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What cold medicine can a pregnant woman take. Safe Cold Medicine for Pregnant Women: Treating Common Cold During Pregnancy

by alexxlab

What cold medicines can pregnant women safely take. How to treat common cold symptoms during pregnancy. Which over-the-counter medications are safe for expectant mothers. When should pregnant women avoid cold medicine. What natural remedies can help alleviate cold symptoms in pregnancy.

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Understanding the Risks of Cold Medicine During Pregnancy

Pregnancy is a delicate time when women need to be extra cautious about what they consume, including medications. The common cold can be particularly troublesome during pregnancy, as many over-the-counter remedies are not recommended for expectant mothers. Why is this the case. The primary concern is the potential impact of medications on fetal development, especially during the first trimester when organ formation occurs.

Dr. Elisa Ross, an obstetrician and gynecologist at the Cleveland Clinic, emphasizes the importance of avoiding all medication during the first 12 weeks of pregnancy if possible. This critical period is when the baby’s organs are forming, and exposure to certain substances could have serious consequences. However, this doesn’t mean pregnant women must suffer through cold symptoms without any relief.

Natural Remedies: The First Line of Defense Against Cold Symptoms

Before turning to pharmacological interventions, pregnant women are encouraged to try natural remedies to alleviate cold symptoms. These methods are generally safe and can provide significant relief without the risks associated with medication. What are some effective natural remedies for pregnant women suffering from a cold.

  • Hot showers: The steam can help clear nasal passages and soothe irritated airways.
  • Vaporizers: Adding moisture to the air can ease congestion and coughing.
  • Saline nasal wash: This can help clear out mucus and reduce nasal congestion.
  • Chicken soup: More than just an old wives’ tale, chicken soup can actually help reduce inflammation and ease cold symptoms.

These natural remedies can be particularly beneficial because they address the symptoms without introducing any potentially harmful substances into the body. They’re safe to use throughout pregnancy and can provide significant relief for many women.

Safe Over-the-Counter Cold Medications for Pregnant Women

When natural remedies aren’t providing enough relief, some over-the-counter medications can be safe for pregnant women to use, especially after the first trimester. However, it’s crucial to choose these medications carefully and always consult with a healthcare provider before taking anything. Which medications are generally considered safe for pregnant women.

  • Acetaminophen (Tylenol): Safe for pain relief and fever reduction.
  • Diphenhydramine (Benadryl): Can help with allergies and as a sleep aid.
  • Pseudoephedrine (Sudafed): Effective for nasal congestion, but should be avoided in the first trimester.
  • Loratadine (Claritin): An antihistamine that can help with allergy symptoms.
  • Zinc lozenges: May help reduce the duration of cold symptoms.
  • Chloraseptic spray: Can provide temporary relief for sore throats.

Dr. Ross particularly recommends Sudafed for its effectiveness in treating cold symptoms, stating that it “sometimes is the medication that packs the most bang for its buck.” However, she cautions that it should only be used after the first trimester and is not recommended for women with high blood pressure.

Medications to Avoid During Pregnancy

While some medications are considered safe, others should be strictly avoided during pregnancy due to potential risks to the developing fetus. Which medications should pregnant women steer clear of when dealing with a cold.

  • Ibuprofen (such as Advil, Motrin): Can cause complications, especially in the third trimester.
  • Aspirin: May increase the risk of bleeding complications.
  • Herbal medications or remedies: These are not regulated and may contain ingredients harmful to the fetus.
  • Combination cold and flu products: Medications like Nyquil, Robitussin DM, and Claritin-D often contain multiple ingredients that may not all be safe during pregnancy.

It’s important to note that herbal remedies, while often perceived as “natural” and therefore safe, can actually pose significant risks during pregnancy. These products can cross the placenta and reach the baby, and their effects on fetal development are often unknown.

The Importance of Simplicity in Medication Choices

When it comes to taking cold medicine during pregnancy, simplicity is key. Dr. Ross advises pregnant women to “look for medications with the fewest ingredients possible.” But why is this approach recommended. The fewer ingredients a medication contains, the easier it is to assess its safety and potential risks.

Instead of opting for combination products that treat multiple symptoms, it’s better to address each symptom individually with the appropriate medication. This approach allows for more precise treatment and reduces the risk of exposure to unnecessary ingredients. How can pregnant women implement this strategy.

