What is the primary concern when prescribing medication shortly before delivery?

The primary concern when prescribing medication shortly before delivery is neonatal exposure to drugs. This consideration is crucial because medications administered to the mother can cross the placental barrier and affect the fetus. The timing and type of medication given can have significant implications for the newborn, influencing their respiratory status, feeding patterns, and overall neurological outcomes immediately after birth.

Understanding the pharmacokinetics and pharmacodynamics of medications in the context of late-stage pregnancy is essential, as some drugs may have sedative effects or could cause withdrawal symptoms in the neonate after birth. Careful assessment of risks versus benefits is necessary to ensure the safety and well-being of the infant, making this the priority when considering medication administration shortly before delivery.