Epoprostenol Exposure During Pregnancy

Author:

Naoum Emily E.1,LaVita Carolyn2,Lopez Natasha3,Nardone Alexa3,Soffer Marti D.4,Shelton Kenneth T.1

Affiliation:

1. Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA.

2. Department of Respiratory Therapy, Massachusetts General Hospital, Boston, MA.

3. Department of Pharmacy, Massachusetts General Hospital, Boston, MA.

4. Department of Obstetrics, Gynecology, and Reproductive Biology, Division of Maternal Fetal Medicine, Massachusetts General Hospital, Boston, MA.

Abstract

Institutional policies restricting pregnant providers from caring for patients receiving inhaled epoprostenol exist across the nation based on little to no data to substantiate this practice. Over the last 2 decades, the use of inhaled pulmonary vasodilators has expanded in patients with cardiac and respiratory disease providing more evidence for the safety of these medications in obstetrical patients. We propose a thoughtful consideration and review of the literature to remove this restriction to reduce the need to reveal early pregnancy status to employers, to alleviate undue stress for pregnant caregivers who are exposed to patients receiving epoprostenol, and to ensure safe, equal employment, and learning opportunities for pregnant providers.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Critical Care and Intensive Care Medicine

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