How to treat your cold and flu while pregnant

You know that unpasteurized brie is a no-go during pregnancy, and those double martinis and oysters on the half shell are strictly verboten. But what about cold and flu medications? When you inevitably come down with a hacking cough, myriad aches and pains, and a serious case of the sniffles, what can you take? Here, our guide to navigating cold and flu season with a baby on board.

Get the vaccine
First things first: It’s strongly recommended that pregnant women get the flu shot.

YOU’RE PREGNANT!
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Influenza—a severe respiratory illness that causes fever, cough and congestion—is not something to be trifled with. (And it’s not to be confused with “stomach flu,” a distinct and less serious infection.) As Laura Magee, an obstetrician and clinical associate professor at the University of British Columbia, says, “women who are pregnant and have the flu are at an increased risk of serious complications. ” And that list of potential repercussions includes pneumonia, kidney failure, swelling of the brain, premature labour and even death. An estimated 10 to 20 percent of Canadians becomes infected with influenza each year, causing upwards of 12,000 hospitalizations and 3,500 deaths.

The good news is the vaccine is safe throughout pregnancy. Be sure, however, to request the injection, which is made from an inactivated virus, and not the nasal-spray vaccine, as that’s made from a live virus and not recommended for use by pregnant women.

While it can be impossible to ward off illness (especially when, say, a co-worker sneezes directly on you in the elevator), you can take steps to protect yourself. Get plenty of rest and wash your hands often throughout the day. If a lot of your colleagues are still coming in sick, ask if you can work from home.

Know what you’re dealing with
You’re sneezing, coughing and aching all over. Is it a cold or the flu?

A cold is a mild respiratory illness, and the symptoms (typically coughing, sore throat and congestion) tend to appear gradually. With influenza, the symptoms (which include a sore throat, loss of appetite, fever, congestion, cough and aches) come on quite suddenly. You could have a high fever for three or four days and extreme tiredness for several weeks. In contrast, fever and extreme exhaustion are less common with a cold.

Children who have the flu can experience nausea, vomiting and diarrhea, but these symptoms are rare in adults. If you are enduring a variety of unpleasant gastrointestinal issues, chances are you have the “stomach flu,” which is caused by other viruses or bacteria, not influenza.

See your care provider if…
While most colds do not pose any risk for an unborn child, the flu should be taken more seriously. “Pregnant women should contact their midwife or doctor if they have a fever that lasts longer than two days, can’t keep food down or are coughing excessively,” says Abigail Corbin, a registered midwife with the Community Midwives of Halton. It’s best to double-check with your care provider immediately so you know exactly what you have and how to best proceed.

Most people with the flu become only mildly ill and start to feel better in seven to 10 days. But if a case of influenza is confirmed, and it’s early enough in its onset, you may be prescribed an antiviral medicine, such as Tamiflu, which shortens the duration of flu symptoms and has been shown to be safe during pregnancy.

Pick the right over-the-counter medications
“I find the biggest barrier to treating colds and flus is misinformation,” says Corbin. “There’s an idea out there that pregnant women shouldn’t use any over-the-counter medication, so a lot of women suffer unnecessarily.”

It’s true that researchers don’t conduct randomized, controlled trials—the gold standard of scientific studies—on pregnant women. But they have been able to collect solid data from cohort studies, in which they follow hundreds or, in some cases, thousands of patients’ health over many years. Motherisk, a clinical, research and teaching program at SickKids hospital that’s also affiliated with the University of Toronto, has good long-term data that shows there is no increased risk to a pregnant woman or her baby with short-term use of many over-the-counter medications for the common cold.

“It’s important, though, to read labels carefully to make sure you’re taking only the medications you need to treat your symptoms,” says Corbin, as there are certain ingredients you need to look out for. “When in doubt, ask the pharmacist.”

Pain and fever
Read the fine print to see which pain reliever your OTC medication contains.

Acetaminophen (Tylenol) has long been considered one of the few drugs safe to take during pregnancy, but a 2016 study in the International Journal of Epidemiology found a link between acetaminophen and autism. While studies like this are scary, it doesn’t mean women shouldn’t take Tylenol. “It’s not a warning that women should stay completely clear of acetaminophen,” says David Olson, a professor of obstetrics and gynecology, pediatrics and physiology at the University of Alberta. As with all medications during pregnancy, women should take the lowest dose possible of for the shortest period of time.

However, ibuprofen (Advil) is not recommended for women who are in their last trimester, as research has shown it can lower levels of amniotic fluid, affect the development of your baby’s heart and delay the onset of labour. And women should avoid taking acetylsalicylic acid (Aspirin) during their second and third trimesters, as it inhibits platelet function and can contribute to maternal and fetal bleeding. Motherisk has found no overall increase in the risk of major malformations when ASA is taken during the first trimester.

Coughing
There have been a number of studies on the effect of dextromethorphan, which is a cough suppressant commonly found in OTC cold medications, and no association was found between this drug and an increased risk of birth defects.

Sniffling and sneezing
None of the older first-generation antihistamines (brompheniramine, chlorpheniramine, diphenhydramine, doxylamine, hydroxyzine and pheniramine) have been shown to increase the likelihood of birth defects when used at any point in pregnancy. Newer antihistamines (including cetirizine, desloratadine, fexofenadine and loratadine) are often preferred by women because they don’t cause drowsiness. “There’s relatively less research on their use during pregnancy,” says Corbin. “But the research that has been done is reassuring, with no associated increase risk of birth defects.”

Stuffy nose
Motherisk reports that decongestants, like pseudoephedrine and phenylephrine, are considered safe when taken for a few days—no more than a week. There are several cohort studies that failed to show any increased risk of birth defects when oral decongestants were used during pregnancy. Nasal sprays are considered relatively safe when used under the direction of a doctor, but women should be cautioned against taking them longer than three days, as prolonged use can actually worsen congestion.

Ease your symptoms
Pregnancy already takes a huge toll on your body, so being sick on top of that can really affect how you feel. “Although it sounds obvious, some of the best ways to ease symptoms are to rest and eat nourishing food,” says Corbin. “That’s why it’s important to listen to your body and take extra time to practise self-care.”

Drink lots of warm beverages to stay hydrated and lessen your congestion. While it seems like an old wives’ tale, it actually works. A study from Cardiff University in Britain showed that warm beverages are markedly better at providing relief from a runny nose, a cough, sneezing, a sore throat, chills and tiredness compared with drinks that are room temperature.

Read more:
Important precautions for a healthy pregnancy
Pregnancy food guide: Truth about what you can eat (+ cheat sheet)
Exercise: Myths about working out during pregnancy

What Medications You Should Avoid While Pregnant

Your back hurts, you’ve never had nausea like this before and you always have a low-grade headache. Pregnancy can come with all sorts of symptoms, but while everything may seem a little uncomfortable right now, it’s generally recommended to avoid medicines during pregnancy, if possible — especially during the first three months when the baby’s major organs are forming. However, if you need to take medicine, it’s essential that you know what your safest options are.

It’s important to note that it can be hard to know what medications are safe for your baby as most treatments are not studied on pregnant women. However, there are some medicines that women have been taking for long enough that doctors can be sure of the level of safety associated with their usage. With that being said, you should always consult with your doctor before taking any over-the-counter medication or starting or stopping a prescription medication.

Below are a few common types of medications that have been shown to cause birth defects or other issues with pregnancy as well alternatives to safely treat your symptoms.

