How is pregnancy addressed during the dermatologic preoperative evaluation and management?

Updated: Mar 16, 2020
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

Answer

Nonemergent procedures should be postponed until the postpartum period to avoid any potential adverse effects during organogenesis. Although antibiotics such as penicillin and erythromycin are considered safe during pregnancy (Class B), others, such as tetracycline, can cause bone growth retardation and staining of dental enamel in the fetus. Lidocaine also appears to be safe in low doses, although excessive amounts can cause fetal CNS and cardiac depression. Acetaminophen (Class B) is routinely used during pregnancy despite its ability to cross the placenta. [3] Drugs should also be selected carefully during lactation. [4]


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