Antiviral agent for pregnant women in the first trimester. Antiviral drugs for pregnant women for prevention

Every woman pays special attention to herself and her health during her pregnancy. It is very important for the period of bearing a child to eat right, rest and in no case get sick.

The most common cold is a very common and one of the dangerous diseases among pregnant women. And in case of illness, the expectant mother must certainly be cured.

For pregnant women, there are safe cold remedies that can be taken, but at a certain time and in a certain amount.

The main causes of colds are reduced immunity and, of course, viruses.

From the first days of pregnancy in the body future mother hormonal failure and restructuring occurs, with an increase in the blood of a hormone such as progesterone, which responds and protects the fertilized egg and the whole process of favorable gestation.

For the correct course of pregnancy, so that the woman's body does not reject the fertilized egg as a foreign body, the woman's muscle tone is weakened in the woman's body, as well as her immune system. This is normal and necessary.

Due to the weakening of female immunity, the body of the expectant mother becomes the most vulnerable and susceptible to infections and viruses, which leads to a high risk of falling ill with all sorts of colds. That is why the common cold is very common among expectant mothers during pregnancy. And at the first signs of the disease, every effort should be made to cure it, preventing complications of the disease.

Signs of colds

One of the first and sometimes deceptive signs of a cold is a deterioration in well-being. Almost all expectant mothers are faced with such a negative factor as toxicosis, the symptoms of which are very similar to the first symptoms of any cold.

Malaise, headache, fatigue, nausea - all this can accompany a woman during pregnancy.

Therefore, every pregnant woman needs to hear and understand her body in order to recognize the signs of a cold in time. Usually, colds are accompanied by a runny nose, cough and sore throat, fever and chills, which indicates the active development of a cold.

Very often, nasal congestion in a pregnant woman is not a sign of a cold. But with severe swelling, sneezing and a profuse runny nose, it is worth determining what kind of cold or allergy it is, with mandatory further treatment.

This is already a dangerous stage of the disease, which is very negative during pregnancy and requires urgent and urgent treatment under the supervision of a doctor.

With a cold For a pregnant woman, the temperature is very dangerous. and she points to an infection that needs to be removed from the body of the expectant mother. Bring down the temperature should be only on the instructions of your doctor.

It is worth remembering that the above signs of a cold can also accompany more serious diseases, such as sinusitis, sinusitis, laryngitis, bronchitis, pneumonia, so a visit to an experienced doctor is necessary at the first symptoms of a deterioration in well-being.

Consequences of colds

Any catarrhal disease during pregnancy must be treated and treated correctly in order to avoid consequences and complications.

A bacterial infection can join the simplest cold, which will cause complications of the disease and lead to a negative course of pregnancy and the development of the fetus with its defects.

In the early stages of pregnancy, it is especially necessary to beware of colds. because this is the most dangerous period. It is at this time that the placenta is formed and the risk of the virus getting to the fetus is highest, as is the likelihood of a miscarriage.

On the later dates pregnancy colds are less dangerous for the baby, but in the absence of proper treatment, the risk of complications and consequences is also very high.

Therefore, it is very important for any colds not to be nervous and worried, but be sure to contact specialized doctors for advice and recommendations for treatment. Only a professional doctor can determine which medicines and which treatments to take for pregnant women with a cold. Most often, with the prevention and timely and proper treatment of a cold, possible consequences and complications can be avoided.

Cold treatment during pregnancy

If it is determined that a pregnant woman is ill with a cold, at the first symptoms of it, you should seek the advice of a specialized doctor.

He will establish the correct diagnosis and determine how to quickly and effectively overcome the disease so as not to harm the unborn child and the pregnant woman herself. It is the doctor who will prescribe the necessary, safe, but effective means with a cold, prescribing the permitted dose of medication.

General advice for colds:

bed rest;
dream;
plentiful, warm and fortified drink;
varied diet;
being in a ventilated area.

Medicines for pregnant women for colds stand out in a separate category, because only they are so carefully checked for their safety both for the pregnant woman herself and for the child she is carrying.

Many of them are allowed only for certain periods and in certain dosages.

The instructions for many drugs indicate that they are contraindicated during pregnancy, while others indicate that they can be taken as directed by a doctor if the expected benefit outweighs the risk to the fetus, and that the use is not recommended because clinical studies have not been conducted.

Therefore, it is impossible for expectant mothers to choose medicines for colds without a doctor's prescription, it is important to know whether the composition of certain drugs is contraindicated during pregnancy. The approach to treatment must be individualized. Treatment depends on the duration of pregnancy and the severity of the cold.

After many pharmacological conclusions, having studied the official instructions for most popular medicines and the recommendations of doctors, one can compile a small but safe and fairly effective list of cold remedies.

Antivirals

The initial symptoms of a cold can be stopped by folk methods, and the use of antiviral drugs for pregnant women is necessary only in the case of severe acute respiratory viral infections, especially influenza, as well as herpes.

It is very dangerous to use antiviral agents for expectant mothers in the early stages of pregnancy.

It is during this period that the formation of all organs in the child occurs, therefore, the toxic effects of drugs can lead to the development of various severe congenital pathologies. This risk decreases as the fetus grows, so prescribing antivirals for colds in late pregnancy is already safer.

Antiviral drugs allowed during pregnancy refer only to the groups of interferons and homeopathy:

Interferons, such as Grippferon, Viferon, Cycloferon.These drugs contain interferon, which has antiviral, immunomodulatory and anti-inflammatory effects. They can be used at any stage of pregnancy. It is also considered a relatively safe antiviral agent for pregnant women. Anaferon. It is effective against viruses and bacteria, has a positive effect on the immune system. However, this drug is not recommended for pregnant women prone to allergic reactions.
Homeopathic remedies such as Oscillococcinum. These funds should be prescribed only by a doctor. Many homeopathic preparations contain small amounts of poisons, but cold and inflammation viruses are very effective.
Artificially synthesized agents, for example, Acyclovir. Designed to fight herpes. But the appointment of such antiviral agents is not recommended during early pregnancy. They are prescribed only if the intended benefit to the woman outweighs the possible risk to the fetus. The risk of this effect is reduced with topical application of acyclovir ointment.

Very helpful for coldssweat, but in order for the body not to suffer from dehydration, a plentiful warm drink is required , such as teas with honey, lemon, raspberries, herbal decoctions and fruit drinks that improve the well-being of a pregnant woman.
In the later stages of pregnancy, you can not abuse the plentiful drink, because a lot of fluid in the body enhances the work of the kidneys, which are already overloaded.

Take hot baths, steam your feet, use mustard plasters, hot steam inhalers and physiotherapy.
Also, in the treatment of colds, you should not take St. John's wort, coltsfoot, echinacea or ginseng, because of which pressure rises and allergies appear. Licorice root stimulates uterine contractions, so a woman may have a miscarriage.

Remedies for nasal congestion and runny nose

The safest remedies for nasal congestion for pregnant women are:

Aqualor;
Aquamaris;
Physiomer.

These are sprays, the main component of which is harmless sea water.

In order to rinse and clean the nose, every pregnant woman can prepare a remedy at home from ordinary cooking or sea salt and soda. You should add a few tablespoons of salt, soda and a couple of drops of iodine to a glass of boiled water, completely dissolve them in water. Then use in each nasal passage, using a regular medical syringe or a small syringe for this.

It is very good when washing the nose so that the saline solution reaches right to the throat, collecting all the accumulated mucus. Then blow your nose well. Rinse your nose as often as possible, at least once an hour.

For the treatment of nasal congestion, steam inhalations are allowed for expectant mothers, using a nebulizer or a regular pot with hot broth. Useful decoctions of chamomile, sage, eucalyptus, pine and spruce cones.

Also, a boiled egg or hot salt will help to warm up the nose and rid it of congestion. The main thing with these procedures is not to burn the skin of the nose and cheeks. Therefore, it is necessary to wrap a hot egg or salt in an extra handkerchief or a small towel.

Be sure to ventilate and humidify the rooms in which there is a pregnant woman.

The most important thing that expectant mothers need to know is that you should never use vasoconstrictor drops during pregnancy! These drugs cause vasoconstriction not only in the nose, but throughout the body, including the placenta, worsening the blood supply to the child.

If, nevertheless, your doctor prescribes such medicines, then these should be only children's drops and it is also recommended for pregnant women to take them in children's dosages, no more than once a day and no longer than 2-3 days.

Of these medicinal drops, according to its official instructions, we can recommend Pinosol. Although the main composition of herbal ingredients, it effectively removes phlegm from the nose.

A runny nose that is not treated in time can turn into such serious diseases as sinusitis and sinusitis, so a doctor's consultation will not be superfluous even with mild nasal congestion.

When the nose is clogged and the runny nose is not cured in time, they begin to breathe through the mouth, infections get into the throat, and it becomes inflamed. Perspiration, burning and pain when swallowing in the throat is an unpleasant symptom of a cold and is associated with dryness and irritation.

At the first symptoms, a pregnant woman should definitely drink plenty of fluids to avoid dehydration. Drinks that are too hot or cold, such as hot tea or too cold water, should be avoided. Warm teas with honey or raspberry jam help a lot.