Over-The-Counter Medications:

For Minor Aches and Pains:

• Avoid – Aspirin, found in Excedrin
• Avoid – Ibuprofen, found in Advil or Motrin
• Avoid – Naproxen, found in Aleve

Possible alternative – Acetaminophen such as Tylenol

For an Upset Stomach and Diarrhea:

• Avoid – Bismuth subsalicylate, found in Pepto Bismol

Possible alternative – Imodium
 

For Cold and Allergy Symptoms:

• Avoid – Bromphen-iramine, found in Dimetapp Cold and Allergy
• Avoid – Chlorphen-iramine, found in Advil Allergy and congestion relief medicines; Alka-Seltzer Plus Cold Formula
• Avoid -Phenylephrine and pseudo-ephedrine, found in Alka-Seltzer Plus Day, Sudafed PE Pressure + Pain, Tylenol Cold Multi-symptom, Vicks Dayquil Cold and Flu Relief

Possible alternative – Claritin, Zyrtec fluids and steam to relieve congestion

Prescription Medications:

Prescription medicine safety can vary widely depending on the formulation and dosage, so it’s particularly important to speak to your doctor as soon as you find out you are pregnant in order to determine the best course of action for your health and the health of your baby. Below are a few types of medicines that may require some additional scrutiny.

• Acne medications, such as Tretinoin or Retin-A Cream
• Antidepressants
• Bipolar medication
• Seizure medication
• Asthma medication

If you are pregnant or thinking of becoming pregnant, you should talk to your doctor about all medications you are taking. Your doctor can help you manage your prescriptions, adjust dosages if needed and find alternatives for common over-the-counter drugs you might not even consider to ensure the health and safety of you and your baby.

Over-the-Counter Cold Medicines and Pregnancy – Consumer Health News

A cold can be an annoyance or a major misery, depending on its severity. But if you catch a cold when you’re pregnant, you may well wonder how the over-the-counter (OTC) cold remedies you usually reach for could affect your baby. Are they safe?

Unfortunately, for many OTC medicines, we just don’t know the answer. It would be unethical to use pregnant women as guinea pigs, so researchers rely on animal testing and other techniques to estimate the effect medicines may have on your unborn baby. That’s why it’s important to check with your doctor before you take any OTC medicine — no matter whether you’ve taken it safely dozens of times before when you weren’t pregnant.

Easing fever and pain

When you find yourself with a fever, headache, or the aching muscles that often come with a cold or flu, your best option is acetaminophen or regular-strength Tylenol, according to the American Academy of Family Physicians (AAFP). These are effective against pain and fever, widely used, and haven’t caused harmful effects when used by pregnant women.

You’ll definitely want to steer clear of regular aspirin unless your doctor tells you to take it for a specific condition. (Sometimes doctors prescribe low-dose aspirin to prevent pregnancy-induced high blood pressure or other problems. ) Aspirin can cause serious bleeding problems in both you and your baby.

Also avoid taking NSAIDs unless your doctor has given you the green light, and never use them during your last trimester, advises the AAFP. NSAIDs include ibuprofen (Advil, Motrin), ketoprofen (Orudis), and naproxen (Aleve). These medicines can cause blood-flow problems in your baby when taken in the last three months of your pregnancy, and problems with labor and other damage if used close to delivery.

For pain relief without the pills, try applying an ice pack or a heating pad to sore muscles. (Just be careful not to expose your skin to a hot or cold treatment for more than 20 minutes at a time.) If you have a fever, drinking plenty of liquids may help keep it down. Sometimes you can bring down a fever by taking a lukewarm shower or bath, but check with your doctor if your fever is high or if non-medical remedies don’t work. A prolonged fever higher than 102 degrees can harm your baby, and your doctor may prefer that you take an OTC medicine to control it.

Cold and cough remedies

Cold remedies generally fall into three categories>

Decongestants.When your head feels stuffed with cotton and you can’t breathe through your nose, decongestants offer relief. Antihistamines help get rid of itchy, watery eyes, a runny nose, and sneezing. Expectorants help loosen the mucus in your lungs so you can cough it up more easily. The tricky part is, many OTC cold medicines address more than one symptom, so it’s very important to read the label carefully and only buy a product that treats the symptom that’s bothering you. Also, some cold products contain aspirin or aspirin-like products — just what you want to avoid, unless your doctor advises you otherwise. Aspirin may be listed as acetylsalicylic acid, acetylsalicylate, sallicyclic acid or salicylate on the label.

It’s important to be able to breathe easily when you’re pregnant because each breath you take is supplying oxygen to your baby as well. However, it’s not a good idea to take decongestants for more than a few days unless your doctor gives you the go ahead. A report in the American Family Physician says your best choice is pseudoephedrine (found in Novafed and other products). But don’t take it during the first three months of your pregnancy because it can cause developmental abnormalities in your baby’s stomach. Also be wary of pseudoephedrine if you have high blood pressure, because this medicine can make it worse.

Aside from the common cold, hormonal changes during pregnancy can cause the mucous membranes in the nasal passages to swell. This makes some pregnant women feel like they have a slight cold that lasts their entire pregnancy. Of course you don’t want to take decongestants the whole time you’re pregnant, so here are some things you can try to help ease congestion and make it easier to breathe:

• Drink plenty of water every day — it will help keep nasal secretions thin.
• Use saline (saltwater) nasal spray or drops.
• Avoid cigarette smoke and other air pollutants (and, of course, never smoke during pregnancy).
• Use a facial steamer (available at your local drugstore) or take a hot shower and let the steam open congested nasal passages.
• Smear a dab of Vicks under your nose.
• Try using a room vaporizer.

Antihistamines. If persistent sneezing and itchy, watery eyes are making you miserable, an antihistamine can help. According to the American College of Obstetricians and Gynecologists and the American College of Allergy, Asthma, & Immunology, the safest OTC choice is a product with chlorpheniramine (such as Chlor-Trimeton). If you are in your second or third trimester, some experts say that loratadine (in products like Claritin) is a safe choice. Medicines with the ingredient diphenhydramine (such as Benadryl) have been linked to uterine contractions when taken in high doses.

Cough suppressants and expectorants. Coughing is your body’s way to get rid of chest congestion, so stopping a cough isn’t always the best way to go. If you have a dry cough, an expectorant can be helpful in loosening chest mucus so you can expel it more easily. In your second and third trimesters, a cough medicine with guaifenesin may be a good bet, but don’t take it in your first three months because it can cause developmental defects in your baby.

Experts at the American College of Chest Physicians say that cough medicines don’t do all that much anyway, so they recommend trying easy home remedies such as using a humidifier or vaporizer, drinking plenty of water, and sucking on hard candies.

The bottom line

Any time you take medicine, you should weigh the benefit to risk ratio. If the risk is small and the benefit great, taking the medicine is probably the right choice. Your doctor can help you decide. Here are some other guidelines to keep in mind:

• Do not use aspirin unless it’s specifically recommended by your doctor, since it can cause bleeding in the mother and the developing baby.
• Always check to see what the “active ingredient” in a medicine is — it may not contain what you’re expecting.
• Read labels carefully and follow your doctor’s recommendations exactly when taking any OTC medicine. If you take less than your doctor recommends, it may not be effective, and taking more means your baby is getting more medicine as well. Your baby’s liver and kidneys are not as well developed as yours, so he’ll have a harder time ridding his body of the medicine.
• Don’t use extra-strength or long-acting medicines. Always choose the lowest dosage that will provide the relief you need.
• Avoid combination products such as cough medicines that are also decongestants, or multiple-symptom cold remedies. Choose single-ingredient products to treat the specific symptom you are experiencing.
• Avoid taking several different medicines at the same time — a medication that is safe when taken alone may be riskier when combined with another medicine.
• Unless your doctor recommends something (like prenatal vitamins, calcium, or iron), try not to take any OTC medicine in your first trimester, when the risk to your developing baby is greater.
• Don’t use herbal remedies unless your doctor says they’re ok. Some may not be safe for your baby or may interact with other medicines you’re taking.

