Does taking Anpainning injection at 6 months of pregnancy have an impact on the fetus?

Patient's question:

Please ask if my wife received an injection of Anpainning during her 6th month of pregnancy. The instructions said that the use of this drug in pregnant women is not yet clear! Will this affect the fetus?!

Doctor's answer:

The precautions in the instructions for Zhengqing Fengtongning Injection clearly state that pregnant or breastfeeding women should use it with caution. This indicates that pregnant or breastfeeding women can take the medication, but should do so cautiously and preferably under the guidance of a physician. When used correctly by pregnant women, Zhengqing Fengtongning Injection can effectively regulate their health and has a slight effect in maintaining fetal well-being.
Principles to follow when taking medication during pregnancy:
  1-2 weeks after fertilization: The impact of medication on the embryo is "all or none," meaning either there is no effect or there is an effect that leads to miscarriage. Medication is generally unlikely to cause fetal malformations, so if you take medication during the pre-pregnancy or early pregnancy period without knowing you are pregnant, it is unlikely to have a significant impact on the fetus, and there is no need to worry excessively.
  3-8 weeks after fertilization (i.e., 5-10 weeks after a missed period): If medication is not necessary, it should be avoided. If it is necessary, use it with caution and under the guidance of a physician.
  Second and third trimesters: During this period, fetal organ differentiation is largely complete, and the organs continue to grow. The risk of medication-induced malformations significantly decreases.
  Before delivery: The last week of pregnancy requires special attention to medication use. This is because when the fetus becomes a newborn, its metabolic system is not yet fully developed, and it cannot process and eliminate drugs quickly and effectively. Medication may accumulate in the infant's body, leading to symptoms of overdose.

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