黃醫師您好 我已經懷孕約三個月了，最近卻老的肛門口搔癢不限定時間皆會發生我真的很懷疑被我大兒子傳染了因為有時我會吃他手上的東西 我有看過報導說孕婦好像不宜吃驅蟲藥，可是我真的很不舒服這已經影響我整天的情緒了請問沒有其他有效的藥品可以代替卻又不傷胎兒的嗎 感謝您百忙之中抽空回覆
文獻提供您參考 在第一孕期過後治療是比較好的 Lack of Risk of Adverse Birth Outcomes After Deworming in Pregnant Women. Gyorkos TW Larocque R Casapia M Gotuzzo E. From the Division of Clinical Epidemiology Department of Medicine McGill University Health Centre and the Department of Epidemiology and Biostatistics McGill University Montreal Canada daggerAsociacion Civil Selva Amazonica Iquitos Peru and double daggerInstituto de Medicina Tropical ”Alexander von Humboldt” Universidad Peruana Cayetano Heredia Lima Peru. BACKGROUND Pregnant women who live in hookworm-endemic areas may benefit from deworming during their pregnancy. The benefit derives from reducing anemia primarily iron-deficiency anemia caused by hookworm infection-attributable blood loss. Where the prevalence of hookworm is more than 20 to 30 the World Health Organization recommends that pregnant women receive anthelminthic treatment mebendazole albendazole levamisole or pyrantel after their first trimester. The objective of this study is to report describe and compare the occurrence of adverse birth outcomes in a large randomized controlled trial of antenatal mebendazole 500 mg single dose plus iron supplements versus placebo plus iron supplements conducted between April 2003 and June 2004 in the Amazon region of Peru. METHODS Physician-recorded data on adverse birth outcomes occurring during the trial N  1042 were obtained. Proportions were compared using chi analysis. RESULTS No statistically significant difference P  0.664 was found between the mebendazole group and the placebo group in terms of numbers of miscarriages malformations stillbirths early neonatal deaths and premature babies 28 versus 31 respectively. CONCLUSIONS The evidence provided by this large randomized controlled trial of mebendazole administered during pregnancy indicates that deworming with mebendazole can be safely included in antenatal care programs in hookworm-endemic areas. 婦產科黃建勳醫師敬覆