Is it Safe to Take Antibiotics While Pregnant?
Antibiotics can treat bacterial infections during pregnancy, essential to protect both mother and baby. The placenta filters nutrients and waste but allows some medications, like antibiotics, to reach the baby.
Some antibiotics are safe during pregnancy, while others may not be or are only safe at certain stages. Always consult your doctor to determine the best and safest treatment for your condition.
Which antibiotics are safe for pregnant women?
Around 80% of medicines prescribed to pregnant women are antibiotics. While many are safe, always consult your doctor before starting any antibiotic treatment during pregnancy.
Penicillin
Penicillin, including ampicillin and amoxicillin, is the most commonly prescribed antibiotic during pregnancy. Though it crosses the placenta, it does not harm the baby. Amoxicillin with clavulanic acid is also considered safe for treating infections resistant to amoxicillin alone.
Azithromycin
Azithromycin, a macrolide antibiotic, is considered safe during pregnancy. However, clarithromycin and erythromycin are not safe as they can narrow a baby’s stomach openings.
Cephalosporins
Cephalosporins, like cephalexin, are generally safe during pregnancy. However, ceftriaxone, while safe earlier, is avoided near delivery as it may cause kernicterus—severe infant jaundice that can lead to brain damage.
Clindamycin
Clindamycin, a lincosamide antibiotic, is safe during early pregnancy. However, vaginal clindamycin is not recommended at any stage, as it may cause infections in the baby and low birth weight.
Discover: Can I drink Alcohol while Taking Antibiotics? Is it safe?
Which antibiotics are not safe during pregnancy?
Here, we have listed the unsafe antibiotics to use during pregnancy. It would be best to inform your doctor if you are pregnant before being prescribed these antibacterial medicines:
Tetracycline
Tetracycline antibiotics, including doxycycline and minocycline, treat respiratory infections and acne. However, they can discolour a baby’s teeth and affect bone development if taken in the second or third trimester. Tetracyclines should be avoided at all stages of pregnancy.
Streptomycin
Streptomycin, used to treat tuberculosis, is not recommended during pregnancy as it can cause hearing loss in the baby.
Ciprofloxacin
Ciprofloxacin, used for urinary tract infections, is not recommended during pregnancy as it may cause abnormal bone development in the baby.
Summary
Taking antibiotics during pregnancy can be concerning, but some are safe for both mother and baby. Treating infections is essential to reduce risks for the pregnant woman. Doctors carefully prescribe antibiotics that ensure safety for both.
Find out: What is the Difference Between Bacterial and Viral Infection?
Certain antibiotics, like azithromycin and clarithromycin, have been linked to a higher risk of miscarriage, especially in the first trimester.
Yes, some antibiotics like azithromycin (65% increased risk) and tetracyclines or quinolones (2-3 times higher risk) may increase miscarriage risk.
UTIs during pregnancy are treatable with antibiotics. Take the course as prescribed and consult your doctor if symptoms persist or worsen.
Antibiotics typically remain in your system for several hours to several days, depending on the type, dosage, and individual factors like age.
Amoxicillin, co-amoxiclav, and penicillin V are generally safe during pregnancy. Always inform your doctor about any medications taken.
