meds

-depresses myometrium contractility, relaxes smooth muscle of the uterus.

maternal: flushing, drowsiness, headache, lethargy, nausea, vomiting

no effects on neonate

monitor FHR and UC's, serum magnesium levels

depresses synthesis of prostaglandins, effective in delaying delivery 48 hours because of fetal side effects generally used short term and before 32 weeks

maternal: GI upset, serious side effects are uncommon

fetal effects: SERIOUS FETAL SIDE EFFECTS, constriction of the patent ductus arteriosis, neonatal pulmonary hypertension, oligohydramniosis, and intraventicular hemorrhages

monitor FHR and UC's, treat nausea and heartburn

inhibits smooth muscle contractions of uterus by blocking calcium availability for muscle contraction, delays delivery 48-72 hrs

maternal: flushing, headache, nausea, transient tachycardia and hypotension

fetal: may decrease uteroplacental blood flow

monitor FHR and UC's, maternal BP and HR

beta 2 adrengeric effects to suppress uterine activity, can delay delivery for 3 days

maternal: tachycardia, cardiac arrhythmia, myocardial ischemia, and pulmonary edema, elevation in glucose, hypokalemia

fetal: mild tachycardia, IVH

monitor FHR and UC's, I&O for fluid overload, auscultate lungs, monitor HR, glucose

PPH due to uterine atony or subinvolution

Action: stimulates contraction of the uterine smooth muscle

side effects: nausea, vomiting, cramps

check BP, this med can increase the BP

PPH that has not responded to oxytocin or metergine therapy

action: uterine contractions

side effects: diarrhea, nausea, vomiting, fever

• -vasodilator
• -used for sever preeclampsia
• -caution for rapid BP decrease
• -can cause decrease uteroplacental perfusion and o2

• -may work on CNS
• -may take a few days for onset
• -no research on long term effect on fetus

• -slows HR and decreases systemic vascular resistance
• -no research on long term effect on fetus

-calcium channel blocker (procardia) controls hypertension rapidly, increases cardiac index, increases urinary output

• -opioid
• -CNS depression, neonatal resp. depression
• -avoid close to delivery time (1 hr)

• -opioid
• -CNS depressionl, neonatal resp. depression
• -avoid use close to delivery time (1 hr)

• -opioid agonist antagonist
• -no resp. depression in woman or neonate
• -check moms history for drug abuse
• -dont give to drug dependent woman because mom and baby can experience withdrawal

• -short acting opioid antagonist
• -crosses the placenta rapidly
• -FHR changes, hypotension, maternal/fetal/neonatal CNS depression, resp. depression
• -monitor for sedation, nausea, vomiting, itching, resp. rate

• -ataractics
• -drowsiness
• -agonist effect of narcotics

• -used to reverse narcotic effects
• -can be used to relieve maternal itching and resp. depression
• -

• -postpartum control of bleeding
• -action: stimulates uterine smooth muscle to produce uterine contraction
• -adverse reaction with IV use: coma, seizures, hypotension, water intoxication

• -mild to moderate pain
• -action: decrease pain and inflammation
• -side effects: headaches, constipation, dyspepsia, nausea, vomiting, edema

• -prevention of constipation
• -action: promotes incorporation of water into the stool
• -side effects: mold abdominal cramps

• -action: inhibits cholinergic mediated bladder contractions
• -side effects: dry mouth, headache, dizziness

• -prevention of hemorrhagic disease in neonate
• -action: vit. k is required for the hepatic synthesis of blood coagulation factors II, VII, IX, X
• -side effects: erythema, pain, swelling at injection site

• -prophylaxis treatment for honococcal or chlamydial eye infections
• -action: prevents bacterial growth by inhibiting folic acid synthesis
• -side effects: edema and inflammation of eyelids
• -hold 1/2 inch from eye