Term
| Contraindicated Antibiotics |
|
Definition
Fluroquinolones (C)- arthropathy
Trimethoprim/sulfamethoxazole (C)- nerual tube defects, kernicterus
Tetracycline (D)- grey teeth
Aminoglycosides (D) - ototoxicity |
|
|
Term
|
Definition
Penicillin (B)
Maybe: Cephalosporins, Monobactams (B) |
|
|
Term
| Contraindicated Anticoagulation Therapy |
|
Definition
Warfarin (X)- "warfarin syndrome"
ASA (C)- Low dose safe in 2-3rd trimester, in 1st trimester risk of gastroschisis |
|
|
Term
| Approved Anticoagulation Therapy |
|
Definition
Heparin Low Molecular Weight (B)
Heparin Unfractionated (C) |
|
|
Term
| Uncontrolled asthma in pregnancy causes |
|
Definition
|
|
Term
|
Definition
1st: Inhaled Budesonide (B)
2nd: Albuterol (C)
3rd: Salmeterol (C) |
|
|
Term
| Uncontrolled Depression in pregnancy |
|
Definition
Delivering low birth weight infant
Preterm delivery
Small-for-gestational age infant |
|
|
Term
| Contindicated Antidepressants |
|
Definition
| Paroxetine (D)- Cardiac birth defects, skull closes too fast, anencepthaly, gastoschisis |
|
|
Term
|
Definition
SSRIs (C)- not Paroxetine
SNIRs (C) > 28 weeks |
|
|
Term
| Affects of TCAs after birth |
|
Definition
| Withdrawal: Jerky movements, tachypnea, tachycardia, feeding difficulty, diffuse sweating, irritability |
|
|
Term
| Contraindicated Diabetes Control |
|
Definition
| Oral Agents: Metformin, Glipizide, Glyburide, Sulfonylureas |
|
|
Term
| Approved Diabetes Control |
|
Definition
| Regular Human insulin (B) |
|
|
Term
| Risks of uncontrolled gestational diabetes |
|
Definition
Macrosomia
Cesarean delivery
Shoulder dystocia, birth trauma
Neonatal metabolic problems (Hypoglycemia, hypocalcemia, hyperbilirubinemia, polycythemia)
Perinatal mortality |
|
|
Term
| Contraindicated Dyslipidemia Therapy |
|
Definition
| Statins (X)- spontaneous abortion, neonatal death, structural defects, IUGR, limb dysplasia, CNS midline defects |
|
|
Term
| Approved Dyslipidemia Therapy |
|
Definition
TRY NOT TO TREAT
LDL:Bile Acid sequestrants(B)-Colesevlam
TG: Omega 3 fatty acids (C)- Lovaza |
|
|
Term
| Complications of Chronic HTN in Pregnancy |
|
Definition
Premature birth
IUGR
Fetal demise
Placental abruption
Cesarean delivery |
|
|
Term
| Contraindicated Antihypertensives |
|
Definition
Beta-blockers ATENOLOL!!(D)
Thiazide diuretics (B)
ACE inhibitors (C,then D)
ARBs (C, then D) |
|
|
Term
| Approved Antihypertensives |
|
Definition
1st: Methyldopa(B) - alpha-2 agonist
2nd: Labetalol (C) - alpha/beta blocker
3rd: Hydralazine (C) |
|
|
Term
|
Definition
Controlled studies show no risk to fetus
Studies in pregnant women show no risk in any trimester |
|
|
Term
|
Definition
No evidence of risk in humans
Studies in pregnant women have shown no risk despite animal adverse findings OR Animal studies show no risk in absence of human studies |
|
|
Term
|
Definition
Risk cannot be ruled out
Human studies lacking; fetal risk in animals; use if benefits > risks |
|
|
Term
|
Definition
Positive evidence of risk
Human studies have shown fetal risk Only use if benefits DEFINITELY > risks |
|
|
Term
|
Definition
CONTRAINDICATED IN PREGNANCY
Human or animal studies have shown fetal risk that outweighs any possible benefit to patient |
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