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18 - Pharmacogenetics of Obstetric Therapeutics

from II - Therapeutic Areas

Published online by Cambridge University Press:  05 June 2012

Russ B. Altman
Affiliation:
Stanford University, California
David Flockhart
Affiliation:
Indiana University
David B. Goldstein
Affiliation:
Duke University, North Carolina
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Summary

Obstetric pharmacology, in many respects, is still in its infancy. Because of valid concerns about the safety of drugs to both the mother and developing fetus, not as much data exist for drugs in pregnancy. There is also a distinct paucity of data regarding pharmacogenetics in pregnancy. At this time, many of the potential pharmacogenetic applications to pregnancy drug therapy are theoretical. This chapter summarizes the drug therapy for five of the major pregnancy conditions/complications, along with a brief discussion of potential pharmacogenetic or individualized pharmacotherapy applications for each. These conditions are preterm labor, depression, diabetes, the nausea and vomiting of pregnancy (NVP), and hypertension.

Preterm Labor

Preterm birth is the leading cause of morbidity and mortality in newborns in the United States. More than 12.5 percent of all live births are preterm, accounting for a large amount of health care spending for infants. The number of preterm births in the United States, as well as in many other industrialized countries, continues to rise. Preterm labor is the most common cause of hospitalization of pregnant women (1). Although the incidence and burden of preterm birth are relatively clear, the causes of preterm labor are not well understood (2).

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Publisher: Cambridge University Press
Print publication year: 2012

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