DRUG THERAPY DURING PREGNANCY: TERATOGENESIS Flashcards
• About _____ of all babies are born with gross structural malformations.
Ooo
3%
• When prescribing drugs during pregnancy, the clinician must try to balance the _____of treatment versus the ____ -often without knowing what the _____really are.
Xxx
Benefits
Risk
Risk
• Less than _____of birth defects are caused by drugs.
Ooo
1%
-_____-_____gross malformations result from exposure early in pregnancy (weeks 4 through 8 of gestation), the time of _____.
Xxx
Teratogen-induced
Organogenesis
_____ _____ (eg, mental retardation) result from exposure to teratogens later in pregnancy.
Xxx
Functional impairments
• For most drugs, we lack _____ _____ on the risks of use during pregnancy.
Xxx
Reliable data
• Lack of teratogenicity in animals is not proof of _____in humans.
Xxx
Safety
• Some drugs (eg, thalidomide) cause birth defects with just -_____ _____whereas others (eg, alcohol) require _____ _____.
Ooo
One dose
Prolonged exposure
FDA Pregnancy Risk Categories indicate the _____ _____of drug use.
ooo
Relative risks
Drugs in Category _____pose the highest risk of fetal harm and are contraindicated during pregnancy.
Xxx
X
Any woman of reproductive age who is taking a known _____must be counseled about the _____ _____and the necessity of using at least one reliable form of birth control.
Ooo
Teratogen
Teratogenic risk