To prepare a saline solution, dissolve in a glass of boiled water a few tablespoons of ordinary table or sea salt, a couple of tablespoons of soda and a few drops of iodine. Mix the solution thoroughly and gargle at least once an hour.

For the preparation of herbal decoctions, it is most often recommended to use calendula, chamomile, oak bark, sage. A few tablespoons of dried herbs are poured with hot boiled water and infused for at least 2-3 hours. Strain well and gargle at least every hour before use.

Of the pharmaceutical medicines for gargling, expectant mothers are recommended only Chlorophyllipt solution. This eucalyptus-based drug helps with sore throat, laryngitis and other colds.

Also, for pain and any discomfort in the throat, you can use sprays and lozenges.

Of the numerous drugs in these categories, only the following can be used during pregnancy:

Lizobakt;
Pharyngosept;
Laripront.

The excellent antiseptic composition of these medicines is safe, but quite effectively relieves pain and swelling of the throat. They act locally and have a bacteriostatic, analgesic and softening effect.

Do not forget that even the most harmless remedies have a number of contraindications, so you should consult your doctor before using any of them.

If the discomfort in the throat does not go away even after the use of medicines for 2-3 days, you should immediately consult a doctor until cough and fever join the usual sore throat and sore throat.

Cough remedies

Cough can appear with SARS, throat diseases, allergic reactions. Only a doctor can determine the cause of a cough after an examination and test results. And the choice of medicines and the effectiveness of treatment will depend on the correctness of the diagnosis, taking into account the gestational age and other characteristics of the pregnant woman.

With a dry cough in a woman, the mucous membrane of the larynx is irritated, there is a load on the muscles abdominal cavity. Treatment should be aimed at moisturizing the cough. With a wet cough, copious sputum production occurs, which indicates the cleansing of the respiratory tract from pathological plaque. To improve the process of sputum discharge, drugs with an expectorant effect are prescribed.

Dry cough is well softened by herbal teas. It is very useful to rub the chest with warming ointments. Pregnant women are recommended to drink tea with lemon and honey during the day, and warm milk with butter and honey in the evening before going to bed.

From pharmacy cough preparations, expectant mothers are recommended tablets and syrups, only from natural ingredients.

The following medicines are safe for the child and for the pregnant woman herself in any trimester:

Herbion Plantain syrup;
Mukaltin;
Doctor Mom.

These cough preparations have practically no effect on the child, but nevertheless, pharmacy products should be selected by a doctor, and not by the sick person herself, because dangerous components may be present in some drugs.

Remedies for temperature

One of the first and main symptoms of a cold is fever. Temperature contributes to the production of its own interferon, which fights infectious viruses.

But if it is usually not recommended to bring down the temperature below 38.5 degrees, then for pregnant women the temperature should not be brought higher than 37.5 degrees. Expectant mothers are advised to drink plenty of warm water. The more fluid enters the body, the more viruses and bacteria are excreted from it along with urine.

At elevated temperatures, do not wrap yourself in a warm blanket or wear warm clothes, on the contrary, you should undress and wipe your body with cool compresses. Compresses are best made from table vinegar or vodka diluted in water. With a soft towel dipped in the solution, they wipe the body, and make a compress on the forehead. Cool compresses stimulate perspiration and help reduce fever.

Only one thing can be said about pharmaceutical preparations - there are no safe antipyretic drugs for fever for pregnant women!

Therefore, at elevated temperatures, it is necessary to call a doctor at home and follow all his recommendations for treatment. Pregnant women should not take any paracetamol-containing drugs on their own.

In no case should you fight the temperature with antibiotics, because they are all dangerous to the health of the child.

Antibacterial agents

With complications of colds, you may need medicines that can eliminate bacterial infection. Only a doctor will determine the need for taking antibacterial agents, having done all the tests to determine the sensitivity to certain drugs.

With an urgent need for admission, pregnant women are usually prescribed antibacterial agents of the amoxicillin group.

Drugs such as:

Amoxiclav;
Augmentin;
Flemoxin.

General recommendations for the prevention of colds

It can be quite difficult to cure a cold during pregnancy, especially in the early stages, when almost all medicines are prohibited. Therefore, it is worth taking care of your health in advance.

Self-administration of any immunostimulants for pregnant women is prohibited.

Many expectant mothers during their pregnancy suffer from colds. But as practice shows, if treatment is started in a timely manner, it is possible to defeat a cold with the use of a small and safe amount of medicines. When the disease is already running, the disease can cause complications.

Self-medication for any cold is not worth doing. It should be remembered that even the most harmless at first glance means for treatment must be agreed with the doctor.

Pregnancy is not only an amazing period when a whole organism begins to form from just two parental cells. It is also a time of great responsibility. After all, now a woman is responsible not only for herself, but also for her child.
Mechanical and immune protection, nutrition and excretion, hormonal support and respiration of the fetus - all these functions are carried out thanks to the mother's body.

However, it is not uncommon for the expectant mother to fall ill. This is not surprising, since during the period of bearing a child, the female body reduces its immune defenses. This happens due to the fact that half of the genetic material of the fetus is foreign to the mother's body. Decreased immunity is a mandatory sign of pregnancy. Not without reason, doctors are asked to "take care of yourself" during the period of gestation.

Any more or less serious disease of the mother requires effective therapy. Therefore, we have prepared full list medicines for pregnant women, so that you can competently carry out treatment with minimal risk to your child.

It is important to emphasize that the vast majority of doctors do not recommend the use of drugs during pregnancy. None at all. However, you see, it is not always possible to cope with the disease without medication. Therefore it is extremely important in case of urgent need use drugs with minimal risk to the fetus after painstaking study of the instructions for use (section: "during pregnancy").

Due to reduced immunity, a cold during pregnancy is the most frequent companion of women. Temperature, runny nose and headache, herpes on the lips, body aches and weakness, cough and sore throat - all these are signs of the disease that require immediate treatment. Let's consider what medicines can be taken by pregnant women with a cold.

The cause of the common cold in the vast majority of cases are influenza viruses or SARS. The use of antiviral agents is indicated only in case of urgent need, with extreme caution in the 1st trimester. Women "in position" can use the following medicines from SARS and influenza for pregnant women.

Antiviral drugs during pregnancy:

Tamiflu, Relenza, Nomides, Influcein, Acyclovir - directly destroy the virus.
Viferon (from 14 weeks), Grippferon, Giaferon (with caution), Oscilococcinum - have an immunostimulating and antiviral effect.

As a prophylactic against SARS, pregnant and lactating women can be used.

Cough medicines for pregnant women

A wet or dry cough during pregnancy is often a symptom of colds and viral infections. Here, nature itself comes to the aid of expectant mothers, since the main group of drugs in this case is herbal remedies. Cough during pregnancy can be treated with the following drugs:

Mukaltin tablets (marshmallow extract).
Cough tablets (thermopsis).
Althea syrup.
Licorice syrup.
Vegetable syrups Dr. Theiss.
Tusuprex tablets.
coltsfoot extract.
Plantain extract.
Lozenges and lozenges with extracts of sage, plantain, eucalyptus, chamomile. For example, Travisil or Doctor Theiss.
Gedelix.
Bronchicum.
ACC for sputum discharge (use under medical supervision).

From the 12th week of pregnancy it is allowed to take Lazolvan (syrup, solution, tablets). And from 14 weeks it is allowed to use Stoptussin and Intussin drops.

Caution should be exercised when using Sinekod drops and syrup, Omnitus syrup, as well as Codelac Neo tablets and syrup. Use them mainly in the later stages only when absolutely necessary.

How to treat a runny nose during pregnancy?

Nasal congestion and constant discharge from the nose cause a lot of discomfort. A woman has to breathe through her mouth - this leads to the drying of the oral cavity. In addition, breathing through the nose warms the incoming air and allows it to be additionally filtered from bacteria and viruses. You can restore normal nasal breathing with sprays and solutions based on sea water or saline:

Aqualor.
Aquamaris.
Marimer.
0.9% sodium chloride solution (physical solution).
Special devices for washing the nose (Dolphin).

The use of vasoconstrictor drops based on xylometazoline and oxymetazoline is allowed only from the 14th week of pregnancy. At this time, Otrivin, Nazivin, Nazol, Xymelin and similar agents can be used. It is advisable to use them for no more than 3-4 days in children's dosages.

Headache medicines for pregnant women

Almost any disease is accompanied by pain. They signal to us that not everything is in order in the body and that urgent help. Toothache and headache are the most common reasons for using painkillers or analgesics.

In addition, a pregnant woman becomes more sensitive to irritating factors. Therefore, a headache during pregnancy is not at all uncommon, and it is allowed to treat it with the following means:

Paracetamol. The safety of the drug is not in doubt. Reception is recommended to start with a children's dosage (250 mg) and, if there is no effect, gradually increase the dose.
No-shpa tablets and suppositories Papaverine are used to eliminate spasm of cerebral vessels. These spasms can cause severe headaches and migraines.
Ibuprofen, Nurofen. However, these drugs are not used in the 3rd trimester and are used with caution in the 1st and 2nd trimesters.

