Talk:Drugs in pregnancy

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I'm going to be editing this Wikipedia article, any feedback is much appreciated! — Preceding unsigned comment added by MargaretDuich (talk • contribs) 21:00, 22 February 2019 (UTC)

Wiki Education Foundation-supported course assignment
This article was the subject of a Wiki Education Foundation-supported course assignment, between 8 January 2019 and 16 April 2019. Further details are available on the course page. Student editor(s): MargaretDuich.

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Wiki Education Foundation-supported course assignment
This article was the subject of a Wiki Education Foundation-supported course assignment, between 29 June 2020 and 21 August 2020. Further details are available on the course page. Student editor(s): Jx130, UAslam-Mir, Aecutuli, A. Choi, Future Pharmacist from UCSF.

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This article is currently the subject of a Wiki Education Foundation-supported course assignment, between 19 October 2021 and 31 May 2022. Further details are available on the course page. Student editor(s): Mkeomani.

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Foundations II 2020 Group 4 proposed edits
New information we can add/information we can edit: We would like to include more medications (i.e. over the counter drugs, anticoagulants, blood pressure medications). Expand the introduction. Work on pregnancy categories paragraph to make it more reader-friendly and reflect current ruling per pregnancy and lactation ruling of 2014. Also, fix reference #17, #18, and "citation needed" parts. -- 7/28/2020 A. Choi, Future Pharmacist from UCSF (talk) 21:07, 28 July 2020 (UTC)

PART I
Do the group’s edits substantially improve the article as described in the Wikipedia peer review “Guiding framework”?
 * Yes! The group included many different medication classes that are used during pregnancy such as pain medications, antihistamines to help with nausea and vomiting, and anticoagulants to prevent clots. I think it may be helpful to readers if there was some information about the use of drugs that treat common chronic conditions (ie hypertension, hyperlipidemia, etc.) and if it's safe to use those medications during pregnancy. Tvu2020 (talk) 21:35, 3 August 2020 (UTC)
 * Overall, the group has added some improvements to the article as described by the Guiding framework. I noticed there are some things that were previously on the Wiki page before this project such as medical advice. Under "Medications", it gives the reader advice on aspirin dosing; however, the general tone should not offer medical advice as this could change over time and provide inaccurate advice. Vtran1337 (talk) 21:45, 3 August 2020 (UTC)
 * Vtran1337, this is a good point. Avoiding "advice" is an area that I think could still be improved a little.  One quick rule of thumb that you might try out is to search for the word should, and see whether the sentence could be re-written to sound like a fact instead of advice.  For example, "warfarin is contraindicated and should be avoided as it crosses the placental barrier" could be shortened to just "warfarin is contraindicated because it crosses the placental barrier", or warfarin is contraindicated, and other drugs are normally chosen instead.  Warfarin crosses the placental barrier." WhatamIdoing (talk) 02:35, 14 August 2020 (UTC)
 * Yes, I do think this subject is intensive but this group managed to break it down. The sections they added are very comprehensive and digestible for the most part. I also appreciate that they added other articles for further reading. I understand that this is only a short project but I feel many of the sections can be expanded a little more. Vmelgarejocovarrubias (talk) 21:51, 3 August 2020 (UTC)
 * Yes! The draft was informative but concise, included many references, and organized really well. Per Wikipedia: Manual of Style, one suggestion would be to avoid use of medical jargon when possible. For example, the term "renal" under the sections "Anti-Hypertensives" and "Cocaine" can be replaced with "kidney". Cvo.UCSF (talk) 21:57, 3 August 2020 (UTC)

