The waiting period is the emergence of new life is the most touching and happy in every woman’s life. Insidious SARS in pregnancy can spoil the health and cause to reflect on how to treat a cold in the 1st, 2nd and 3rd trimester without risk to the health of the baby. Of course, prevention can eliminate the negative effects to the fetus, but what if the infection still occurred, what treatment to apply? For all of the possible questions women will answer a qualified doctor of the perinatal center.
SARS is an acute respiratory viral infection, affecting the mucous membranes of the nasopharynx and accompanied by a number of unpleasant symptoms. Increases intoxication develops sore throat, itching in the nasal passages, there is a runny nose, sneezing, cough. Blood comes in large quantities the toxins from a viral microflora in the course of their life. Exacerbated immune processes, increasing the titer of specific antibodies. All these factors can harm the health of the future baby. There are constant disputes about what can inflict more damage in utero: specific drugs toxins or viruses. A definite answer cannot be given, it all depends on the pregnancy, the chosen tactics of treatment, and the virus that caused SARS.
A particular danger are complications with the addition of a secondary bacterial microflora. In this case, antibiotic therapy is required, bringing great harm during intrauterine development of the child. Side effects may include congenital hearing loss, degeneration of the optic nerve, pathology of the neural tube of the fetus, resulting in cerebral palsy in the first year of life. Therefore, the treatment of SARS in pregnancy must be carried out taking into account this fact and it is not always possible to do without modern antiviral drugs.
What are the risks of SARS in early pregnancy (1st trimester)
The vast majority of women are aware of the danger of various infections during the early stages of pregnancy. And they are absolutely right because in the 1st trimester there is a risk not only of premature termination of pregnancy by strengthening the immune system, but the wrong bookmarks of various organs and systems of the future baby. In the later period, the placenta can prevent the penetration of many drugs, toxins, viruses and bacteria. In the beginning, this protection mechanism is still developed insufficiently. What exactly can be dangerous SARS in the early stages of pregnancy and how it can safely treat — and talk about this.
Among the pathologies of intrauterine development of the fetus due to viral infections are common malformations of organs and systems. In the 1st trimester there is a bookmark of organs of hearing and vision, the formation of the neural tube, the beginnings of the respiratory system. These processes are equally adversely affect both the infection and the drugs medications used to treat them.
Accordingly, for the treatment of SARS in the first trimester of pregnancy is strictly forbidden to use antiviral and antibacterial drugs. Also should refuse to accept “Acetylsalicylic acid” (Aspirin — this drug reduces the clotting factors in the blood and may cause bleeding.)
The network is now being discussed information that can be applied during pregnancy, “Arbidol”, argue that the fact that no complaints from patients not received. However it is not necessary to do this. The manufacturer of the drug clearly indicates that pregnancy is a contraindication for use. Especially in the early stages. This applies to other antiviral agents. Their pharmacological action is based on the principle of stimulating the health of the immune system. And it’s not bad in combat viral microflora. But, unfortunately, a woman’s body in early pregnancy determines also the developing embryo as a foreign body. The task of the immune system to neutralize it and eliminate. To spur the immune system antiviral drugs at this time is dangerous — is fraught with the risk of miscarriage or development of missed abortion.
With regard to the immunoglobulins, they do not have such aggressive action. At its core, this ready-made antibodies to the most common strains of the virus. So you can use them even in the 1st trimester of pregnancy is an effective treatment of SARS and influenza.
In addition to interferons and gamma globulin can you recommend the following principles for the treatment of SARS in the 1st trimester of pregnancy:
- ensuring strict bed rest at least 7 days;
- ventilation 2-3 times a day, avoiding the formation of drafts;
- drinking plenty of fluids up to 2.5 liters per day (with the exception of the threat of eclampsia and normal mocheotdelenie system);
- gargling with decoction of chamomile, sage, calendula;
- at the elevated temperature of the body is assigned to “Paracetamol” or “Panadol” on 200 mg 3 times per day;
- “Askorutin” helps to fight toxicity and strengthens the vascular wall;
- cough syrup can be used “Linex” pills “Бромге4ксин”, “Ambrobene”.
If the temperature is not reduced for more than 3 days, you must consult a doctor. To take any drugs without consulting a doctor gynecologist, leading to monitor the course of pregnancy is strictly prohibited.
How to treat SARS in pregnancy in the 2nd and 3rd trimester?
Later periods of gestation represent less of a threat for miscarriage and the development of developmental defects on the background of infectious diseases. This period has allowed the use of several specific drugs, greatly facilitating the course of the disease. Before to treat SARS during pregnancy in the 2nd and 3rd trimester you need to visit a doctor. The specialist will assess the patient and fetus, prescribe appropriate treatment plan.
It is possible to take some antiviral drugs, but their use should be supplemented with probiotics. This is because increases the risk of candidiasis and dysbiosis of the intestine. The strengthening gas may disturb the course of pregnancy.
Razvitiya risks complications of SARS at this time relate primarily to the health of the mother. Half of all cases of eclampsia with renal insufficiency (edematous syndrome, proteinuria) is associated with a history of colds. A complication of renal tubules in the postpartum period leads to the development of chronic pyelonephritis and glomerulonephritis. This is a dangerous condition in which a woman may experience chronic fatigue, weakness, fatigue, reduced immunity.
For the treatment of SARS in the 3rd trimester of pregnancy, you can use interferon, “Arbidol”, and in the case of accession of secondary microbial flora “Biseptol-480”. Antibiotics without prescription you should not accept even in that case, if the body temperature is kept at high levels for longer than 5 days.
As antipyretic is assigned to “Paracetamol”. To deal with the symptoms of intoxication can help antihistamines. In the later stages of pregnancy is contraindicated “Diphenhydramine”, “Suprastin”, “Tavegil”. However, antihistamines are second and third generation can take. This “Kestin”, “loratadine”, “claritin”, “Fexofenadine” and others. They do not have a toxic effect on cardiovascular system of the fetus. Most of them do not cross the placental barrier.
The rest of the treatment regimen of SARS in late pregnancy is the same as described above. Allowed the treatment of colds with honey and other folk remedies, but only after consultation with your doctor.
Prevention of SARS in pregnancy — it is necessary to know and follow!
The prevention of disease is the key to good health. Any pathology is easier to prevent than to treat. Prevention of SARS in pregnancy is a complex of measures aimed at strengthening the immune system, the elimination of contact with infected individuals, use of personal protection equipment and much more. Let us examine all this in more detail as it must not only know, but also strictly abide by every day.
A primary event is a preventive vaccination against influenza and other viral infections. It is better to be vaccinated in the period of pregnancy planning, but also to the moment of conception is not a categorical contraindication to vaccination.
Prevention should be carried out not only during mass epidemics. The risk of Contracting respiratory infection exists at any time of the year. Enough hypothermia, weakening of the immune system and there are first signs of a cold.
Try not to visit places with large concentrations of people. At home and in the workplace is required to conduct daily wet cleaning. The ventilation reduces the risk of viral and bacterial microflora.
Take the doctor recommended prenatal vitamins — they enhance the immune system. Observe the daily routine and are dedicated to the night sleep at least 8 hours a day.
Enter into a diet high in fresh vegetables, fruits and berries. They should be at least half of the daily diet. Walk in the fresh air.
When the first signs of SARS in pregnancy begin taking interferon, treat the nasal passages of 5% “Oxolinic ointment”, start to gargle decoction of herbs. When visiting public places during outbreaks of colds, use gauze mask. After each use it must be ironed with a hot iron for at least 5 minutes. Better to use disposable medical masks.