Finally, always check with your doctor to find the safest treatment for your symptoms. That way you can feel better and feel confident that your baby will be healthy, too.

References

OTC and Certain Patient Groups : Pregnancy. American Academy of Family Physicians. 2010.

Wigle, P.R. et al. Pregnancy and OTC cough, cold, and analgesic preparations. US Pharm. 2006. 3:33-47.

William Sears, M.D., and Martha Sears, R.N. The Pregnancy Book.

Pregnancy and Medicines. U.S. Department of Health and Human Services. Office on Women’s Health. www.4woman.gov/faq/pregmed.htm.

Coughs and Colds in Pregnancy. DrSpock.com. www.drspock.com/article/0,1510,5985,00.html.

Mayo Clinic. Back pain during pregnancy. www.mayoclinic.com/health/pregnancy/HQ00302.

Park Nicollet. The Rice Method: Rest, Ice, Compression, Elevation. www.parknicollet.com/healthadvisor/firstaid/rice.cfm

Healthy Pregnancy. Staying Healthy and Safe. Womenshealth.gov U.S. Department of Health & Human Services. http://www.womenshealth.gov/pregnancy/you-are-pregnant/staying-healthy-safe.cfm#d

Getting the Common Cold When You’re Pregnant

Your immune system goes through some amazing changes when you’re pregnant. Unfortunately, these changes don’t protect you from the common cold. Getting sick when you’re pregnant is tough and can make prenatal wellness strategies like getting in daily exercise difficult. Pregnancy can also rule out certain treatment options.

DusanManic / Getty Images

Pregnancy and Your Immune System

Doctors used to think that pregnancy suppressed your immune system, making you more vulnerable to illness. But it’s actually much more complicated than that.

Research shows that the immune system is modified during pregnancy—not suppressed. Instead of being less active, it’s active in different and carefully controlled ways that protect your growing baby. These modifications evolve throughout your pregnancy.

You may be more or less susceptible to certain illnesses at certain times. Some studies suggest that you may be most likely to get sick during the first trimester and least likely during the second.

The Common Cold and Your Baby

When you get sick, your baby is protected by your immune system, their own immune system, and the placenta.

According to research by the Centers for Disease Control and Prevention (CDC), having a cold while you’re pregnant typically doesn’t harm the baby. The one symptom to watch out for, though, is fever.

Having a fever early in pregnancy may increase the risk of certain birth defects, making it especially important for you to contact your doctor and treat your fever appropriately. 

The common cold doesn’t typically cause a fever, which means a fever might be a sign that you have a different illness, such as the flu.

Safe Cold Treatments

If you’re pregnant and get a cold, it’s best to consult your OB/GYN or another health practitioner before taking any over-the-counter (OTC) cold or cough medications.

Many medications are not safe to take while pregnant or breastfeeding. This includes the common decongestant pseudoephedrine. Taking pseudoephedrine during the first three months of pregnancy slightly increases your baby’s risk of developing an abdominal wall birth defect.

Pseudoephedrine and phenylephrine, which has similar risks, are found in many cold and cough medications. This includes cold, cough, and allergy medicines made by popular brands like Advil, Aleve, Sudafed, and Mucinex.

Acetaminophen, which is found in Tylenol and some other combination drugs, is considered the best pain reliever and fever reducer to use while pregnant. Other analgesics, like aspirin and Advil or Motrin (ibuprofen), are not recommended unless instructed by your doctor.

Pregnancy-safe cough and cold treatment options include:

• OTC steroid nasal sprays like Flonase (fluticasone propionate)
• Neti pot
• Saline nasal spray
• Humidifier
• Honey (for cough)
• Natural throat lozenges
• Menthol rub
• The antihistamines Claritin (loratadine) and Zyrtec (cetirizine)

Always talk to your OB/GYN or another healthcare provider before taking any medication during pregnancy.

Taking Care of Yourself

If you come down with a cold, self-care will be an important part of your treatment plan. Do your best to:

• Get plenty of extra rest.
• Drink plenty of clear fluids. This is even more important when you’re pregnant.
• Eat a well-balanced diet with plenty of fruits and vegetables.

Drinking hot water or tea with honey and lemon, gargling salt water, or sucking on ice chips are all safe ways to help soothe a sore or irritated throat.

Notify your doctor if your symptoms seem especially severe or persistent.

Cold Prevention

Since the cold is so common, it’s difficult to avoid it completely. But you can set yourself up to have the best defense by following these strategies:

• Eating a balanced diet
• Getting regular exercise
• Washing your hands frequently

Most practitioners will also prescribe or recommend a prenatal vitamin for pregnant women to supplement their normal diet. Be sure to take that as recommended, as it could help you stay healthy.

If you’re a smoker, quitting is imperative to boost your immune system and support the health of your baby.

Is it safe to take cold medications during pregnancy?

Some of the ingredients in cold medications are considered safe for pregnant women, but others should be avoided.

Most cold medicines are multi-symptom remedies that contain two or more drugs (although you can also buy these drugs individually). The drugs include antihistamines for alleviating allergy symptoms and helping you sleep, antitussives for suppressing coughs, expectorants for loosening up mucus, decongestants for relieving stuffiness, and analgesics for easing aches and pains.

Remember that no drug is 100 percent safe for all women, so it’s a good idea to check with your doctor or midwife before taking any kind of medicine during pregnancy. Don’t take more than the recommended dose and, if possible, avoid taking anything during your first trimester, when your developing baby is most vulnerable.

Here are a few cold medications that are okay to take during pregnancy:

The antihistamines chlorpheniramine, loratadine, doxylamine, brompheniramine, phenindamine, pheniramine, triprolidine, and diphenhydramine are considered low risk during pregnancy, but they can make you sleepy, especially doxylamine and diphenhydramine.

The expectorant guaifenesin thins mucous secretions in the respiratory passages, making it easier to cough them up. While one study found an increased risk of inguinal hernias in babies exposed to this drug, others have not. Although avoiding any drug in pregnancy is the safest course, exposure to guaifenesin does not appear to cause harm to a developing baby.

The cough suppressant dextromethorphan got some bad press after one study found that it caused birth defects in chick embryos, but this study had many flaws. Other good studies of women who took the drug during pregnancy have found that it doesn’t raise the risk of birth defects in humans.

The local anesthetic benzocaine is combined with dextromethorphan in one product to treat sore throats. Benzocaine doesn’t get into the bloodstream, so it doesn’t pose a risk to a developing baby.

The pain reliever and fever reducer acetaminophen has been well studied. It’s considered safe to take during pregnancy as long as you take no more than the dose recommended on the label.

Here are some cold medications to avoid:

It’s best to avoid the decongestants pseudoephedrine and phenylephrine, especially in the first 13 weeks of pregnancy, since there have been some reports of related birth defects. Although the risk appears to be low, it could be higher if you’re a smoker. After the first trimester, occasional use of these medications (for example, once or twice daily for no more than a day or two) is probably safe. More frequent use, however, can reduce blood flow to the placenta.

You’ll also need to avoid the pain relievers aspirin, ibuprofen, naproxen, sodium salicylate, and other nonsteroidal anti-inflammatory drugs (NSAIDs), especially in the third trimester.

One final caution: Some liquid cold medicines contain alcohol in concentrations as high as 4.75 percent. Look for products that are labeled “alcohol-free.”

Read more about over-the-counter medications during pregnancy.

Pregnancy and the flu: MedlinePlus Medical Encyclopedia

WHAT ARE THE SYMPTOMS OF FLU DURING PREGNANCY?

