Ask the expert: Diagnosis and management of complications in pregnancy in primary care

What you need to knowDuring pregnancy, treat iron deficiency anaemia with lower and/or intermittent doses of iron to optimise absorption and reduce side effectsAmlodipine is safe to continue in pregnancy and breastfeeding in women with pre-existing hypertensionTreatment of symphysis pubis dysfunction is supportive and multidisciplinaryWomen who report reduced fetal movements after 24 weeks of pregnancy should be referred on the same day to their local maternity unit for reviewSpecialists Kerry Munro, Laoise Griffin, and Anita Banerjee offer a practical guide for GPs on assessment, diagnosis, and management of common conditions affecting pregnancy, and offer advice on when women can safely be managed in primary care.Test yourselfAyesha is 34 and has a five year history of type 2 diabetes. She has been taking ramipril 5 mg daily and metformin 1 g twice daily. She comes to visit you for her routine diabetes review and says she thinks she might be pregnant….
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