This list of safe painkillers can be supplemented with auxiliary measures to eliminate pain:

More rest in a calm environment, if necessary, you can take 1 tablet of Valerian.
Use aromatic oils (lavender, mint, tea tree) or Golden Star balm. This will take your mind off the pain.
Attach to head tissue paper moistened with cool water.
Ventilate the room more often and prevent stagnation of air.
Traditional methods of treatment of headache. You can apply a cabbage leaf or lemon zest to your head.

Sore throat medicines for pregnant women

Sore throat often accompanies colds. As a result, there is perspiration, pain, discomfort when swallowing and speaking. Sore throat during pregnancy can be eliminated by the following means:

Warm infusion of the herb Chamomile.
Tablets Laripront and Lizobakt during pregnancy are the drugs of choice, since their main component - lysozyme - is found in human saliva and is a natural antiseptic.
Gargling aqueous solution 0.05% Chlorhexidine or Furacilli. You can use Miramistin (spray or solution). These drugs are not absorbed into the blood and do not penetrate the baby. However, the use of chlorhexidine solution can lead to the appearance yellowness of the teeth.
Tea tree oil. Add 2 drops to a glass of warm water and use as a rinse. For the procedure, you must purchase a clean essential oil. Use for rinsing cosmetic oil Not recommended.
Lubrication of the throat with Lugol's solution. This is an effective method, but the procedure itself can provoke a gag reflex. Alternatively, you can use Lugol in the form of a spray.

Now you know how to treat a cold during pregnancy and will be able to cope with this disease on your own.

Heartburn medications for pregnant women

An increase in the size of the fetus invariably leads to an increase in compression on the hollow organs of the pelvis and abdominal cavity. In the second and especially in the third trimester, there is additional pressure on bladder, intestines and stomach, which affects the mode of their work.

Frequent urination and defecation is the norm for pregnant women. Heartburn during pregnancy, on the other hand, delivers significant discomfort and requires immediate measures to eliminate it. You can get rid of heartburn during pregnancy at home using the following remedies:

A solution of baking soda (1/2 spoon per 200 ml glass).
Maalox.
Rennie.
Gastal.
Phosphalugel.
Gaviscon.
Almagel.

It should be remembered that some of the antacid preparations contain aluminum compounds. This component is safe for pregnant women, but can lead to constipation. Difficulties in defecation are highly undesirable, as they increase the risk of hemorrhoids.

A complete list of drugs for pregnant women

Medicine	Activity spectrum and notes
Tamiflu, Relenza, Nomides, Influcein	Against influenza viruses
Acyclovir cream, Acyclovir ointment	Antiherpetic agent
Viferon, Grippferon, Giaferon, Oscilococcinum	They have an immunostimulating and antiviral effect
Mukaltin, Cough tablets, marshmallow syrup, licorice syrup, Travisil, Gedelix	Antitussives
Aqualor, Aquamaris, Marimer, 0.9% sodium chloride solution, Dolphin	Restore nasal breathing (can be used at any time)
Otrivin, Nazivin, Nazol, Xymelin concentration for children	Restore nasal breathing (can be used from 14 weeks)
Paracetamol, Ibuprofen and Nurofen	For toothache or headache. Ibuprofen and Nurofen should be taken with caution in the 1st and 2nd trimester, they are contraindicated in the 3rd trimester
No-shpa, candles Papaverine	For spasms and pain caused by spasms
Linebact Maxi	Synbiotic for restoration of intestinal microflora

Preparations from the presented list have a minimal effect on the child. But they should be used only if it is not possible to normalize the condition with the help of non-drug methods of treatment.

The mechanism of action of funds

Viruses are not capable of independent existence. They penetrate the cells, continue further development and reproduction at their expense.

Therefore, it is almost impossible to destroy the virus without damaging the body's own cells. Some antiviral drugs prescribed during pregnancy are able to "embed" in the genetic chain of the virus, preventing its further reproduction, but this entails the risk of side effects.

Antiviral drugs allowed during pregnancy can be divided into several groups.

Artificially synthesized agents, for example, Acyclovir, Oseltamivir, Zanamivir.
interferons such as Viferon.
Homeopathic remedies, for example, Anaferon or Oscillococcinum.

It is very dangerous to use antiviral drugs during early pregnancy. During this period, the formation of all organs and systems in the fetus occurs, so the toxic effects of such drugs can lead to the development of severe congenital pathologies. This risk decreases as the fetus grows, so prescribing antivirals during pregnancy in the 2nd and 3rd trimesters is already safer. Pay more attention to how a gynecologist determines pregnancy and learn about original ways to announce your pregnancy.

The most common viral infections in pregnant women are respiratory diseases (ARVI), including influenza. Other diseases of a similar nature are characterized by a chronic course and are detected at the initial stages of bearing a child according to the results of an analysis for TORCH infection. For them, symptomatic treatment or therapy at the stage of exacerbation is recommended.

What should the doctor decide?

The officially approved antiviral drugs for use during pregnancy are as follows.

Viferon. The main component of this tool is human recombinant alpha-2b interferon. It does not affect the virus itself in any way, but very effectively prevents its further development, increasing the immune defense of the body's own healthy cells. The drug is available in the form of rectal suppositories, which ensures its rapid absorption and entry into the blood, while reducing the negative impact on the kidneys and liver of a pregnant woman. Viferon ointment can be applied topically when herpetic eruptions appear on the skin.
Anaferon. Although this homeopathic remedy is widely prescribed for pregnant women, its effect on the fetus is not well understood. However, doctors prescribe this antiviral drug during pregnancy in the 3rd and 2nd trimester for the prevention and treatment of acute respiratory viral infections.
Oscillococcinum is also a homeopathic remedy. It contains an extract of the heart and liver of the Barbary duck, which is a carrier of the influenza virus. This is the reason for the effect of this drug. It is available in the form of a topical spray, which reduces the risk of side effects on the fetus.

Usually, these antiviral agents during pregnancy are prescribed to alleviate the course of diseases, reduce the severity of symptoms. As for homeopathic medicines, they are referred to as remedies with unproven effectiveness. However, many doctors note a positive effect after application.

But even these antiviral drugs It is forbidden to take during pregnancy in the 1st trimester due to the high risk to the fetus.

All kinds of antiviral drugs during pregnancy (1 trimester and for later periods) can be divided into three main groups:

Drugs whose active substances cannot cross the placenta and will not harm the unborn child.
Drugs whose active substances can cross the placenta, but do not affect the intrauterine development of the fetus.
Drugs whose active substances are able to cross the placenta and accumulate in the tissues of the embryo.

From the names themselves, it becomes clear that it is best to give preference to funds from the first, in extreme cases, the second group. In most cases, these are homeopathic or immunomodulating preparations.

But the use of medications that are included in the third group should be avoided so as not to increase the risk of abnormal development of the fetus.

What kind of medication

Antivirals for pregnant women are a special group of drugs whose action is aimed at the destruction of viruses.

It is not recommended to take them without a doctor's prescription during childbearing. Some of them have a negative impact on the intrauterine development of the fetus.

Medicines can both act directly on the viral forms that have entered the body, and stimulate the immune system.

For the correct selection of medication for a pregnant woman, it is necessary to first undergo a comprehensive examination and consult a doctor.

Often, when pregnant, a woman is forced to take medication, despite the risk of their negative impact on the health of the unborn baby. The immune system cannot always resist the activity of viruses and microbes, especially while waiting for the baby. The need to prescribe an antiviral drug for pregnant women appears with severe acute respiratory viral infections, influenza and exacerbations of chronic infections, such as HPV or herpes.

This cannot be avoided, since viral infections can provoke the development of serious complications in the mother and fetus. When choosing a treatment, it is important to take into account not only the specifics of the disease, but also the fact that not every drug is suitable for a woman in position.

There is a list of relatively safe and approved drugs for the treatment of colds and flu, as well as the removal of concomitant symptoms in expectant mothers. Let's consider them in more detail.

Oscillococcinum is a homeopathic antiviral remedy in granules, aimed at eliminating the symptoms of a cold and speeding up recovery. The drug stimulates the synthesis of natural interferon. Oscillococcinum is safe for expectant mothers and does not cause side effects (except for individual intolerance).

Anaferon is a relatively safe antiviral drug that can be used to treat pregnant women. It is effective against viruses and bacteria, has a positive effect on the immune system. Anaferon is not prescribed for women prone to allergic reactions.

At the first signs of SARS and influenza, the drug is taken 1 tablet every 30 minutes for 2 hours. Then, for 3 days, Anaferon is used according to the standard scheme - 3 times a day. The tablet is kept in the mouth until completely dissolved.

Bromhexine is an antitussive drug with an expectorant effect. Consists mainly of natural ingredients. There is no evidence that Bromhexine has a teratogenic or embryotoxic effect, so the drug is allowed during pregnancy.

Contraindications to the appointment of Bromhexine are gastric and duodenal ulcers, individual sensitivity to the drug.

The drug is prescribed 1 tablet (8 mg of active substance) 3-4 times a day. The therapeutic effect appears on the third day from the start of treatment.

Flavamed is a complex drug with mucolytic and expectorant properties. It is undesirable to prescribe it in the first trimester, since the effect of the active component of the drug has not been fully studied. It is used for wet cough and respiratory diseases of inflammatory and non-inflammatory etiology. Read more about safe ways to treat cough during pregnancy→

Contraindicated in persons suffering from epilepsy, gastric and duodenal ulcers, kidney and liver diseases. The drug is taken 30 mg (1 tablet) 3 times a day. If necessary, the doctor can change the dosage of the drug.

