Peripartum Pharmacotherapy: A Pharmacist’s Guide

Author:

Barnes Kylie N.1ORCID,Leader Lauren D.2,Cieri-Hutcherson Nicole E.3ORCID,Kelsey Julie4,Hebert Mary F.5,Karaoui Lamis R.6ORCID,McBane Sarah7ORCID

Affiliation:

1. Kansas City School of Pharmacy, University of Missouri, Kansas City, MO, USA

2. Obstetrics and Gynecology, Von Voigtlander Women’s Hospital, Michigan Medicine, Ann Arbor, MI, USA

3. Pharmacy Practice, University at Buffalo School of Pharmacy and Pharmaceutical Sciences, Buffalo, NY, USA

4. Barton Memorial Hospital, South Lake Tahoe, CA

5. Obstetrics and Gynecology, University of Washington, Seattle, WA, USA

6. Department of Pharmacy Practice, Lebanese American University School of Pharmacy, Byblos, Lebanon

7. School of Pharmacy and Pharmaceutical Sciences, University of California, Irvine, CA, USA

Abstract

Complications throughout the peripartum period may be caused by preexisting conditions or pregnancy-induced conditions and may alter pharmacotherapy management. Pharmacotherapy management during late pregnancy and delivery requires careful consideration due to changing hormones, hemodynamic status, and pharmacokinetics, and concerns for potential maternal and/or fetal morbidity. Increased maternal and fetal monitoring are often required and may lead to therapy changes. Pharmacists, as key members of the interprofessional team, can contribute essential perspective to the management of postpartum pharmacotherapy through assessment and recommendation of appropriate and judicious use of medications.

Publisher

SAGE Publications

Subject

Pharmacology (medical)

Reference52 articles.

1. Centers for Disease Control and Prevention. Data on selected pregnancy complications in the United States. https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pregnancy-complications-data.htm. Accessed March 2, 2022.

2. ACOG Practice Bulletin No. 190: Gestational Diabetes Mellitus

3. 15. Management of Diabetes in Pregnancy: Standards of Medical Care in Diabetes—2022

4. Gestational diabetes: diagnosis and management

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