  1. Identify the most bothersome symptoms.
  2. Choose a single-ingredient medication that targets that specific symptom.
  3. Use only the recommended adult dose.
  4. Avoid combination products that treat multiple symptoms at once.

By following this method, pregnant women can manage their cold symptoms effectively while minimizing potential risks to their developing baby.

When to Seek Medical Attention

While the common cold is usually a minor inconvenience, pregnant women need to be vigilant about their health. In some cases, what seems like a cold could be a more serious condition that requires medical attention. When should a pregnant woman consult her doctor about cold symptoms.

  • If symptoms persist for more than 10 days
  • If there’s a fever or muscle aches (which could indicate flu)
  • If there’s difficulty breathing or chest pain
  • If symptoms are severe or worsening rapidly

Dr. Ross emphasizes the importance of not assuming that all respiratory symptoms are due to the common cold. Conditions like influenza, including swine flu, can pose serious risks to pregnant women and may require specific treatments. Therefore, it’s crucial to seek medical advice if there’s any doubt about the nature of the illness.

Addressing Common Concerns: Coughing and Pregnancy

Many pregnant women worry that severe coughing might harm their baby or even cause their water to break prematurely. Are these concerns justified. According to Dr. Ross, while a bad cough is certainly uncomfortable, it’s unlikely to cause harm to the baby or lead to premature rupture of membranes.

The uterus and amniotic sac provide significant protection for the developing fetus. The baby is cushioned by amniotic fluid and the strong muscles of the uterus, which can withstand the pressure from coughing. However, if coughing is severe or accompanied by other symptoms, it’s always best to consult with a healthcare provider for peace of mind and appropriate treatment.

Tips for Managing a Persistent Cough During Pregnancy

  • Stay hydrated to help thin mucus and soothe the throat
  • Use a humidifier to add moisture to the air
  • Try honey and lemon in warm water for natural cough relief
  • Elevate your head while sleeping to reduce postnasal drip
  • Avoid irritants like smoke or strong odors that may trigger coughing

Remember, while these methods can help manage symptoms, persistent or severe coughing should always be evaluated by a healthcare professional to rule out more serious conditions.

The Role of Prenatal Vitamins in Cold Prevention

While prenatal vitamins are primarily taken to support fetal development, they may also play a role in boosting the immune system and potentially reducing the risk of catching a cold. How do prenatal vitamins contribute to immune health during pregnancy.

Prenatal vitamins typically contain a range of nutrients that are crucial for immune function, including:

  • Vitamin C: Supports the production and function of white blood cells
  • Vitamin D: Helps regulate the immune system and may reduce the risk of respiratory infections
  • Zinc: Plays a vital role in immune cell development and communication
  • Iron: Necessary for the proliferation of immune cells

While these vitamins and minerals won’t prevent all colds, maintaining adequate levels can help support overall immune function. It’s important to note that prenatal vitamins should be taken as directed by a healthcare provider and should not be considered a substitute for a balanced diet or other preventive measures against colds.

Additional Immune-Boosting Strategies for Pregnant Women

In addition to taking prenatal vitamins, pregnant women can adopt several lifestyle habits to support their immune system and reduce the risk of catching a cold:

  1. Maintain a balanced diet rich in fruits, vegetables, and whole grains
  2. Get adequate sleep (aim for 7-9 hours per night)
  3. Engage in regular, moderate exercise as approved by your healthcare provider
  4. Practice good hand hygiene, washing hands frequently with soap and water
  5. Avoid close contact with people who are sick
  6. Manage stress through relaxation techniques like prenatal yoga or meditation

By combining these strategies with proper prenatal care, expectant mothers can optimize their immune health and potentially reduce their susceptibility to common colds and other infections.

The Importance of Hydration in Managing Cold Symptoms During Pregnancy

Staying well-hydrated is crucial for managing cold symptoms and supporting overall health during pregnancy. Why is hydration particularly important when dealing with a cold while pregnant. Adequate fluid intake helps thin mucus secretions, making it easier to clear congested airways. It also supports the immune system and helps maintain amniotic fluid levels.

During pregnancy, women need more fluids than usual to support the increased blood volume and the needs of the developing fetus. When battling a cold, this need for hydration becomes even more critical. What are some effective ways for pregnant women to stay hydrated while managing cold symptoms.

