Online Clinical and Drug Information Resource Portal for Pharmacists & Doctors
  Home  |  ADRs+SEs  |  Drug Interactions  |  Clinical Pharmacokinetics  |  Renal  |  Drugs in Pregnancy  |
Palliative Care  |  Crushing Tablets  |  Lab Tests  |  Cardiovascular  |  Endocrinology  |  Urology  |  More >>

Drugs in Pregnancy and Lactation

Welcome to the drugs in pregnancy and lactation category for physicians and pharmacists. This clinical category includes links to resources on teratology and drugs in pregnancy and safely prescribing in lactation / breastfeeding.

The Hospital for Sick Children - Motherisk
Professionals Web Site

Pregnancy & Breastfeeding Resources

  • Morning Sickness
  • Drugs in Pregnancy
  • Alcohol, Nicotine, Substance Use
  • MotherNature
  • Breastfeeding & Drugs
  • Cancer in Pregnancy
  • HIV and HIV Treatment
  • Conditions in Pregnancy
  • Infectious Diseases in Pregnancy
  • Occupational & Environmental Exposures
  • Pharmacokinetics/ Drug Metabolism
Source: motherisk.org
Clinical Resource: Various
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Medication in Pregnancy and Breastfeeding | Safefetus.com

SafeFetus.com is a site setup for pregnant mothers and their physicians and pharmacists in order to protect the baby, whether during pregnancy or during lactation, from any harmful unwanted effects of their medication (whether prescribed or over-the-counter). It also provides information on maternal exposures, it being physical agents, infectious agents or diseases, and how they may effect the unborn child.

It is maintained by a fully qualified team, constituted of physicians and pharmacists, who are constantly working on updating the site, adding new drugs that are emerging in the markets, as well as adding on trade drugs of various countries in the aim of producing a fully comprehensive worldwide database. All information is presented in an unbiased manner and is extracted from well documented and respectable sources.

Source: safefetus.com
Clinical Resource: Database
Register to Access Content: No

Last Checked: 08/04/14 Link Error: Report It

 

OBFocus
Drugs in Pregnancy and Breastfeeding

Source: obfocus.com
Clinical Resource: Reference
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Fact Sheets | Organization of Teratology Information Specialists

The experts behind MotherToBaby have created fact sheets that answer frequently asked questions about exposures during pregnancy and breastfeeding. MotherToBaby Fact Sheets are available in both English and Spanish and can be downloaded for free. Currently available fact sheets are listed below by category of exposure. All medications are listed by generic name.

Source: mothertobaby.org
Clinical Resource: Factsheets
Register to Access Content: No

Last Checked: 19/10/15 Link Error: Report It

 

WHO Model Formulary 2008 > Appendix 2: Pregnancy and Appendix 3: Breastfeeding

Source: who.int
Clinical Resource: Formulary
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Royal College of Obstetricians and Gynaecologists Guidelines on Pregnancy and Birth

Source: rcog.org.uk
Clinical Resource: Guidelines
Register to Access Content: No

Last Checked: 19/08/15 Link Error: Report It

 

The Society of Obstetricians and Gynaecologists of Canada Clinical Practice Guidelines on Maternal Fetal Medicine

Source: sogc.org
Clinical Resource: Guidelines
Register to Access Content: No

Last Checked: 19/10/15 Link Error: Report It

 

American Congress of Obstetricians and Gynecologists - Committee Opinions

Committee Opinions represent an ACOG committee's assessment of emerging issues in obstetric and gynecologic practice and are reviewed regularly for accuracy.

Source: acog.org
Clinical Resource: Committee Opinions
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Antenatal Care

Source: nice.org.uk
Clinical Resource: Guidance
Register to Access Content: No

Last Checked: 18/05/15 Link Error: Report It

 

Australian categorisation system for prescribing medicines in pregnancy

The Australian categorisation system and database for prescribing medicines in pregnancy have been developed by medical and scientific experts based on available evidence of risks associated with taking particular medicines while pregnant. This information is presented for the use of health professionals prescribing medicines to pregnant women

Source: tga.gov.au
Clinical Resource: Database
Register to Access Content: No

Last Checked: 19/10/15 Link Error: Report It

 

U.S. National Library of Medicine
Developmental and Reproductive Toxicology Database (DART)

References to developmental and reproductive toxicology literature.

