Safety of Using Antibiotics During Pregnancy

Medications

Obie Editorial Team

Some antibiotics have a better safety profile during pregnancy. To help navigate the extensive list of antibiotics, they are grouped into Categories A, B, C, D, and X. When prescribing an antibiotic, your healthcare provider will carefully select a medication that effectively treats the infection while considering its safety profile during pregnancy.

These categories are not exclusive to antibiotics. All medications are organized into Categories A, B, C, D, or X. Obstetricians often prioritize medications that fall within Categories A, B, or C for pregnant individuals.

Occasionally, the best antibiotic for a specific infection might be in a category less favored during pregnancy, like D or X. In these situations, your obstetrician will thoughtfully evaluate the potential benefits against any associated risks of the antibiotic. Category X should be avoided entirely. If the advantages of using the antibiotic surpass potential risks and you consent to it, the medication might be prescribed. If you decide against it, alternative treatments will be explored, although untreated infections can pose varying risks to the fetus.

It's important to recognize that being categorized as less safe does not guarantee fetal harm in every instance. Many cases experience no adverse effects on the fetus. These categories serve as guides, assisting obstetricians rather than providing an absolute directive.

Crucially, using antibiotics not specifically prescribed to you is unsafe. Even if someone you know has been diagnosed with a similar infection, it does not mean the same medication will be suitable for you. This can potentially introduce risks to your pregnancy. Always seek your healthcare provider's guidance for the best treatment strategy personalized for you.