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During pregnancy to take AKT 4 and 3 cause any disability - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   hello doctor This is regarding my wife. She is 28 yrs old and 5.3" my wife is 8 weeks pregnant now. she was using AKT4 at the time of conception and then was moved on to AKT3 till a day back (08.04.2011). We would like to know, if it is advisable to go ahead with the pregnancy. is it going to cause any disability of any kind (hearing, eye, etc.) for the babies (she is conceived with twins) to be born. kindly advise in detail as we are getting different words from many of our offline doctors. We are really concerned and the verge of thinking to terminate.
Doctor :   Hi
User :   hi doc
Doctor :   give me some time to read your query
User :   ok sure
Doctor :   i understand you are taking medications for tuberculosis
User :   not me doctor my wife
Doctor :   yes i am sorry , your wife is taking TB medications and you are worried about the outcome of her pregnancy.
User :   yes exactly , kindly help us doctor , we are very concerned
Doctor :   Give me sometime i would like to refer some medical journals and give you complete information that I can
User :   sure
Doctor :   according to literature it is safe to have akt3 medication in pregnancy
User :   ok
User :   are you there doctor ?
Doctor :   yes
User :   so you mean my wife can safely continue her pregnancy
Doctor :   it would have been ideal to finish the course of TB medication and paln for pregnancy
User :   she had taken ak t4 at early weeks
User :   and i took an opinion from 2 doctors , both asked me to terminate the pregnancy
Doctor :   there is a probability of passing TB to the offspring
User :   you mean even in pregnancy ?
Doctor :   as it is not completely cured in your case and it may pose risk to the babies
Doctor :   yes even in pregnancy TB can be transmitted to the baby.
User :   how will it get transmitted to the babies ? which way?
User :   doc u thr?
Doctor :   TB is generally transmitted through airway but incase of pregnancy it is very difficult to ascertain the way of transmission
User :   ok
Doctor :   it is thought that disease is transmitted through perinatal fluids.
User :   will my kids have any birth anamolies , the pediatrician said chances of hearing defects and something else may be possiblie and we are very worried , pregnancy has already crossed 7 weeks
Doctor :   yes there is possibility of anamoly at birth
Doctor :   did you take iron and folic acid supplementation?
User :   but then you asked me to continue her pregnancy
User :   im confused doctor
Doctor :   It is up to you to decide what to do. I can help you with the pros and cons of your situation.
Doctor :   It is always better to plan pregnancy.
User :   yes , please tell me i would want to know
User :   we are already ahead by 7 weeks , so what can be done now ?
Doctor :   You are aware of the possible effects on your pregnancy because of your TB condition now.
User :   no I am not having a clear idea , can you tell me what can happen to my children as she took those medicines in eaarly pregnancy ?
Doctor :   There is possibility of neural tube defects.
User :   what does that mean ?
Doctor :   its a birth defect that affects nervous system.
User :   ok
User :   so do we terminate or continue it ?
Doctor :   I would recommend you to go with the advice of the doctors to terminate pregnancy.
Doctor :   is there anything i can help you with?
Doctor :   thanks for consulting bye for now
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