  • Drink plenty of water throughout the day
  • Consume warm broths or soups, which provide both hydration and nutrients
  • Sip on herbal teas (avoiding those with caffeine or herbs not recommended during pregnancy)
  • Eat water-rich fruits like watermelon, oranges, and grapes
  • Try coconut water for added electrolytes

It’s important to note that while increasing fluid intake is beneficial, pregnant women should avoid beverages containing caffeine or alcohol, as these can have diuretic effects and may not be safe for the developing fetus.

Signs of Dehydration in Pregnant Women

Recognizing the signs of dehydration is crucial, especially when dealing with a cold during pregnancy. What symptoms should pregnant women watch out for.

  • Dark-colored urine or infrequent urination
  • Dry mouth and lips
  • Feeling thirsty
  • Dizziness or lightheadedness
  • Headache
  • Fatigue

If any of these symptoms occur, it’s important to increase fluid intake immediately and consult with a healthcare provider if the symptoms persist or worsen.

The Role of Rest and Sleep in Recovery from Colds During Pregnancy

Adequate rest and sleep are fundamental to recovery from any illness, including the common cold. For pregnant women, the importance of rest is magnified due to the additional demands on their bodies. How does rest contribute to recovery from a cold during pregnancy.

Sleep and rest allow the body to direct more energy towards fighting off the infection. During sleep, the immune system releases proteins called cytokines, which help promote sleep and combat infection. Additionally, proper rest can help alleviate stress, which is known to suppress immune function.

Tips for Getting Quality Rest While Pregnant and Battling a Cold

  1. Use extra pillows to elevate your head and relieve congestion
  2. Create a cool, dark, and quiet sleeping environment
  3. Avoid screens before bedtime to improve sleep quality
  4. Practice relaxation techniques like deep breathing or gentle stretching
  5. Take short naps during the day if needed, but avoid long daytime sleep that might disrupt nighttime rest
  6. Use a pregnancy pillow for added comfort and support

While it’s important to rest, pregnant women should also maintain some level of light activity as recommended by their healthcare provider. Gentle movement can help improve circulation and potentially aid in recovery.

The Potential Impact of Colds on Pregnancy Outcomes

Many expectant mothers worry about how catching a cold might affect their pregnancy and developing baby. Is there cause for concern. Generally, the common cold itself does not pose a significant risk to pregnancy outcomes. The immune system of a pregnant woman is typically robust enough to fight off the cold virus without complications.

However, it’s the potential complications of a cold that can be more concerning. These may include:

  • Sinus infections
  • Ear infections
  • Bronchitis
  • Pneumonia

These secondary infections, if left untreated, could potentially lead to more serious issues. Additionally, a high fever during pregnancy, particularly in the first trimester, has been associated with an increased risk of certain birth defects. This is why it’s crucial to monitor symptoms closely and seek medical attention if a cold seems to be worsening or is accompanied by a fever.

Preventive Measures to Reduce the Risk of Catching a Cold During Pregnancy

While it’s not always possible to avoid catching a cold, pregnant women can take several steps to reduce their risk:

  1. Practice good hand hygiene, washing hands frequently with soap and water
  2. Avoid touching the face, especially the nose, mouth, and eyes
  3. Stay away from people who are sick
  4. Maintain a healthy diet rich in fruits and vegetables to support immune function
  5. Get regular, moderate exercise as approved by a healthcare provider
  6. Ensure adequate sleep and rest
  7. Consider getting a flu shot, which is safe and recommended during pregnancy

By implementing these preventive measures, pregnant women can significantly reduce their chances of catching a cold and potentially avoid the need for medication altogether.

Cold Medicine and Pregnancy – Cold and Flu Center

Get tips for reducing cold symptoms while keeping your baby-to-be safe.

By Diana RodriguezMedically Reviewed by Cynthia Haines, MD

Reviewed:

Medically Reviewed

Coming down with the common cold is always unpleasant, let alone if you’re pregnant. While many medications are off-limits during pregnancy, there are some remedies to relieve your symptoms.

Common Cold Medicine and Pregnancy: Go Natural

Before you consider taking drugstore medicines for the common cold, you might want to consider some good old-fashioned home remedies, says Elisa Ross, MD, an obstetrician and gynecologist on staff with the Cleveland Clinic in Ohio.

The reason: No over-the-counter medicines are really treating the cold or helping you get better, they just control symptoms.

