Medication and Substance Use During Pregnancy

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Pregnancy Is An Opportunity To Adopt Healthy Habits And Make Lifestyle Changes That Can Last A Lifetime, Benefiting You And Your Entire Family.

Smoking

Smoking tobacco and e-cigarettes should be avoided during pregnancy. Women who smoke have an added risk of miscarriage because tobacco increases the risk of problems with the placenta and its potential to tear away from the uterine wall (abruption). Smoking also increases the risk of your baby being born prematurely and at a low birth weight. Babies of moms who smoke are at higher risk of sudden infant death syndrome (SIDS) and certain birth defects (i.e., cleft lip). Please stop smoking during pregnancy. Call 800-quit-now for help or talk with your health care provider.

Drug Use

Oxycodone, hydrocodone, Xanax, Valium, marijuana, cocaine, heroin, methamphetamines and illicit drugs must be avoided during pregnancy. They can cause premature birth and low birth weight. Neonatal abstinence syndrome (NAS) is seen in babies born to mothers who use these medications/drugs during pregnancy. The baby becomes addicted to the drug during pregnancy and then, at birth, goes through withdrawal, experiencing multiple symptoms (i.e., crying, diarrhea, etc.), frequently leading to a prolonged stay in the neonatal ICU for detoxification.

Alcohol

Alcohol should also be avoided during pregnancy. There is no known safe limit. In the United States, substance abuse—including alcohol consumption—during pregnancy is the leading preventable cause of intellectual disability in children. Fetal Alcohol Syndrome (FAS) is characterized by a cluster of symptoms including low birth weight, facial deformities, small head size, low IQ and behavioral problems. Heavy drinking (more than 2 drinks per day) or binge drinking (more than 5 drinks on one occasion) can lead to FAS. Even moderate drinking (1–2 drinks per day) has been associated with attention deficit and memory problems in children.

Medication Use During Pregnancy

Even some over-the-counter medications aren’t safe in pregnancy, but that doesn’t mean you have to suffer during common illnesses or the typical discomforts of pregnancy. Below is a list of common problems and over-the-counter medications considered safe to use for them. If you develop symptoms with a fever, symptoms of depression or anxiety, or any other sign of illness, consult with your doctor. Many prescription medications, including some antibiotics and antidepressants, are also safe to use in pregnancy.

SYMPTOM MEDICATIONS SAFE TO USE AS DIRECTED
Insomnia Tylenol® PM, Benadryl,® Unisom®
Constipation prevention – fiber supplements FiberCon,® Fiber Choice, ® Metamucil, ® Citrucel, ® All Bran® or Fiber One® cereal.
Constipation treatment – stool softeners Colace® or Surfak®
Constipation treatment – laxatives Miralax®
Constipation treatment – suppositories Glycerin or Dulcolax®
Constipation treatment – enemas Fleet®
Cough & cold Robitussin,® Robitussin DM, cough drops
Congestion Sudafed,® Actifed,® Tylenol Sinus AM or PM, Tylenol Cold, Benadryl, Vicks® VapoRub, Claritin® or Claritin D, Mucinex®
Nosebleeds Saline spray or drops, humidifier
Headache or pain Tylenol or Tylenol Extra-Strength
Sore throat Tylenol, Tylenol Extra-Strength, cough drops, Chloraseptic®
Diarrhea Imodium® AD
Acne Benzoyl peroxide (Clearasil®) or salicylic acid products
Indigestion TUMS,® Mylanta,® Gaviscon,® Zantac,® Tagamet® or Pepcid® AC, Prilosec OTC,® Prevacid®
Nausea Emetrol,® Unison,® Vitamin B6, Ginger capsules
Round ligament pain Tylenol or Tylenol Extra Strength, microwave heating pad, ThermaCare® heat packs
Itching Benadryl tablets or cream
Yeast infection 3 to 7 day antifungal—Monistat,® Femstat®
Hemorrhoids Preparation H® (with cortisone), AnuSol,® Tucks® pads
Cold sore Abreva®

Is it Time to Schedule Your Annual Wellness Exam?

Your annual women’s health appointment is a vital part of your health care, and the perfect time to talk to your Care Team about your personal health questions.

Is it Time to Schedule Your Annual Wellness Exam?

