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Does 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 seek to conceive, questions about the safety of metformin during pregnancy have become increasingly relevant.
Safety Profile of Metformin During Pregnancy
Research indicates that metformin is generally considered safe for use during pregnancy. Studies have shown that there is a low risk of birth defects associated with its use, making it a viable option for women who need to manage their blood sugar levels while pregnant. Furthermore, metformin can cross the placenta and be detected in the fetal circulation, with concentrations in fetal cord blood being comparable to those in maternal plasma. However, the implications of this transfer are still being studied.
Breastfeeding Considerations
For mothers who are breastfeeding, metformin is also deemed safe. The medication can be found in breast milk, but current evidence suggests that it does not adversely affect the baby’s development. This reassurance allows mothers to continue their diabetes management without significant concerns about their child’s health during breastfeeding.
Potential Risks and Monitoring
While the overall safety profile of metformin is positive, it is essential for pregnant women taking this medication to be closely monitored by healthcare providers. This is particularly important because, although metformin is effective in controlling blood sugar levels, it can cause side effects such as gastrointestinal discomfort. Women should be vigilant for any unusual symptoms and maintain open communication with their healthcare team.
Conclusion
In summary, metformin is a safe option for managing diabetes during pregnancy and breastfeeding, with a low risk of birth defects and no significant adverse effects on infant development. However, as with any medication, it is crucial for expectant mothers to consult with their healthcare providers to ensure the best outcomes for both themselves and their babies.

Does metformin slow baby growth?

A study published in the American Journal of Obstetrics and Gynecology demonstrates that when the diabetes drug metformin is given to the mother during pregnancy, fetus growth is restricted, including a slowed maturing of the kidneys, which has been linked to a higher risk of obesity and insulin resistance in childhood …

Can metformin restrict fetal growth?

Key findings
The levels in fetal urine neared biomolar equivalence to maternal levels after initiation at gestational day 30. Bioaccumulation of metformin in the fetus was associated with growth restriction in liver, skeletal muscle, heart, and retroperitoneal fat masses, driving lower fetal body weight.

Will one blood sugar spike hurt my baby?

High blood glucose levels during pregnancy can also increase the chance that your baby will be born too early, weigh too much, or have breathing problems or low blood glucose right after birth. High blood glucose also can increase the chance that you will have a miscarriage link or a stillborn baby.

What does metformin do to a baby?

Previous studies suggest fetal exposure to metformin may increase the risk of lower birth weight and adverse metabolic outcomes in offspring, as well as a higher risk of increased body weight, obesity and metabolic dysfunction in preadolescence.

Can metformin cause birth defects?

June 26, 2024—Infants born to men or to women taking metformin, a common drug used to manage type 2 diabetes, do not appear to be at higher risk of birth defects, according to two new studies led by researchers at Harvard T.H. Chan School of Public Health.

Can metformin harm my unborn 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.

Is it OK to get pregnant while taking metformin?

Metformin and fertility
There’s no evidence to suggest that taking metformin reduces fertility in either men or women. Metformin is sometimes prescribed to try to improve ovulation and fertility if you have polycystic ovary syndrome (PCOS). Having a healthy body weight is important both for fertility and for pregnancy.

Does 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.

When should I stop taking metformin during pregnancy?

Most of the studies applicable to PCOS restricted exposure to the first trimester, ie, metformin was discontinued as soon as pregnancy was diagnosed. Evidence beyond the first trimester is anecdotal at this point. Large well-controlled studies of humans are needed.

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.

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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