Dr. Ross suggests:

  • Hot showers
  • A vaporizer
  • A saline nasal wash
  • Chicken soup

Common Cold Medicine and Pregnancy: What’s Safe?

If you can’t get enough relief from those home remedies, it’s possible to use common cold medicines with a few precautions. First, guidelines say it’s best to avoid all medication during the first trimester.

“In the first 12 weeks the baby is making its organs, and so in general, if people don’t need to take something during that time it would be great if they didn’t,” says Dr. Ross. “[There are] more serious consequences at the beginning of the pregnancy.”

Next, Ross says the safest bet is to look for medications with the fewest ingredients possible.

“The main thing about [common cold] medicine is it’s best to take the ingredient you need for the symptom and not the combination, one-size-fits-all,” says Ross. “It’s better to separate your ingredients and take the ones that you need at a usual adult dose.”

There are also specific medicines to avoid during pregnancy:

  • Ibuprofen (such as Advil, Motrin)
  • Aspirin
  • Any herbal medications or remedies

Herbal medications in particular aren’t regulated, so it’s difficult to know exactly what ingredients they contain and whether they’re safe. Herbs can cross the placenta and reach the baby, so it’s best to avoid them.

Common Cold Medicine and Pregnancy: The Safe List

The best option is always to talk to your doctor before taking any medication during your pregnancy, but here are some medications that have been found to be generally safe for pregnant women:

  • Acetaminophen (Tylenol)
  • Diphenhydramine (Benadryl)
  • Pseudoephedrine (Sudafed)
  • Loratadine (Claritin)
  • Zinc lozenges
  • Chloraseptic spray (but a salt water gargle is just as effective, with no risks)

Of these possibilities, Ross recommends Sudafed the most for the common cold. “Sudafed is okay for a decongestant after the first trimester unless the woman has high blood pressure,” says Ross. “Sudafed sometimes is the medication that packs the most bang for its buck.”

Remember, the simpler the better. Ross recommends that pregnant women steer clear of products that contain multiple ingredients or tackle a combination of symptoms, such as Nyquil, Robitussin DM, and Claritin-D.

A bad cough is certainly annoying, but you might also be concerned that you will cough so hard it will hurt the baby, or that your water will break. Ross says there’s no need to worry — your baby will be fine.

Common Cold Medicine and Pregnancy: Check With Your Doctor

Ross cautions pregnant women to be careful not to assume that what you have is the common cold. If it’s actually an illness like the swine flu, it can pose a much more serious problem for pregnant women. If you experience fever and muscle aches, or if symptoms don’t subside within about 10 days, see your doctor to see if it’s an illness that requires special treatment.

Yes, many over-the-counter cough and cold medications are considered safe for pregnant women and their developing babies. But that doesn’t mean you should just grab something at the drugstore and take it. Call your doctor before you take anything, even if you think it’s safe.

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What Medicines Are Safe During Pregnancy? Cold, Headache & More

Overview

During pregnancy, your focus may have shifted to your growing baby. But you, too, may need some extra TLC, especially if you get sick. According to the Centers for Disease Control and Prevention, some 9 in 10 women take medication at some point during their pregnancies.

Many over-the-counter (OTC) drugs and prescription medications are classified by the U.S. Food and Drug Administration (FDA) according to risk.

Those falling in categories A, B, or C are generally considered “safe” for use during pregnancy. This is because the benefit of taking the medication outweighs any associated risks demonstrated by studies on animals or humans:

-OR-

Animal studies have shown adverse effects that weren’t confirmed by studies on women in the first trimester.

C
Animal studies have shown adverse effects on fetus.

-AND-

There are either no controlled studies in women or studies on women/animals aren’t available. Drugs in this category are given with caution — only if the benefit justifies the potential risk.

D

Evidence of fetal risk exists with animal or human studies.

Drugs in this category may still be used if benefit outweighs risk; for example, in a life-threatening situation.

X
Adverse effects have been confirmed by animal or human studies.

-OR-

Adverse effects have been demonstrated in the public. Risk of taking drug outweighs any benefit. Not prescribed for women who are or may become pregnant.

Pain or headache relief

Acetaminophen (Tylenol; category B) is the drug of choice for pain during pregnancy. It’s widely used with very few documented adverse effects.

Aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs), on the other hand, should be avoided during pregnancy.

