oa Professional Nursing Today - Advising the pregnant and young traveller : primary healthcare
|Article Title||Advising the pregnant and young traveller : primary healthcare|
|© Publisher:||Medpharm Publications|
|Journal||Professional Nursing Today|
|Publication Date||Nov 2005|
|Pages||36 - 39|
Pregnant and very young travellers should be regarded at higher than average risk of travel related disorders and infections; the impact on the foetus must be considered for all risks and interventions the mother is exposed to. The risk of air travel associated thromboembolic disorder associated is increased by pregnancy; high risk women should ideally not travel, but may be considered for anticoagulation. Young children may be sedated with diphenhydramine for long haul travel, although this is off-label use, and a pre-flight trial is advisable. Pregnant women may safely receive a number of non-live vaccines' Live vaccines are generally contraindicated; this applies to yellow fever vaccine. Travel to malarious area by pregnant women and children <5 years should be discouraged, as should travel by pregnant women to yellow fever infected areas. Mefloquine is the drug of choice, where not otherwise contraindicated, for malaria chemoprophylaxis during the 2nd and 3rd trimesters; it should be used with caution during the 1st trimester as there is a possible association with still birth and abortion.
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