Antipyretic

Paracetamol is one of the most effective antipyretic drugs that can be purchased separately or in a complex composition of antiviral drugs. During pregnancy, it is better to use paracetamol separately, in its pure form.

The drug is prescribed for unexpressed pain and fever against the background of colds. Contraindications to its use are: anemia, kidney and liver disease, allergy to the components of the drug. A safe dosage of Paracetamol for expectant mothers is 500 mg (1 tablet) 3-4 times a day.

Aflubin is a homeopathic antiviral drug often prescribed in early pregnancy for the complex treatment of colds and flu. Aflubin cannot affect the root cause of the disease, but it is able to eliminate the symptoms of infection, including lowering body temperature.

Also, the drug has a positive effect on the state of the immune system. In addition to individual intolerance, this remedy has no contraindications. Aflubin is produced in the form of drops and tablets. The course of treatment and dosage depends on the condition of the patient.

For sore throat

Faringosept is an effective antiseptic drug approved for expectant mothers. Excellent relieves pain in the throat, eliminates discomfort and swelling of tissues. It is prescribed for the treatment of pharyngitis, tonsillitis, gingivitis and stomatitis. Contraindicated in case of individual intolerance to the components of the drug.

During pregnancy, treatment with Pharyngosept should not last less than 4 days. It is necessary to dissolve 1 tablet of the drug 3 times a day per day, preferably after taking Faringosept, do not eat for 2 hours.

Spray Ingalipt - a remedy for relieving swelling and sore throat. It has antiseptic, analgesic, anti-inflammatory and bactericidal effects. It is prescribed for angina, pharyngitis, tonsillitis for expectant mothers and children under one year old. Contraindicated in case of intolerance to the components of the drug. The spray is used per day for 3-4 inhalation sessions, with a course of no more than 10 days.

Nasal drops

Pinosol is a drug with anti-inflammatory, vasoconstrictive, antimicrobial, immunomodulatory and softening spectrum of action. It is prescribed for a cold. The composition of Pinosol is predominantly natural, so the product is safe for the expectant mother in the absence of allergies to the components.

Pinosol is instilled into the nasal cavity 1-2 drops 3 times a day. The course of treatment is no more than a week.

Grippferon is a therapeutic and prophylactic antiviral agent prescribed during pregnancy during outbreaks of influenza and SARS. It has antiviral, anti-inflammatory, immunomodulatory, antimicrobial and absorbent effects. Grippferon is absolutely safe during pregnancy.

The drug is instilled into the nasal cavity every 3 hours, 3 drops at the first signs of the disease. For prophylactic purposes, it is used in the morning and evening at the same dosage.

Candles Viferon - an immunomodulatory agent to combat influenza, herpes, rubella and other diseases. The drug is safe during pregnancy and effective against most viruses. Read more about the use of Viferon during pregnancy→

The course of treatment usually lasts up to 10 days. Candles are administered rectally 2 times a day - in the morning and in the evening.

In what cases are assigned

Antibiotics are not suitable for the treatment of diseases from this list. Antivirals have a narrow focus of action.

Antiviral drugs during pregnancy by trimester

ARVI is especially dangerous in the 1st trimester - it is at this time that the laying and formation of all the vital organs and systems of the baby takes place. Any infection and failure in the mother's body can provoke the development of defects.

In the 3rd trimester, the risk of a respiratory viral infection for a baby is no longer so high - it is reliably protected amniotic fluid and placenta.

However, a woman should, if possible, avoid visiting crowded places at this time (especially if there is a massive epidemic, for example, in the autumn-winter period).

Immunocompromised pregnant women are at risk for contracting SARS. If contact with the virus could not be avoided, the pregnant woman will feel the following symptoms:

perspiration, sore throat;
discharge from the nose and eyes;
sneezing
difficulty breathing and nasal congestion;
lethargic state;
drowsiness;
cough;
increased body temperature;
chills;
headache;
decreased appetite.

Concomitant factors that increase the risk of developing the disease are:

hypothermia;
stress;
excessive physical exercise;
bad ecology;
poor quality food.

After the virus enters the body, the incubation period lasts 7 days. That is how much the immune system needs to recognize the virus and respond to its introduction and reproduction.

The causes of SARS infection are known to everyone and well studied:

contact with a virus carrier, i.e. a sick person, when talking, shaking hands, sneezing, coughing;
use of household items, utensils after the virus carrier;
contact with objects with which the patient has come into contact.

The infection enters the body through the mucous membranes of the mouth, nose, eyes. It is even worth rubbing your nose or scratching your eyes with a dirty hand on which the virus has fallen, for example, from a handrail in transport, and the virus will begin to penetrate into the body and its harmful effects.

Despite the fact that viral infections in the last trimester no longer pose such a danger to the child as at the beginning of the term, they still have negative consequences, primarily for the expectant mother:

Attack the immune system. This is fraught with the fact that it will be more difficult for a woman weakened by the disease during childbirth, and it will also be difficult to recover after them.
If an infection enters the body of a woman immediately before childbirth, the risk of infection of the newborn is high.
In recent weeks, the placenta is aging, which means that it cannot always properly protect the baby from infection.
If a woman is sick, after giving birth she is immediately separated from the baby in order to avoid infection, which means that the child will not receive the maternal colostrum and milk he needs on time and will not have the first contact with his mother.
The risk of developing complications in the form of otitis, bronchitis, sinusitis, pneumonia, the addition of a bacterial infection.

In the first place in the treatment of a pregnant woman, non-drug methods of therapy will come out: the use of folk remedies, frequent airing of the room, drinking plenty of water, washing the nose with salt solutions, wet cleaning, increasing the humidity in the room to 60–70%, lowering the air temperature in the room to 20 ° C .

At the first symptoms of a disease, a pregnant woman should immediately notify the gynecologist who observes the course of pregnancy. Together with the therapist, he can make a diagnosis and prescribe a competent treatment that will not harm the baby and help the mother cope with a cold faster.

Important! It is strictly forbidden to self-medicate while carrying a baby. Any drug, herbal remedy, breast collection can only be prescribed by a doctor. Even if you have already encountered a viral infection during this or a previous pregnancy, it is better to play it safe and once again clarify the methods of treatment with the doctor.

For sore throat

In case of illness, only reliable, time-tested drugs that are approved for pregnant women can be used, which must be indicated in the instructions. One of these drugs is VIFERON. This drug is available in the form of suppositories, ointment or gel. He carefully takes care of the health of women, and also contributes to the birth of a healthy baby.

Preparations VIFERON Gel and Ointment can be used already from the first trimester of pregnancy. With external and local application, the drug in the form of a gel / ointment has an effect only in the lesion. VIFERON Candles can be used from the second trimester, from the 14th week. In this case, a dosage of 500,000 ME is used, 1 suppository 2 times / day after 12 hours daily for 5 days.

The use of the drug VIFERON® in the treatment of urogenital infections (CMVI, herpetic infection of the mucous membranes of the genitals, ureaplasmosis) in order to improve the course and outcome of pregnancy contributes to:

helps to reduce the number of pathological conditions of a pregnant woman 2;
reduces the incidence of polyhydramnios by 1.9 times 1 ;
reduces the antigenic load on the body of the expectant mother and fetus 1 ;
reduces the risk of threatened miscarriage by 3.5 and 2.6 times, respectively 3 ;
reduces the number of patients with positive test for HPV DNA by 2.6 times 4 ;

The use of VIFERON® in pregnant women with urogenital infections (CMVI, herpetic infection of the genital mucosa, ureaplasmosis) in order to reduce the development of pathological conditions in a child contributes to:

reduces the number of children with intrauterine growth retardation by 1.7 times 2 ;
reduces the number of cases of development of hypoxia (oxygen starvation of the body) by 1.9 times 2 .

Reference and information material

Belyaev Dmitry Alexandrovich

General doctor

Budanov P.V., Strizhakov A.N. "Etiology, pathogenesis, diagnosis and treatment of intrauterine infection", Issues of gynecology, obstetrics and perinatology, 2010.
Bocharova I.I., Malinovskaya V.V., Aksenov A.N., Bashakin N.F., Guseva T.S., Parshina O.V. "The influence of viferon therapy in mothers in the complex therapy of urogenital infections during pregnancy on the immunity and health status of their newborns", 2009.
P.V.Budanov, A.N.Strizhakov, V.V.Malinovskaya, Yu.V.Kazarova, “Discoordination of systemic inflammation in intrauterine infection”, Issues of gynecology, obstetrics and perinatology, 2009.
Klimanova R.R., Malinovskaya V.V., Parshina O.V., Guseva T.S., Novikova S.V., Torshina Z.V., Zarochentseva N.V. "The effect of viral infections on the cytokine profile in pregnant women with a burdened obstetric history and immunocorrective therapy with human interferon alfa-2b", 2013.

* teratogenic - disturbing embryonic development

The appointment of antiviral drugs during pregnancy is necessary for the treatment of severe acute respiratory viral infections, especially influenza or exacerbations of chronic infections such as herpes or HPV.

This is because viral infections can cause extremely serious complications pregnancy, various pathologies of fetal development.