NSAIDs include:

  • ibuprofen (Advil, Motrin)
  • ketoprofen (Orudis)
  • naproxen (Aleve)

If your pain is particularly severe — after a surgery, for example — your doctor may prescribe a short course of opioid pain relievers. When taken as directed, they may not affect fetal development.

That said, opioid use during pregnancy does carry the risk of withdrawal, called neonatal abstinence syndrome (NAS), after delivery.

Cold medicine

Cold medications are not well-studied for use during pregnancy. Some doctors suggest trying to wait until after your 12th week to minimize any potential risks to your baby.

Safe options include:

  • plain cough syrup, such as Vicks
  • dextromethorphan (Robitussin; category C) and dextromethorphan-guaifenesin (Robitussin DM; category C) cough syrups
  • cough expectorant during the day
  • cough suppressant at night
  • acetaminophen (Tylenol; category B) to relieve pain and fever

The active ingredient in Sudafed, pseudoephedrine, may elevate blood pressure or affect blood flow from the uterus to the fetus. This drug isn’t classified by the FDA. It may be safe during pregnancy, but speak with your doctor if you have high blood pressure or other concerns.

Doctors often recommend trying home treatments before taking medications:

  • Get plenty of rest.
  • Stay hydrated by drinking water and warm liquids, like chicken soup or tea.
  • Gargle salt water to ease sore throat.
  • Use saline nose drops to fight stuffiness.
  • Humidify the air in your room.
  • Use menthol rub on your chest.
  • Try nasal strips to open airways.
  • Suck on cough drops or lozenges.

Heartburn and acid reflux

OTC antacids containing alginic acid, aluminum, magnesium, and calcium are generally safe during pregnancy:

  • aluminum hydroxide-magnesium hydroxide (Maalox; category B)
  • calcium carbonate (Tums; category C)
  • simethicone (Mylanta; category C)
  • famotidine (Pepcid; category B)

For severe heartburn, your doctor may suggest taking h3 blockers, such as:

  • ranitidine (Zantac; category B). Ranitidine, brand name Zantac, is now marketed as Zantac 360, which contains a different active ingredient (famotidine). Famotidine is in the same class as ranitidine and works the same way but has not been found to contain unacceptable levels of NDMA.
  • cimetidine (Tagamet; category B)

Lifestyle changes may also help take the edge off heartburn:

  • Wear loose-fitting clothing that doesn’t put pressure on your abdomen.
  • Try keeping a food diary to help identify certain foods that may trigger your reflux.
  • Wait three hours to lie down after meals. Avoid late meals right before bedtime.
  • Sleep with your head elevated at night.
  • Eat small meals throughout the day.

Speak with your doctor if your heartburn becomes severe. In rare cases, it may be a sign of HELLP syndrome. This is a serious pregnancy complication.

Mild and severe allergies

Mild allergies may respond well to lifestyle measures. If you need some extra help, the following OTC oral antihistamines are generally considered safe:

  • diphenhydramine (Benadryl; category B)
  • chlorpheniramine (Chlor-Trimeton; category B)
  • loratadine (Claritin, Alavert; category B)
  • cetirizine (Zyrtec; category B)

If your allergies are more severe, your doctor may suggest taking an OTC corticosteroid spray at a low dose along with an oral antihistamine. Options include:

  • budesonide (Rhinocort Allergy; category C)
  • fluticasone (Flonase; category C)
  • mometasone (Nasonex; category C)

You may also try the following lifestyle changes:

  • Avoid going outdoors or opening windows on high pollen days.
  • Take off clothing you’ve been wearing outdoors. Rinse off pollen from skin and hair with a quick shower.
  • Wear a mask while completing outdoor chores or enlist the help of someone else for tasks like mowing.
  • Rinse nasal passages with saline spray or a neti pot.

Constipation

Stool softeners are generally considered safe during pregnancy. Options include Colace or Surfak.

Laxatives, like Senokot, Dulcolax, or Milk of Magnesia, may also help, but speak with your doctor before trying any of these medications.

Other treatment options for constipation include the following:

  • Drink more water and fluids. Prune juice is another good choice.
  • Add more exercise to each day.
  • Eat more fiber. You can find fiber in fruits and vegetables (with skins, if possible), beans, and whole grains.
  • Ask your doctor about fiber supplements, like Metamucil.

