Can cocaine cause birth defects in the fetus?

Question

Hello doctor,

My husband and I have been using cocaine on and off for over a year and I just found out I am three to four weeks pregnant. We most likely were using it on the night of conception, and last used at two to three weeks pregnant. Obviously, this was unintentional, as I had no idea I was pregnant up until today. We are very worried about the outcome in regard to birth defects. We would be grateful if you could kindly guide us on the next best step

Answer 1

Hello,

Welcome to icliniq.com

I read your query and understand your concern, is cocaine may cause birth defects or anomalies in the baby, but as per your description last month you only had once so most probably it would not affect much the pregnancy, make sure you will not have cocaine, alcohol or smoking during the pregnancy. Around 11 to 13 weeks do an NT (neonatal) scan, which will detect if there is any major defect so that you can abort it in a timely, also do an anomaly scan around 18 to 20 weeks. For now, start taking folic acid tablets once daily. Keep yourself hydrated take atleast three litres of water per day, and have more green leafy vegetables and fruits in your diet. I hope this information helps you, feel free to ask further queries.

Thank you.