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1. Gastro-intestinal System 2. Cardiovascular system 3. Respiratory System 4. Nervous system 5. Infections 6. Endocrine system 7. Obstetrics, gynaecology, and urinary-tract disorders 8. Malignant Disease and Immunosuppression 9. Nutrition and Blood 10. Musculoskeletal and joint diseases 11. Eye 12. Ear, Nose and Oropharynx 13. Skin 14. Immunological products and vaccines 15. Anaesthesia 16. Palliative Care 17. Miscellaneous Preparations
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Home > Formulary : Adult > Chapters > 7. Obstetrics, Gynaecology and Urinary-tract Disorders >

BNSSG Adult Joint Formulary

7.5 Obstetrics

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Last edited: 17-07-2025

7.5.1 Induction of labour

First line drugs Second line drugs Specialist drugs Secondary care drugs

 

Dinoprostone vaginal tablet & vaginal gel (Prostin E2®) (TLS Red)

Oxytocin (parenteral) (TLS Red)

Specific indication:

Dinoprostone pessaries (Propess®) (TLS Red)

Misoprostol (oral) (TLS Red)

  • Including patients with intrauterine foetal death

 

7.5.2 Postpartum haemorrhage

Ergometrine (TLS Red)

Oxytocin (TLS Red)

Oxytocin / Ergometrine (Syntometrine®) (TLS Red)

Carboprost (TLS Red)

Carbetocin (TLS Red)

Fibryga® (Human Fibrinogen) (TLS Red)

 

7.5.3 Premature labour

Nifedipine (unlicensed) (TLS Red)

Atosiban (TLS Red)

Alternative:

Terbutaline (unlicensed) (TLS Blue)

Terbutaline – also used first line in emergency situations (TLS Red)

Magnesium sulfate (unlicensed indications) (TLS Red)

  • Prevention of seizures in pre-eclampsia
  • Treatment of seizures and prevention of seizure recurrence on eclampsia

Progesterone pessaries (Cyclogest®) (TLS Red)

  • During IVF treatment and threatened pre-term labour

 

7.5.4 Termination of Pregnancy

Gemeprost pessary (TLS Red)

Mifepristone (TLS Red)

 

7.5.5 Threatened miscarriage

Vaginal micronised progesterone (Cyclogest pessaries) TLS Red

  • For women with symptoms of vaginal bleeding, with an intrauterine pregnancy confirmed by ultrasound scan who have a history of miscarriage in line with NICE NG126

 

 

7.5.6 Lactation Suppression

Cabergoline (TLS Amber Specialist Initiated)

  • For suppression of lactation following miscarriage or termination 

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