Nausea and vomiting

Morning sickness is common in the first trimester of pregnancy. Treatment isn’t always needed. Try home remedies, like eating small meals throughout the day or sipping ginger ale, before reaching for medications.

You might try:

  • vitamin B-6, 25 milligrams by mouth three times a day
  • doxylamine succinate (Unisom; category B)
  • dimenhydrinate (Dramamine; category B)

There are medications your doctor may prescribe if you’re experiencing severe nausea and vomiting (hyperemesis gravidarum):

  • doxylamine succinate-pyridoxine hydrochloride (Diclegis; category A)
  • ondansetron (Zofran; category B)

Hemorrhoids

Hemorrhoids may develop during pregnancy due to swollen blood vessels or constipation.

Safe treatment options include:

  • Tucks pads or other witch hazel pads
  • Preparation H
  • Anusol

You may want to try other methods first:

  • Soak the hemorrhoids by filling a tub with warm water. Don’t add soap or bubble bath.
  • Stand or lie on your side when possible.
  • Try a ring cushion or hemorrhoid pillow for when you must sit.
  • Treat constipation by taking stool softeners, drinking more fluids, getting more exercise, and eating more fiber.

Yeast infections

Yeast infections are common in pregnancy. Still, it’s a good idea to contact your doctor for a proper diagnosis before treating it at home.

Safe medications include:

  • miconazole (Monistat; category C)
  • clotrimazole (Lotrimin; category C)
  • butoconazole (Femstat; category C)

Home remedies and natural treatments are generally not recommended for yeast infections during pregnancy.

Skin rashes, cuts, scrapes

Rashes and itchy skin can be treated with OTC hydrocortisone cream during pregnancy. But mention these symptoms to your doctor to rule out conditions like pruritic urticarial papules and plaques of pregnancy (PUPPPs). You doctor may prescribe steroidal creams for certain conditions.

For cuts and scrapes, clean the area well with soap and water. You may then apply an OTC antibiotic ointment, like Neosporin, for added protection.

Difficulty sleeping

Safe medications for insomnia are those in the diphenhydramine (category B) family, including:

  • Sominex
  • Nytol

Doxylamine succinate (Unisom; category B) is another possibility that may also be used if you’re experiencing insomnia.

If OTC methods don’t work, your doctor may prescribe the following after weighing the benefits and risks:

  • sedating tricyclic antidepressants (Amitriptyline, Nortriptyline; category C)
  • benzodiazepines (Ativan, Klonopin; category D)

Benzodiazepines may be associated with risk of cleft or lip palate. Use in later pregnancy may not carry this risk.

Lifestyle changes you can try include the following:

  • Schedule sleep for consistent wake and bedtimes.
  • Get regular exercise.
  • Limit napping to no more than 30 minutes per day.
  • Skip caffeine and other stimulants.
  • Create a nighttime ritual. For example, take a bath, listen to music, or do yoga.
  • Explore alternative treatments, such as meditation or acupuncture.

Supplement use during pregnancy

Discuss any supplements you take or plan to take during your pregnancy with your doctor.

While prenatal vitamins are recommended to support levels of essential vitamins and minerals, like folate, other supplements may pose risks to your baby. They may also interact with medications you’re already taking.

Note that just because something is labeled “all-natural” doesn’t always mean it’s safe. Supplements are not regulated by the FDA in the same way as prescription drugs. Approach them with caution and discuss using with your doctor before starting any.

Prescription medications you’re already taking

Before pregnancy, you may already be taking prescription medications for thyroid issues, high blood pressure, or other conditions. Speak with your doctor about continuing these medications, especially if you’re already pregnant or plan to become pregnant in the near future.

In many cases, you may safely take your medication during pregnancy. Sometimes you may need to either adjust dosages or switch to another medication that’s considered safer for you and baby.

Alternative therapies

Complementary and alternative therapies may be good options to during pregnancy. Examples include:

  • acupuncture
  • acupressure
  • chiropractic care
  • massage therapy

Certain complementary and alternative medication methods, especially those involving herbs or supplements, may not be safe, however. In general, alternative therapies aren’t well-studied, so discuss any you plan on trying with your doctor.

Also, do your homework on different practitioners before heading in for a visit. Ensure they have the appropriate licenses to practice on pregnant women.

The takeaway

There are many medications you can safely take during pregnancy. The key is communicating with your healthcare provider.