Flu symptoms are the same for everyone and include:

• Cough
• Sore throat
• Runny nose
• Fever of 100°F (37.8°C) or higher

Other symptoms may include:

• Body aches
• Headache
• Fatigue
• Vomiting, and diarrhea

SHOULD I GET THE FLU VACCINE IF I AM PREGNANT?

If you are pregnant or thinking about becoming pregnant, you should get the flu vaccine. The Centers for Disease Control and Prevention (CDC) considers pregnant women at a higher risk for getting the flu and developing flu-related complications.

Pregnant women who get the flu vaccine get sick less often. Getting a mild case of the flu is often not harmful. However, the flu vaccine can prevent the severe cases of the flu that can harm mother and baby.

Flu vaccines are available at most provider offices and health clinics. There are two types of flu vaccines: the flu shot and a nose-spray vaccine.

• The flu shot is recommended for pregnant women. It contains killed (inactive) viruses. You cannot get the flu from this vaccine.
• The nasal spray-type flu vaccine is not approved for pregnant women.

It is OK for a pregnant woman to be around somebody who has received the nasal flu vaccine.

WILL THE VACCINE HARM MY BABY?

A small amount of mercury (called thimerosal) is a common preservative in multidose vaccines. Despite some concerns, vaccines that contain this substance have NOT been shown to cause autism or attention deficit hyperactivity disorder.

If you have concerns about mercury, ask your provider about a preservative-free vaccine. All routine vaccines are also available without added thimerosal. The CDC says pregnant women may get flu vaccines either with or without thimerosal.

WHAT ABOUT SIDE EFFECTS OF THE VACCINE?

Common side effects of the flu vaccine are mild, but can include:

• Redness or tenderness where the shot was given
• Headache
• Muscle aches
• Fever
• Nausea and vomiting

If side effects occur, they most often begin soon after the shot. They may last as long as 1 to 2 days. If they last longer than 2 days, you should call your provider.

HOW DO I TREAT THE FLU IF I’M PREGNANT?

Experts recommend treating pregnant women with flu-like illness as soon as possible after they develop symptoms.

• Testing is not needed for most people. Providers should not wait for results of testing before treating pregnant women. Rapid tests are often available in urgent care clinics and provider’s offices.
• It is best to start antiviral medicines within the first 48 hours of developing symptoms, but antivirals can also be used after this time period. A 75 mg capsule of oseltamivir (Tamiflu) twice per day for 5 days is the recommended first choice antiviral.

WILL ANTIVIRAL MEDICINES HARM MY BABY?

You may be worried about the medicines harming your baby. However, it is important to realize there are severe risks if you do not get treatment:

• In past flu outbreaks, pregnant women who were otherwise healthy were more likely than those who were not pregnant to become very sick or even die.
• This does not mean that all pregnant women will have a severe infection, but it is hard to predict who will become very ill. Women who become more ill with the flu will have mild symptoms at first.
• Pregnant women can become very sick very fast, even if the symptoms are not bad at first.
• Women who develop a high fever or pneumonia are at higher risk for early labor or delivery and other harm.

DO I NEED AN ANTIVIRAL DRUG IF I HAVE BEEN AROUND SOMEONE WITH THE FLU?

You are more likely to get the flu if you have close contact with someone who already has it.

Close contact means:

• Eating or drinking with the same utensils
• Caring for children who are sick with the flu
• Being near the droplets or secretions from someone who sneezes, coughs, or has a runny nose

If you have been around someone who has the flu, ask your provider if you need an antiviral drug.

WHAT TYPES OF COLD MEDICINE CAN I TAKE FOR THE FLU IF I’M PREGNANT?

Many cold medicines contain more than one type of medicine. Some may be safer than others, but none are proven 100% safe. It is best to avoid cold medicines, if possible, especially during the first 3 to 4 months of pregnancy.

The best self-care steps for taking care of yourself when you have the flu include rest and drinking plenty of liquids, especially water. Tylenol is most often safe in standard doses to relieve pain or discomfort. It is best to talk to your provider before taking any cold medicines while you are pregnant.

WHAT ELSE CAN I DO TO PROTECT MYSELF AND MY BABY FROM THE FLU?

There are many things you can do to help protect yourself and your unborn child from the flu.

• You should avoid sharing food, utensils, or cups with others.
• Avoid touching your eyes, nose, and throat.
• Wash your hands often, using soap and warm water.

Carry hand sanitizer with you, and use it when you are unable to wash with soap and water.

Cold, flu medicine when pregnant: What you need to know

What’s your go-to for relief when you’ve got a bun in the oven but you’re feeling crappy? Registered pharmacist Tanya Burgess gives the low-down on what is and isn’t safe to take during pregnancy. 

The common cold – never welcome at any time, least of all when you’re pregnant – is caused by a virus. Symptoms, which you will no doubt be familiar with, include cough, sore throat, mild fever, runny nose, watery eyes and sneezing. Symptoms of a cold will generally resolve within 10 days, and while medication may help you feel better, it won’t reduce the duration of the cold. It is important to increase your fluids and rest.

This guide is to help you know what you can safely so to manage symptoms of a cold during pregnancy to keep you and baby safe. If you are pregnant and feeling very unwell because of a cold, the flu or sinus problems, you should contact your doctor.

Medication safety

Throughout this article, some medications have Category A written after them in brackets. A category A medication is considered safe in pregnancy. Category A medications have been taken by a large number of pregnant women and women of childbearing age, without an increase in the frequency of malformation or other direct or indirect harmful effects on the fetus having been observed.  

Any medication used in pregnancy should be given at the lowest possible dose for the shortest time possible.

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Immunisation

Flu immunisation is the best way to protect mum and baby from the flu. The flu immunisation is recommended for pregnant women and can be given at any stage of pregnancy.

Pain relief

Safe: Paracetamol (category A) may be used in pregnancy, at the recommended dose for aches, pains and fever.

Avoid:  Nonsteroidal anti-inflammatory drugs (NSAID) include aspirin, ibuprofen and diclofenac. NSAID may be harmful in pregnancy and should only be used if advised by your doctor.  

Taking antibiotics during pregnancy increases infection risk in children

There are risks associated with any kind of medication during pregnancy. Image: iStock 

Cough

Safe: Cough suppressants are used for dry coughs, for example, pholcodine (category A) or dextromethorphan (category A) and are considered safe during pregnancy. A dry, irritating cough is usually associated with a postnasal drip, where mucus from your nose runs down your throat. Keep up your fluids and drink plenty of water.

For a chesty or productive cough, an expectorant such as guaifenesin (category A) or a mucolytic such as bromhexine (category A) can be used in pregnancy.

Nasal symptoms

Safe: Steam inhalations and sodium chloride 0.9 per cent (saline) nasal drops or sprays may be used to relieve a blocked nose during pregnancy.

No category: There is limited information available on the use of decongestant nasal sprays in pregnancy.  Short term use of sprays is considered safe. Decongestant nasal sprays containing oxymetazoline or xylometazoline may be used for three to five days. There is an increased risk of developing rebound congestion from prolonged use of nasal decongestants.  

Avoid: Oral decongestants, for example, pseudoephedrine or phenylephrine.

Sore throat

Safe: Products with anaesthetic and antiseptic agents such as throat lozenges may be used in pregnancy. Avoid excessive use as it may cause unwanted side effects such as diarrhoea. Saltwater gargles or lemon and honey drinks may also help to ease a sore throat.  

Avoid: Iodine based throat gargles these the thyroid function of you and your baby.

Tanya Burgess is a registered pharmacist, mother of 3 girls and the owner of Baby Hints and Tips.

For more detailed information about suitable medications, you can read The Royal Women’s Hospital Pregnancy and Breastfeeding guide here.

