... worried about harming my baby I really want this baby b healthy I hope someone out there can help resure tat its safe for my baby
Your obstetrician needs to be involved with any medication you take during pregnancy. He can advise you on this.
As long as your obstetrician knows that you are taking Dilaudid, they can prepare for the withdrawals at birth. While it is ideal that a pregnant mother not be on any medications, sometimes it is necessary that she take them. If the benefits to the mother are greater than the risk to the baby, they will keep the mother on the drug. No one can reassure you that it is "safe" fr your baby because it is not. The baby is getting the medication in its blood stream the same as you are and he/she will be born dependent on the drug and will go through withdrawals just as you would if you stopped the medication. It can cause breathing problems in your baby when the baby is born and withdrawal is unpleasant to say the least. If your OB knows that you are taking the medicine and says it is okay for you to continue then he/she has determined that your not taking the medicine would be a greater risk than continuing it and he will know to be prepared to help the baby when it is born.
Here is what the literature states:
Pregnancy Category C
No effects on teratogenicity or embryotoxicity were observed in female rats given oral doses up to 7 mg/kg/day, which is approximately equivalent to the human dose of 2.5-10 mg every 3 to 6 hours for oral liquid, and 3-fold higher than the human dose of 2-4 mg every 4 to 6 hours for the tablet on a body surface area basis. Hydromorphone produced skull malformations (exencephaly and cranioschisis) in Syrian hamsters given oral doses up to 20 mg/kg during the peak of organogenesis (gestation days 8-9). The skull malformations were observed at doses approximately 2-fold higher the human dose of 2.5-10 mg every 3 to 6 hours for oral liquid, and 7-fold higher than the human dose of 2-4 mg every 4 to 6 hours for the tablet on a body surface area basis. There are no adequate and well-controlled studies of Dilaudid in pregnant women.
Hydromorphone crosses the placenta, resulting in fetal exposure. Dilaudid ORAL LIQUID and Dilaudid TABLETS should be used in pregnant women only if the potential benefit justifies the potential risk to the fetus (see Labor and Delivery and DRUG ABUSE AND DEPENDENCE ).
Babies born to mothers who have been taking opioids regularly prior to delivery will be physically dependent. The withdrawal signs include irritability and excessive crying, tremors, hyperactive reflexes, increased respiratory rate, increased stools, sneezing, yawning, vomiting, and fever. The intensity of the syndrome does not always correlate with the duration of maternal opioid use or dose. There is no consensus on the best method of managing withdrawal. Approaches to the treatment of this syndrome have included supportive care and, when indicated, drugs such as paregoric or phenobarbital.
Labor and Delivery
Dilaudid ORAL LIQUID and Dilaudid TABLETS are contraindicated in Labor and Delivery (see CONTRAINDICATIONS).
Low levels of opioid analgesics have been detected in human milk. As a general rule, nursing should not be undertaken while a patient is receiving Dilaudid ORAL LIQUID and Dilaudid TABLETS since it, and other drugs in this class, may be excreted in the milk.
You have not given the reason why you are needing to take this medication during pregnancy. The best thing is to stick to your prescribed dose and to never, ever take more than prescribed or more often than prescribed. It will be a bit rough for your infant when it is born and therefore rough on you. Your Dr must feel that it is worth this risk.
It really is quite tragic to see a baby born addicted who didn't ask for any of this. Hearing that type of "cry" would make any human cringe. It isn't a normal cry and one any doctor would immediately recognize. There are also developmental issues to lookout for. It is more than the minutes after the birth... it is the months and years after the fact where the permanent and irreversible damage shows up.
Do not be misinformed here or naive. You want the best for your baby so be the best "incubator" you can be for it to grow into all that he or she can be - FREE from addiction from the get go.
- Dilaudid Information for Consumers
- Dilaudid Information for Healthcare Professionals (includes dosage details)
- Side Effects of Dilaudid (detailed)
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