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« It’s Not Wrong to Long for Justice | Main | The Immune Response against Abortion »

December 07, 2015

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As a general principle, we avoid (if possible) giving most chemotherapeutic drugs during the first trimester; in second and third trimester, treatment is nearly always safe when the drugs are chosen wisely. The treatment team must engage in a careful, detailed conversation about the risks both as to the possible progression of the underlying disease as well as the viability of the pregnancy in the context of the woman's entire health situation.

In certain emergent life-threatening conditions (e.g. acute leukemia) when the woman presents in early pregnancy--an unusual circumstance, to be sure--if temporizing therapy cannot be given induction chemotherapy will almost always cause the death or deformity of the embryo/fetus and miscarriage is the usual outcome.

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