These labels already warn to avoid using NSAIDs during the last 3 months of pregnancy because the medicines may cause problems in the unborn child or complications during delivery. We will also update the Drug Facts labels of OTC NSAIDs intended for use in adults. The changes to the prescribing information also indicate that health care professionals should consider ultrasound monitoring of amniotic fluid if NSAID treatment extends beyond 48 hours. If deemed necessary by a health care professional, use of NSAIDs between 20 and 30 weeks of pregnancy should be limited to the lowest effective dose for the shortest duration. At around 30 weeks, NSAIDs can cause a problem that may result in heart issues in the unborn baby. We are recommending avoiding NSAIDs in pregnant women at 20 weeks or later in pregnancy rather than the 30 weeks currently described in NSAID prescribing information. This issue affects all NSAIDs that are available by prescription and those that can be bought over-the-counter (OTC) without a prescription.įor prescription NSAIDS, we are requiring changes to the prescribing information to describe the risk of kidney problems in unborn babies that result in low amniotic fluid. Amniotic fluid provides a protective cushion and helps the unborn babies’ lungs, digestive system, and muscles develop.Īlthough this safety concern is well known among certain medical specialties, we wanted to communicate our recommendations more widely to educate other health care professionals and pregnant women. After around 20 weeks of pregnancy, the unborn babies’ kidneys produce most of the amniotic fluid, so kidney problems can lead to low levels of this fluid. They include medicines such as aspirin, ibuprofen, naproxen, diclofenac, and celecoxib. NSAIDs are commonly used to relieve pain and reduce fevers. This can lead to low levels of amniotic fluid surrounding the baby and possible complications. Food and Drug Administration (FDA) is warning that use of nonsteroidal anti-inflammatory drugs (NSAIDs) around 20 weeks or later in pregnancy may cause rare but serious kidney problems in an unborn baby. So i suspect work and travel too could affect AFI.you can take rest for few days and check whether your AFI is coming up.The U.S. again after i reached my home town ,my AFI was fine. So dont worry dear.take rest.dont strain.if it has to happen it will.but dont take chances or wait for normal delivery if your doc suggests you to go ahead with C-sec because of low AFI.īut one another thing i observed was when i was under complete rest,my AFI was fine.i was working before 20 days of EDD but when i took leave in middle for 7 days,my AFI was fine. I did have my labour pains and just before 30 min of delivery,fetal distress was observed and i had to go through C-sec.but i am happy as my baby is safe I was prescribed ARG powder everyday,that too dint work and when we were taking the last checkup before leaving for my hometown,they asked me to go through a C-sec because of low AFI.it was exactly 22 days before my EDD.so i asked them whether taking drips would help.the doctor said that i could take drips for 2 days and leave for my ntinue with ARG powder and take a scan there.still if it continues,i need to go through C-sec.i went to my hometown by the shocking part is my AFI was fine in those last 22 days.i was still continuing with the powder.īut god had other plans.i did had to go through C-sec not because of low AFI but because of fetal distress. In my case,the low AFI(sometimes the level went down to even 7) was diagonised at the start of 3rd trimester and took was fine for sometime but then went down. As everybody here has mentioned,38 weeks is good enough for the baby to be out.
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