PREGNANCY-BIRTH Messages for February, 2002: Re: Methotrexate/Birth Defects

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Re: Methotrexate/Birth Defects

From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)
Sun, 10 Feb 2002 22:24:43 -0600 (CST)

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In reply to: Liz: "Methotrexate/Birth Defects"
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Reply: Liz: "Re: Methotrexate/Birth Defects"

At Sat, 9 Feb 2002, Liz wrote: >
>My husband and I have been trying to conceive for about 5 years without
>much luck (primarily due to tubal problems). We were about to begin
>preparations for IVF last November, but I unexpectedly got pregnant. It
>turned about to be a tubal pregnancy and was terminated in January with
>Methotrexate. I don't know what we were thinking, perhaps that it was a
>fluke, because we were not prepared for the discovery that I am pregnant
>once again in February. It appears to be a normal, uterine pregancy.
>However, I am very concerned that I took methotrexate about 30 days
>before becoming pregnant. I have no idea when I ovulated, but I
>apparently became pregnant at the first ovulatory cycle post
>methotrexate. I have also been off my folic acid because it interferes
>with the methotrexate and was not expecting to become pregnant. I would
>like to know the specific risks we would be accepting if we do not
>terminate this pregancy. Exactly how high is the risk of birth defects
>(and what birth defects) under these circumstances? Thank you. (P.S. I
>know that you cannot tell me what will happen to me and my child
>exactly; I just need to know the statistics if possible before making
>any final decisions.)

teh risk of birth defects with one dose of methotrexate to treat an ectopic pregnancy a month ago is very, very low

--
M. Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

author of "Your Over-35 Week-by-Week Pregnancy Guide"

**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
***private e-mails WILL NOT be answered***

Next message: M. Kelly Shanahan, MD, FACOG: "Re: OUCH!!!"
Previous message: M. Kelly Shanahan, MD, FACOG: "Re: what causes placenta previa?? - Q the docs"
In reply to: Liz: "Methotrexate/Birth Defects"
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