Метипред при беременности. Влияние метипреда на плод. Дементьева С.Н.

Metipred during pregnancy. The effect of metipred on the fetus. Sign up for an online consultation at the CIR by following the link https://vk.cc/ccpWoV Subscribe to our Telegram https://t.me/cir_online ​We are on VKontakte https://vk.com/socialnetcir Our expert articles https://www.cironline.ru/ciropedia/ Cases, reproduction news, notes from CIR doctors https://vk.cc/cbYvAV ​ ​​ In this video, the obstetrician-gynecologist of the CIR, Svetlana Nikolaevna Dementyeva, https://bit.ly/3nEjj1c, answers the question: "Hello! Often, when diagnosed with APS, metipred is prescribed as a therapy. Let's say, when there is no way to find immunoglobulin on sale. I have repeatedly come across the opinion that taking metipred has a negative effect on the male fetus. Is this true and are there any studies on this topic?" What affects the male fetus, yes, I told you that taking glucocorticoids can reduce the amount of androgens produced by the adrenal glands of the mother and baby. Sometimes these drugs are given specifically for this purpose, to reduce the amount of androgens. But it's a slightly different story when there is a deficiency of the 21-hydroxylase gene. That is, one of the indications for prescribing glucocorticoids is a possible deficiency of 21-hydroxylase in the female fetus. When the mother has elevated androgens and there is a possibility that there is a genetic disorder in the female child. In order for everything to develop normally in girls, they give drugs like dexamethasone, which passes and reduces the amount of androgens in the girl. Here, when we talk about antiphospholipid syndrome and women do not have the opportunity to drip immunoglobulins, and we, for example, replace immunoglobulins with methylprednisolone. And sometimes it happens that it is necessary to strengthen, for example, therapy and we add metipred to immunoglobulins. This often happens in women with systemic rheumatic diseases. When a woman has systemic lupus erythematosus, scleroderma, rheumatoid arthritis before pregnancy, she initially has not one tablet of Plaquenil, but two tablets, and sometimes these droppers are not enough and there is a need to add metipred. Usually in such situations we always weigh the benefits and risks. And, let's say, if with antiphospholipid syndrome the fetus is male, a boy, and there is no way to drip immunoglobulins, immunoglobulins are much better, because they are devoid of all these side effects, then there are no options. We then take metipred and give it. Yes, there is a small probability that this will not have a very good effect on the woman and the child. But when there is no choice, we still have to give it. You can sign up for an online consultation by following the link https://vk.cc/ccpWoV. Find out how to get tested at the CIR if you don’t live in Moscow https://vk.cc/ak3guR ​ You can make an appointment for an in-person consultation by calling the multi-channel number +7 (495) 514-00-11 or on our website at the link https://vk.cc/9z2cyu ​ Our doctors ​Our website https://vk.cc/9z2aLK ​Laboratory https://vk.cc/9z2b91 Our Rutube https://rutube.ru/channel/23913594/ Our Yandex Zen https://vk.cc/cc19Fc ​Center for Immunology and Reproduction (CIR) https://vk.cc/9z2aLK- ​a network of fertility, obstetrics and prenatal diagnostics clinics with its own laboratory of medical analysis "CIR Laboratories" https://vk.cc/9z2b91 ​. We have been working since 1996. Main areas of activity: diagnostics and treatment of infertility and miscarriage preparation for IVF pregnancy planning and management urology and andrology assistance and prevention of severe pregnancy complications, preeclampsia, APS, thrombophilia all types of tests. We help people become parents even in the most difficult cases! Our channel is dedicated to obstetrics, gynecology and reproductive medicine. We publish videos about medical news, reviews of articles from foreign scientific journals, analysis of complex clinical cases, and also answer subscribers' questions in our videos. Our videos will be useful for doctors of various specialties whose work is related to reproductive medicine, as well as for patients and a wide range of people interested in obstetrics and gynecology and looking for answers to their questions. On Mondays, at 14.30 Moscow time, our channel hosts live broadcasts with a candidate of medical sciences, obstetrician-gynecologist, Igor Ivanovich Guzov, in which he talks about medical news and answers your questions. Subscribe to our channel so as not to miss broadcasts and the release of new videos! This video    • Метипред при беременности. Влияние метипре...   Other videos about medications during pregnancy https://vk.cc/9hlfBa Autoimmune diseases and APS https://vk.cc/9V5iTD ​Many interesting videos https://goo.gl/64X3c1 ​ #CIR​ #DementyevaSN #metipred #obstetrics #pregnancy #APS