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Pearl · 04 of 05

Ask about pregnancy before starting a long-term drug

Make a pregnancy check a routine part of prescribing for women of childbearing age.

Before prescribing a medicine that may matter in pregnancy, ask about the last period, contraception and pregnancy plans, and test where there is any doubt. A single question at the start prevents most exposures that later cause worry.

If a woman learns she is pregnant while on a drug, do not stop it at once without a plan: review the indication, the risk of the untreated condition, and alternatives together, and involve obstetric care early.

  • Ask about last period, contraception and pregnancy plans before prescribing
  • Test for pregnancy when there is any doubt
  • Do not stop long-term treatment abruptly without a plan
  • Involve obstetric care early when exposure has already occurred

Why it matters

Most early exposures happen before the pregnancy is known.

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