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Pregnancy |
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Minor Oral Surgery in pregnant patients 1. Best postponed until 6 weeks post-partum 2. Urgent procedures are best performed in the 2nd trimester 3. Sit patient upright in chair 4. Approach serious odontogenic infections with caution 5. Elective dental x-rays should be avoided 6. Risk of DIC may lead to profuse bleeding—treat with local haemostatic agents 7. Avoid sedation and GA 8. Avoid prilocaine and felypressin.
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Be sure to check in the BNF that drugs have no cautions with pregnancy or breast-feeding. |
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Drugs to be avoided |
Preferable |
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ANALGESICS |
Aspirin Mefenamic acid Pentazocine Diamorphine |
Paracetomol |
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ANTIMICROBIALS |
Tetracyclines Metronidazole Aminoglycosides Co-trimoxazole Sulphonamides Rifampicin |
Penicillin Erythromycin Cephalosporins Sulphisoxazole |
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PREMEDICATION |
Long-acting benzodiazepines Opioids |
Temazepam |
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ANAESTHESIA |
Barbiturates |
Nitrous Oxide |
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Drugs interacting with oral contraceptives to produce risk of pregnancy |
Barbiturates Anticonvulsants (phenytoin, carbamazepines, primidone) Dichloalphenazone (Welldorm) Rifampicin Oral antibiotics– Ampicillin, Amoxycillin, Metronidazole and Tetracyclines
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