Topic Key Points
Preconception counseling, medication safety for
Educational Objectives
pregnancy/lactation, PLLR explanation, and safe OTC use.
Recommend folic acid (400–800 mcg/day), optimize chronic
Preconception Counseling condition management, and review medications for teratogenic
risks.
Replaced A-B-C-D-X categories with detailed narrative sections on
Pregnancy and Lactation
pregnancy, lactation, and reproductive potential for nuanced safety
Labeling Rule (PLLR)
guidance.
Medication Prescribing Assess risks vs. benefits, consider gestational age, and use resources
Factors like LactMed or FDA PLLR for guidance.
URI Management in Prioritize hydration, rest, and saline sprays; use acetaminophen for
Pregnancy fever. Avoid NSAIDs and first-trimester decongestants.
Nausea/Vomiting in First-line: ginger, pyridoxine (B6), and doxylamine. Reserve
Pregnancy ondansetron for severe cases.
Safe antibiotics (e.g., cephalexin), continue breastfeeding to prevent
Lactational Mastitis
milk stasis, and manage pain with acetaminophen or ibuprofen.
Treat with SSRIs (e.g., sertraline) or psychotherapy; screen with
Postpartum Depression
PHQ-9.
For UTIs in lactation, use safe antibiotics like nitrofurantoin. -
Knowledge Check
Treat pregnancy nausea with pyridoxine/doxylamine.- Switch
Highlights
atenolol preconception to safer options like labetalol.
