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Department of Reproductive Health and Research (RHR), World Health Organization Managing Complications in Pregnancy and Childbirth A guide for midwives and doctors |
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Section 4 - Appendix Essential drugs for managing complications in pregnancy and childbirth |
Clinical principles Rapid initial assessment Talking with women and their families Emotional and psychological support Clinical use of blood, blood products and replacement fluids Provider and community linkages Symptoms Vaginal bleeding in early pregnancy Vaginal bleeding in later pregnancy and labour Vaginal bleeding after childbirth Headache, blurred vision, convulsions or loss of consciousness, elevated blood pressure Unsatisfactory progress of Labour Malpositions and malpresentations Labour with an overdistended uterus Fever during pregnancy and labour Abdominal pain in early pregnancy Abdominal pain in later pregnancy and after childbirth Prelabour rupture of membranes Immediate newborn conditions or problems Procedures Local anaesthesia for caesaran section Spinal (subarachnoid) anaesthesia Induction and augmentation of labour Repair of vaginal and perinetal tears Uterine and utero-ovarian artery ligation Salpingectomy for ectopic pregnancuy Appendix |
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ANTIBIOTICS Amoxicillin Ampicillin Benzathine penicillin Benzyl penicillin Cefazolin Ceftriaxone Cloxacillin Erythromycin Gentamicin Kanamycin Metronidazole Nitrofurantoin Penicillin G Procaine penicillin G Trimethoprim/Sulfamethoxazole
STEROIDS Betamethasone Dexamethasone Hydrocortisone
DRUGS USED IN EMERGENCIES Adrenaline Aminophylline Atropine sulfate Calcium gluconate Digoxin Diphenhydramine Ephedrine Frusemide Naloxone Nitroglycerine Prednisone Prednisolone Promethazine
IV FLUIDS Dextrose 10% Glucose (5%, 10%, 50%) Normal saline Ringer’s lactate
ANTICONVULSANTS Diazepam Magnesium sulfate Phenytoin
OTHER Anti-tetanus serum Ferrous fumerate Ferrous sulfate Folic acid Heparin Magnesium trisilicate Sodium citrate Tetanus antitoxin Tetanus toxoid Vitamin K
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ANTIHYPERTENSIVES Hydralazine Labetolol Nifedipine
OXYTOCICS 15-methyl prostaglandin F2α Ergometrine Methylergometrine Misoprostol Oxytocin Prostaglandin E2
ANAESTHETICS Halothane Ketamine Lignocaine 2% or 1%
ANALGESICS Indomethacin Morphine Paracetamol Pethidine
SEDATIVES Diazepam Phenobarbitone
ANTIMALARIAL Artemether Artesunate Chloroquine Clindamycin Mefloquine Quinidine Quinine dihydrochloride Quinine sulfate Sulfadoxine/Pyrimethamine
TOCOLYTICS Indomethacin Nifedipine Ritodrine Salbutamol Terbutaline |
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