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Last Updated:
Jan 3rd, 2010 - 00:09:53
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Question
I have been taking Depo-Provera for about 1 year. I was due for my next shot in a couple of weeks but I have found out that I am about 7 weeks pregnant while on the shots. I did not miss any shots. Should I have any concerns about the health of my baby and the pregnancy because of Depo?
Angelique
Answer
Dear Angelique,
There are some risks with medroxyprogesterone, the synthetic progestin in Depo Provera. According to the UpToDate data base, there is an increased risk of minor birth defects in children whose mothers take progestins during the first 4 months of pregnancy. Low birth weight can occur in babies from unexpected pregnancies which occurred 1-2 months following injection of Depo Provera. Ectopic (tubal) pregnancies have been reported with use of Depo Provera.
I think the main thing is to get early prenatal care to make sure you and your baby are doing well. The odds are that your baby is fine and will be fine. Minor birth defects can be corrected after birth, if they occur.
Consider using one of the modern methods of natural family planning after you deliver. Take a class during the pregnancy so that you will be ready after you deliver. NFP is highly effective and poses none of the risks that devices and chemicals carry.
George Delgado, M.D., F.A.A.F.P.
Culture of Life Family Health Care
Voluntary Associate Clinical Professor
Department of Family and Preventive Medicine,
School of Medicine, University of California, San Diego
George Delgado, M.D., F.A.A.F.P. is a Fertility Care Medical Consultant, a physician with Pregnancy and Family Care Centers of San Diego and
Escondido, and a Voluntary Associate Clinical Professor, Department of Family and Preventative Medicine, School of Medicine, University of California, San Diego.
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