title: [Prescribed and reported drug use during pregnancy].
abstract: Few studies describe drug utilization in pregnancy focusing on prescribing practices. This study is part of a larger survey on perinatal care in the City of Rio de Janeiro, Brazil. The type of hospital (public, contracted out by the Unified National Health System, or private) determined the stratification of 10,072 hospitalized post-partum women, who were asked about medication used during pregnancy. Hospital records supplied information on drugs prescribed during labor. Drugs were classified according to the Anatomical Therapeutic Chemical (ATC) system. Another system was used for specific cases of referred use. A mean of 2.08 drugs was prescribed during labor, and a mean of 2.3 was reported during pregnancy. Anesthetics, antibiotics, oxytocin, and analgesics were the most frequently prescribed during labor, with significant differences between strata. Ferrous sulfate, vitamins, scopolamine, and acetaminophen were the main drugs reported during pregnancy. Women who had attempted abortion referred use of various kinds of tea (49.7%) and misoprostol (9.2%). The drug utilization pattern was consistent with the literature. This study offers knowledge on prescribing patterns during labor and self-reported use during pregnancy in both the public and private sectors.
authors.affiliation: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil. claudia@iff.fiocruz.br
authors.forename: Claudia Garcia Serpa
authors.initials: CG
authors.lastname: Osorio-de-Castro
authors.forename: Vera Lucia Edais
authors.initials: VL
authors.lastname: Pepe
authors.forename: Vera Lucia
authors.initials: VL
authors.lastname: Luiza
authors.forename: Marly Aparecida Elias
authors.initials: MA
authors.lastname: Cosendey
authors.forename: Aline Matias de
authors.initials: AM
authors.lastname: Freitas
authors.forename: Frederico Fonseca
authors.initials: FF
authors.lastname: Miranda
authors.forename: Jorge Antonio Zepeda
authors.initials: JA
authors.lastname: Bermudez
authors.forename: Maria do Carmo
authors.initials: Mdo C
authors.lastname: Leal
mesh_terms: D001938:Brazil; D016009:Chi-Square Distribution; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D004363:Drug Utilization / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D018743:Perinatal Care / Q000592:standards*; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011247:Pregnancy