Drugs and Pregnancy

Drugs and Pregnancy

by Larry C. Gilstrap, Bertis Britt. Little

Editorial Reviews

3 Stars from Doody
Rani Lewis
This is a review of many over-the-counter, prescription, and illicit medications known to be used in pregnancy. Each chapter reviews a class of medications frequently used for the treatment of a specific disorder. This is a second edition that includes information on current medications used during pregnancy (i.e., antiretrovirals used in HIV-positive pregnant women). Providing ""information to assist the physician in elucidating the effects of drug exposure on pregnancy"" is important when 35 to 85 percent of women report using medications while they are pregnant. The chapter on legal considerations of drugs in pregnancy places the view of both patients and the legal system in historical perspective. The book is written for the generalist caring for pregnant women; although the editors state that it is for obstetricians as well as maternal-fetal medicine subspecialists, the reader is advised on occasion to refer a patient to a specialist by these well-known experts in the field of teratology and medical complications of pregnancy. The number of illustrations is minimal, but they are largely secondary to the subject matter. The illustrations of chemical structure of the medications are particularly helpful in the assessment of similarities within classes of drugs. The book is well referenced, with both historical and current information. The table of contents allows the reader to target a specific disease or class of drugs; the index is extensive and points to information about a given drug that may be used for more than one purpose. The basic information on teratology, specifically differentiating the embryonic from the fetal period is helpful in improving understanding of the useof medications at various times in pregnancy.
A guide for obstetricians, maternal-fetal medicine specialists, and others caring for pregnant women. Provides information for the clinical evaluation of pregnant women inadvertently exposed to medications, and advice for the prudent formulation of safe medication regimens to treat pregnant women with specific conditions requiring intervention. Some studies suggest that such exposure happens an average of three times in each pregnancy. Nearly a third of the contributions consider substance abuse. The information is intended to be supplemented with information from the PDR, online teratology information services, and other publications. No date is noted for the first edition. Includes a separate index of drug names. Annotation c. by Book News, Inc., Portland, Or.

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Elsevier Science
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