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beat blockers in 3rd trimester


Dr Specialist,
I have recently been diagnosed with partial right sided bundle branch block from an ECG trace, and am due to have an Eco and Holter monitor test in a weeks time, as per my cardiologist (which I have only just been referred to by my OBGYN). My concern is that the cardiologist wants me to start taking beta blocker "Minax" (metoprolol) before he even has the results back from these tests. I am almost 37 weeks gestation now, and have regular episodes of palpations and tachycardia daily. I do not get dizzy, or feel faint, nor do I get chest pain. I am concerned about the effects of the drug on the baby, as I have read it lowers resp rate, HR, BP & Sugars, as well as decreasing spontaneous respirations at birth in the baby. I have read the drug should be stopped 3-4 days pre labour (which I would like to know how we would know that date? as there is no elective birth planned). I am feeling I should request an early casearian (39 weeks) or an induction (if there is no risk of me cardiac arresting) and then start the drugs. I am scared of putting my baby at risk i.e. RDS etc. or having a still born due to altering its haemodynamics.
Would you mind please telling me what real effects I should be concerned or not concerned about with taking this drug.
I have also ready it is unadvisable to breast feed whilst on these meds too. Is this the case also?
Please provide an in depth medical explaination if you can, as both my husband and I have medical backgrounds, but not with paediatric pharmacology.
Thank you for any assistance with this if you can. I have read many journals etc. and they almost all advise against beta blockers in the final stages of gestation.
With kind regards,
K
3 Responses
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Avatar universal
Thank you very much for your help. It has given me a lot more confidence in my doctor.
Thank you also for the well wishes!
Helpful - 0
171867 tn?1271044148
HI I had my baby 14 moths ago and was on metroprolol? the whole pg and my baby was fine you are so far along the baby is fully developed,  you and the baby will be fine. I took mine ofr tachyracardia and it should help with your hr during labor and delivery! Good luck and I wish you a a safe and quick delivery!!!!
Helpful - 0
178698 tn?1228774338
Did you realize this area of the forum isn't responded to by physicians.   There is a special area you can post questions to physician's on medhelp.    

There are just other pregnant women 35+ and ones trying to get pregnant in this area.  
Helpful - 0
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