Does taking alprazolam increase the chance of miscarriage?
Miscarriage is common and can occur in any pregnancy for many different reasons. It is unlikely that alprazolam would greatly increase the chance of miscarriage.
Does taking alprazolam increase the chance of birth defects?
Birth defects can happen in any pregnancy for different reasons. Out of all babies born each year, about 3 out of 100 (3%) will have a birth defect.
Most studies on alprazolam use in the first trimester have not reported an increased chance of birth defects. Two reports that looked at prescription records reported a higher chance for heart defects if a prescription for alprazolam was filled during pregnancy. Studies based on prescription records cannot tell if a person took the medication, so it is hard to know if the outcomes are related to the medication or other factors. Overall, an increased chance of birth defects has not been proven.
Does taking alprazolam in pregnancy increase the chance of other pregnancy-related problems?
Some studies have suggested that alprazolam might increase the chance of preterm delivery (birth before week 37) and low birth weight (less than 5 pounds, 8 ounces [2500g] at birth). Other studies have not found this association.
I need to take alprazolam throughout my entire pregnancy. Will it cause withdrawal symptoms in my baby after birth?
The use of benzodiazepines (including alprazolam) during pregnancy can cause temporary symptoms in newborns soon after birth. These symptoms are sometimes referred to as withdrawal and can include trouble regulating body temperature, trouble breathing, low energy, poor feeding, and vomiting. Most often, symptoms start soon after birth and could last several days. Not all babies exposed to alprazolam will have symptoms. It is important that your healthcare providers know you are taking alprazolam so that if symptoms occur your baby can get the care that is best for them.
Does taking alprazolam in pregnancy affect future behavior or learning for the child?
Studies have not been done to see if alprazolam can cause behavior or learning issues for the child.
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