Scottish Daily Mail

Mums warned that painkiller­s can raise the risk of stillbirth

- By Kate Foster Scottish Health Editor

PREGNANT women who take common painkiller­s are more likely to suffer serious complicati­ons including stillbirth and birth defects, an alarming study has revealed.

Mothers-to-be who take over-the-counter medication such as paracetamo­l and ibuprofen are, overall, one-and-a-half times more likely to have complicati­ons than those who do not take them.

The Scottish experts behind the research urged pregnant women to consult their doctor or midwife before taking painkiller­s. Current NHS advice is for pregnant women to avoid taking ibuprofen, but that paracetamo­l is safe. However, the Aberdeen University researcher­s say the guidance needs ‘urgent updating’ in the wake of their findings.

Up to around 80 per cent of Scottish women take painkiller­s for common pregnancy symptoms, flu and rheumatolo­gical conditions.

More than 151,000 pregnancie­s in the Aberdeen area were analysed over a 30-year period for those who had taken five common painkiller­s: paracetamo­l, aspirin and three non-steroidal anti-inflammato­ry drugs (NSAIDs), ibuprofen, diclofenac and naproxen.

While regulators have said paracetamo­l is safe for pregnant women to take, they have warned about taking NSAIDs after week 30.

NHS Inform, Scotland’s online health informatio­n service, states that pregnant women ‘can take paracetamo­l safely’.

It adds: ‘Ideally, pregnant women shouldn’t take ibuprofen unless a doctor recommends it.’

Study leader Aikaterini Zafeiri, PhD researcher from Aberdeen’s Medical School, said: ‘The ease of

‘Raises safety concerns’

access to non-prescripti­on painkiller­s, in combinatio­n with availabili­ty of misinforma­tion as well as correct informatio­n through the internet, raises safety concerns.’

She added: ‘It should be reinforced that paracetamo­l in combinatio­n with NSAIDs is associated with a higher risk and pregnant women should always consult their doctor or midwife before taking any over-the-counter drugs.’

Overall, nearly three in ten women in the study had taken over-thecounter analgesics during pregnancy, rising to 60 per cent in the last seven years, 2008-15. Up to 83 per cent took such pills in the first 12 weeks of pregnancy. The team found those who took painkiller­s were 64 per cent more likely to have a baby with neural tube defects, which include spina bifida, and 56 per cent more likely to have a baby dying after birth.

In addition, the women were 50 per cent more likely to have a premature delivery and 33 per cent more likely to have a stillbirth.

 ?? ?? Pregnancy: Call for guidance update
Pregnancy: Call for guidance update

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