Source: toxnet.nlm.nih.gov
Clinical Resource: Database
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Prescription Drugs Taken During Pregnancy

by Dr. Ronald J. Ruggiero, Professor Emeritus in Pharmacy and Medicine at The University of California San Francisco Medical Center (UCSF).

Source: visembryo.com
Clinical Resource: Chart
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Global Library of Women's Medicine
Maternal-Fetal Medicine

Maternal–Fetal Medicine

  • General considerations
  • Medical complications
  • Infectious diseases in pregnancy
  • Surgical problems
  • Fetal physiology
  • Obstetric imaging, monitoring and special considerations
  • Antenatal diagnosis
Source: glowm.com
Clinical Resource: Library
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

The Cochrane Collaboration
Cochrane Reviews - Pregnancy & Childbirth

Cochrane is an international, non-profit, independent organisation, established to ensure that up-to-date, accurate information about the effects of healthcare interventions is readily available worldwide. It produces and disseminates systematic reviews of healthcare interventions, and promotes the search for evidence in the form of clinical trials and other studies of the effects of interventions.

Source: cochrane.org
Clinical Resource: Systematic Reviews
Register to Access Content: No

Last Checked: 13/07/15 Link Error: Report It

 

“Drug Effects during Pregnancy & Lactation”

The objectives of this lesson are such that upon completion the participant will be able to:

  1. List the routes through which drugs and nutrients cross the placenta.
  2. Discuss the rate at which drugs penetrate the placental barriers.
  3. Differentiate between the five categories of drugs as established by FDA based on the potential benefits & risks during pregnancy.
  4. List the factors that affect drug transport into human milk.
  5. Describe the risk from drugs taken while breastfeeding
Source: wfprofessional.com
Clinical Resource: CE / CPD / Learning
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Teratology and Drug Use During Pregnancy

The purpose of this article is to provide an organized source of information about medication use in pregnancy, with data regarding commonly used medications and pregnancy categories established by the US Food and Drug Administration (FDA).

Source: medscape.com
Clinical Resource: Article
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Pharmacokinetic Variability in Pregnancy and Proposed Labeling Changes

This article will review pharmacokinetic changes in pregnancy.

Source: ufl.edu
Clinical Resource: Publication
Register to Access Content: No

Last Checked: 17/02/14 Link Error: Report It

 

Drugs in Pregnancy: Do the Benefits Outweigh the Risks?

Drug use during pregnancy continues to remain a major concern due to the unknown effects on mother and fetus. Physicians are faced with difficult situations as they have very little information to help them decide whether the potential benefits to the mother outweigh the risks to the unborn fetus.

Source: uspharmacist.com
Clinical Resource: Journal Article
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

InfantRisk Center

Dr. Hale is considered the foremost leading expert in the field of perinatal pharmacology and the use of medications.

“The vision of the InfantRisk Center is to create a new body of drug information concerning the hazards and safety of medications and their use during pregnancy and during lactation,” said Tom Hale, Ph.D. “Ultimately, we wish to funnel this information into an effort to extend and enhance our knowledge of the use of medications and other environmental chemicals in pregnant and breastfeeding women”.

The InfantRisk Center will be dedicated to providing up-to-date evidence-based information on the use of medications during pregnancy and breastfeeding. Our goal is to provide accurate information regarding the risks of exposure to mothers and their babies. By educating healthcare professionals and the general public alike, we aim to reduce the number of birth defects as well as create healthy breastfeeding relationships.

Source: infantrisk.com
Clinical Resource: Various
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

U.S. National Library of Medicine
Drugs and Lactation Database (LactMed)

A peer-reviewed and fully referenced database of drugs to which breastfeeding mothers may be exposed. Among the data included are maternal and infant levels of drugs, possible effects on breastfed infants and on lactation, and alternate drugs to consider.

