It is generally not recommended to take Advil (ibuprofen) during pregnancy, especially after 20 weeks gestation. Ibuprofen can pose risks such as birth defects in the first trimester, and in the second and third trimesters it may affect the baby's kidneys, cause low amniotic fluid, and lead to heart-related complications like premature closure of the ductus arteriosus. Experts typically recommend using acetaminophen (Tylenol) as a safer alternative for pain relief during pregnancy. If ibuprofen is taken, it should be under strict medical supervision and avoided particularly after the 20th week of pregnancy.

Ibuprofen Risks by Pregnancy Stage

• First trimester: Increased risk of birth defects and low birth weight.
• Second trimester: Possible negative impact on fetal kidneys; ibuprofen not recommended.
• Third trimester: Risk of premature closure of ductus arteriosus, low amniotic fluid, premature delivery, or even fetal death.

Safer Alternatives

• Acetaminophen (Tylenol) is typically considered safe for use during pregnancy when used at the lowest effective dose for the shortest time.
• Non-medication pain management techniques such as physical therapy, acupuncture, and massage can be considered with medical advice.

Important Note

Always consult a healthcare provider before taking any medication during pregnancy to weigh risks and benefits and to receive individualized guidance.