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Midwives have an increasingly important role in the management of drugs during pregnancy, labour and the postnatal period. Their responsibilities include: drug administration; monitoring the woman, fetus and neonate for adverse effects; and prescribing specified drugs under locally agreed protocols. In addition, they are a primary source of client education, providing women with information and advice on drug use, for example pain relief in labour and management of the third stage of labour. It is essential, therefore, that midwives understand the actions, side effects, cautions and contra-indications of the drugs used in pregnancy and childbirth (UKCC, 1992).
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