For more information call the National Medicines Line on 1300 633 424 (1300 MEDICINE) with any questions.  This number is not for emergencies and is only available during office hours.

90,000 Inhalations during pregnancy: what expectant mothers need to know

Read in this article:

1. Everything you need to know about inhalation
2. Which inhaler for a pregnant woman to choose
3. How to carry out inhalations

Pregnancy is one of the most crucial periods in the life of every woman, when it is not recommended to get sick at all. True, the season of colds makes adjustments even to the most optimistic plans.If, while in position, you are faced with a runny nose and cough, it is worth doing an inhalation. This is one of the most effective and safest ways to treat and eliminate the unpleasant symptoms of colds.

Everything you need to know about inhalation

In this case, we are talking about the use of special inhalers. These devices convert the medicine (drug, solution) into an aerosol, which is delivered to the respiratory tract. This procedure effectively moisturizes the mucous membrane, relieves swelling and inflammation, makes breathing easier and removes phlegm from the lungs.

Pregnancy is not a contraindication for inhalation. In this case, the following points should be taken into account:

• The use of medicinal products must be agreed with the doctor.
• The safest preparation for inhalation for pregnant women is saline or sea salt solution.

To find the right composition for inhalation, pay attention to the nature of the cough. For a wet cough, it is good to use a solution based on sea or table salt, as well as decoctions of a string and a lingonberry leaf.A universal recipe is a soda solution and saline solution. It is suitable for any type of cough.

Avoid over-the-pot steam inhalation. This method has more disadvantages than advantages. Firstly, the procedure is accompanied by stress on the cardiovascular system. Secondly, it can cause burns. Thirdly, hot steam can provoke headaches and fainting.

Which inhaler for pregnant women to choose

The first thing you need is to buy the inhaler that fits best.These devices are of three types:

1. Steam – converts the solution into steam, which is cooled to a comfortable temperature before being fed into the respiratory tract.
2. Ultrasonic – converts the drug into an aerosol using ultrasound. Like steam nebulizers, ultrasound models cannot be used with certain drugs due to the destruction of the drug by ultrasound.
3. Mesh inhalers are the most modern and technologically advanced of all.The principle of operation is based on the use of a membrane, which is a vibrating plate and contains many micro-holes. Passing through it, the medicine assumes the state of an aerosol cloud. And microscopic holes on the membrane do not destroy the structure of substances necessary for the prevention and treatment of the disease.
4. Compressor – create aerosol using air flow. This is the most versatile type of inhaler, since the formation of small particles occurs while maintaining the drug structure of the solution.

You can buy an inhaler at a pharmacy or in official stores of medical equipment manufacturers. A high-quality device will last a long time and is suitable for all family members, including for treating a newborn.

How to inhale

Despite the fact that inhalation has a minimum of contraindications, its effectiveness directly depends on the correctness of the procedure. Doctors recommend that pregnant women adhere to the following rules:

• Do not drink or eat one hour before / after inhalation.
• Do not go out and talk for an hour and a half after the procedure.
• Inhale aerosol through your nose through a nosepiece or mask if your sinuses are blocked.
• Inhale the aerosol by mouth through a mouthpiece or mask for lower respiratory tract diseases and coughs.
• Do not use the inhaler if the body temperature rises.
• Repeat inhalation 3-4 times during the day.
• Consult a doctor and be very careful when using essential oils and certain medications.

The duration of inhalation depends on the selected device and the spray mode of the aerosol. According to the recommendations of doctors, this figure ranges from 5 to 10 minutes.

Summing up, it is worth emphasizing that inhalations for women in position and the unborn child are safe. In this case, the drugs chosen as a solution can have a negative effect on the child and the course of pregnancy. Therefore, if you decide to use something with a stronger effect than saline or sea salt solution, you should definitely consult with a specialist.

The doctor informed about the danger of cold hands and feet :: Society :: RBK

Cold hands and feet are one of the first signs of a weakened immune system.Svetlana Trofimova, Doctor of Medical Sciences, Professor, spoke about this on the air of the program “On the Most Important” on the TV channel “Russia 1”.

“Such a deterioration in blood circulation occurs at the onset of various infectious diseases. Why? Because there is a redistribution of blood flow, and blood begins to flow to the vital organs, ”explained Trofimova.

Among other signs of the onset of viral or bacterial infections, the doctor named the onset of conjunctivitis, as well as redness or dryness of the eyes.

Biologist explains the process of forming immunity against coronavirus

Corresponding Member of the Russian Academy of Sciences, Professor Vladimir Khavinson added on the air of the program that apathy and the accompanying weakness are also a sign of a decrease in the functions of the immune system.

Earlier, the doctor, TV presenter and head of the information center for monitoring the situation with coronavirus Alexander Myasnikov said that stress, including from the fear of infection with COVID-19, can reduce immunity and become a catalyst for the disease. He explained his statement by an experiment on laboratory rats. According to Myasnikov, the frightened rodents were sick more often and longer than the calm animals.

90,000 Pain relievers during pregnancy – Dental Clinic “Novostom”

One of the most common questions that NOVOSTOM specialists have to answer is the possibility of using painkillers by pregnant women.Alas, it is impossible to answer unequivocally.

Pregnancy provokes hormonal changes in a woman’s body. And problems with teeth against this background are not uncommon. In this case, the body works according to the principle “all the best for the child”, which is why women often lack nutrients, including calcium, which is necessary for teeth. In addition, if the oral cavity has not been sanitized, the process of reproduction of harmful bacteria is activated during pregnancy.

Dentists of the NOVOSTOM clinic recommend seeking professional orthodontic treatment immediately after the first symptoms appear.The discomfort that a woman experiences due to toothache has a negative effect on the fetus. Therefore, it is better to immediately consult a specialist. But if this is not possible, you may need to take painkillers.

When pain relief may be needed

Diseases of the dentition, in which the use of painkillers is possible, are as follows:

What products can be used during pregnancy?

It is strictly forbidden to use synthetic pain relievers without a doctor’s prescription during pregnancy.Therefore, try to see a dentist as soon as possible. At SCNT “NOVOSTOM” you will receive qualified advice and will be able to undergo an examination that will show what can be used, taking into account your individual characteristics.

For pregnant women, preparations with a low content of the active ingredient are prescribed. However, even if you have an effective medication prescribed by your doctor, go to the clinic for treatment as soon as possible. Even if the pills were able to reduce discomfort or completely remove them, it is necessary to fight the cause of the Pain.In some cases, specialists may prescribe baby gels that are used for teething in babies. However, their use is permissible only with a doctor’s prescription.

As for the available tools that will help relieve pain and not harm the fetus, you can use a cold compress. It is unacceptable to use hot compresses. If you develop swelling, contact your dentist immediately!

Also for dental diseases, topical antiseptics can be used.It must be remembered that self-medication during pregnancy is not permissible, it can be dangerous for both the mother and the fetus. Therefore, when the first symptoms appear, including pain, you should consult a dentist.

90,000 A delicate question. Intestinal problems during pregnancy

It’s no secret that during pregnancy, women have to deal with all sorts of ailments: toxicosis, and convulsions, and increased urination, and frequent unmotivated mood changes … All organs and systems of the expectant mother experience increased stress.It is not easy for the digestive system.

The most common problems in this area during pregnancy are constipation, hemorrhoids, heartburn, and intestinal upset and associated bloating, diarrhea, gas, discomfort and pain. Even if the overtaken disease does not pose a danger to the health of the mother and baby, it can deliver a lot of unpleasant sensations, significantly reducing the quality of life. And that means letting ailments take their course!

