Which benzodiazepine may be prescribed to a pregnant woman during early labor?

Temazepam is often considered for use in specific situations regarding pregnant women during early labor due to its pharmacological profile. It is a short-acting benzodiazepine that can help manage anxiety and facilitate sleep without the longer-lasting sedative effects associated with other benzodiazepines. In the context of early labor, where the goal is to provide comfort and support to the laboring woman while minimizing risks to the fetus, temazepam's shorter half-life and lower potential for accumulation make it a more favorable option.

Other benzodiazepines like diazepam, alprazolam, and lorazepam are typically avoided in pregnant women due to their longer half-lives, greater risk of sedation, and potential for adverse effects on fetal development. These medications can cross the placenta and pose risks such as respiratory depression in the newborn or developmental issues. Hence, the clinical decision favors temazepam when a benzodiazepine is deemed necessary under medical supervision during early labor, as it provides an effective balance of therapeutic effects while minimizing potential risks to both the mother and fetus.