DRUG USE PATTERN IN INPATIENTS OF OBSTRETICS WARD IN A TERTIARY CARE HOSPITAL.
Dr. Divyashree. N*, A. Vikneshwari, Dr. V. J. Divya, Dr. Tapendra Bhattarai and Dr. Joga Sasidhar
Background- Pregnancy is a special physiological condition, where drug treatment presents a special concern. In pregnancy, drug treatment presents a special concern due to the threat of potential teratogenic effects of the drug and physiologic adjustments in the mother, in response to pregnancy. Most studies recently have reported increase in drug use in pregnancy. Objective- To study and evaluate the pattern of drug use in women admitted in low risk and high risk ward of obstretics and gynecology department at a tertiary care hospital. Results: Out of 120 women, 65.8% were 20-35 years of age. Common conditions admitted were Anemia, Polyhydramnios, Oligohydramnios, Hypothyroidism, Pregnancy induced hypertension, Premature rupture of membranes, Gastroenteritis, type 2 Diabetes mellitus and others. Iron/folic acid preparations were the most frequently prescribed drugs. Cefotaxime was the most prescribed antibiotic while paracetamol was the most commonly prescribed analgesic. Ondansetron was the most commonly used antiemetics. Pantaprazole was the most commonly used antiulcer agent. Insulin (Actrapid or mixtard) was used in all cases of gestational diabetes mellitus. Thyroxine was the drug of choice for hypothyroidism in pregnancy. Most of the prescribed drugs were in the FDA risk categories A-C, which are safe to be used in pregnancy.
Keywords: Anemia, Polyhydramnios, Oligohydramnios, Hypothyroidism etc.
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