Viral infections are especially dangerous

In early pregnancy, viral infections, such as SARS and influenza, pose the greatest danger. It is at this stage future child develops most intensively, new organs and systems are formed in it, and the placenta is at an embryonic level and cannot fully protect the fetus from the pathogenic effects of viruses.

Any disease can cause a failure in the development of the unborn child, lead to spontaneous abortion, and in the later stages - cause premature birth and the birth of a weak or unviable baby.

Often, infections transferred during pregnancy cause severe congenital pathologies, intrauterine infection of the fetus. To avoid sad consequences, the first signs of malaise should not be ignored.

It is not recommended to self-medicate, since influenza and SARS require the appointment of antiviral and other medicines, and it is almost impossible to choose them yourself and not harm the unborn child. Even if you know which antiviral drugs you can take during pregnancy, it is necessary to visit a doctor and get tested.

Not all expectant mothers know which antiviral drugs can be used by pregnant women for flu and colds, and which ones are better to refuse so as not to harm the baby. Prohibited drugs include:

Aspirin, which has a blood-thinning effect, which is not always useful for the expectant mother and fetus.
tetracycline and streptomycin- drugs that adversely affect the formation process skeletal system future baby.
Analgin, the reception of which negatively affects the development of the fetus.
Remantadin and Gropronosin- means, the effect of which on the fetus has not been studied, but is often unpredictable.
Kagocel- a drug prohibited when carrying a child, like some other immunomodulators.
Xylene, Otrivin, Xylometazoline permissible for the treatment of nasal congestion in exceptional cases, since they have a negative effect on the vessels.

Bearing a fetus is a very responsible and important period for any woman. Often, due to the reduced functionality of the immune system, at this time the pregnant woman is ill with colds. Choosing the appropriate method of treatment, it is worth considering not only the nature of the disease, but also the risk of negative effects of drugs on the child.

These drugs are effective only against viruses (and they do not affect bacteria) - this is the main difference between antiviral drugs and antibiotics. The latter literally translates as "preventing life." In pharmaceuticals, this refers to the elimination of pathogenic bacteria, the eradication of which is directed by the action of antibiotics.

Overview of antiviral drugs allowed for expectant mothers

It's time to consider approved antivirals for pregnant women (1st trimester). The list of drugs is not so great:

"Viferon".
"Anaferon".
"Oscillococcinum".
"Grippferon".

All of them are highly effective in the fight against viruses, but at the same time do not have a significant effect on the development of the fetus. It is worth familiarizing yourself with each of the above drugs in more detail.

The drug goes on sale in the form of a gel, ointment and suppositories. It is used in the treatment of respiratory viral and inflammatory infectious diseases (flu, pneumonia, meningitis, sepsis, active phases of hepatitis, rubella, and so on). The drug in the form of an ointment is used for papillomavirus infections on the skin and mucous membranes, as well as for herpes.

The instruction to "Viferon" warns that the remedy is approved for use starting from the 14th week of pregnancy. First of all, it concerns suppositories. But the doctor can prescribe the gel and ointment at an earlier date, since they have an effect only in the lesion.

In addition to early pregnancy, the drug has other contraindications for use. In particular, this is an increased sensitivity to the constituent components of Viferon.

Side effects from treatment with this remedy are found only in isolated cases. They can manifest as an allergic reaction, which is accompanied by itching and a rash. As a rule, after discontinuation of the drug side effects disappear within 72 hours.

The next antiviral allowed during pregnancy (1 trimester) is Anaferon. It is available only in the form of tablets. Indications for use, according to the instructions, are:

various forms of herpes;
acute respiratory viral diseases;
early stages of influenza;
decreased immunity;
cytomegalovirus infection.

In addition, the drug can be used as a prophylactic during epidemics of colds.

"Anaferon" is contraindicated in people with hypersensitivity to its active or excipients.

Can this antiviral be used during pregnancy (1st trimester)? Yes, otherwise its name would not appear in this article. But it is important to consider that in the early stages of the use of any of the medications, you must first consult with your doctor. He will take into account the possible risks and benefits, and then decide on the need to use Anaferon.

By the way, there is not only an “adult”, but also a “children's” form of the drug. In some cases, the doctor prescribes it to the pregnant woman. It is believed that this option is safer, although no less effective.

You should be careful with the use of this drug. Failure to comply with the permitted dosage or its too frequent use can lead to the development of an allergic reaction.

A) Synthetic (chemical): "Zanamivir", "Ocyclovir" and many others.

B) Interferons are a special group of proteins that are produced by cells of the immune system in humans and many animals as a response to the invasion of viruses into the body. An example of such a drug is Viferon.

C) Homeopathic substances: Oscillococcinum, Anaferon. Homeopathy involves the use of a highly diluted active ingredient. This area of medicine belongs to non-traditional methods, but there are many such drugs in pharmacies and, judging by the reviews, homeopathy often works very well. Homeopathic remedies are often used to prevent SARS.

"Light" drugs

In order to quickly overcome a viral infection, expectant mothers are prescribed effective, but safe medicines for the baby. First - about the means for the treatment of viral infections that occur in a mild form.

"Viferon" - fights not only against viruses, but also against bacteria. This is one of the first antiviral drugs that doctors prescribe to women during pregnancy. The peculiarity of its action is that the drug stimulates the influx of immune cells to the affected area. During the season of viral infections (late autumn - early spring), pregnant women can take Viferon as a prophylactic. It is always better to prevent a disease than to cure it later, sometimes with complications. However, this drug should not be used during the first 13 weeks of pregnancy.
"Anaferon" is also a drug from the group of interferons, no less popular than "Viferon". The influence of "Anaferon" on the unborn child has not yet been studied well enough. However, it is widely prescribed during pregnancy if you need to cure SARS. Also used for preventive purposes. Before starting the course, be sure to consult with your doctor.
Oscillococcinum is a homeopathic preparation in the form of sweet microscopic balls enclosed in tube capsules. The medicine is made from natural ingredients. Unfortunately, it cannot be called a strong tool. However, with guaranteed safety for pregnant women, a little relief of symptoms is already a big deal. Many pregnant patients note that Oscillococcinum really helps. Others do not feel the effect. Perhaps the placebo effect works, but this drug should not be written off: for many, it really helps to cope with the disease.

If the disease is severe, more powerful synthetic drugs are prescribed.

"Tamiflu" (another name: "Oseltamivir") - is used in the treatment of influenza (individual strains) in expectant mothers. The drug is prescribed only if such treatment is indispensable. Reliable data on how the drug affects the fetus, doctors do not yet have.
"Zanamivir" - an analogue of "Tamiflu", is also effective against certain strains of influenza.
"Acyclovir" - a remedy for herpes infection. Also, as in the case of Oseltamivir, there are no objective data on the effect of the drug on the unborn child. To reduce the risk of fetal pathologies, Acyclovir is prescribed in the form of an ointment.

Not all medicines of this group can be taken during the period of bearing a child. Antiviral drugs during early pregnancy should be taken with extreme caution.

During this period, there is an active formation of the baby's organs and medications can disrupt the correct bookmark.

In the first 12 weeks of the perinatal period, the following are allowed:

viferon;
anaferon;
fluferon;
oscillococinum.

Starting from the 4th month of pregnancy, expectant mothers can:

oseltamavir;
zanamivir;
acyclovir.

Which ones are banned

Some medicines aimed at combating viruses should not be taken during the perinatal period. This is due to the fact that the components that make up their composition can provoke malformations in a child.

During the period of bearing a baby, it is strictly forbidden to take the following medicines:

tetracycline;
chloramphenicol;
rimantadine;
groprinosin;
streptomycin.

Only a doctor can choose the right medication for a pregnant woman. It is impossible to independently determine the means for treatment. With the wrong use of drugs, there is a high risk of complications and developmental pathologies.

Instructions for use of the gel, ointment and suppositories Viferon during pregnancy

For influenza and SARS, the drug VIFERON Suppositories 500,000 IU is used for 5 days. For herpes infection and urogenital infections in pregnant women, including papillomavirus infection, expectant mothers from the second trimester (starting from the 14th week of gestation) are recommended VIFERON® 500,000 IU, 1 suppository 2 times a day every 12 hours daily for 10 days , then 1 suppository 2 times a day after 12 hours every fourth day for 10 days.

Then every 4 weeks until delivery VIFERON® 150000 IU 1 suppository 2 times a day after 12 hours daily for 5 days. If necessary, before delivery (from the 38th week of gestation), the use of VIFERON® 500,000 IU is indicated, 1 suppository 2 times a day after 12 hours daily for 10 days.

When using the drug in the form of suppositories, the stomach does not experience additional stress, which is very important for expectant mothers suffering from gastrointestinal diseases, including gastritis. The active ingredient of the drug does not have an additional burden on the liver.

Antivirals for pregnant women in the 1st trimester (the list of approved drugs will be discussed below) put the expectant mother and her baby at great risk. In the early stages, the development of the internal organs of the fetus occurs. Substances contained in antiviral drugs can lead to birth defects and malformations. By the way, the risk of such phenomena decreases with increasing gestational age.

In addition, many antiviral drugs have not been tested regarding their effect on the body of a pregnant woman and her unborn child. This means that their possible negative impact or its absence has not been scientifically proven.

