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Can metformin affect my baby?

Understanding Metformin and Its Effects on Pregnancy
Metformin is a widely prescribed medication primarily used to manage type 2 diabetes. As more women with diabetes or polycystic ovary syndrome (PCOS) consider pregnancy, questions about the safety of metformin during this critical period have become increasingly relevant.
Safety Profile of Metformin During Pregnancy
Research indicates that metformin is generally considered safe for use during pregnancy. A significant body of evidence suggests that the medication poses a low risk of birth defects when taken before and during pregnancy. In fact, studies have shown that babies born to mothers who used metformin had lower fat mass and lower birth weight, which can be beneficial in reducing the risk of obesity-related complications later in life.
Moreover, metformin does cross the placenta and can be found in fetal circulation, with concentrations in fetal cord blood being comparable to those in maternal plasma. However, the implications of this transfer are not fully understood, and ongoing research continues to explore the long-term effects on child development.
Breastfeeding Considerations
For mothers who are breastfeeding, metformin is also deemed safe. The medication can be detected in breast milk, but studies have indicated that this does not adversely affect the baby’s development. This reassurance allows mothers to manage their diabetes effectively while nursing without significant concern for their child’s health.
Potential Side Effects and Monitoring
While metformin is largely safe, it is not without potential side effects. Common issues include gastrointestinal discomfort, which can often be mitigated by taking the medication with food. It is crucial for pregnant women taking metformin to maintain regular check-ups with their healthcare providers to monitor both their health and the development of the fetus.
Conclusion
In summary, metformin is a valuable tool for managing diabetes in pregnant women and is associated with a low risk of adverse effects on the baby. As always, individual circumstances vary, and it is essential for expectant mothers to consult with their healthcare providers to tailor their treatment plans appropriately. This collaborative approach ensures both maternal health and the well-being of the developing child are prioritized.

What are the side effects of metformin in children?

Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:

  • Stomach pain or heartburn.
  • Gas.
  • Diarrhea, upset stomach, or throwing up.
  • Feeling tired or weak.
  • Headache.

Will my baby be ok if I have gestational diabetes?

Most people who have gestational diabetes give birth to healthy babies, especially when they keep their blood sugar under control, eat a healthy diet, get regular, moderate physical activity, and gain the right amount of weight. In some cases, though, the condition can affect the pregnancy.

What are the side effects of taking metformin while pregnant?

Side effects of metformin for pregnant women are usually mild. They often include stomach-related side effects, such as diarrhea, nausea, and vomiting.

Can a diabetic father have a healthy baby?

If you have type 1 diabetes, the chance of your child getting this condition in future is only 5%. This means that about 5 in 100 children get type 1 diabetes in future. The chance of your child getting diabetes is higher if their father has type 1 diabetes.

How does metformin affect the baby?

Metformin-exposed neonates had significantly lower birthweight and anthropometrics compared with insulin-exposed newborns. Although no increased risk of small-for-gestational-age was reported, the risk of macrosomia was reduced with 40% in the metformin group.

Why do doctors no longer prescribe metformin?

Why do doctors no longer recommend metformin? Doctors still often prescribe metformin to help treat T2DM. However, metformin may not be suitable for everyone with T2DM. For example, a doctor may prescribe alternative treatments, such as SGLT2 inhibitors, in people with kidney problems.

Is metformin bad for the baby?

Use of metformin during pregnancy is not expected to cause any problems that would require extra monitoring of the baby. Pregnant women with diabetes are more likely to have a larger than average baby — extra monitoring of their baby’s growth will therefore be offered.

What effects does metformin have on babies?

Metformin treatment for gestational diabetes alters the postnatal growth trajectory compared to insulin treatment. Children exposed to metformin compared to insulin in the womb tend to be born at significantly lower birth weights, but are heavier in infancy, with higher BMI by mid-childhood.

Can metformin cause birth defects?

After adjusting for other relevant health factors, such as fathers’ and mothers’ other health conditions, the researchers concluded that metformin did not elevate infants’ risk of birth defects.

What is the biggest side effect of metformin?

Diarrhea and gas
Diarrhea is the most common metformin side effect.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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