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  • Mary C. Brucker CNM, DNSC,

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    • Mary Ann Faucher is a graduate of Columbia University in New York City where she received her midwifery education and her master's degree in nursing and public health. She is on the faculty of the Parkland School of Nurse-Midwifery in Dallas, Texas, and the Institute of Midwifery, Women, and Health. Previously, she coordinated the pharmacology course at Frontier Nursing School of Midwifery (CNEP). Her interest in pharmacology began in 1987 when she was appointed chair of the Political and Economic Affairs Committee of the American College of Nurse-Midwifery (ACNM) and with developing a resource guide on how to obtain prescriptive authority. Ms. Faucher has gained extensive experience since that time in lecturing on a wide variety of pharmacologic topics. Between 1992 and 1993, she and Mary C. Brucker served as faculty for the ACNM Continuing Education Workshops on Pharmacology that were presented in various cities across the country.

  • Mary Ann Faucher CNM, MS, MPH

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    • Mary C. Brucker is the director of the Parkland School of Nurse-Midwifery in Dallas, Texas. She graduated in 1973 from the nurse-midwifery program at the University of Mississippi. She holds a bachelor of science degree in nursing and a master of science degree in maternal newborn nursing from St. Louis University, as well as a doctorate in nursing science from Rush University in Chicago. Dr. Brucker has delivered nurse-midwifery care in a variety of sites in the public and private sectors. She has lectured on a variety of midwifery-related subjects, including pharmacology. She was one of the members of the ACNM Continuing Education Workshop on Maternal/Fetal Pharmacology in the 1980s as well as the more recent series.

Address all correspondence to Mary C. Brucker, CNM. DNSc, Director, Parkland School of Nurse-Midwifery, 5201 Harry Hines Boulevard, MS 6107A, Dallas, TX 75235.


A wide variety of drugs are available for the treatment of common gastrointestinal health problems in women, including minor or serious as well as acute or chronic conditions. The midwife needs to be current in the pharmacology of over-the-counter as well as prescriptive agents for both pregnant and nonpregnant women. The drug classifications reviewed in this article include antacids, H2 receptor antagonists, antimicrobials, proton pumps, antiemetics, emetics, cholinergics, laxatives, prokinetics, and antidiarrheals. In addition, the physiologic principles are reviewed to enhance the understanding of how these drugs work.