Medications for two: how to be treated with a pregnant woman

The question of how drugs can affect a baby, worries many expectant mothers. And in fact: how to observe the golden mean, in what cases drug treatment is necessary, and in which without it you can completely get by or find a harmless substitute for medicines?

Often during pregnancy a woman faces a choice: to take or not to take medication. On the one hand, she must carefully monitor her health more than ever, but on the other hand, any drugs that enter the future mother's body can affect a child who is very vulnerable during this period. That is why the only universal advice that can be given to all future mothers: never do self-medication. Before you buy any drug, even seemingly harmless vitamins, be sure to consult a doctor. Only he can determine when the benefits of taking medicines exceed the probable risk.

According to studies, the average woman during pregnancy takes 3,8 names of any medicines and more than half of future mothers take medication in the first 3 months of bearing the baby. Special care

In the very first days of pregnancy a woman can take medicines, not yet knowing her condition. Doctors believe that there is no need to worry. If the egg was impregnated and the pregnancy came, it means that everything is in order with the child. If there were any abnormalities caused by drugs, the sperm and egg would not merge. But further tactics of the woman's behavior are necessarily discussed with the doctor. The decision is made in each case individually, taking into account the category of medicine, the time of its administration and dosage.

But from the 3rd week of bearing the baby, when the intensive laying of all structures of the future little man begins, the risk of damage (scientifically - teratogenic effect) is very high. So in the first trimester, medication should be taken only in case of emergency and only after the appointment of a doctor after consultation with him.

The future mother should also know that at this time, even "harmless" vitamins can negatively affect the future child if they are consumed in large quantities. For example, vitamins C and PP in doses exceeding daily average, can cause spontaneous abortion, and with an excess of fat-soluble vitamins A and D there is a risk of developmental defects of the central nervous system, eyes and skeleton. Since the second trimester, these vitamins are safe.

Because of the teratogenic effect in the first trimester, it is also dangerous to take aspirin, analgin, such antihypertensives (i.e., blood pressure lowering), like hood and enap, diuretics and trichopolum (metronidazole). Complications are also observed with tetracycline.

The second half of pregnancy is considered safer in this respect, since the main organs and tissues of the future baby are already formed and the placenta is formed, which, although not completely, but detains harmful substances for the child.

The future mum needs to be cautious and with creams. Any substance that is applied to the skin penetrates the body, so choose makeup specifically for pregnant women, and before using medicinal ointments, always consult a doctor. We continue to be treated

Healthy pregnant women, as a rule, do not need medication. Ladies who have chronic diseases, it is better to consult with a doctor in advance about the planning and possibility of pregnancy. After all, interrupt treatment is in no case impossible: a progressive disease can adversely affect the health of the baby.

If you tell the doctor that you are going to have a baby, he can even before conception determine how an "interesting situation" will affect the course of a chronic illness, and pick up other drugs that will not harm a little man. Usually this happens if the future mother has asthma, an allergy, diabetes, a stomach ulcer, hypertension, heart problems. When a woman becomes pregnant, there are two specialists who will need to select medicines: the doctor who treats the main disease and the obstetrician-gynecologist who leads the pregnancy.

You can not refuse the drugs and if the pregnancy occurs with complications or several previous attempts to endure the baby have failed. In this case, medicines are prescribed that help the child to grow and develop. It can be a means of relaxing the uterus or delivering nutrients to the future baby, as well as expanding vessels and improving blood circulation in the placenta. It can also be about drugs that fix hormonal processes in the body of a woman, prevent premature birth or help easy crumbs to unfold when the birth is scheduled ahead of time.

And in the first and second cases, you should not be afraid of taking medications, since the benefits of taking them are many times greater than the risk for a future mother and her baby.

Five categories

On what is the doctor oriented, prescribing this or that medicine to a pregnant woman? Usually, he relies on medical literature and statistics, his experience of using certain drugs in the treatment of expectant mothers, and also takes into account the likelihood of a teratogenic effect. To reckon it helps classification of drugs by the degree of safety during pregnancy. Depending on this, all drugs are divided into 5 groups. The belonging of the drug to a particular group must be indicated in the instructions to it.

Preparations of group A are absolutely safe for the baby throughout pregnancy, which is confirmed by the studies. Alas, there are practically no medications that can be attributed unconditionally to this group. Category B refers to drugs that either did not have a teratogenic effect at all, or complications that were noted in studies in animals, were not found in children whose mothers took these drugs. This, for example, water-soluble vitamins, trace elements, means for heartburn, laxatives of plant origin and antiulcer drugs. The effects of Group C drugs are either insufficiently studied, or negative effects have been observed in animal tests, but no tests have been carried out in humans. However, the potential benefit exceeds the possible risk. These include magnesium sulfate in solution, some antibiotics (penicillins, cephalosporins, macrolides), antifungal agents (eg, nystatin), laxatives such as imodium, lowering drugs (eg, atenolol). As a rule, those medicines that doctors recommend to expectant mothers are just in groups B and C.

In some very serious situations, the doctor may recommend a drug from group D. Although there is evidence of their negative effect on the unborn child, the doctor bases his experience when he recommended the medicine to future mothers and treated without complications. In addition, the risk of use is much less than the expected benefit. In this category, there are hood and enap, antidiabetic drugs and antibiotics such as tetracyclines and levomycetin.

Preparations of group E in connection with the proven teratogenic effect of pregnant women are contraindicated. The risk of taking them significantly exceeds the benefit. Such a remedy is, for example, drugs for dissolving gallstones.

Find a replacement

When, due to health problems, a future mother turns to doctors, she must certainly warn them about her situation. This should be done even if you only came to put a seal on the tooth. In this case, the doctor will be able to select the safest, but nevertheless effective drugs.

In many situations, people's means can come to the rescue. For example, with a cold, tea with honey and raspberries, which, by the way, contains natural substances similar in action to paracetamol. Used in ARI and homeopathic drugs that are allowed during pregnancy (attention: not all!) And local antiseptic drugs that do not have a common or systemic effect on the entire body. It is possible to find out the names of specific medications from a doctor, with him it is necessary to consult about their use.

At a temperature above 38.5 ° C, the doctor may prescribe paracetamol preparations. They have not only antipyretic, but also analgesic effect. Refuse from their reception should not be, because high temperature is dangerous, including for the unborn child.

If the cold is accompanied by a cough, the choice of expectorant and mucolytic drugs should be approached very thoughtfully. You can not independently, without consulting a specialist, to pick and take even herbal syrups from a cough. After all, some medicinal plants may increase the risk of spontaneous abortion.

As for such frequent in future mothers problems, as constipation, then do not rush with the intake of laxatives. It is better to pay attention to whether there are enough vegetables and fruits in the diet, and do not neglect foods with a lax effect - beets, apricots, dried apricots, prunes and fresh yogurt.

Getting Rid of Infections

A special conversation deserves the application during the carrying of the baby antimicrobial agents. After all, not all women heal teeth, chronic tonsillitis and sexual infections before the onset of pregnancy.

If the future mother found any infection, antibacterial drugs can not be avoided. But it should be remembered that not all of them are under the ban for pregnant women. Although the drugs penetrate the placenta, penicillins usually do not harm the baby. Also macrolides - azithromycin, josamycin are comparatively safe, which are used, for example, in the treatment of a clamidiosis detected during pregnancy. In any case, there is no information about their adverse effect on the mother developing in the abdomen. In this case, treatment is conducted after the 20th week.

In trimester I can not take trichopolum (metronidazole), since there is evidence of malformations in children whose mothers took this medicine in the early stages. For the same reason, tetracyclines are not recommended.

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