Pregnancy and Supportive Care

  1. What supplements are needed for prenatal care?
    • Iron: ↑ maternal blood volume expansion for cord needs and loss at birth
    • Folate: ↓ neural tube defects
    • Calcium: mineralization of fetal skeleton and teeth
    • Omega-3 FA: supports brain and eye development
  2. What are the non-pharmacological tx for morning sickness?
    • Eat small, dry meals that are high in carbs and low in fat
    • Avoid precipitating factors (smells, sights, etc.)
    • Shorter workdays and more naps
  3. What drugs are used for morning sickness?
    • Metoclopromide
    • Meclizine
    • 1st gen antihistamines
    • Ondansetron
    • Promethazine (c)
    • Prochlorperazine (c)
    • Vitamin B6, B12
    • Ginger root
    • PremesisRx
    • Accupuncture
  4. What SE does Metoclopromide now have a black box warning for?
    tardive dyskinesia
  5. What is the DOC for morning sickness in many countries?
  6. What is the tx for Hyperemesis gravidarium?
    • IV fluids
    • Sedatives
    • Antiemetics
    • Enteral or Parenteral nutrition may be needed
  7. What is the non-pharmacological tx for constipation in pregnancy?
    • Increase activity
    • Increase fluids
    • Increase fruits, vegetables, and whole grains
  8. What is the tx for constipation in pregnancy?
    • Metamucil
    • Citrucel
    • Bisacodyl
    • Senna (c)
    • Docusate (c)
    • PEG (c) (use for chronic constipation in Pg)
    • MOM (low doses and occasional use only)
  9. What is the non-pharmacological tx for GERD in pregnancy?
    • Eat small, frequent meals
    • Avoid meals close to bedtime
    • Avoid caffeine, alcohol, nicotine, salicylates
    • Elevate the head of the bed
  10. What is the tx for GERD in pregnancy?
    • Antacids (DOC) (avoid Mg in later Pg - may slow or stop labor or cause convulsions)
    • Sucralfate
    • H2RA and PPI are last line (esp. Nizatidine and Omeprazole)
  11. What is the tx for HTN in pregnancy?
    • Methyldopa (DOC)
    • Labetalol (3rd trimester data)
    • Nifedipine (1st or 2nd line)
  12. What is the prophylaxis for pre-eclampsia in pregnant women at risk?
    • ASA 81mg/d
    • Calcium 1g/d (if low dietary Ca)
  13. What is the tx for pre-eclampsia?
    Mg sulfate
  14. What is the tx for eclampsia?
    Mg sulfate to all pre-eclamptic women during labor and 12-24 hrs post-partum
  15. What is the tx for VTE in pregnancy?
    • LMWH (DOC)
    • Unfractionated heparin (c)
    • DO NOT use Warfarin
  16. What is the tx for antenatal depression?
    • SSRI (except paroxetine)
    • TCA
  17. What is the best resource for drug use in pregnancy?
    Drug in Pregnancy and Lactation
Card Set
Pregnancy and Supportive Care
Pregnancy and Supportive Care