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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 

 

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

Emergencies

General care principles

Clinical use of blood, blood products and replacement fluids

Antibiotic therapy

Anaesthesia and analgesia

Operative care principles

Normal Labour and childbirth

Newborn care principles

Provider and community linkages

Symptoms

Shock

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

Shoulder dystocia

Labour with an overdistended uterus

Labour with a scarred uterus

Fetal distress in Labour

Prolapsed cord

Fever during pregnancy and labour

Fever after childbirth

Abdominal pain in early pregnancy

Abdominal pain in later pregnancy and after childbirth

Difficulty in breathing

Loss of fetal movements

Prelabour rupture of membranes

Immediate newborn conditions or problems

Procedures

Paracervical block

Pudendal block

Local anaesthesia for caesaran section

Spinal (subarachnoid) anaesthesia

Ketamine

External version

Induction and augmentation of labour

Vacuum extraction

Forceps delivery

Caesarean section

Symphysontomy

Craniotomy and craniocentesis

Dilatation and curettage

Manual vacuum aspiration

Culdocentesis and colpotomy

Episiotomy

Manual removal of placenta

Repair of cervical tears

Repair of vaginal and perinetal tears

Correcting uterine inversion

Repair of ruptured uterus

Uterine and utero-ovarian artery ligation

Postpartum hysterectomy

Salpingectomy for ectopic pregnancuy

Appendix

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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