Independent prescribing by midwives.

What is it about?

Case based discussion on pharmacological management of a pregnant women presenting with hyperemesis and potential urinary tract infection. Consideration of suitable pharmacotherapy for these conditions, use of off-label medications, and teratogenicity of prescribed medications in early pregnancy. Importance of shared decision making and risk versus benefit of prescribing in pregnancy.

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Photo by Anastasiia Chepinska on Unsplash

Photo by Anastasiia Chepinska on Unsplash

Why is it important?

There is an increasing use of pharmacological treatments for pregnant women as this population now present at an older age, with co-morbidities and at greater risk of developing pregnancy associated conditions such as gestational diabetes and hypertension. Concurrently, the role of the midwife is expanding to include independent prescribing and advanced level practice. As an autonomous practitioner midwives can now undertake whole care episodes for women and neonates , including independent prescribing, and need to be adequately prepared for this expanded role.

Perspectives