Has the group achieved its overall goals for improvement?
 * Yes! The group’s goals were to add more sections of different types of medications (i.e. anticoagulants, blood pressure medications, pain medications, etc.) and discuss if there is an association with birth defects. Group specified which birth defects are associated with these medications and included references. Great job on citing many reliable sources! Group can consider including the specific pregnancy categories for the medications discussed in the article. Tvu2020 (talk) 21:35, 3 August 2020 (UTC)
 * The group has added a variety of medication subcategories which I think will greatly help give any future reader more direction. By listing all these medications, it might even bring some awareness to the reader of other medications (OTC) she’s currently taking. I liked that there was a slight introduction of the OTC drugs under “Pain Medications” but I think it would be helpful to educate the reader that most of these drugs can actually be found over the counter. Vtran1337 (talk) 21:45, 3 August 2020 (UTC)
 * The group's edits did improve the article's previous issues, which included poor formatting, few references, and unreliable references. The group referenced the CDC, PubMed, and review articles from reliable sources and paraphrased ideas. I liked how the the article was organized by medication class, and within each section, the group presents objective information on the common types of drugs in each class and whether there is/isn't an association with pregnancy. The sections were concise and hit important points, and they did a great job finding many resources to improve this article substantially. Cvo.UCSF (talk) 21:57, 3 August 2020 (UTC)
 * Cvo.UCSF, I haven't finished reading the entire article, but I already agree with your summary. The group has tripled the number of words in the article, and more than tripled the number of refs, without anything being too wordy.  There are many small improvements that could still be made (for example, I spot one ref from 1997, which could probably be updated to something more recent), but even if Wikipedia editors are reluctant to declare any article finished, even if it reaches Wikipedia:Featured status, this is a major improvement over the starting point.  I hope that your whole group feels proud of the work you've done here. WhatamIdoing (talk) 02:45, 14 August 2020 (UTC)
 * The group certainly managed to significantly improve this article. They were successful in including the sections they wanted to expand on, as well as adding more groups of medications that are relevant to this topic. Some sections are better than others so it can be polished further. Vmelgarejocovarrubias (talk) 18:22, 4 August 2020 (UTC)
 * Tvu2020 and Vmelgarejocovarrubias, both of you mention adding new types of medications. Did the group talk about including antidepressants?  See  for one primary source that suggests that it's pretty common. WhatamIdoing (talk) 02:53, 14 August 2020 (UTC)

PART II
Does the draft submission reflect a neutral point of view
 * Overall, the draft submission presents a neutral point of view! The statements about the association of drugs with pregnancy are cited with multiple sources, and the group also addresses when there is no clear correlation between the two. For example, under the section "Cocaine," the article presents information on how use of cocaine can lead to cardiovascular complications in pregnant women, but it also states that there are no known conditions that can arise in the children of pregnant women who use cocaine. Another example is under "Pain Medications" where the article states that there is no association between teratogenicity and acetaminophen use; however, there is a "potential for fetal liver toxicity in cases of maternal overdose". The draft consistently presents objective information from multiple sides without the use of personal pronouns or medical/practical advice.

There are a few statements that slightly stray away from a neutral point of view. Under the section "Medications," the article states:

"Some medications can adversely affect a fetus, but in some cases the benefits outweigh the risks."

The statement is not followed by any strong examples where the benefits outweigh the risks. There is an introduction to this idea starting with "Pain management for the mother is an important area where an evaluation of the benefits and risks is needed," but it is not clear what the benefits and risks are. In addition, for the statement, "NSAIDs such as ibuprofen and naproxen are probably safe for use for a short period of time..." it may help to quote the phrase "probably safe" since this was the description used by the reference (so it doesn't sound uncertain).

Another statement that stood out to me was under the section "Alcohol":

"This is why it is very important for pregnant women to abstain from alcohol use altogether."

This statement takes a strong stance against drinking alcohol during pregnancy. It may help to rephrase and/or cite a reference with this recommendation. Cvo.UCSF (talk) 22:03, 3 August 2020 (UTC)

'''Are the points included verifiable with cited secondary sources that are freely available? If not, specify…''' After reviewing several of the links attached, I found the sources to be consistent with the material the group included. They chose excellent sources to draw information from and were successful in paraphrasing and giving credit it is due. Vmelgarejocovarrubias (talk) 18:22, 4 August 2020 (UTC) '''Are the edits formatted consistent with Wikipedia’s manual of style? If not, specify…'''
 * Great job on the clear section and subsection headers and including many wikilinks to other articles. This will help many readers understand some of the technical terminology used. In the section “Anticoagulants” – “These medications are commonly used for both prevention and treatment in patients who are at risk for or have experienced a heart attack, stroke, or venous thromboembolism.” Try to avoid using the word “patients”. Tvu2020 (talk) 21:35, 3 August 2020 (UTC)

'''Is there any evidence of plagiarism or copyright violation? If yes, specify…'''
 * No, the group has provided citations for all facts stated and has not used any unauthorized images. Vtran1337 (talk) 20:24, 3 August 2020 (UTC)

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