All our training and guidance to help decision making about the use of medicines in pregnancy

Training resources

Get to grips with how to answer questions patients may ask you about the safety of medicines in pregnancy.

Medicines in Pregnancy – a recorded webinar

Find out what questions to ask and what information to consider when advising and managing medicine use during pregnancy

Formulating your advice on the use of medicines in pregnancy

Providing advice on medicines in pregnancy is complex. Preparing, structuring and phrasing information can improve communication and understanding.

The principles of prescribing in pregnancy

There are some important principles that should be applied when providing advice on the use of medicines in pregnancy.

Assessing risk and informing the risk versus benefit decision for medicines in pregnancy

There are key factors to be considered in making a risk assessment and a risk versus benefit decision about use of medicines in pregnancy.

Information resources that give advice about medicines in pregnancy

SPS and other information resources can help pharmacy and other healthcare professionals provide advice on medicines in pregnancy.

Questions to ask when giving advice on medicines in pregnancy

Specific information should be gathered about a pregnant woman and her pregnancy to enable a good risk assessment and decision about treatment.

Treatment resources

Both pre-existing and new conditions need to be managed carefully during pregnancy. Maintaining good maternal health supports good foetal health and development. Good medicines choices in pregnancy can also enable safe medicines use in breastfeeding.

Articles below discuss and signpost to advice on safe and effective treatment during pregnancy for a range of common conditions.

Allergy, immunology and pregnancy

Hayfever or allergic rhinitis: treatment during pregnancy

Signposting evidence-based information on the treatment of hayfever or allergic rhinitis in pregnancy

Cardiovascular disorders and pregnancy

Hypertension: treatment during pregnancy

Signposting evidence-based information on the treatment of hypertension in pregnancy

Complementary medicines and pregnancy

Herbal medicines: safety during pregnancy

Pregnant women often use herbal medicines as alternatives to conventional medicines and a review of the safety of commonly used herbal medicines is provided

COVID-19 treatments and pregnancy

Using Tocilizumab or Sarilumab for hospitalised patients with COVID-19 who are pregnant

A careful risk assessment should be done on the benefits of this off-label use to the mother, and the risks it poses to the fetus or neonate.

COVID-19 vaccines and pregnancy

Using COVID-19 vaccines in women of child bearing potential

Summary information concerning COVID-19 vaccination in women of child-bearing age or who are pregnant

Endocrine disorders and pregnancy

Diabetes: treatment during pregnancy

Signposting evidence-based information on the treatment of diabetes in pregnancy

Gastrointestinal disorders and pregnancy

Nausea and Vomiting: treatment during pregnancy

Signposting evidence-based information on the treatment of nausea and vomiting in pregnancy

Constipation: treatment during pregnancy

Signposting evidence-based information on the treatment of constipation in pregnancy

Heartburn and Dyspepsia: treatment during pregnancy

Signposting evidence-based information on the treatment of heartburn and dyspepsia in pregnancy

Haemorrhoids: treatment during pregnancy

Signposting evidence-based information on the treatment of haemorrhoids in pregnancy

Haematological disorders and pregnancy

Vitamin B12 deficiency: treatment during pregnancy

Intramuscular hydroxocobalamin is the preferred treatment choice for management of clinically relevant vitamin B12 deficiency, including during pregnancy.

Dosing and monitoring for treatment of Vitamin D deficiency in pregnancy

Effective treatment of vitamin D deficiency in pregnancy requires consideration of treatment regimens, monitoring, and preferred forms of vitamin D.

Infections and pregnancy

Urinary tract infection: treatment during pregnancy

Signposting evidence-based information on the treatment of urinary tract infection in pregnancy

Thrush or vaginal candida: treatment during pregnancy

Signposting evidence-based information on the treatment of thrush or vaginal Candida in pregnancy

Mental health and pregnancy

Depression: treatment during pregnancy

Signposting evidence-based information on the treatment of depression in pregnancy

Neurological disorders and pregnancy

Epilepsy: treatment during pregnancy

Signposting evidence-based information on the treatment of epilepsy in pregnancy

Pain and pregnancy

Using opioids for pain relief during pregnancy

Opioid analgesics may be used at any stage of pregnancy at the lowest effective dose for the short-term relief of pain when other analgesics are not effective

Pain: treatment during pregnancy

Signposting evidence-based information on the treatment of pain in pregnancy

Respiratory conditions and pregnancy

Asthma: treatment during pregnancy

Signposting evidence-based information on the treatment of asthma during pregnancy