Source: toxnet.nlm.nih.gov
Clinical Resource: Database
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Breastfeeding and Maternal Medication
Recommendations for Drugs in the Eleventh WHO Model List of Essential Drugs

This document has been developed to help the health worker decide whether a mother who is breastfeeding and who needs treatment with drugs can take the necessary medication and still continue breastfeeding safely.

Information is provided about specific drugs following the Eleventh Model List of Essential Drugs. The document includes a guide on how to use the list as well as information on how the drugs are classified for breastfeeding.

Source: who.int
Clinical Resource: Publication
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Drugs in Breastmilk Factsheets

Source: breastfeedingnetwork.org.uk
Clinical Resource: Factsheets
Register to Access Content: No

Last Checked: 08/08/16 Link Error: Report It

 

Drugs in Lactation
Midlands Medicine

The database is currently being populated with data on common drugs used in lactation. Its aim is to include all drugs in the BNF.

Source: midlandsmedicines.nhs.uk
Clinical Resource: Database
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

NHS Education for Scotland
Medicines & Mothers - Challenges in Breastfeeding

Welcome to this eLearning programme; Medicines & Mothers - Challenges in Breastfeeding.

This eLearning resource is quite unique in that it has been designed to meet the overall needs of various healthcare professionals who may be involved in the care of breastfeeding mothers.

The learning content of the programme is mainly focused on Section B: Medicines use in breastfeeding, but also provides an overview of breastfeeding within Section A , for healthcare professionals who are not so familiar with this knowledge.

Source: breastfeeding.nes.scot.nhs.uk
Clinical Resource: CE / CPD / Learning
Register to Access Content: No

Last Checked: 12/02/14 Link Error: Report It

 

Drug Safety in Lactation

Many mothers are required to use drugs during breastfeeding. Almost all drugs transfer into breast milk and this may carry a risk to a breastfed infant. Factors such as the dose received via breast milk, and the pharmacokinetics and effect of the drug in the infant need to be taken into consideration. Problems should not be overstated however, as many drugs are considered 'safe' during breastfeeding.

Source: medsafe.govt.nz
Clinical Resource: Article
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Endocrine Disease and Pregnancy

1 Thyroid Regulation and Dysfunction in the Pregnant Patient
2 Pituitary and Adrenal Disorders of Pregnancy
3 Calcium Metabolism during Pregnancy and Lactation
4 Management of Diabetes in Pregnancy
5 Benign Breast Disease in Women
6 Endocrinology of Pregnancy

Source: endotext.org
Clinical Resource: Chapters
Register to Access Content: Yes - Registration is FREE

Last Checked: 07/05/14 Link Error: Report It

 

Diabetes and Pregnancy: An Endocrine Society Clinical Practice Guideline

Source: endocrine.org
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

 

Association of British Clinical Diabetologists position statement on screening for gestational diabetes mellitus

Source: diabetologists-abcd.org.uk
Clinical Resource: Position Paper
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Global Guideline on Pregnancy and Diabetes
International Diabetes Federation

Source: idf.org
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 20/08/15 Link Error: Report It

 

Management of Thyroid Dysfunction during Pregnancy and Postpartum: An Endocrine Society Clinical Practice Guideline

Source: endocrine.org
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and Postpartum

Source: thyroid.org
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 25/04/14 Link Error: Report It

 

Subclinical Hypothyroidism During Pregnancy: Positon Statement from the American Association of Clinical Endocrinologists

Source: aace.com
Clinical Resource: Position Statement
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Thyroid disease in the perinatal period

This article outlines changes to thyroid physiology and iodine requirements in pregnancy, pregnancy specific reference ranges for thyroid function tests and detection and management of thyroid conditions in pregnancy.

Source: racgp.org.au
Clinical Resource: Journal Article
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

European Society of Cardiology Guidelines on the management of cardiovascular diseases during pregnancy

Source: escardio.org
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 08/06/15 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Hypertension in pregnancy: The management of hypertensive disorders during pregnancy

Source: nice.org.uk
Clinical Resource: Guidance
Register to Access Content: No

Last Checked: 18/05/15 Link Error: Report It

 

American Society of Hypertension Position Article
Hypertension in pregnancy

Source: ash-us.org
Clinical Resource: Position Paper
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Management of hypertension and pre-eclampsia in pregnancy

The authors discuss the importance of early identification of women at risk of developing hypertension or pre-eclampsia during pregnancy.

