AboutMohamed Kandeel Expertise I can answer questions about antenatal care, medical problems associated with pregnancy, labor and delivery and postpartum care.
Experience Currently I am working as a Professor of Obstetrics gynecology, Menofyia University, Egypt. Since 1987, I worked in many university and private hospitals with a high load of pregnant population averaging 7-9,000 deliveries/year. This exposed me to all problems associated with pregnancy, labor and delivery. I had my doctorate degree in Obstetrics and Gynecology in 1996 in the use of Doppler ultrasound in high risk pregnancies.
Organizations Menofyia University, Egypt
Publications -British Journal of Obstetrics and Gynecology (Kandil M)
-Egyptian Journal of Obstetrics and Gynecology (Kandil M)
-Ain Shams Journal of Medicine (Kandil M)
Education/Credentials -Master's degree in obstetrics and Gynecology 1989
-Doctorate degree in Obstetrics and Gynecology 1996
Awards and Honors Editorial advisor: Fetal monitoring section of the international website www.obgyn.net
Expert: Mohamed Kandeel Date: 6/10/2008 Subject: Medication during First Trimester
Question I am in my first trimester and came to know that I am pregnant only few days back. I assume the conception date is around May 1st, 2008. Without knowing that I am pregnant, I took the following medicines due to my high fever & cough during 3rd week of pregnancy.
May 14: Started course on Antibiotics named MOX-500mg (I assume my baby is in 3rd week during this time). The course was completed in 5 or 6 days
May 15 & 16: Took total of 4 tablets of Prednisolone. Didnt complete the course (I assume my baby is in 3rd week during this time).
Will this have any adverse affects on my baby? I read somewhere that prednisolone taken during first trimester may cause cleft lip or palate. Is this true? I am in deep agony and I really wish that my baby is safe throughout my pregnancy period. Please help to clear my doubts.
Answer Dear Lakshmi
I am not aware of the antibiotic MOX. It may be available under a different name in my country. However, it may be useful to know that ampicillin is the only safe abtibiotic during pregnancy although it is better to avoid all in the first trimester.
There is no adequate studies done on the effects of prednisolone on human fetus. However, data on animal studies show that it is teratogenic.