Patient's question:
I had an abortion once and then developed hyperthyroidism. Now I'm pregnant again. However, I took emergency contraception twice during pregnancy. Can this child be safe? If I don't keep it, will I still be able to get pregnant in the future? Could it cause habitual abortion?Doctor's answer:
The effect of emergency contraception on the embryo and whether it can continue the pregnancy remains undetermined in the medical community. The common view is that if emergency contraception is taken during the pregnancy month, if it affects the embryo, it may lead to spontaneous abortion in the early stages of pregnancy; if there is no effect, the pregnancy will continue naturally. If emergency contraception is taken after the 4th week of pregnancy, the possibility of fetal malformation increases.The drug label explicitly states that it is contraindicated for pregnant or potentially pregnant individuals. However, regarding whether to terminate the pregnancy, it is still necessary to consult an obstetrician and understand the potential risks before making a decision. From the perspective of eugenics, there is a certain impact. During the early stages of pregnancy, especially the first 3 months and the 3 months before pregnancy, any medication can affect the development of oocytes and embryos.
It is recommended to keep the baby, undergo regular prenatal examinations, perform the T21 screening between weeks 14-19, and have a 4D ultrasound for prenatal anomaly detection between weeks 22-26. If necessary, amniocentesis and umbilical cord blood analysis should be conducted between weeks 16-20 to clarify the baby's development within the uterus.