Is Temazepam Okay, and How to Discover Cord Issues?

QUESTION

Dear Midwife,
I am 37 weeks pregnant. I have two concerns on my mind, as this is my first pregnancy after a long struggle to get myself pregnant.

  1. I have been taking 10mg of TEMAZEPAM from my 33 week (randomly) as I had lot of difficulty in sleeping at night due to shortness of breath and restlessness. I would like to know whether this tablet has any side effect for the baby.
  2. How do I find out that my baby's umbilical cord is not wrapped around the neck? Can I find it out by ultrasound scan or any other technology available for this?

ANSWER

My sources say that TEMAZEPAM is contraindicated for pregnancy (category X). Does your provider know you are taking it? There are safer alternatives that would probably also work.

As for the cord, about 25% of babies have the cord around the neck, so it's practically normal. We are prepared to deal with an uncial (neck) cord if it happens, and it's usually no big deal. An ultrasound couldn't necessarily tell one way or the other, plus things could change by the time of delivery.

-- Cynthia, CNM

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.