Re: prednisone preconception

From: art fougner, md (evsono@pipeline.com)
Mon Apr 30 11:23:23 2001


learned this one about 30 yrs ago -

"if you don't have a healthy mom, ya can't count on having a healthy baby."

art

At Sun, 29 Apr 2001, DoctorJoe@aol.com wrote: >
>In a message dated 4/29/01 19:35:11, nd84md@aol.com writes:
>
><< have a patient 35 yo and on prednisone 25mg qod for what is essentially
>a variant of MS. her neurologist wants to wean her over the next year
>off her meds, but my patient is anxious to get pregnant and is concerned
>that waiting would put her at higher risk for anomilies than the
>prednisone.
>
>all i can find about prednisone in similar situations is an increase in
>facial clefts. any experience with this type of med in practice? would
>the increased risk of triosomy with advancing age be similar the cleft
>risk? thanks for any help. >>
>
>I understood that oral prednisone didn't cross the placenta to any great
>extent. If she's actually being weaned off, then her levels should be way
>low, right?
>
>Joe P.

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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