Source: eu.wiley.com
Clinical Resource: Journal Article
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Anticoagulants and pregnancy: When are they safe?

While anticoagulants are useful in many circumstances, their use during pregnancy increases the risk of hemorrhage and other adverse effects on the mother and the fetus. Treatment with anticoagulants during pregnancy must therefore be carefully considered, with judicious selection of the agent, and with reflection on the physiologic changes of pregnancy to ensure appropriate dosing. In this article, we review these issues.

Source: mdedge.com
Clinical Resource: Journal Article
Register to Access Content: Yes - registration is FREE

Last Checked: 19/06/17 Link Error: Report It

 

Management of venous thrombosis in pregnancy

The management of venous thromboembolism in pregnancy is challenging, as many diagnostic tests are less accurate in pregnant than in non-pregnant patients, and some of the radiological procedures are potentially hazardous to the fetus. In addition, anticoagulant treatment with coumarins can cause embryopathy. The authors recommend strategies for women at risk of deep venous thrombosis or pulmonary thromboembolism during pregnancy and outline appropriate investigations and treatment.

Source: eu.wiley.com
Clinical Resource: Journal Article
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

American Society of Hematology 2013 Clinical Practice Guide on Thrombocytopenia in Pregnancy

Source: hematology.org
Clinical Resource: Guide
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

American College of Gastroenterology Monograph
Pregnancy in Gastrointestinal Disorders

Table of Contents

I. Constipation, Diarrhea, Hemorrhoids and Fecal Incontinence
II. Endoscopy in Pregnancy
III. Heartburn, Nausea, Vomiting During Pregnancy
IV. Hyperemesis Gravidarum and Nutritional Support
V. Liver Diseases in Pregnancy
VI. Surgical Problems in the Pregnant Patient
VII. Pregnancy in Inflammatory Bowel Disease

Source: gi.org
Clinical Resource: Monograph
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Liver Disease in the Pregnant Patient

These guidelines are developed under the auspices of the American College of Gastroenterology and its practice parameters committee.

Source: gi.org
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

The liver in pregnancy: Disease vs benign changes

Liver dysfunction in a pregnant woman may be caused by the pregnancy, it may be unrelated to the pregnancy, or it may be a chronic condition that existed before the pregnancy. In any case, the clinical clues of liver dysfunction in pregnancy are not specific, and certain ''abnormalities'' in liver function tests may represent benign changes of pregnancy.

Source: mdedge.com
Clinical Resource: Journal Article
Register to Access Content: Yes - registration is FREE

Last Checked: 19/06/17 Link Error: Report It

 

Guidelines for endoscopy in pregnant and lactating women

The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy prepared this text.

Source: asge.org
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Treatment of nausea and vomiting in pregnancy

Pregnant women should be reassured that nausea and vomiting do not usually harm the fetus. Also, medicines used to treat this condition are not associated with an increased risk of birth defects, miscarriage, prematurity or other adverse outcomes in pregnancy

Source: nps.org.au
Clinical Resource: Journal Article
Register to Access Content: No

Last Checked: 08/08/16 Link Error: Report It

 

Nausea in Pregnancy

Almost 80% of pregnant women experience some degree of nausea and vomiting of pregnancy (NVP). The most severe form is known as hyperemesis gravidarum (HG) and affects approximately 1% of pregnant women. HG can cause dehydration, significant weight loss or electrolyte imbalance.

Source: parkhurstexchange.com
Clinical Resource: Checklist
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

National Asthma Education and Prevention Program Working Group Report on Managing Asthma During Pregnancy: Recommendations for Pharmacologic Treatment - Update 2004

This is the complete study and findings designed for clinicians and researchers who are seeking extensive information on the latest developments in asthma treatment and therapeutic approaches during pregnancy. It is a must-have for asthma specialists.