Constipation

From a medical point of view, constipation is defined as the absence of stool for three or more days.In this case, the act of defecation is usually difficult, accompanied by painful sensations. Frequent companions of constipation can be abdominal pain, a feeling of incomplete bowel movement, bloating, nausea, and bitterness in the mouth.

Where is the problem? One of the causes of disturbances in natural bowel movement is hormonal changes in the body. The hormone progesterone, against the background of which the pregnancy proceeds, has a relaxing effect on the intestinal muscles, which helps to slow down the movement of feces.Over time, the growing uterus begins to press on the intestines, which disrupts its motor function, further exacerbating the problem. Improper nutrition also contributes – it is known that during this period expectant mothers change their taste preferences and increase their appetite. Experts do not deny the psychological nature of constipation. Fears that expectant mothers are exposed to, an unstable emotional background can also contribute to the development of constipation.

What to do? The main method of dealing with constipation should be the correction of the diet. In no case should you allow large intervals between meals, as well as overeating. It is imperative to include in your diet every day foods that enhance intestinal motility: bread with bran, raw vegetables and fruits (especially apples, carrots, pumpkin), dried fruits, buckwheat, barley and oatmeal, meat with a large amount of connective tissue, dairy products containing bifidobacteria. It is important to ensure that you are getting enough fluid. Preference should be given to non-carbonated drinking water, as well as unclarified juices with pulp rich in fiber (apricot, peach, etc.)). In the morning on an empty stomach, it is useful to drink a glass of raw cold water with the addition of a spoonful of honey.

Will have to give up products that contribute to constipation. These include flour, sweet, salty, spicy, smoked, fried, etc. It is recommended to exclude from the diet foods that cause increased gas production: legumes, cabbage, onions, garlic, radishes, radishes, apple and grape juices.

Please note that laxatives are rarely prescribed during pregnancy, as by increasing intestinal motility, they can tone the uterus.However, in some cases, it is more advisable to resort to drug treatment than to suffer from constant constipation, which threatens to lead to the development of hemorrhoids.

Hemorrhoids

Hemorrhoids are varicose veins in the anus. According to statistics, more than 50% of expectant mothers have to deal with this problem during pregnancy.

The main symptoms of this unpleasant pathology include mucous discharge, cramps, burning, itching and discomfort in the anus.There may also be painful sensations during bowel movements, the appearance of blood in the feces.

Clinical manifestations of the disease also depend on its stage. At stage 1, a woman, as a rule, is not worried about anything, hemorrhoids do not come out or come out a little when straining. At the second stage, the nodes come out when straining, but they adjust back on their own. When the disease is started up to stage 3, hemorrhoids come out and do not correct back.

If a woman does not have any complaints, then during an external examination, the doctor can diagnose hemorrhoids only in the 2nd stage, since only then the inflammatory process is visible.To make a diagnosis at the 1st stage of the disease, the doctor relies on the patient’s complaints and examination of the rectum.

Where is the problem? Well, of course, hormones are to blame again! All the same hormones of the progesterone series have an antispasmodic effect: they relax all organs, including the veins. In addition, during pregnancy, the blood supply to the uterus increases, and, as a result, blood flow to the pelvic area. And the gradual growth of the fetus contributes to the fact that its head presses on the vessels and impairs blood flow.

Since the volume of circulating blood and its clotting capacity significantly increase during pregnancy, thrombosis of any localization can become a very formidable complication!

What to do? Treatment of hemorrhoids depends on the stage of the disease. If we are talking about a little symptomatic hemorrhoids of the 1st and 2nd stages, then in most cases it is enough to solve the problem of constipation by adjusting the diet, and resort to the help of physical exercises.

With uncomplicated hemorrhoids of the 2nd and 3rd stages, the patient most often has to be hospitalized, but without surgery. Complicated hemorrhoids with bleeding require surgical intervention, however, the disease rarely reaches such a neglected state.

Of course, disease is easier to prevent than to cure. Avoiding hemorrhoids is easy. To do this, you need to monitor regular bowel movements – at least once, and preferably twice a day. Ideally, it should happen at the same time.After each bowel movement, be sure to wash yourself using soap and cold water. A large role in the prevention of constipation is played by the rejection of a sedentary lifestyle. Moderate physical activity – special exercises for pregnant women, walking, swimming – can help you avoid many problems. Kegel exercises are also useful – drawing in and relaxing the muscles of the perineum and anus.

A separate item in the prevention of hemorrhoids should be a proper balanced diet.

Heartburn

Heartburn is a burning sensation in the upper abdomen, sometimes reaching the esophagus and throat, caused by the acidic stomach contents being thrown into the esophagus. In addition, heartburn may be accompanied by flatulence, nausea, belching, and an unpleasant taste in the mouth. Usually, the feeling of discomfort occurs after eating or lying down.

Where is the problem? Unfortunately, heartburn is a frequent companion of pregnancy. Under the influence of progesterone already known to us, the smooth muscles of the sphincter located between the stomach and the esophagus relax, which contributes to the reflux of the contents of the stomach into the esophagus.In the second half of pregnancy, the problem is further aggravated by the growing uterus pressing on the stomach.

Overeating, insufficient chewing of food, unhealthy diet can also provoke heartburn.

What to do? To combat heartburn, experts recommend paying attention to your diet. First, food should be fractional: you need to eat often and in small portions. Secondly, you should refuse too fatty foods (especially meat and fish), carbonated drinks, fresh bread, muffins, black coffee, as well as sour and spicy foods.After eating, you should not take a horizontal position for 30-40 minutes. To relieve heartburn symptoms, your doctor may recommend taking an antacid medication.

Intestinal upset

An intestinal disorder is most commonly referred to as banal diarrhea. However, depending on the severity of the disorder, it may be accompanied by vomiting, abdominal pain, bloating, fever, symptoms of body intoxication (pallor of the skin, weakness, sweating, etc.).etc.).

Where is the problem? An upset bowel movement can be caused by two main causes. The first includes supply errors. As we have already noted, during pregnancy, taste preferences often change significantly, and appetite increases. As a result, overeating and a combination of incompatible foods may well cause indigestion with subsequent upset. The second reason is associated with an infectious factor, that is, the penetration of pathogenic bacteria into the body, for example, through the use of poor-quality food.

What to do? If the symptoms of the disorder are minor and not associated with a bacterial nature, it will be enough to temporarily restrict the diet, drink as much liquid as possible. Most likely, the doctor will prescribe a therapeutic diet. For the investment of the condition, you can take activated charcoal and an antispasmodic.

If the intestinal upset is caused by a bacterial infection, serious medications cannot be dispensed with. In any case, only a doctor can determine the nature of the disease – in this case, self-medication is not worth it.

To avoid intestinal upset it is enough to adhere to simple rules. Remember that pregnancy is not the best time to experiment with new foods and get acquainted with exotic dishes – try to stick to the usual foods. Wash vegetables, fruits and berries thoroughly in warm water before use. Carefully study the expiration dates of the products, observe the storage conditions. If you doubt the look, smell or taste of a product, don’t risk it – send it home.

Be healthy!

Head of the antenatal clinic Korban A.G. 90,019 90,000 Healthy veins during pregnancy

Vein load during pregnancy

Many women complain of heaviness, fatigue, and swelling of the legs during pregnancy. The reason is changes in hormonal levels, which lead to the fact that the walls of the vessels become more extensible.This is compounded by an increase in blood volume in the body – by about 20 percent even in very early pregnancy.

Many women do not know that during pregnancy the load on the veins increases significantly. This is due to weight gain, hormonal changes, an increase in blood volume in the body, and the baby’s pressure on the pelvic area, where the large veins are located.

