scholarly journals Clinical Therapeutics in Pregnancy

2011 ◽  
Vol 2011 ◽  
pp. 1-13 ◽  
Author(s):  
Maisa N. Feghali ◽  
Donald R. Mattison

Most drugs are not tested for use during pregnancy, consequently, labeling, which may include information about fetal safety, includes nothing about dosing, efficacy, or maternal safety. Yet these are concerns of health care providers considering treatment of disease during pregnancy. Therefore, the practitioner treats the pregnant woman with the same dose recommended for use in adults (typically men) or may decide not to treat the disease at all. However, is the choice of not treating a woman during pregnancy better than dealing with the challenges which accompany treatment? This paper, which summarizes metabolic and physiologic changes induced by pregnancy, illustrates that standard adult dosing is likely to be incorrect during pregnancy.

2018 ◽  
Vol 7 (1) ◽  
pp. 134-137 ◽  
Author(s):  
Gelareh Biazar ◽  
Bahram Naderi Nabi ◽  
Abbas Sedighinejad ◽  
Anoush Dehnadi Moghadam ◽  
Farnoush Farzi ◽  
...  

Objectives: The use of herbs which has been increasing worldwide, requires special considerations particularly in pregnant woman. The present study was conducted at Alzahra Teaching hospital (from March 2016 to August 2017) to explore the pattern of herbal use during pregnancy in Guilan province (North of Iran). Materials and Methods: Data were obtained from 836 eligible women, who were interviewed at postnatal ward, and were analyzed. Results: The results of the study showed that 19.6% of the women consumed herbs during pregnancy. The most commonly used herbs included mint, flixweld, and cinnamon; in addition, the most prevalent indications resulted from these herbs consumption were gastrointestinal complications and cold. The rate of herbal consumption in pregnancy was related to education (P=0.001) and resistance (P=0.008); however, no relation was found regarding age (P=0.203), employment (P=0.255), or gravity (P=0.935). Conclusions: Although the findings of this study were preferable to those of some other studies, due to the importance of the issue, it is vital that health care providers to be open to question the herbal use during pregnancy.


2003 ◽  
Vol 12 (3) ◽  
pp. 50-52
Author(s):  
Mary Lou Montgomery

Psychiatric disorders occur at every life stage, including pregnancy. This resource column highlights several Web resources that may be useful to childbirth educators and other health care providers who may care for pregnant woman experiencing one of these conditions.


Author(s):  
Edel Jannecke Svendsen ◽  
Ann-Chatrin L. Leonardsen ◽  
Grethe Berger Heitmann ◽  
Adam Dhayyat ◽  
Ann Morris ◽  
...  

2012 ◽  
Vol 25 (3) ◽  
pp. 341-351 ◽  
Author(s):  
Shannon H. Williams ◽  
Heather A. Kehr

When drug therapy is necessary and cannot be avoided during a pregnancy, the decision of what drug therapy is best may be difficult for the health care provider because the vast majority of drugs are classified as Pregnancy Category C. This classification indicates that information regarding the risk to the fetus is unknown. For ethical reasons, pregnant women are not included in drug studies, so most decisions regarding the safety of a particular drug are based on animal studies, available cases reports, or are theoretical and are based on pharmacokinetic properties. Fortunately, with the development of Pregnancy Registries, more information has been collected, analyzed, and is available regarding the safety of drugs during pregnancy. These registries have expanded in recent years allowing better determination of fetal safety for triptans and antiepileptic drugs (AEDs). The information assists health care providers in selecting optimal therapy for women seeking pregnancy or those already pregnant. This review presents the most recent information for the treatment and prophylaxis of migraines and seizures during pregnancy.


CMAJ Open ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. E377-E382
Author(s):  
Hana Mijović ◽  
Devon Greyson ◽  
Emily Gemmell ◽  
Marie-Ève Trottier ◽  
Maryline Vivion ◽  
...  

2005 ◽  
Vol 13 (4) ◽  
pp. 229-236 ◽  
Author(s):  
Jesus R. Alvarez ◽  
Abdulla Al-Khan ◽  
Joseph J. Apuzzio

Recently, there has been a resurgence of malaria in densely populated areas of the United States secondary to human migration from endemic areas where factors such as cessation of vector control, vector resistance to insecticides, disease resistance to drugs, environmental changes, political instability, and indifference, have played a role for malaria becoming an overwhelming infection of these tropical underdeveloped countries. It is important for health care providers of gravida to be alert of the disease and its effects on pregnancy.


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