Source: nih.gov
Clinical Resource: Report
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Allergic Diseases and Asthma in Pregnancy

Allergic sensitization to common allergens can be detected in approximately 25% to 35% of the general population in industrialized countries. In the United States of America (USA) about 18-30% of woman in the childbearing age suffer from allergic diseases, especially rhinitis and asthma. Other allergic diseases which may complicate pregnancy include conjunctivitis, acute urticaria, anaphylaxis, food allergy and drug allergy. These disorders represent the most common group of medical conditions that complicate pregnancy. Optimal management of these disorders during pregnancy is vital to ensure the welfare of the mother and the baby.

Source: worldallergy.org
Clinical Resource: Summary
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Treatment of Allergic Rhinitis in Pregnancy and Breastfeeding

Allergic rhinitis affects approximately one-third of women of childbearing age. Drug treatment may be needed for symptoms during pregnancy and/or breastfeeding. Pre-existing rhinitis may worsen, improve, or remain unchanged during pregnancy.

Source: druginformation.co.nz
Clinical Resource: Drug Information Service Bulletin
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

An Approach to Glaucoma Treatment in Pregnant and Lactating Women

The treatment of glaucoma during pregnancy and lactation requires physicians’ careful consideration of the stage of pregnancy, the therapeutic agent(s) to be administered, and the status of the disease. When treating glaucoma during the patient’s pregnancy and lactation, the potential benefits of therapy and the visual goals of the mother must be weighed against the risks of treatment to the fetus or infant, which are often poorly defined. Each class of glaucoma medication has its own set of potential side effects that may be problematic at various stages of pregnancy and lactation, making therapeutic decisions difficult.

Source: bmctoday.com
Clinical Resource: Publication
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

European Dermatology Forum Guideline on Steroids in Pregnancy

Source: euroderm.org
Clinical Resource: Guidelines
Register to Access Content: No

Last Checked: 20/08/15 Link Error: Report It

 

Contraception and breastfeeding

Breastfeeding delays the return of ovulation. Because of this, all contraceptives have a lower failure rate if used consistently and correctly. Mothers should not wait until the return of their menstrual period before starting contraception as ovulation precedes menstruation making pregnancy possible.

Source: breastfeeding.ie
Clinical Resource: Factsheet
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Faculty of Sexual and Reproductive Healthcare Clinical Effectiveness Unit Statement
Use of Ulipristal Acetate (ellaOne®) in Breastfeeding Women

Source: fsrh.org
Clinical Resource: Statement
Register to Access Content: No

Last Checked: 10/06/15 Link Error: Report It

 

National Institute for Health and Care Excellence (NICE) Guidance > Antenatal and postnatal mental health: clinical management and service guidance

Source: nice.org.uk
Clinical Resource: Guidance
Register to Access Content: No

Last Checked: 18/05/15 Link Error: Report It

 

Antidepressant Use in Pregnancy

This bulletin aims to discuss the potential risks associated with the use of the following antidepressants in pregnancy: selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs) and serotonin noradrenaline reuptake inhibitor (SNRIs).

Source: druginformation.co.nz
Clinical Resource: Drug Information Service Bulletin
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Neonatal outcomes after antidepressant use in the third trimester of pregnancy

This bulletin will focus on neonatal outcomes after third trimester use of therapeutic doses of the same antidepressants.

Source: druginformation.co.nz
Clinical Resource: Drug Information Service Bulletin
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Antidepressants in Pregnancy & Breastfeeding - Deliver Safe Choices

Women who are currently prescribed antidepressants and planning a family should be given the option of preconceptual counselling. Discuss treatment preference, efficacy, tolerability and the risks of taking medication.

Source: saferx.co.nz
Clinical Resource: Bulletin
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Antidepressants and Breastfeeding

Parental perception of the risk associated with breastfeeding during maternal drug use may lead to non–compliance with drug therapy or unnecessary cessation of breastfeeding. Given the prevalence of post-natal depression, and the benefits of breastfeeding for the baby (and mother), it is essential to have access to accurate and useful data when making decisions around antidepressant use during breastfeeding.