A great online, evidence-based resource to check is Mother to Baby. It provides fact sheets on different drugs as well as additional information on potential interactions and birth defects.

Even better, most obstetrics offices have a helpline you can call between appointments. Don’t hesitate to dial in with any and all of your questions or concerns.

Colds ARI, SARS during pregnancy, consequences, treatment


Colds can suddenly take our wonderful future mothers by surprise.

What should I do if I get a cold (ARI/ARVI) during pregnancy?

Is it possible to protect yourself from SARS?

Which drugs are allowed and which are not?

Is it dangerous for the baby?

Pregnancy is a wonderful state, but, unfortunately, even this wonderful period in a woman’s life can be overshadowed by exacerbation of pre-existing chronic diseases of the respiratory system (almost 10% of the population suffers from one or another pathology of the respiratory organs and do not go to a doctor for treatment ).

What threatens neglect in acute respiratory infections/ARVI during pregnancy

  • The causative agents of viral and infectious diseases can contribute to miscarriage, increased blood loss during childbirth.
  • Viruses can also activate existing in the body and other “dormant” infection, contribute to the development of inflammatory diseases of the internal genital organs.
  • There is no particular predisposition to infection in pregnant women, but respiratory diseases of an infectious and viral nature in pregnant women are often more severe and give much more complications if treatment is not started on time.
  • The most common diseases in pregnant women are SARS and influenza.
  • Colds are dangerous during pregnancy, both in the 1st trimester, 2nd trimester, and 3rd trimester.

ARVI is an acute respiratory viral infection, i.e. The source of the disease is viruses that a sick person releases in large quantities when coughing, sneezing, talking. We are especially prone to viral infections during the cold season, as well as during the transitional periods of autumn and spring – when it is hot during the day, cold in the morning, and sometimes we dress completely inappropriate for the weather.

The onset of SARS is usually gradual with a general malaise, lethargy, slight fever, and a runny nose or sore throat.

Influenza, unlike SARS, is more severe and poses a great danger to both the mother and the fetus. Influenza epidemics recur almost every year, during which 30-40% of the population falls ill.

This is an acute viral disease transmitted by airborne droplets. The influenza virus penetrates through the respiratory tract, affects the mucous membrane, increases the permeability of the walls of blood vessels. The flu virus lowers the immune system, which can exacerbate chronic diseases. The onset of influenza is acute, sudden: 30 minutes ago everything seems to be fine, but now it’s temperature, chills, fever.

What to do if you get SARS during pregnancy?

Treat for sure!!!

Do not hope that it will go away on its own and somehow manage to lie down. Even with a slight malaise, the likelihood of complications in a pregnant woman is high.

Be sure to visit the doctor, a competent therapist or general practitioner will give you comprehensive recommendations on drug therapy, as well as the use of home remedies that will not harm you and your baby.

Do not self-medicate, antiviral drugs, herbs, lozenges, antibiotics and antibacterial drugs should not be taken without a doctor’s prescription. Your body during pregnancy may react differently than in normal life.

Is it possible to protect yourself from SARS during pregnancy?

SARS prevention measures are simple and affordable:

  • dress for the season and the weather.
  • Proper balanced nutrition, vitamin intake and more positive emotions are of great importance.
  • After coming back from the street or working at home, it is a good idea to gargle with sea water and clean the nose.
  • Before work, lubricate the nasal cavity with oxolin ointment or peach oil.
  • At work and at home, take care of proper air humidification (ionizers, humidifiers)
  • Important! Do not forget about regular walks in the fresh air, a full sexual life (if there are no contraindications) and sports (taking into account the physiological characteristics of the pregnant woman)

What medicines can be taken during pregnancy if you have ARVI?

  • Medications are prescribed individually, based on the situation, the doctor selects.
  • You can bring down the temperature with Paracetamol (both tablets and suppositories).
  • Absolutely everyone is shown a warm alkaline fortified drink.

Is SARS dangerous for a baby?

  • If you start treatment on time and be under the supervision of a doctor, your baby will not be harmed by a cold.
  • However, if you self-medicate, then the risk of miscarriage, intrauterine hypoxia and the formation of various abnormalities in the development of the baby increases.

We hope that pregnancy management at the Ona clinic will leave only positive emotions. Our doctors will take care of your health and the health of your unborn baby.

