Problem
Case Study
HH is a 28-year-old pregnant woman who visits her midwife for her antenatal check-up. She is eight months pregnant and speaks to her midwife about clotrimazole 2 percent vaginal cream prescribed by her local doctor for vulvovaginal candidiasis. Her symptoms, which include vulval irritation, itching, and a yellow discharge, have been very uncomfortable for HH, but she is very concerned about the possible harm of the medicine to her baby. She is also unsure about how to use the vaginal cream.
• What?is?clotrimazole?
• Is clotrimazole likely to cause any harm to the foetus? Explain your answer.
• When are medicines most likely to cause birth defects during?pregnancy? Explain your answer.
• Does the literature currently suggest that there is any potential for drugs to cause sperm defects in the father, that could potentially result in defects in the child? Briefly explain.
• Describe how HH should administer the vaginal cream?