Source: druginformation.co.nz
Clinical Resource: Drug Information Service Bulletin
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Scottish Intercollegiate Guidelines Network (SIGN) Guideline > Management of Perinatal Mood Disorders

Source: sign.ac.uk
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 18/05/15 Link Error: Report It

 

Anti-depressant use in the post-partum period

Source: breastfeeding.ie
Clinical Resource: Factsheet
Register to Access Content: No

Last Checked: 19/10/15 Link Error: Report It

 

Guidance on the recommended psychotropic agents for use in pregnancy and lactation
Cheshire and Wirral Partnership NHS Foundation Trust

Source: cwp.nhs.uk
Clinical Resource: Guidance
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Management of women with psychosis during pregnancy

In the first of a series of reviews focusing on the management of women with psychiatric and neurological conditions during pregnancy, Dr Howard and Dr Seneviratne discuss the many issues surrounding the care of women with psychotic disorders during pregnancy and postpartum, including risks to the mother and fetus, use of antipsychotic medication and child protection issues.

Source: eu.wiley.com
Clinical Resource: Journal Article
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Practice Parameter update: Management issues for women with epilepsy—Focus on pregnancy (an evidence-based review): Teratogenesis and perinatal outcomes

Report of the Quality Standards Subcommittee and Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology and American Epilepsy Society

Source: aan.com
Clinical Resource: Practice Parameter
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Practice Parameter update: Management issues for women with epilepsy—Focus on pregnancy (an evidence-based review): Vitamin K, folic acid, blood levels, and breastfeeding

Report of the Quality Standards Subcommittee and Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology and American Epilepsy Society

Source: aan.com
Clinical Resource: Practice Parameter
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Antiepileptic Drug Pregnancy Registry
Publications & Press

The North American AED (antiepileptic drug) Pregnancy Registry was established in 1997 for pregnant women in the United States and Canada at the Massachusetts General Hospital in Boston, Massachusetts. It was established with funds provided by six companies that manufacture "old" and "new" anticonvulsant drugs. The major objective is to obtain and publish information on the frequency of major malformations, such as heart defects, spina bifida and cleft lip, among infants whose mothers had taken one or more AEDs to prevent seizures or to treat any other medical condition. The highest priority was new information on the many "new" AEDs marketed in the past 10 years.

Source: aedpregnancyregistry.org
Clinical Resource: Various
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Management of women with epilepsy before and during pregnancy

In this article, Dr Hart discusses the special precautions that need to be taken when caring for women with epilepsy before and during pregnancy, including preconception counselling, adjustment of antiepileptic drugs and monitoring of the mother and fetus.

Source: eu.wiley.com
Clinical Resource: Journal Article
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Epilepsy Action Position Statement
Comment on the safety of sodium valproate in women of child bearing potential

Source: epilepsy.org.uk
Clinical Resource: Position Statement
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

British HIV Association guidelines for the management of HIV infection in pregnant women 2012

Source: bhiva.org
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Chronic Hepatitis B in Pregnancy: Consensus Recommendations

New consensus recommendations for the evaluation and management of pregnant women with hepatitis B are featured in Part 1 and Part 2 of The Female Patient. The recommendations resulted from a workshop that the Hepatitis B Foundation convened with prominent practitioners to help improve hepatitis B–related outcomes during and after pregnancy.

Source: hepb.org
Clinical Resource: Consensus Recommendations
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

 

Queensland Tuberculosis Control Centre Guidelines for Treatment of Tuberculosis in Pregnant Women and Newborn

Source: health.qld.gov.au
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 21/08/15 Link Error: Report It

 

Guidelines for malaria prevention in travellers from the UK > 6.2 Pregnancy and 6.3 Breastfeeding

These practical guidelines from the Public Health England Advisory Committee on Malaria Prevention for UK Travellers are updated and reissued annually. They are for use by healthcare workers who advise travellers but may also be of use to prospective travellers who wish to read about the options themselves.

Source: gov.uk
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 29/09/15 Link Error: Report It

 

What is the most effective and safe malaria prophylaxis during pregnancy?

Chloroquine and mefloquine have superior safety profiles in pregnancy, though all antimalarials are effective for prophylaxis.

