0071643192.pdf

OBSTETRICS AND GYNECOLOGY

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TABLE 12.3. Vaccines and Medications Contraindicated During Pregnancy

Vaccines (any live vaccines) MMR

Live, attenuated influenza vaccine

Varicella

TDaP

Antibiotics Tetracyclines

Floroquinolones

Sulfonamides

Chloramphenicol

Antiepileptic drugs Phenytoin

Valproic acid

Phenobarbital

Other Oral hypoglycemics

Warfarin

TABLE 12.4. Vaccines and Medications Considered Safe During Pregnancy

Vaccines TD (okay after first trimester)

Influenza (inactivated)

Pneumococcal

Antimicrobials Penicillin

Cephalosporins

Azithromycin

Nitrofurantoin

INH

Rifampin

Nystatin

Clotrimazole

Analgesics Acetaminophen

Antidysrhythmics Digoxin

Adenosine

β-Adrenergics Albuterol

GI agents Promethazine

Prochlorperazine

Metoclopramide

Ondansetron

Cimetidine

Ranitidine

Tums

Antihistamines Benadryl

Avoid live vaccines during

pregnancy.

Adenosine is the drug of

choice in pregnant patients

with SVT. Avoid electricity if

possible because of potential

harm to the fetus.