Initial symptoms of venous problems

Weight gain also increases the load on the leg veins.This slows down the venous blood flow from the ankles towards the heart. Stretching the walls of the veins also causes the venous valves to stop closing properly and blood can then flow in the opposite direction. Blood accumulates in the veins, which manifests itself in the form of tingling, itching and pain in the legs. Moreover, the accumulated blood causes the fluid to penetrate into the surrounding tissues, which leads to edema, especially pronounced in the ankle area. As a result, varicose veins can develop.It is necessary to undergo regular examinations with a doctor in order to detect him in time and take action.

Approximately half of all women develop varicose veins in their first pregnancy, and even more women develop varicose veins in their second pregnancies.

The risk of thrombosis is also increased three to five times compared to non-pregnant women. In fact, this risk even continues to increase up to six weeks postpartum, especially after a caesarean section or after severe blood loss.

Exercise and sports: how to reduce vein stress during pregnancy

You can support venous health with exercise and sports such as prenatal exercise, walking, swimming and cycling. The transport of venous blood back to the heart is mainly stimulated by the action of the muscles of the legs, the so-called musculo-venous pump. Cold water causes blood vessels to contract and promotes better blood transport.Water in a Kneipp bath or a cold shower is ideal for this.

Tips for everyday life

• Avoid sitting or standing for long periods
• For leg pain and swelling, lie with your legs lifted up with a pillow
• Drink enough water
• Do not wear high-heeled shoes
• Strengthen veins with specific exercises
• Wear compression jersey, it supports the walls of the veins

This additional load on the veins can cause the development of varicose veins, even in women who have never experienced it before. The legs become swollen and so-called “varicose veins during pregnancy” appear, which often, but not always, disappear again after childbirth. Pregnancy is often the onset of persistent venous disease, especially in women with additional risk factors such as hereditary connective tissue weakness or overweight.

Prevention of varicose veins with compression hosiery

Compression knitwear will help maintain the beauty and health of your legs. Medical stockings and tights do not look different from ordinary ones, and will go well with any clothes. In addition, manufacturers offer a huge selection of colors and models of compression hosiery.

For the prevention of vein diseases, knitwear of the 1st compression class is sufficient. Class 2 knitwear is prescribed by a doctor and is used for severe signs of varicose veins or severe swelling caused by problems with veins. Stockings should be worn from the third month of pregnancy until two months after delivery or until the end of breastfeeding.

Also, prevention of thrombosis, if necessary, is carried out in hospitals or maternity hospitals. This includes wearing compression hosiery (a stocking to prevent thrombosis), exercise, and possibly taking anticoagulants.

If you are planning a home birth or outpatient follow-up, you should consult with your doctor promptly about possible precautions.

It is highly likely that these symptoms will not recur in the future. But if your legs regularly swell, you need to consult with your doctor and find out if this is a sign of a serious problem.

It is highly likely that these symptoms will not recur in the future. But if your legs regularly swell, you need to consult with your doctor and find out if this is a sign of a serious problem.

Streamers

In many pregnant women, rapid weight gain also affects the condition of the skin. If the connective tissue is weak, stretch marks appear, the so-called “pregnancy scars”.They are often found on the legs, as well as on the abdomen and waist. Dry brushing or pinching with special oils can help prevent them. The use of compression hosiery can also counteract the increase in stretch marks.

Swelling of the legs

Nearly every pregnant woman has at least occasional swelling of her ankles, feet or legs completely. Edema can be a warning of the onset of venous disorders. It is best to always consult your doctor.If necessary, he / she can prescribe medical compression hosiery.

Varicose veins and spider veins

Many pregnant women can develop varicose veins. If it disappears after childbirth, then it is “varicose veins of pregnant women.” However, it does not always disappear.

If a woman has weak connective tissue or is overweight, she may develop varicose veins during pregnancy.Compression stockings help minimize the risk of this condition.

Pregnancy and thrombosis

In general, pregnant women are at serious risk of developing thrombosis. This risk even increases for up to six weeks after the baby is born. Thrombosis occurs when a blood clot blocks a vein. This causes blood to stagnate and can have serious consequences.

By doing gymnastics, exercising, and wearing compression stockings, you can resist the risk of thrombosis. Anticoagulant medications can also be taken after consultation with a doctor and appropriate tests.

Preeclampsia (late toxicosis of pregnancy)

Swelling of the legs can also be a sign of preeclampsia. Be sure to consult your doctor if you notice this.

Compression hosiery from medi

Human body

How do veins work?

Veins

90,000 Remedies for toothache during pregnancy

thirty. 08.2017

Treatment of toothache during pregnancy is always associated with a number of difficulties. It’s no secret that during the entire period of bearing a child, most medicines are contraindicated for a woman. The substances contained in the tablets can have a bad effect on the condition and development of the fetus, therefore, the expectant mother is advised to closely monitor her health and avoid contact with sick people. However, nine and a half months is a fairly long period, so a rare woman manages to do without drugs during this entire period.

As for toothache during pregnancy, it often catches a woman by surprise. This can happen far from the city or in the middle of the night when there is no way to see a doctor. In this case, the pain is so sharp and severe that it is impossible to endure it. The first reaction of a woman is the desire to take a pill of the usual analgesic, but how safe is it?

In the article we will tell you why pregnant women have toothache, what remedies for toothache are allowed during pregnancy.

Why does a toothache occur during pregnancy?

It should be noted that the occurrence of toothache during pregnancy is quite common. During pregnancy, the mother’s body works in a special mode: when allocating resources, preference is given to nutrition and protection of the fetus, so the health of the expectant mother may be weakened. First of all, nails, hair and teeth are affected.

The main causes of toothache during pregnancy include the following factors:

• Lack of nutrients.The lack of certain microelements can be caused by toxicosis or unhealthy diet. Most women during pregnancy have an aversion to certain foods, including protein foods. In addition, even with a complete and balanced diet, a woman may be deficient in calcium and some vitamins, because they are spent on building the child’s skeleton.
• Increased level of acidity in the oral cavity. This is especially true for toxicosis. Teeth break down faster under the action of acid.
• Change in hormonal levels. Hormonal cataclysms always affect the condition of bones and hair.
• Decreased immunity. The body of a pregnant woman is less resistant to various infections, so even a slight hypothermia or a wound on the gum can cause gingvinitis or periodontitis.
• High tissue sensitivity. During pregnancy, both the teeth and the mucous membranes in the mouth become too sensitive: cold, hot or poorly chewed food can injure the gums and palate.In addition, there is a weakness of the vascular system, due to which the gums in pregnant women more often bleed and become inflamed. All this becomes the main reason for toothache and the rapid development of caries during pregnancy.
• Improper oral care. Regular brushing of your teeth should not be forgotten even during severe toxicosis. It is also important to change the brush to a softer one (remember the increased sensitivity of the gums) and rinse your mouth with special solutions more often.