What People Are Saying

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Lauren Hayes profile picture
Lauren Hayes
25 September 2026
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Ultrasound tech, Emma, was phenomenal! She was so compassionate and took her time to make our experience great. We really appreciate the care she took during our ultrasound.
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Sidney
12 August 2026
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Highly recommend! From the moment I walked in to the moment I walked out, my care was thoughtful, caring, and the furthest thing from feeling dismissed at a doctor’s office. Ellie did a wonderful job making me feel heard, comfortable and validate what I had been experiencing. For a first visit, I left feeling reassured and grateful that I chose this office.
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Charisa McMahon
21 July 2026
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I highly recommend Audrey Fenwick. She truly takes the time to listen and never makes me feel rushed during my appointments. I always feel like my concerns are heard and taken seriously. What I appreciate most is that she’s willing to explore different treatment options rather than taking a one-size-fits-all approach. She works with me until we find a plan that we’re both comfortable with, and I always leave feeling confident that I’ve received thoughtful, personalized care. It’s refreshing to have a healthcare provider who is knowledgeable, compassionate, and genuinely invested in helping her patients feel their best.
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Amy Curry
26 June 2026
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Dr. Shannon was a great provider during my last pregnancy with twins! She answered every question I had, kept me in the loop on all the clinical decisions and options I had available, and made me feel safe and heard during all of my interactions with her and her staff. All of the staff at Women’s first always took great care of me and my babies no matter what concern I had at the time.
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Rhonda Eichenberger
20 June 2026
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They are always all so nice and welcoming. I just love Brook McAfee, APRN, she is awesome!
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Robin
12 June 2026
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Dr Grider is the best Doctor. Very thorough, kind and personable!
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Cathy Carter
4 June 2026
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I cannot tell you how pleased I am with the services provided by Dr. Anne L. Oliphant and the staff at Women First of Louisville. Dr. Oliphant and staff exhibit outstanding professionalism, punctuality and courtesy. I highly recommend Dr. Oliphant based on the fact that she is an exceptionally skilled and compassionate physician who truly takes the time to listen to her patients. Throughout my appointments, she and the staff made me feel completely at ease. She thoroughly explained my diagnosis and patiently answered all my questions without ever making me feel rushed. I had to do bloodwork during my last appointment. The clinicians and staff were especially friendly and professional as well. Dr. Oliphant’s, and the staff’s, empathetic bedside manner and clear communication elicit standout medical providers in the specialized field of menopause medicine. I believe that Dr. Oliphant has really listened to my concerns and has taken the time to support my health journey. I highly recommend her and the staff to anyone seeking personalized and highly effective care.
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Nancy Nance
3 June 2026
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I have been a patient here for over 25 years. The best of care for any need I have had ! Simply the best !
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Kim Goff
12 May 2026
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The care I've received at Women First of Louisville has been outstanding for over 15 years. It is amazing that such a large practice can be so efficient, organized, and caring all at the same time. For my annual checkups, I am able to schedule my mammogram and provider visit together. Pre-check in means I simply sign in and within a minute or two I'm called for my mammogram. Another 2-5 minute wait and I'm with a friendly, knowledgeable technician who completes the mammogram with a smile and a caring attitude. In 10 minutes, I am back in the waiting area and immediately called back for vitals by another friendly professional assistant. Within 5-10 minutes I am in the exam room and my provider, Heather McLennan, arrives. Here is where the appointment is less about efficiency and more about the care she provides to me. Heather always takes the time to speak with me...asking questions about my life, my health and my concerns. These are not just a check list. She listens. She smiles. She looks me in the eyes and participates in a conversation with me that makes me feel like she cares and understands. Her exam is gentle but thorough. I often have a question about recent research or options and she gives me her honest opinion based on facts. I completely trust her and the other women in all aspects of this practice. **A few years ago I did have a less than stellar experience with an assistant who took my vitals. She was dismissive and sloppy and made me feel uncomfortable when I didn't understand her questions. After I shared this experience with the check out staff, the office manager called me the same day for details, an apology and guarantee that the practice would address this as a training issue that would hopefully correct it. I've not seen or heard anything like it since. I am 100% satisfied with the care I receive at Women First of Louisville. I highly recommend you consider them for your healthcare needs.
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Carly Garcia
11 May 2026
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Dr. Lauren Lewis is fabulous! She is extremely kind and patient, and she genuinely cares about those in her care. I felt very comfortable during my first appointment with her and have already recommended her to a friend!