DRUG PRESCRIBING PATTERN IN 3RD TRIMESTER OF PREGNANCY IN ANTENATAL CARE IN OBSTETRICS DEPARTMENT IN A TERTIARY CARE HOSPITAL, MANDYA: A CROSS SECTIONAL STUDY

Dr. Suresha B. S.*, Dhanalakshmi S. and Janhavi S.

ABSTRACT

Prescribing pattern studies in pregnancy is unusual risk benefit situation due to irrational drug use in pregnancy may leads to teratogenic risk to fetus. The World Health organization (WHO) estimates that pregnant women receiving antenatal care can help in early spot and treat the both drug induced and pregnancy related conditions. The aim of our study is to describe the prescribing pattern among antenatal care and classifying in FDA (Food and Drug Administration) categorization in a tertiary care hospital, Mandya, Karnataka, India. Objective: To describe the drugs prescribing pattern in 3rd trimester of pregnancy of antenatal care and also describe the type, dose, route, indications etc. of Antenatal care (ANC) prescribed drugs comes under FDA categorization in obstetrics department of MIMS, Mandya. Methodology: A cross sectional study was conducted at the obstetrics department of MIMS. Required data was collected from 157 outpatient case who were satisfying the inclusion criteria, for the period of six months. A well-designed patient data collection form was used for collecting the details. The information’s were documented and subjected to suitable statistical methods. Results: A prospective study was conducted to describe the drug prescribing pattern in 3rd trimester of pregnancy in antenatal care in obstetrics department in a tertiary care hospital, Mandya. A total of 157 cases were included based on inclusion criteria. The present study comprised of 157 cases showed a higher incidence of Thyroid and anemia (10.83%), infection (8.92%), UTI (6.37%), gastroesophageal reflux (5.10%). Nutritional supplements (71.18%), antibiotics (6.30%), gastric suppressants (93.44%), antithyroid (3.24%), antiemetics (3.05%), hormonal preparation (2.86%), antipyretic (1.72%) are prescribed more in ANC. Based on FDA category, majority of drugs were A category, 74.24% and B category, 18,13% were found in our study. Conclusion: Findings of our study showed that all pregnant women were provided with prophylactic iron and folic acid, calcium therapy. The occurrence of contraindicated medicines was desirably low, thereby minimizing overall risk of developing fetus. Thus, prescribing pattern observed in our study sets a good example, as selection of drugs was rational in most of the cases.

Keywords: Antenatal care, Obstetrics, Gynecology, Drug use, Pregnant, Prescription.