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FAMILY MEDICAL CARE: CONTRACEPTIVE PILL AND HORMONE PRODUCTS IN PREGNANCY

In very recent times, more and more attention is being given to congenital abnor­malities and to the possible causes.

With increasing frequency, added pieces of well-documented evidence come from leading research hospitals in various parts of the world. Collectively, these make interesting and thought-provoking reading.

It has become apparent that the use of hormonal products in early pregnancy could be a consistent and important cause of many congenital deformities. Such may be taken by an unsuspecting mother in a variety of ways-.

The most likely is to continue taking the contraceptive pill even though pregnancy has occurred. Although pregnancy is most unlikely when taking the Pill strictly as prescribed, various situations can arise where it is inadvertently missed. Or the patient may suffer from a gastric upset for a few days, and unwittingly vomit the Pill. Protection lapses and pregnancy may subsequently develop. The Pill may be continued with the woman unaware of a pregnancy developing in her womb.

Although at present the evidence is still fairly sparse, enough documentation is on record that indicates this may produce developmental problems. So, pregnancy and the Pill seem to be definitely not recommended.

Another potentially serious cause of trouble in the same field is the use of hormonal products for performing pregnancy tests.

Before the widespread availability of the immuno-chemical pregnancy tests (which test the urine or blood for the presence of H.C.G.), hormones were used as a common method of checking.

This was administered in the form of injections or tablets. If the patient bled after the hormones, it was presumptive evidence she was not pregnant. But if bleeding did not eventuate, it was highly probable she was pregnant.

These tests were in use for many years, and were considered to be safe from producing congenital abnormalities. But evidence began to accumulate that this was not always the case. Now a substantial amount of evidence indicts the use of these hormonal products. In Australia they have   been    banned    by    the    governmental authorities, and their use has virtually stopped. Similar precautions will no doubt be taken in other countries also, and it is highly probable this has already occurred by now.

Certain other hormonal products have also been incriminated. Progesterone, which was once given to mothers who showed a tendency to miscarry, has been incriminated as producing abnormalities in the developing infant. It is now no longer recommended for these purposes.

Another serious problem which has come to recognition only in the past few years is the long-term effect of certain hormonal prepara­tions given to mothers during pregnancy. It seems that quite a few women were treated with the hormone stilboestrol. Although their babies appeared to be normal, many cases of vaginal cancer have subsequently been reported in their female offspring, several years later.

 

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GENERAL HEALTH




 
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