Many antivirals need to be taken in a specific pattern. It's related to that. That in the first hours after the onset of alarming symptoms, a certain dosage of the active component should enter the body.

Preparations can be produced both in the form of tablets, and in the form of drops or suppositories. Each release form contains a certain concentration of the active substance. Therefore, the regimen for taking the same medication, but in a different form, may differ.

Only a specialist can determine what type and form is necessary for the treatment of a particular disease. Changing dosages or duration of treatment may adversely affect the development of pregnancy.

The risk of taking medications in early pregnancy

It is not safe to treat a cold with any drugs you like from a pharmacy during pregnancy, since many of them did not have time to pass. necessary research confirming no effect on the fetus. But it is almost impossible to protect yourself from viruses, so if the expectant mother feels the first symptoms of a cold or flu, she should visit a doctor and start treatment.

At this time, the fetus is most vulnerable and susceptible to the negative influence of extraneous factors. Treatment should be carried out under medical supervision, with strict adherence to dosages of drugs.

In the first trimester, the following drugs can be used: Arbidol, Paracetamol, Pinosol drops, Lazolvan cough syrup, Ingalipt spray. They are practically not absorbed into the bloodstream and are safe for the unborn baby. It is undesirable to use folk remedies in the first trimester. High doses of vitamin C and complications due to insufficient treatment can negatively affect the further course of pregnancy.

During this period, the disease is less dangerous for the child, and colds in expectant mothers are less common. In the second trimester, antiviral drugs do not adversely affect the fetus, since it is already reliably protected by the placenta. But this does not mean that you can take any drugs at the first symptoms of trouble - as before, the doctor should prescribe the treatment for the expectant mother.

From the 13th week of pregnancy, you can take Oscillococcinum, use Viferon suppositories and Interferon drops. The doctor selects the treatment regimen. As a rule, with a common cold, you can limit yourself to taking pills and drops.

In the later stages, you can use the same drugs for treatment as in the second trimester. Many antibacterial agents are also allowed. Their appointment is necessary if antiviral drugs do not cope with the infection. This may be the drug Flemoxin, Vilprofen, etc. Together with antibiotics, the doctor prescribes drugs that restore the intestinal microflora (Linex, Bifidumbacterin, etc.).

Knowing which antiviral drug is possible during pregnancy, and which means it is better to refuse, the expectant mother will be able to protect herself and the child from many complications. But do not think that any medication is prohibited during pregnancy. Antiviral therapy is not only possible and necessary, but only under the supervision of the attending physician.

It is dangerous to treat a cold during pregnancy due to the fact that many medicines offered in pharmacies have not undergone enough research and testing to prove that there is no negative effect on the fetus. However, even if the expectant mother does not visit crowded places during epidemics, this does not guarantee her protection from the virus. Therefore, at the first symptoms of infection with an infection or virus, you should immediately visit a doctor.

Mechanical and immune protection, nutrition and excretion, hormonal support and respiration of the fetus - all these functions are carried out thanks to the mother's body.

Any more or less serious disease of the mother requires effective therapy. Therefore, we have prepared a complete list of drugs for pregnant women so that you can competently carry out treatment with minimal risk to your child.

It is important to emphasize that the vast majority of doctors do not recommend the use of medications during pregnancy. Generally none. However, you see, it is not always possible to cope with the disease without medication. Therefore, in case of urgent need, it is extremely important to use drugs with minimal risk to the fetus after painstaking study of the instructions for use (section: “during pregnancy”).

Due to reduced immunity, a cold during pregnancy is the most frequent companion of women. Temperature, runny nose and headache, herpes on the lips, body aches and weakness, cough and sore throat - all these are signs of the disease that require immediate treatment. Let's consider what medicines can be taken by pregnant women with a cold.

The cause of the common cold in the vast majority of cases are influenza viruses or SARS. The use of antiviral agents is indicated only in case of urgent need, with extreme caution in the 1st trimester. Women "in position" can use the following medicines for SARS and flu for pregnant women.

Tamiflu, Relenza, Nomides, Influcein, Acyclovir - directly destroy the virus.
Viferon (from 14 weeks), Grippferon, Giaferon (with caution), Oscilococcinum - have an immunostimulating and antiviral effect.

As a prophylactic against SARS, pregnant and lactating women can use Nazaval Plus spray.

Mukaltin tablets (marshmallow extract).
Cough tablets (thermopsis).
Althea syrup.
Licorice syrup.
Vegetable syrups Dr. Theiss.
Tusuprex tablets.
coltsfoot extract.
Plantain extract.
Lozenges and lozenges with extracts of sage, plantain, eucalyptus, chamomile. For example, Travisil or Doctor Theiss.
Gedelix.
Bronchicum.
ACC for sputum discharge (use under medical supervision).

From the 12th week of pregnancy it is allowed to take Lazolvan (syrup, solution, tablets). And from 14 weeks it is allowed to use Stoptussin and Intussin drops.

Caution should be exercised when using Sinekod drops and syrup, Omnitus syrup, as well as Codelac Neo tablets and syrup. Use them mainly in the later stages only when absolutely necessary.

Almost any disease is accompanied by pain. They signal to us that not everything is in order in the body and urgent help is required. Toothache and headache are the most common reasons for using painkillers or analgesics.

In addition, a pregnant woman becomes more sensitive to irritating factors. Therefore, a headache during pregnancy is not at all uncommon, and it is allowed to treat it with the following means:

Paracetamol. The safety of the drug is not in doubt. Reception is recommended to start with a children's dosage (250 mg) and, if there is no effect, gradually increase the dose.
No-shpa tablets and suppositories Papaverine are used to eliminate spasm of cerebral vessels. These spasms can cause severe headaches and migraines.
Ibuprofen, Nurofen. However, these drugs are not used in the 3rd trimester and are used with caution in the 1st and 2nd trimesters.

This list of safe painkillers can be supplemented with auxiliary measures to eliminate pain:

More rest in a calm environment, if necessary, you can take 1 tablet of Valerian.
Use aromatic oils (lavender, mint, tea tree) or Golden Star balm. This will take your mind off the pain.
Apply a cloth dampened with cool water to the head.
Ventilate the room more often and prevent stagnation of air.
Traditional methods of treatment of headache. You can apply a cabbage leaf or lemon zest to your head.

Sore throat often accompanies colds. As a result, there is perspiration, pain, discomfort when swallowing and speaking. Sore throat during pregnancy can be eliminated by the following means:

Warm infusion of the herb Chamomile.
Tablets Laripront and Lizobakt during pregnancy are the drugs of choice, since their main component - lysozyme - is found in human saliva and is a natural antiseptic.
Gargling with an aqueous solution of 0.05% Chlorhexidine or Furacilli. You can use Miramistin (spray or solution). These drugs are not absorbed into the blood and do not penetrate the baby. However, the use of chlorhexidine solution may cause yellowing of the teeth.
Tea tree oil. Add 2 drops to a glass of warm water and use as a rinse. For the procedure, you must purchase pure essential oil. The use of cosmetic oil for rinsing is not recommended.
Lubrication of the throat with Lugol's solution. This is an effective method, but the procedure itself can provoke a gag reflex. Alternatively, you can use Lugol in the form of a spray.

Now you know how to treat a cold during pregnancy and will be able to cope with this disease on your own.

An increase in the size of the fetus invariably leads to an increase in compression on the hollow organs of the pelvis and abdominal cavity. In the second and especially in the third trimester, there is additional pressure on the bladder, intestines and stomach, which affects their mode of operation.

A solution of baking soda (1/2 spoon per 200 ml glass).
Maalox.
Rennie.
Gastal.
Phosphalugel.
Gaviscon.
Almagel.

During the period of bearing a child, the woman's immune system weakens. This is a necessary condition so that the body cannot reject the fetus, and this is especially true for the first trimester, when the fetal egg has just attached to the wall of the uterus. In this regard, a pregnant woman is prone to various kinds of diseases, including SARS.

What is SARS

What are dangerous

The second trimester of pregnancy lasts from 12 to 24 weeks after conception. During this period, you can breathe a sigh of relief, as viral infections can no longer deal such a strong blow to the health of the baby as in the first trimester.

The fact is that the fetus is already protected by the placenta, which serves as a conductor of nutrients, oxygen, this is a kind of barrier from the negative effects of the outside world. But a cold can strike at that shield. Feto-placental insufficiency occurs, in which the transfer of nutrients and oxygen to the fetus is difficult.

A child can be born prematurely, with a weight below the norm. In the second trimester, the baby's nervous system may suffer, since during this period its active development takes place.

If you get a cold at week 14, then there is a possibility of a miscarriage or a change in the endocrine system. If this happens at 16-17 weeks, then the bone tissue may not form properly in the fetus.

When a woman is expecting a girl, special attention to her health should be shown during the period of 19-20 weeks.

At this time, the formation of eggs occurs, and the virus can disrupt the correct process, which will lead to infertility of future women.

Sometimes future mothers, without hesitation, begin to take antibiotics and antipyretics for colds. In no case should this be done, because the drugs will definitely harm the baby.

Therefore, if a woman falls ill in the 2nd trimester, she should not make any attempts at self-treatment, but consult a doctor and follow his recommendations. A common mistake of pregnant women, in addition to taking antibiotics, is the uncontrolled intake of homeopathic medicines.

