内翻足、白内障)。与正常妊娠相比,这些结果并未证实孕早期摄入药物会增加畸形风险。应通过更好的信息和教育减少医生以及接受药物治疗的孕妇毫无根据的焦虑。