Male & Female Health: Drug use in Pregnancy & Lactation

Question 1

Obstetric history

Answer 1

Gravida = number of times pregnant
Para = number of birth

Question 2

Calcium and Vit D requirement for pregnant women

Answer 2

1000mg Calcium
600 IU Vit D

Question 3

Two immunizations routinely recommended for pregnant people

Answer 3

inactivated influenza vaccine
single dose of Tdap

Question 4

Preeclampsia

Answer 4

present with elevated blood pressure and evidence of organ damage, often kidney or liver

can only be treated by delivering baby
usually presents during 1st trimester

Question 5

Recommendation to prevent preeclampsia….

Answer 5

start low dose aspirin at end of 1st trimester for women at risk (T1/T2D, hx of preeclampsia, htn)

Question 6

Which meds recommended for use in pregnancy HTN

Answer 6

labetalol
methyldopa
nifedipine

Question 7

Meds that can be used for infections in pregnancy

Answer 7

Avoid fluconazole, can use topical antifungals

UTI = cephalexin, ampicillin, Macrobid and Bactrim last line in 1st trimester and shouldn’t be used last 2 weeks of pregnancy

Question 8

Preferred anticoagulant in pregnancy

Answer 8

LMWH > UFH

dont use warfarin

Question 9

which pain meds shouldn’t be used while breastfeeding

Answer 9

Tramadol and Codeine

risk of excessive sleepiness, breathing difficulty and or death