It is believed that herbs cannot harm the body, but this is not always the case. Many herbal preparations have side effects and can cause miscarriage or excitation of the mother's nervous system.

The comforting factor is that a cold at the end of pregnancy is less dangerous than at the beginning. For example, if a cold at 31 weeks of gestation provokes premature birth, then with the help of modern technologies, the baby can be saved. But still, colds should be avoided, as there is a risk of miscarriage.

A cold at 30 weeks of gestation can also happen and should not be taken lightly. A cold in late pregnancy greatly affects the condition of the placenta, it begins to age prematurely and the fetus loses its protection. In general, the whole danger of getting a viral infection in the third trimester is associated with the state of the placenta.

As you know, it is she who protects the child throughout pregnancy. But already in the last weeks it is aging and becomes permeable to all kinds of viruses.

So with a cold at 33 weeks of gestation, the undeveloped immune system of the baby and the placenta do not sufficiently protect him from infections, so the fetus becomes very vulnerable to diseases.

A cold at 34 weeks pregnant can disrupt hormonal background, which at this time begins to activate the production breast milk. The fact is that the hormones of the placenta are responsible for this, which experiences a tremendous load during a cold.

A cold at 35 weeks of gestation is associated with a risk of preterm labor and complication of its course.

At 36 weeks pregnant, a cold and high fever can cause complications such as placental abruption and premature rupture of amniotic fluid.

And already at the 37th week of pregnancy, a cold becomes dangerous because infections can penetrate the amniotic fluid, which the child often drinks.

A cold is dangerous in the ninth month of pregnancy, because after birth, the baby will immediately fall into the world of viruses and he will have to fight them. In addition, a viral illness with a cold at 39 weeks of gestation is very unpleasant for the mother.

The fact is that all women in labor who come with ARVI are placed in the department where women who were not registered for pregnancy are placed with temperature.

After giving birth, the baby is isolated from the mother, and this deprives the long-awaited wonderful first minutes of communication with her daughter or son.

If a woman gets a cold at the 40th week of pregnancy, then the baby will inevitably become infected, and sometimes a weak child's body cannot cope with the infection, which can lead to the most disastrous consequences.

No matter how a woman is careful, the danger of getting infected still exists. And if viruses have penetrated the body, then we must sound the alarm. Can't be ignored anxiety symptoms better to see a doctor right away.

Self-medication during pregnancy is undesirable, this applies to both drugs and herbal preparations.

A cold is accompanied by fever, runny nose, cough. And they need to be treated competently, avoiding drugs if possible. You definitely need to consult a doctor.

Temperature

An increase in temperature in the 2nd trimester is quite common. This is related to the selection a large number the hormone progesterone, which affects the thermoregulatory center located in the cerebral cortex. If the temperature is raised slightly (up to 38 degrees), then there is no need to knock it down.

And when the thermometer shows above 38, then it is necessary to begin treatment. For starters, a woman should try traditional methods: raspberry tea, warm milk, diaphoretics. Do not forget about the lime blossom infusion, which is a leader in the treatment of colds, especially during pregnancy.

Rosehip decoctions, fruit drinks and dried fruit compotes are perfect.

Temperature is a sign of many diseases, both viral and infectious. Only a doctor can prescribe the necessary tests and, based on their results, identify the causative agent of the infection.

Therefore, it is better to hospitalize the future mother in a hospital, under the supervision of experienced doctors.

Runny nose

A runny nose is dangerous for pregnant women because the baby will not have enough oxygen. But nasal drops can only be used under the strict supervision of a doctor. Initially, you can try lubricating the nasal passages with tea tree or eucalyptus oil. There are also nasal washes, which are very good at relieving a runny nose.

Cough

From this scourge, too, should be disposed of as quickly as possible. Here, too, such folk remedies as honey will come to the rescue, with the help of which inhalation is done (dissolve 1 part of honey in 5 parts of water at a temperature of about 49 degrees.

Inhale the vapors alternately with one and the other nostril, then with the mouth). With a hacking dry cough, it is necessary to gargle with decoctions of herbs of sage, eucalyptus and calendula, mixed in equal parts.

Even a simple soda inhalation will perfectly relieve a dry cough, and sputum will begin to separate effectively.

Drug therapy is contraindicated for women in position, but sometimes the risk from viral infections is much greater than from drugs, so it becomes necessary to choose pills that are safer.

For example, aspirin, askofen, lead to blood thinning, which can lead to bleeding.

Levomycetin can cause cardiovascular collapse in newborns if the expectant mother took it in the last months of pregnancy.

How to protect yourself from a cold in the 2nd, 3rd trimester?

Prevention must begin before conception. No matter how trite it may sound, it is important for the expectant mother to drink a complex of special vitamins, cleanse the body, and lose weight. excess weight. But this is not enough. It is necessary that immunity throughout pregnancy can cope with viruses.

This can be done with a contrast shower, which should be taken every day, alternating cool and warm water. Finish with cold water. After water procedures it is necessary to rub with a hard towel until a pleasant warmth appears.

In addition to a contrast shower, you can reduce the likelihood of an infectious disease as follows:

avoid hypothermia and overheating.
It is necessary to dress always according to the weather and it is better that the clothes are made of natural fabrics.
Fortify your diet with vitamin C.
This can be done with the help of a special vitamin complex for pregnant women, and natural products should not be neglected.
take daily walks in the fresh air, in the forest park area, on the banks of the river;
Such walks will help saturate the body with oxygen, and the expectant mother will also receive a lot of positive emotions from contemplating the beauty of nature, from the sounds of waves or the rustle of leaves. And the emotional upsurge of the mother will definitely be passed on to the baby.
limit contact with potential carriers of viruses.
Try not to visit unnecessarily places large cluster people (shops, public transport). You should be especially careful during the period of exacerbation of colds.

By following these simple rules, you can prepare your immunity very well for the upcoming attack of viruses.

To avoid these complications, you must be very careful about the choice of drugs and their intake. You cannot self-medicate. When the first symptoms of a viral infection appear in the body, you should consult a doctor.

If side effects begin to occur during the reception, you should immediately stop using this remedy.

What antivirals are suitable in the 2nd trimester of pregnancy

Acute respiratory diseases are caused by different viral agents. ARVI often occurs during pregnancy, the 3rd trimester requires careful medical supervision in order to avoid complications. If a woman falls ill before childbirth, doctors act in a complex manner, trying to reduce symptoms as much as possible and stop infection.

Left untreated is dangerous for a newborn child, who will immediately be infected from a young mother.

The protective forces of the body of a pregnant woman are weakened, and the influence of the environment, stressful situations, depression and hypothermia are also negatively affected.

The main causes of morbidity:

Hypothermia of the body
Stressful situation
Frequent use of drugs that reduce natural immunity
Emotional disorders

The infection affects different parts of the respiratory system of women. Often two pathogens - a virus and a bacterium - enter the body, causing complications.

The main features of SARS:

Short incubation period up to three days
short term fever
Body intoxication

During a decrease in immunity, the trapped viruses multiply rapidly, causing unpleasant symptoms. Penetrating through the membranes of the mouth, nasal passages into the blood, microorganisms cause inflammation, accompanied by various symptoms.

Types of SARS:

parainfluenza
Adenovirus
Rhinovirus
MS infection

Before childbirth, as well as during pregnancy, SARS in the third trimester are dangerous consequences

for a child. Due to the rapid spread of viruses by airborne or household routes, the number of infected people is increasing.

If ARVI is detected before childbirth, the obstetrician-gynecologist sends the woman to the hospital for enhanced treatment and control.

Symptoms

The viral stage of the disease lasts three days. This is an acute period, accompanied by unpleasant sensations, changes in the performance of the body. Common signs of a respiratory infection: fever up to 38.5 degrees, pain, sore throat, mucus discharge from the sinuses, nasal congestion, watery eyes, pain in the eyes, swollen lymph nodes.

Depending on the symptoms, intoxication is immediately manifested by general malaise, weakness, chills.

If the immune system fails to cope with pathogens, another bacterial infection is added, requiring other treatment. It is characterized by reduced discharge from the nose, which has changed color to green or yellow, a dry or wet cough occurs, with sputum.

The mechanisms that control the nervous system are directed to providing the baby with useful substances. Therefore, mood changes, nervousness, and irritability are often observed.

What does it threaten

The third stage of gestation is the safest, because the child is already fully formed and is waiting for the birth.

Internal organs function normally, so postpartum complications are dangerous. An extra load, manifested by the symptoms of the disease, is not needed by the expectant mother.

At right approach therapy, the microorganisms in the mother's body will quickly die, and the woman will feel better.

A week later, the viruses disappear from the woman's body without harming the newborn.

How to be treated

At the first sign of a cold, you need to act quickly and effectively. The most commonly prescribed non-pharmacological methods of treatment, folk recipes.

The environment in the room should be moderately humid, with a temperature not higher than 22 degrees. Airing more than three times a day fills the room with fresh air, and also destroys the accumulated microorganisms.

A couple of times a day it is necessary to carry out wet cleaning, wipe the dust. It is important to take tests in a timely manner.