Source: jfponline.com
Clinical Resource: Evidence Based Answer to Clinical Question
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

When is it safe to conceive after stopping antimalarials?
Prepared by UK Medicines Information (UKMi) pharmacists for NHS healthcare professionals

Some antimalarials are unsuitable for use in pregnancy, or have not yet had their safety in pregnancy established, so women of child bearing age, who travel abroad, need to consider the need for antimalarial prophylaxis if they are thinking of becoming pregnant.

Source: sps.nhs.uk
Clinical Resource: Medicines Question and Answer
Register to Access Content: No

Last Checked: 22/09/16 Link Error: Report It

 

UK malaria treatment guidelines > Page 117 - Pregnant women
British Infection Society

This document offers guidance for the management of both uncomplicated and complicated malaria in the UK.

Source: britishinfection.org
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 20/08/15 Link Error: Report It

 

Centers for Disease Control and Prevention
Guidelines for Vaccinating Pregnant Women

On This Page:

  • Guidelines
  • Travel & Other Vaccines
  • Principles for Developing Pregnancy Recommendations
  • Breastfeeding and Vaccination
  • Prenatal Screening
Source: cdc.gov
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Immunisation against infectious disease: the green book

The Green Book has the latest information on vaccines and vaccination procedures for all the vaccine preventable infectious diseases that may occur in the UK.

Health professionals and immunisation practioners can keep up to date with developments in the field and updates to the Green Book through regular vaccine update news.

Source: gov.uk
Clinical Resource: Book
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Immunization for Women
The American College of Obstetricians and Gynecologists

The College has designed this website "Immunization for Women” to provide ob-gyns and their patients with a central, trusted source of up-to-date information on seasonal flu and other vaccine-preventable diseases, including immunization facts and safety, immunization schedules, clinical and practice management guidelines, and links to other reliable immunization resources. It is our goal to empower women with the knowledge they need to make informed decisions about immunization and their health and to provide ob-gyns with a valuable resource for immunization best practices and patient education.

Source: immunizationforwomen.org
Clinical Resource: Various
Register to Access Content: No

Last Checked: 22/04/14 Link Error: Report It

 

Analgesic use for non-labour pain during pregnancy

Non-labour pain such as headache and musculoskeletal pain are common complaints during pregnancy. Like most drugs, analgesics (including paracetamol, nonsteroidal antiinflammatories (NSAIDs) and opioids) readily cross the placenta. Potential risks of analgesic use may put practitioners off prescribing or recommending use during pregnancy. Whichever analgesics are chosen, the lowest effective dose for the shortest amount of time should be used to minimise any potential risks to the developing foetus. This bulletin aims to address the use analgesia during pregnancy and associated risks.

Source: druginformation.co.nz
Clinical Resource: Drug Information Service Bulletin
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

British Society for Haematology Guideline on the Management of Iron Deficiency in Pregnancy

Source: b-s-h.org.uk
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 16/11/16 Link Error: Report It

 

Omega-3s in Pregnancy

Currently, researchers are investigating the ability of omega-3s, when supplemented in pregnancy, to decrease allergies in infants, increase length of gestation, decrease risk of preterm labor, enhance cognitive development, and prevent and treat perinatal depression. Because omega-3 fatty acids are necessary for neuronal and visual development and may have other benefits, guidelines recommend at least 200 mg of DHA per day for pregnant women.

Source: uwyo.edu
Clinical Resource: Newsletter
Register to Access Content: No

Last Checked: 24/02/14 Link Error: Report It

 

Social Drugs and Breastfeeding
Handling an issue that isn’t black & white

Use of social drugs by a minority of pregnant and breastfeeding mothers is a fact of life. Breastfeeding is the only way to feed an infant for that infant to be able to achieve optimum growth, health and mental development. Drug-using mothers need to know how their drug habit will impact on their baby and their lactation and how artificial formula will affect them and their baby. Informed decision-making, which achieves the best outcome for both baby and mother, is the goal.

Source: health-e-learning.com
Clinical Resource: Article
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Substance misuse in pregnancy
A resource pack for professionals in Lothian

Many different professionals and service providers are now involved in the care of women who use drugs and/or alcohol during the course of their reproductive life. All professionals have an equally important role to play in ensuring a high standard of care is delivered. The pack aims to establish a ‘framework for care’ so that all women who use drugs can be offered appropriate support before, during and after the birth of their child.

