Book of Medical Disorders in Pregnancy - Tintash

Chapter No: 14
Introduction:
The drug used without regard to risks
and without medical advice is regarded
as drug abuse. It is excessive self
administration of chemicals that change
the user's perception, mood and
consciousness.
ANAESTHETICS
General information: If a procedure
requires anaesthesia, help the mother to
express her breast milk in advance and
store it in a refrigerator so that her baby
can be fed her expressed breast milk by
cup while she is undergoing the
operation and recovering from the anaesthesia.
General anaesthetics and oxygen:
Ether: Compatible with breastfeeding,
halothane: Compatible with breastfeeding,
ketamine: Compatible with
breast-feeding, nitrous oxide:
Compatible with breastfeeding, oxygen:
Compatible with breastfeeding and
thiopental: Com-pati-ble with
breastfeeding.
Local anaesthetics
Bupivacaine: Compatible with breastfeeding,
lidocaine.
Complementary drug: Ephedrine (C):
Compatible with breast-feeding, Monitor
infant for side effects (irritability and
disturbed sleep).
Preoperative medication and sedation
for short term procedures:
DRUGS IN PREGNANCY
175
Atropine: Compatible with breastfeeding.
Monitor infant for side effects
(drying of secretions, Temperature
elevation and CNS disturbance), chloral
hydrate: Compatible with breastfeeding
in single dose. Monitor infant for
drowsiness, diazepam: Compatible with
breast-feed-ing in single dose. Avoid
giving repeated doses, if possible.
Monitor infant for drowsiness. Short
acting benzodiaze-pines preferred. Morphine:
Compatible with breast-feeding in
single dose. Avoid giving repeated doses,
if possible. Monitor infant for side
effects (apnoea and bradycardia)
Promethazine: Com-patible with breast
feeding in single dose. Avoid giving
repeated doses, if possible. Monitor
infant for drowsiness
Analgesics, antipyretics, nonsteroidal
anti inflammatory drugs, drugs used
to treat gout and disease modifying
agents used in rheumatic disorders:
Non opioids analgesics and
antipyretics and nonsteroidal antiinflammatory
drugs:
General information: ibuprofen and
paracetamol have the best documenttation
on safety during breast-feeding.
Acetyl salicylic acid. Compatible with
breastfeeding in occasional doses. Avoid
long-term therapy, if possible. Moni-tor
infant for side effects (hemolysis, prolonged
bleeding time and metabolic
acidosis) ibuprofen: Compatible with breastfeeding
and paracetamol compatible
with breastfeeding.
Opioid analgesics: General
Information: Single doses of most