Analgesics

Nonpharmacologic remedies such as rest and local heat should be recommended for aches and pains.

Pregnant patients are susceptible to vaginal yeast infections; hence, antibiotics should be used only when clearly indicated.

Aspirin:

■ No teratogenic effects seen in T1

■ Significant perinatal effects seen, such as decreased uterine contractility, delayed onset of labor, prolonged duration of labor

■ Increases risk of antepartum bleeding and bleeding at delivery NSAIDs:

■ Ibuprofen (Motrin, Advil) and naproxen (Naprosyn) have not demonstrated any negative fetal effects with short-term use.

■ Chronic use may lead to oligohydramnios and constriction of the fetal ductus arteriosus.

Acetaminophen (Tylenol, Datril) has shown no evidence of terato-

genicity.

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