The framework for care consists of a philosophy of approach and guidelines on good practice. These are outlined in the pack and provide a basis from which the best possible outcomes can be achieved for both mother and baby.

Source: nhslothian.scot.nhs.uk
Clinical Resource: Resource Pack
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

National clinical guidelines for the management of drug use during pregnancy, birth and the early development years of the newborn

Source: nsw.gov.au
Clinical Resource: Guideline
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Management of drug misuse in pregnancy

In this review we focus on users of illicit drugs (including prescribed drugs used illicitly) during pregnancy and describe some of the issues in managing such cases. We consider the impact of subtance use on the foetus, the mother and the newborn child, and highlight the importance of multidisciplinary working in this area. Space precludes a detailed account of the issues surrounding the use of legal substances such as alcohol and tobacco during pregnancy, but we note their significant impact in this group.

Source: apt.rcpsych.org
Clinical Resource: Journal Article
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Opioid Advice: Management of Opioid Dependence in Pregnancy and of Neonatal Abstinence Syndrome (NAS)

In situations where a woman is pregnant and taking opioids, opioids cross the placenta. Therefore, withdrawal has the same physical effects on the fetus as it does on the woman.

Source: knowledgex.camh.net
Clinical Resource: Advice
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Providers' Clinical Support System Guidance: Pregnancy and Buprenorphine Treatment

Source: pcssmat.org
Clinical Resource: Guidance
Register to Access Content: No

Last Checked: 20/08/14 Link Error: Report It

 

Exposure to Psychotropic Medications and Other Substances during Pregnancy and Lactation: A Handbook for Health Care Providers

Our goal with this publication is to help primary care physicians, psychiatrists, pharmacists, obstetricians, midwives, public health nurses and nurse practitioners provide the best advice, information and care to women who are taking psychotropic medications or other substances during pregnancy and postpartum. Medications and other substances discussed in this handbook have been chosen because of their psychotropic qualities: they all affect brain chemistry and functioning. Drugs and substances that are not psychotropic, that are not used during pregnancy, or about whose effects there is not enough documented evidence (e.g., herbal remedies) are not included.

Source: knowledgex.camh.net
Clinical Resource: Handbook
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Alcohol Use During Pregnancy: Prevalence and Impact

Have you ever wondered which of your patients continue to drink alcohol during pregnancy? Have you deliberated about how to best educate the pregnant alcohol-dependent women who presents to your practice without prenatal care? Have you been concerned about the risk of suicide or of a psychiatric illness in one of your patients who is pregnant and drinking alcohol?

If you have, then the following questions and answers should serve as a stimulus for the management of the psychiatric aspects of alcohol use during pregnancy and the postpartum period for mother and the neonate.

Source: nih.gov
Clinical Resource: Journal Article
Register to Access Content: No

Last Checked: 07/04/14 Link Error: Report It

 

Supporting Change: Preventing and Addressing Alcohol Use in Pregnancy Handbook

The content for this series of physician training materials on alcohol use and pregnancy was developed in partnership with:

• Motherisk • Centre for Addiction and Mental Health • City of Hamilton Social & Public Health Services • Health Canada, Population and Public Health Branch, Ontario Region • Breaking the Cycle • FASworld Canada • AWARE • FOCUS Resource Centre • Equay wuk • and concerned physicians

This guide, designed as part of a training module, informs physicians about alcohol use and abuse in pregnancy and to support physicians in appropriate screening and assessment of their pregnant patients and provides tools and resources.

Source: beststart.org
Clinical Resource: Handbook
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Drinking Alcohol while Breastfeeding

Tool for health care providers to assess and inform pregnant patients about the risk of alcohol use in pregnancy and includes a table that illustrates the time clearance of alcohol from breast milk of women, according to mother's weight, amount of alcohol consumed and hours since consumption.

Source: beststart.org
Clinical Resource: Tool
Register to Access Content: No

Last Checked: 07/05/14 Link Error: Report It

 

Site Map