Clinics in obstetrics and gynaecology
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Certain infections, such as UTI, may have an increased incidence during pregnancy owing to physiological changes. Between 2 and 10% of pregnant women have covert or asymptomatic bacteriuria which is associated with an increased incidence of acute symptomatic UTI in later pregnancy if left untreated. Thus antenatal screening to detect the presence of bacteriuria is justified. ⋯ Most antibiotics cross the placenta and are excreted in breast milk. Some agents, such as the beta-lactams, are considered safe in pregnancy and breast-feeding women while other antibiotics are contraindicated owing to risk of toxicity (often rare) or teratogenicity (often theoretical). Caution is necessary with many agents which may cause side effects or toxicity although this does not necessarily contraindicate their use in pregnancy.(ABSTRACT TRUNCATED AT 400 WORDS)
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Hypertensive diseases are among the most common of all pregnancy complications. Significant elevations of blood pressure can be missed if inflexible criteria are used. ⋯ The antihypertensive drugs in current use have a good safety record with regard to both mother and baby. The management of hypertension during pregnancy ideally requires the close cooperation of obstetrician and physician.