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The Women's Pregnancy and Breastfeeding Medicines Guide

Why use the guide

Produced by Australia’s leading specialist hospital for women and newborns

The Pregnancy and Breastfeeding Medicines Guide (PBMG) is produced by the Pharmacy Department at The Royal Women’s Hospital, one of Australia’s leading teaching hospitals for women’s and newborn health. Internationally recognised for its clinical expertise and research, The Women’s develops trusted, evidence-based medicines information to support healthcare professionals in making informed and confident clinical decisions.

The Pregnancy and Breastfeeding Medicines Guide is a trusted clinical resource for safe prescribing during pregnancy and breastfeeding.

Specialist expertise

The PBMG is developed and maintained by the Women's pharmacy team, in collaboration with a multidisciplinary advisory panel of specialists across obstetrics, neonatology, psychiatry, oncology, infectious diseases, endocrinology, haematology, and more.

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Continuously updated

The PBMG is reviewed and updated regularly to reflect new evidence and changes in clinical practice. An update log is available on the site for your reference.

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Clear advice for medical professionals

The Pregnancy and Breastfeeding Medicines Guide (PBMG) covers a broad range of medicines and clinical scenarios relevant to pregnancy and breastfeeding care. Every entry is evidence-based, peer-reviewed, and regularly updated to reflect current clinical practice.

Medicines guidance

Practical recommendations for 1,000+ medicines, covering trimester-specific safety, breastfeeding considerations, and alternatives where relevant.

Clear trimester recommendations

Clear guidance on whether a medicine is considered safe, requires caution, or is not recommended at each stage of pregnancy.

Breastfeeding advice you can act on

Recommendations account for medicine transfer into breast milk, potential infant effects, and clinical need, with safer alternatives identified where they exist.

Patient information fact sheets

More than 40 plain-English fact sheets designed to support informed conversations between clinicians and the people in their care.

Accessible anywhere, anytime

Access reliable pregnancy and breastfeeding medicines information for when you need it most, whether on desktop, tablet, or mobile.

Find medicines quickly

Whether using the built-in search, alphabetical lists, or Therapeutic Groups, the medicines you need are always at your fingertips.

The PBMG advisory panel includes specialists from the Royal Women's Hospital and from all around Australia. 

A rigorous review process

Every entry in the PBMG follows a clearly defined review process. The editorial team assesses current primary and secondary literature. Proposed changes are reviewed by subject-matter experts on the Advisory Panel. Once approved, a final quality check ensures accuracy and consistency before publication.

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