Guidelines and Recommendations for Treating and Managing Health Conditions during Pregnancy

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Listed below are selected guidelines and recommendations for treating and managing various health conditions during pregnancy. This information is not comprehensive and does not include all treatments or methods.

Asthma

Asthma controller therapy during pregnancy
Am J Obstet Gynecol. 2005; 192(2): 369-380.
Gluck JC, Gluck PA.
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Managing asthma during pregnancy: recommendations for pharmacologic treatment–Update 2004
These NIH recommendations, updated during 2004, provide guidance on medication treatment for pregnant women with asthma.
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Depression

ACOG Practice Bulletin No. 92: Use of psychiatric medications during pregnancy and lactation
Obstet Gynecol. 2008; 111: 1001–1020.
ACOG Committee on Practice Bulletins—Obstetrics.
[ACOG members can access the bulletin hereexternal icon]

Epilepsy

Practice Parameter update: Management issues for women with epilepsy—Focus on pregnancy (an evidence based review): Teratogenesis and perinatal outcomes
Neurology. 2009; 73: 133-141.
Harden CL, Meador KJ, Pennell PB, et al.
[
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Infections (e.g., Colds, Urinary Tract Infections, Human Immunodeficiency Virus [HIV])

Preconception care for HIV-infected women
New York (NY): New York State Department of Health; 2010 Jul. 15.
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U.S. Public Health Service Task Force recommendations for use–of antiretroviral drugs in pregnant HIV-1–infected women for maternal health and interventions to reduce perinatal HIV-1 transmission in the United States
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ACOG Committee Opinion No. 717: Sulfonamides, nitrofurantoin, and risk of birth defects
Obstet Gynecol. 2017;130:150-152.
American College of Obstetricians and Gynecologists Committee on Obstetric Practice.
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Updated recommendations for antimicrobial prophylaxis among asymptomatic pregnant women after exposure to Bacillus anthracis
MMWR Morb Mortal Wkly Rep. 2001;50(43):960.
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ACOG Committee Opinion No. 741: Maternal Immunizations

Obstet Gynecol. 2018; 131: 214-217.

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Pregnant Women & Influenza (Flu)
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Vaccination Information for Women Who are Pregnant or Breastfeeding
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Nausea and Vomiting

ACOG Practice Bulletin No. 189: Nausea and Vomiting Of Pregnancy

Obstet Gynecol. 2018;131:15-30.

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Pain

ACOG Committee Opinion No. 711: Opioid Use and Opioid Use Disorder in Pregnancy
Obstet Gynecol. 2017;130:81-94.
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Thyroid Disorders

ACOG Practice Bulletin No. 148: Thyroid Disease in Pregnancy

Obstet Gynecol. 2015; 125(4):996-1005.

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Additional Resources

Many organizations are committed to understanding more about medicines and pregnancy and providing helpful resources for women and healthcare providers.

Food and Drug Administrationexternal icon (FDA)
FDA’s site contains information about taking medicines during pregnancy:

LactMedexternal icon
Hosted by the National Library of Medicine, LactMed is a database that contains information about specific medicines, ways they might affect breastfeeding mothers and their babies, and potential alternatives to consider, if needed.

March of Dimesexternal icon
This webpage provides information related to the use of medicines and herbal products during pregnancy.

MotherToBabyexternal icon
MotherToBaby provides information and fact sheetsexternal icon, in English and Spanish, on the risks and safety of taking specific medicines during pregnancy and breastfeeding. To speak with a MotherToBaby counselor about the safety of a medicine you have taken or you are thinking of taking, call 1-866-626-6847. This service is free and confidential.

Office on Women’s Health, U.S. Department of Health and Human Servicesexternal icon
This website and toll-free call center provide free, reliable health information for women everywhere. The site contains a database of resources and includes topic areas, such as pregnancy and medicineexternal icon.

Page last reviewed: October 22, 2019