Clinic address

Multidisciplinary clinic “ONA”

Multidisciplinary clinic “ONA”

Multidisciplinary clinic “ONA”

Multidisciplinary clinic “ONA”

Publication date: 09/26/22

Updated: 02/27/23 04:12

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Treatment of SARS in pregnant women

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  • Treatment of SARS in pregnant women

The standard duration of pregnancy is 38-42 weeks. In whatever month pregnancy occurs, part of it will definitely fall on the epidemic season of SARS and influenza, which falls in autumn-spring. Any acute infectious disease during pregnancy is undesirable and potentially dangerous to the fetus. In this regard, it is important for a woman to know about the approved methods of treating ARVI and influenza and about the main methods of prevention.

What can pregnant women with SARS?

The correct intake of antiviral drugs during pregnancy is a reception based on the rules established by the regulator. To date, such rules are the clinical recommendations “Acute respiratory viral infections (ARVI) in adults”, approved by the Ministry of Health of the Russian Federation in 2021. The document contains 10 antiviral drugs, for 7 of which the period of pregnancy is indicated as a contraindication, or it is stated that “the efficacy and safety have not been studied in pregnant women”, which also excludes the possibility of their use during gestation. For two more medicines – this is Interferon alfa-2 or Interferon gamma in the form of intranasal forms – it is indicated that they can be used “in complex therapy regimens”, that is, in conjunction with other drugs. And only one drug, in accordance with clinical recommendations, can be used in pregnant women – Umifenovir – and then only in the second and third trimesters of pregnancy (after the 13th week).

It is also worth paying attention to the fact that clinical recommendations and an annotation to the drug, which are equally a regulatory document for a medical worker, give an unequal assessment of the possibility of using the drug during the period of gestation. So the annotation to Umifenovir does not allow its use without a relative trimester of pregnancy. That is, if one regulatory act permits and another prohibits a medicinal product, then we focus on the prohibiting one.

Thus, of the antiviral agents, only intranasal interferons (grippferon) are definitely allowed for pregnant women!

In addition to antiviral agents, the patient can use safe symptomatic agents – washing the nose with saline solutions for a runny nose, gargling with antiseptics (miramistin, furatsilin) ​​approved for pregnant women, taking antipyretics (paracetamol) that are allowed during gestation (paracetamol), expectorants with a productive cough based on acetylcysteine. All these drugs and intranasal interferons are allowed at any stage of pregnancy!

All patients with acute respiratory viral infections, and especially pregnant women, are shown to carry out non-invasive therapy, which includes bed rest, heavy drinking and an easily digestible fortified diet.

When to treat SARS in a pregnant woman?

Antiviral and symptomatic drugs for pregnant women should be taken only after the doctor confirms the diagnosis of ARVI. The fact is that the typical symptoms of SARS – runny nose, sore throat, fever, cough, malaise – are typical of other diseases. For example, a runny nose can be with allergic rhinitis or sinusitis, sore throat – with tonsillitis and occupational pathology of people working with voice load, etc. The initiative to prescribe an antiviral agent should come from a medical worker, who also determines the name of the drug, the dosage regimen and the duration of therapy.

Prevention of SARS in pregnant women

From all of the above, we can draw the following conclusion – the best option for women is not to get ARVI during the entire pregnancy. To do this, it is necessary not only to observe all precautions after conception (wearing a mask and gloves in public places, washing the nasal mucosa with running tap water after returning home, washing hands with soap, avoiding contact with sick people . ..), but also before the onset of “interesting situation” get vaccinated against influenza and Covid-19. If ARVI still happened during pregnancy, then nasal interferons should be preferred in combination with symptomatic treatment, as the safest treatment option in which the annotation and national recommendations do not contradict each other.

Specialist:

Tags:

SARS
pregnancy

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On all issues of anti-epidemic preparation for pregnancy, prevention, diagnosis, treatment and rehabilitation of pregnant women with SARS, infectious disease specialists and ID-clinic therapists advise. Reception takes place in several formats: face-to-face in the clinic or at the patient’s home, online via video link. Online is more suitable if you have symptoms of SARS, as well as to reduce contact with potentially sick visitors to a medical organization. Flu vaccines are available year-round at the clinic to build immunity in women before pregnancy.

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  • Lavrenchuk Dmitry Vadimovich

    Infectionist,
    Hepatologist,
    Therapist,
    PhD