Folk remedies for toothache during pregnancy

Since it is important for a woman in a position to take care of the safety of the unborn child, it is mainly worth paying attention to folk remedies for toothache during pregnancy.These include:

• Rinses with herbal decoctions and infusions. To prepare such a decoction, you can use chamomile, plantain, calendula, sage or St. John’s wort. If there are no herbs at home, you can prepare a regular saline solution. Rinsing should be done as often as possible. It is advisable to warm up a small amount of the broth before use. It is forbidden to rinse your mouth with infusion from the refrigerator: this will not only increase the pain, but can also provoke the development of inflammation.
• “Asterisk”. Universal balm “Zvezdochka” is an excellent folk remedy for toothache during pregnancy. A small cotton swab is soaked in vegetable oil (sunflower or olive), after which a little “Star” is applied to its end. The swab is pressed against the gum (the root of the diseased tooth).
• Clove powder. If there is a powder version of this spice at home, it is enough to sprinkle the inflamed gum area with cloves so that the pain sensations begin to fade.
• Garlic. There are 2 ways to use garlic for toothache. The first method involves applying a piece of garlic directly to the sore gum. In the second option, it is recommended to crush a clove of garlic, turning it into gruel, and then apply a little of this substance to the wrist (where the veins stand out). If a toothache is noted on the left, the gruel is applied to the right wrist; when the pain is felt on the right – on the left.
• Plantain. This effective folk remedy for toothache during pregnancy is applicable only in summer, when you can find fresh plantain on the street.A small leaf of this plant must be thoroughly washed, and then rolled with a rolling pin or gently beat off with a hammer until the juice is released. When the sheet becomes soft and moist, it must be rolled into a thin tube and placed in the ear from the side of the aching tooth. Surprisingly, the pain will soon begin to subside.
• Houseplants. In the fight against toothache, such common plants as aloe, Kalanchoe and pelargonium are characterized by a fairly high efficiency. A small piece of a leaf of any of these plants is peeled to extract juice, and then pressed against the diseased area.
• “Dental drops”. This drug is sold in pharmacies, but it is based only on natural substances: you will find valerian, camphor and peppermint oil in its composition. If a piece of cotton wool soaked in this solution is applied to a sore tooth, the pain will gradually subside. At the same time, “Dental drops” are an excellent antiseptic and sedative.

Medicines for toothache during pregnancy

If the “grandmother’s” methods turned out to be powerless or none of the above remedies were found at home, we recommend that you turn to relatively safe medicines for toothache during pregnancy. You should not endure the pain, but it would be nice to consult a doctor (at least by phone) before using medications.

So, medications for toothache allowed during pregnancy include:

• No-shpa or Drotaverin. These are different names for the same drug. The remedy effectively eliminates stomach and intestinal cramps, as well as headaches and toothaches.
• Grippostad. This drug is designed to fight colds, but it also helps with toothache.In the first trimeter of pregnancy, it is contraindicated.
• Paracetamol. Taken as a whole tablet.
• Tempalgin and Pentalgin. To eliminate a toothache, half a tablet of any of these drugs is enough.
• Children’s gels for toothache. As a remedy for toothache during pregnancy, it makes sense to use gels designed for less painful teething in young children: Kalgel, Dentol-baby, Kamistad.They dull pain, pleasantly cool the affected area and fight inflammation.
• Ketanova. One tablet of this drug is allowed if the toothache becomes too severe.

A little more about pharmaceutical medicines for toothache during pregnancy

An expectant mother needs to understand that any medicine she takes can affect her baby. Of course, the influence of most drugs on the development of the fetus remains unexplored, but that is why it is worth minimizing the drug load on the body of a pregnant woman.The baby is especially vulnerable in the first trimester of pregnancy, so not a single pill during this period should be taken without the appropriate doctor’s prescription.

If the pain is not very strong, you should try to get rid of a toothache during pregnancy using folk remedies. If traditional methods do not help, it makes sense to turn to pharmaceutical preparations, but start with children’s gels. Most of the strong medicines for toothache during pregnancy are used once (!) And only when urgently needed.

So that a toothache during pregnancy does not overtake a woman suddenly, she needs to eat right, brush her teeth regularly and take care of her health. If your gums become very sensitive and bleed periodically, you should rinse your mouth with oak bark tincture daily. If one of the teeth has begun to “groan”, you should contact your dentist as soon as possible.

90,000 Nutrition during pregnancy – Geburtsinfo Wien

Many believe that pregnant women should eat “for two”, that is, twice as much as usual.But this is not the case!

It is much more important to organize a healthy diet with lots of fresh vegetables and fruits, fish, milk, dairy products and high quality fats. Drink plenty of fluids, preferably water or unsweetened tea. Don’t diet or fast, even for religious reasons. Diets and fasts are harmful to pregnant women.

For the healthy development of a child you need:

• folic acid: in spinach, broccoli, egg yolk, tomatoes and bananas
• Iron: in meat, black pepper, cinnamon, parsley, beans, peas, lentils, sesame seeds, poppy seeds, nuts
• Iodine: Use iodized edible salt!
• Calcium: in milk, dairy products, cabbage, broccoli, leeks, dill

Discuss all questions with your doctor and read the information below:

Dangerous and prohibited food products for pregnant women

During pregnancy, the entire female body changes. This can weaken the immune system, reducing the body’s defenses. Therefore, at this time, infectious diseases are more severe than usual, which can jeopardize the health of the mother and the unborn child.

Observe the following precautions: When cooking and eating, pay attention to the following two things:

• Observe good hygiene when preparing and storing food.
• Discard so-called dangerous products.

Hazardous products include:

• raw milk and raw milk products
  Discard or boil raw milk.
  Avoid raw milk products. You will recognize these products by the “Made with Raw Milk” label.

Remove the skin from the cheese and do not eat cheeses that ripen in the presence of mucus microflora (eg tilsiter, quargel) and soft cheeses (eg camembert).

• Meat, fish and eggs

WARNING! Avoid oily predatory fish such as tuna, swordfish, halibut, and pike. These fish often contain heavy metals.
Heavy metals are also found in giblets. Therefore, you will have to give up giblets.

Avoid raw and semi-raw fish and seafood, including sushi, oysters, and the like.
Avoid smoked and pickled fish, including smoked salmon, and graaviloja.

Do not eat raw or poorly steamed eggs, meat or sausages.This list includes carpaccio, beef tartare, steak, medium to medium-rare, salami, smoked sausage, hunting sausages, uncooked ham, smoked meat, ham bacon, soft-boiled eggs, fried eggs or raw egg dishes, including homemade tirami the like.

Give up alcohol and smoking. Until now, no scientific study has been able to prove that alcohol, even in small doses, is not dangerous for pregnant women. Therefore: hands off alcoholic beverages! Be aware that baked goods, sweets or boiled sauces may contain (residual) alcohol!

Do not expose yourself to unnecessary risks and minimize your consumption of caffeinated beverages. No more than 2-3 cups of coffee or 4 cups of green or black tea are allowed. Note: Iced tea and coffee drinks, Coca-Cola, guarana drinks, many energy drinks and the like contain caffeine!

As a safety precaution, do not consume fresh or uncooked fruit and vegetable juices sold in stalls and shops.

Do not consume beverages containing quinine, such as gin and tonic, Bitter Lemon, etc.

Discuss all questions with your doctor and read the information below:

Addictive substances

Give up all types of alcohol, tobacco and drugs during pregnancy!

Alcohol

It is forbidden to consume alcoholic beverages during pregnancy! Even in small doses, alcohol can cause serious harm to a nursing baby.Alcohol acts as a poison on the nerves and brain, and is one of the most common causes of developmental abnormalities in a child.

Discuss all questions with your doctor and read the information below:

Smoking

Quit smoking during pregnancy and avoid smoky rooms! Cigarettes contain nicotine and nearly 5,000 other chemicals. All of these substances can cause serious harm to your baby if inhaled. Pregnant women who smoke often experience miscarriages or premature births.Children born to mothers who smoke often suffer from asthma, allergies, pneumonia, bronchitis and other diseases. The risk of sudden infant death syndrome also increases.

Discuss all questions with your doctor and read the information below:

Drugs

It is forbidden to take narcotic and intoxicating substances during pregnancy! Drugs can seriously harm your baby’s development and, in the worst case scenario, lead to miscarriage or stillbirth.If you have an addiction, do not be ashamed of it and discuss the situation with your doctor. You can also go to specialized centers that counsel drug addicted people.

Discuss all questions with your doctor and read the information below:

Taking medications

Certain medicines are dangerous for pregnant women and future children.