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STEROID CREAM IS SAFE FOR PREGNANCY IF UNDER 300 GRAMS |孕婦擦類固醇藥膏未逾300公克 不傷胎兒

Good Morning Taiwan
2017-07-16
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Women who apply steroid creams to ease a medical issue during pregnancy should not worry that the medication will affect their baby as long as the dose is lower than 300 grams, a new study finds. According to Chang Gung Memorial Hospital research, there is no direct link between low dose use of steroid and an increased risk of certain complications, such as premature delivery.. The results of this study have been published in medical journals.


Due to hot and cold weather, Ms. Lin's back was covered with rashes, and after repeated scratching there were small wounds. Ms. Lin is three months pregnant so when her sensitive skin showed serious eczema, she went to a dermatology clinic where the doctor prescribed a steroid ointment. However, she was afraid to use it, in case it had an adverse effect on the fetus.

==CHI CHING-CHI Chang Gung Memorial Hospital Dermatologist==
She looked at the label and it says that it's unclear whether the ointment is safe or harmful during pregnancy. So she's even more confused.

According to clinical statistics, about 17 percent of pregnant women have skin problems, including eczema, psoriasis, dermatitis and others so they need to use steroid ointments. Chang Gung Memorial Hospital's research team analysed over 1.6 million pregnant women and their fetus's data. The team found that pregnant women using over 300 grams of a strong topical steroid ointment during pregnancy, had an increase in risk of low birth weight from 5 to 35 percent. However, if over the entire pregnancy, the use of steroid ointment, did not exceed 300 grams, there was no effect on the fetus. The results of this research have been published in the best medical journals.

==CHI CHING-CHI Chang Gung Memorial Hospital Dermatologist==
If you use more than 300 grams of these steroid ointment during pregnancy, that's when there might be some risks or side effects which includes low birth weight. Applying a small amount of steroid can actually reduce the chances of premature deaths.

Doctors stressed that if pregnant womens' skin problems are not dealt with early, after severe infection they can sometimes affect health, and may cause a risk of miscarriage in the first 24 weeks. It is recommended that pregnant women who have skin problems, should actively seek medical treatment, and clearly inform the doctor of all symptoms. They should not self-medicate with indiscriminate use of ointment which may make their skin condition deteriorate.

TRANSLATED BY:STELLA TU

懷孕到底可不可以擦類固醇藥膏?長庚醫院最新研究顯示,只要整個孕期使用的強效類固醇藥膏總量,不超過300公克,都不會對胎兒造成傷害,但如果超過,則會增加胎兒出生體重過輕的風險、多達 7 倍。
紅疹佈滿背部,經過反覆的搔抓已經產生一些微的傷口,懷孕三個月的林太太,因爲忽冷忽熱的天氣,讓她敏感的皮膚開始出現濕疹,狀況嚴重,即使去看皮膚科,醫生開了類固醇藥膏她還是不敢擦,就怕對胎兒有不良影響。

==長庚醫院皮膚科醫生 紀景琪==
她把藥膏的仿單拿出來看
上面有寫說這個藥
在懷孕期的安全性是不知道的
是不確定的
所以她就更疑惑

醫生表示,根據臨床統計約有17%的孕婦有皮膚問題,包括濕疹、乾癬、脂漏性皮膚炎等要使用類固醇藥膏來治療,長庚研究團隊經過實證醫學研究,分析超過160萬名孕婦及其胎兒的資料發現,孕婦在懷孕期間使用強效外用類固醇藥膏超過300公克,胎兒出生體重過輕的風險,將從5%暴增至35%左右,但只要整個孕期使用的強效類固醇藥膏,總量不超過300公克,都不會對胎兒產生傷害,此研究結果已經發表於實證醫學最佳期刊。

==長庚醫院皮膚科醫生 紀景琪==
在懷孕期用(類固醇藥膏)
超過300克
才會造成風險 造成副作用
這個副作用是胎兒的
出生體重會變低
擦弱效或中效的類固醇
它可以減少胎兒
早期死亡的機會減少一半

醫師強調,孕婦的皮膚問題如果不及早處理,嚴重感染後有時會影響健康、反而容易造成孕婦在24週前的早期流產風險,因此建議孕婦有皮膚問題,應該要積極就醫治療,清楚告知醫師所有症狀,切勿自行亂用藥膏恐怕會讓皮膚情況惡化。