It is useful to wash the nasal passages with salt water every two hours, drink hot tea with lemon, honey, berry fruit drinks, rosehip infusion. You should not use tea from mint, St. John's wort, lemon balm, echinacea, eleutherococcus. They can cause bleeding, increased pressure.

If the course of the disease is complicated, and alternative methods do not help, the doctor prescribes symptomatic therapy, which includes immunomodulators, drugs for the common cold, sore throat, antipyretics.
Self-treatment is unacceptable, because conventional drugs are not suitable for a pregnant woman, children's dosages that are safe for the health of the fetus are optimal.
Compliance with simple rules will allow you to recover faster.

The third trimester, as a remedy for pain in the sinuses, relieving swelling, vasoconstriction to reduce the amount discharged from the nose, allows the use of drugs as prescribed by a doctor: Grippferon, Rinorus, Pinosol, Tizin, Dlyanos. Drugs in a drop form or in the form of a spray function locally without penetrating into the systemic circulation. The maximum treatment should not be more than five days.

Before using drugs, thorough washing of the nasal passages is required to completely remove mucus. The principle of action is to cleanse the mucous cavity, remove bacteria, viruses.

Among folk methods carrot, apple juice, decoction of oregano, yarrow copes well with a runny nose.
If the runny nose does not disappear, saline solutions are used: saline, Aquamaris, Aqualor, Dolphin, Marimer.
Nasal congestion in a pregnant woman does not allow the necessary amount of oxygen to pass through to the child, which means that the baby receives oxygen deficiency, a sign of hypoxia.

A runny nose or nasal congestion is accompanied by a throat infection. During the gestation period, some cold medicines are allowed that do not harm the health of the child. Cough, runny nose is treated with folk or medication. There are different forms of medicines: tablets, sprays, rinses, syrups.

List of medicines:

Ingalipt
Hexoral
Miramistin
Gedelix
Mukaltin
Dr. MOM
Breast fee

good effect, known since ancient times, gives treatment with folk remedies for coughing - gargling with a decoction of chamomile or calendula. At night they take hot milk with honey, butter, brew tea with lemon, mint or sage. It is important to ensure that there is no allergy.

Inhalation of therapeutic vapors of herbal extracts helps to remove sputum, improve breathing. The maximum time is no more than 10 minutes, but if the body temperature is elevated, inhalations are prohibited.

Gargles are effective during a sore throat or sore throat. A solution of soda, a decoction of calendula, chamomile, mint, linden or chamomile is used.

If there is an increase in temperature, weakness at 6-9 months in pregnant women, drugs based on paracetamol or ibuprofen are used, most often in the children's dosage indicated in the instructions. You can not take several types of drugs at the same time to reduce high temperature, the interval between doses should be at least four hours.

You need to consult a gynecologist in advance, because the adult dosage of non-steroidal drugs affects the contraction of the uterus, causing bleeding.

Therapy is carried out with paracetamol to relieve headaches, reduce fever. To destroy pathogens from the body, it is not enough to lower the temperature.

Indicators below 38 degrees decrease on their own for two days, as the woman's antibodies fight on their own with microorganisms. Rubbing with water at room temperature is effective, drinking plenty of water.

Natural antipyretics are raspberries, plantain, oregano.

If high or elevated temperature does not decrease for more than three days, antibiotics are required. This characterizes the development of complications due to the layered bacterial infection.

Immunomodulators

When the first signs of SARS occur, a woman can take Grippferon, Ergoveron, Anaferon, Viferon in drops, tablets or spray. This will reduce infection and also ease the course of the disease.

Feron-based products activate immune defenses, fight pathogens, and eliminate signs of the disease. The use of immunomodulators, protection stimulants on the first day reduces the duration of the disease.

SARS in the 3rd trimester of pregnancy are complicated by improper treatment. The body of a child in the womb functions fully, all organs and systems are formed. The danger to an unborn baby can be complicated by preeclampsia or an exacerbation of a chronic disease.

The placenta is affected, aging, and fetoplacental insufficiency develops during ARVI during pregnancy, hypoxia, polyhydramnios occur.

The last complication leads to premature birth, disruption of normal labor activity.

Acute respiratory disease in late pregnancy should be cured in time. Colds during pregnancy at the initial stage do not seem dangerous if the temperature does not rise. A viral infection can be complicated by a bacterial one, which requires more serious treatment, including antibiotics. Sometimes babies are transferred to the intensive care unit for neonatal control.

If mommy caught a cold in the third trimester of pregnancy, then the baby has a hypoxic manifestation such as a weak cry, respiratory disorders, pallor and lethargy. The newborn needs urgent treatment in the intensive care unit. If all treatment measures are performed correctly, you should not worry about the consequences.

Prevention of SARS during pregnancy should be carried out by gentle, safe means. In the early stages, you need to eat vegetables, fruits, berry fruit drinks. 26-40 weeks pregnant

What is prohibited

There is a list of drugs that negatively affect the baby in the womb, so it is important to immediately contact your doctor to prescribe adequate, safe therapy. Aspirin, which thins the blood, antibiotics, analgesics is prohibited. Alcohol-containing syrups, potions, and hot inhalations are prohibited. You can't soak your feet in a hot bath.

Folk remedies can also be harmful, for example, coltsfoot herb, echinacea, eleutherococcus.

How not to get sick

Possible consequences for the expectant mother and baby can be prevented before and during pregnancy.

Contraindications

Like any medicine, these drugs during the period of bearing a child have a number of contraindications:

individual intolerance to the ingredients that make up the drug;
lactose intolerance in a woman;
improper functioning of the liver and kidneys.

If a woman is diagnosed with these comorbidities, then it is absolutely impossible to take medicines from this group. During therapy, a woman may experience worsening and exacerbation of existing diseases.

Expectant mothers often face viral infections. This can have an extremely negative impact on the intrauterine development of the child and the course of pregnancy in general.

Pathogenic microorganisms are able to pass from sick people to healthy people through the air.

Therefore, the common cold spreads with such speed: after all, everyone breathes everywhere.

What should a future mother do if a sick person has already appeared in her family?

And if the virus still overtakes her, then what kind of antiviral drugs for pregnant women can women take, if they are allowed to use pills in this position at all?

When not to

Yes, there are situations when, being in a position, you have to resort to medicines, although the doctor recognizes their harm, which can affect the health of the unborn baby and potential mother.

The greatest danger to the body of the mother and child occurs when antiviral drugs are taken in the early stages.

Because at this time the systems and organs of the embryo are formed. That is why drugs can have a negative effect on the development of the fetus.

In the 2nd trimester, some pills and medicines are already much less able to negatively affect the baby's body.

But the expectant mother can still drink them only with the consent of the doctor.

What can

Paracetamol

Pregnant women are allowed to take only "pure" Paracetamol, without any additives.

Medications for colds include a small percentage of those that can be given to pregnant women when needed.

Panadol

It will help to reduce the temperature without much harm to the baby.

Doctor Mom

Soothes the throat and relieves cough

Aquamaris, Mukaltin, Bromhexine

Permitted for the treatment of the common cold.

Allowed to fight viruses Grippferon, homeopathic , Viferon(they only apply after ).
ointment and drops

Helps in the treatment of a runny nose in a pregnant woman. Also other sprays with sea water.

All these drugs are used only with the permission and under the supervision of a physician.

After all, only a doctor can determine what caused a cold - viruses or bacteria. Antibiotics are used to treat bacterial infections.

Yes, despite the reluctance of the expectant mother to swallow antibiotics, sometimes this is a necessity.

Failure to treat bronchitis, tonsillitis or sinusitis can be fraught with serious complications.

What medicines and remedies are not allowed

It is not recommended for pregnant women in early and late periods tetracycline and its derivatives streptomycin And chloramphenicol.

Patients often escape from fever aspirin, but doctors know what side effects this medicine has, and insist that women in position do not need to take it.

It can adversely affect the blood of the future mother and baby.

In no case should you put mustard plasters and soar legs, and physiotherapy procedures are categorically contraindicated.

If the treatment of the expectant mother does not help and the temperature rises above 39 ° C, it is urgent to call an ambulance.

And what proven medicines from the “people's first aid kit” will help women cope with viruses during pregnancy?

The first target in the attack of a cold is the nasopharynx.

So let's not forget about medicinal rinses.

You can use sage infusion:

A handful of its leaves is poured into 0.5 liters of boiling water,

Close tightly and infuse for at least 20 minutes.

The infusion will be even more effective if you add half a teaspoon of sea salt to the glass.

Any medications will replace radish, this amazingly healthy root crop deserves a place of honor on the table of a pregnant woman.

Radish is rich in antimicrobial substances.

It is very useful to rub it and add honey, it will turn out better. The main thing is that the expectant mother should not be allergic to honey.

Cranberry- the real natural antibiotic.

It is more useful than any medicine, and will help defeat the flu, acute respiratory infections.

Cranberry juice should not be boiled, because then vitamins are destroyed.

The berries are simply doused with hot water, crushed with a crush, and then the resulting mixture is diluted with slightly cooled boiling water to the desired volume.

The berry mixture is then filtered and sugar or honey is added to taste.

You can also drink folk antiviral agents - teas with lemon balm and mint, lingonberry juice.

The doctor must decide which teas and fruit drinks you can drink so as not to cause.