Course Module

Pharmacology for Midwives - Google Doc

or search for the PDF of this module here.

*NOTE: NMI's Study Group module formatting guidelines specify that students provide the text of each question, followed by a blank line and then their response. Sometimes cutting and pasting from the above pdf version causes formatting issues in your word processing document. If this occurs, please use the Google Doc version of the module to make a copy and save to drive.

Practice Guidelines Guidance

Additional Resources

Introduction Slides

• Pharmacology for Midwives: An intro talk for HIVE by Meredith Mance, January 30, 2022

• Postpartum Hemorrhage: An intro talk for Hive by Tema Mercado, August 20, 2023

Online Resources

Websites

• Community Midwife Medication Access by State/Territory (2020) - This spreadsheet lists medications, statutes, regulations by state/territory. Please Note, this is from 2020.

• Summary of State Laws on Direct Entry Midwives (Oct 2022) has a helpful table of links to each states licensure requirements, regulatory codes, licensing bodies, and administration of medication for each regulated state.

• FDA Pregnancy Categories. FDA Pregnancy Risk Information: An Update, Drugs.com article about updates to FDA drug classifications.

• FDA, Pregnancy and Lactation Labeling (Drugs) Final Rule and Questions and Answers on the Pregnancy and Lactation Labeling Rule

• Drug Use in Pregnancy, a point to ponder. (Includes a table of the old FDA categorization of drugs for use in pregnancy).

• Intracutaneous Injections of Sterile Water over the Secrum for Labour Analgesia - Sterile Water Injections in Labor

• Evidence on: Group B Strep in Pregnancy - GBS antibiotics in Labor

• Evidence on: Erythromycin Eye Ointment for Newborns - Newborn Erythromycin

• Evidence on: The Vitamin K Shot in Newborns - Newborn Vitamin K

• Inhaled analgesia for relieving pain during labour - Nitrous Oxide in Labor

• Nitrous Oxide for Labor Analgesia -  ACNM Nitrous Oxide in Labor

• Misoprostol to prevent and treat postpartum hemorrhage: a systematic review and meta-analysis of maternal deaths and dose-related effects - Postpartum Misoprostol

• Efficacy of Rectal Misoprostol for Prevention of Postpartum Hemorrhage - Postpartum Misoprostol

• Antiretroviral Therapy (ART) in Pregnant Women With HIV Infection Overview of HIV Antiretroviral Therapy (ART) in Pregnancy -  ARTs in Pregnancy

• Kelly Mom Website: Medications & Vaccines> Lactation Risk Categories

Apps

• Association of Ontario Midwives: RM Rx Resource for Midwives, (Clinical Mobile App available for iOS or Android users). This app has lists of drugs and herbs used by midwives in Ontario, who have prescriptive rights. It includes drug details such as name, trade name, pharmacopeia category, class, indications, doses, contraindications, adverse reactions, warnings & precautions, pregnancy category, lactation, onset of action, duration of action, action/mechanism, pharmacokinetics, additional notes and links to other resources. While this app is highly useful and informative, check your state of practice for regulations and administration of medications. This Summary of State Laws on Direct Entry Midwives (Oct 2022) has a helpful table.

Skills Practice