During the period of bearing a baby, the body of a future mother becomes quite vulnerable. All forces are aimed at providing everything necessary for a developing child, so immunity is reduced. And during this period, oh, how it is necessary to try to protect yourself from various viruses and bacteria, but, unfortunately, this does not always work out. Often there is bronchitis during pregnancy, especially in spring or autumn, when it is damp and cold outside. We will understand the causes of diseases and methods of treatment in an interesting position.
Causes of disease
It is quite easy for a woman in position to catch infectious diseases, so bronchitis during pregnancy, SARS, influenza are quite frequent phenomena. The body's susceptibility to infections can be explained by the following reasons:
- Decreased immunity.
- Mechanical difficulty breathing.
- Woman, visiting the clinic and antenatal clinic, often encounters patients.
Immediate causes that can trigger bronchitis during pregnancy include:
- Smoking - many mothers not only do not care about their he alth, but alsonot thinking about their baby.
- Viral diseases and respiratory infections.
- Flu.
- Hypocooling of the body.
Weakened immunity very quickly leads to the development of bronchitis, which must be treated.
Complexity of treating bronchitis during pregnancy
Therapy of any disease during this period of life for a woman is accompanied by some difficulties, which can be explained by the following factors:
- It is not always possible to use those remedies that helped well in the treatment before pregnancy, since their effect on the growing fetus must be taken into account.
- Chest X-ray cannot be done.
- Coughing too much, which is usually recommended, is unacceptable, as it can provoke an increase in uterine tone and even lead to abortion.
Pregnancy with acute bronchitis in the later stages is fraught with an increased risk of infection of the fetus, the development of intrauterine pneumonia. It is for all these reasons that bronchitis therapy should be approached with extreme caution.
Method of treating bronchitis during pregnancy
Some believe that in the second and third trimester bronchitis is no longer so dangerous for a pregnant woman, but it must be understood that the very fact of finding an infection in the mother's body is already fraught with serious consequences for the baby. The causative agents of the disease can easily penetrate the placental barrier andharm the developing child.
The earlier the disease is diagnosed and treatment of bronchitis during pregnancy is started, the better. This makes it possible to avoid serious therapy, and get by only with the use of folk remedies, which include:
- Milk with honey.
- Ginger and lemon tea.
- Milk with soda.
- Linden blossom tea.
Nobody, of course, does not exclude bed rest. It is very important to provide plenty of drink so that sputum discharge occurs faster and more efficiently. In the room where there is a sick pregnant woman, it is necessary to regularly ventilate and monitor the level of humidity. Too dry air, which happens in apartments in winter, is not very good for the respiratory system.
If more serious therapy is required, it is advisable to do without any initiative. Only a doctor should prescribe medicines, given the interesting situation of a woman.
Symptoms of bronchitis
To start treating a disease, it must first be recognized. Bronchitis, as a rule, manifests itself quite clearly, so there are usually no problems with diagnosis.
Bronchitis during pregnancy is most often in an acute form. It can manifest itself in the following signs:
- Dry cough that gradually becomes wet.
- Increased body temperature.
- Nasal congestion may be present.
- Deterioratingwell-being.
- Weakness.
- Fatigue.
- Sweating.
Bronchitis can often be confused with the common cold, but it also has its own distinctive symptoms:
- Cough, deep and compulsive.
- Chest pain.
- Persistent feeling of tiredness.
- Difficult breathing, often wheezing.
- Pull out a lot of phlegm.
At the first symptoms of the disease, you should not self-medicate, but visit a doctor and discuss therapy tactics.
Chronic bronchitis during pregnancy
If the disease becomes chronic, it may already be dangerous. The most common causes of this form of the disease are:
- Frequent colds.
- Reduced immunity.
- Predisposition to pathologies of the respiratory system.
- Smoking, whether active or passive.
- Drinking alcohol.
- Work in hazardous production.
During pregnancy, the immune system is slightly weakened, so chronic bronchitis can worsen. A doctor's consultation is essential.
Treatment of bronchitis at different times
Self-treatment is fraught with the fact that many medicines that helped perfectly before pregnancy are strictly prohibited for use during the bearing of a baby. It is impossible to carry out therapy using an alcohol solution of potassium iodide, it has a teratogenic effect, negatively affects the formation of the fetus.
The following drugs should also not be used:
- Drugs with codeine and ethylmorphine.
- Antibacterial drugs from the tetracycline group, Kanamycin, Levomycetin, Streptomycin, Gentamicin.
Doctors do not advise to use folk remedies without any control. Some herbs may have abortive properties.
For example, often for the treatment of colds it is recommended to use infusions and decoctions of sage, oregano, elecampane, St. John's wort, calendula. But it is contraindicated to treat bronchitis during pregnancy with these natural medicines, as the risk of premature birth increases, they can cause miscarriage in the early stages.
May adversely affect the fetus and aloe, if it is part of the drug, then it should not be used for treatment. For the treatment of bronchitis, even in children, Licorice Syrup is often used, but for pregnant women it is categorically contraindicated.
Features of treatment in the first trimester
Did you get diagnosed with bronchitis while pregnant? The 1st trimester is important in terms of laying organs in the fetus, so therapy should only occur under the supervision of a physician. You can not self-medicate, uncontrolled intake can lead to birth defects.
Therapy at this time with the help of inhalations is quite effective. The drug enters the bronchial mucosa, but does not penetrate into the bloodstream.
Ifthere is such a need, the doctor may prescribe a course of antibacterial drugs. The following medications are approved for use in pregnant women:
- Amoxicillin and Clavulanate.
- "Rovamycin" (belongs to the group of macrolides).
- "Cefruxime" (from the group of new generation cephalosporins).
The safest for a pregnant woman are cephalosporins, they do not have a teratogenic effect on the fetus.
Mid-term bronchitis during pregnancy
The 2nd trimester is already safer, since almost all vital organs are formed, but therapy should still be carried out only under the supervision of a doctor. The following treatments are allowed during this period:
- Inhalations using "Berotek" and "Berodual". These drugs are able to expand the bronchi and eliminate their spasm. Before inhalation, it is important to study the instructions for these products.
- Can also be used for Fenoterol and Salbutamol inhalations.
- Diagnosed with bronchitis during pregnancy? The 2nd trimester is the period when you can already use Ambrobene or Lazolvan for treatment.
During the course of therapy, it is important to report any side effects to the doctor. We must remember that the same drugs are not always suitable for almost everyone.
Last trimester and bronchitis treatment
When the pregnancy is coming to an end, and the disease has not been defeated, it already becomes dangerous. The risk of intrauterine infection of the unborn baby increases. Did the doctor confirm the diagnosis of "bronchitis" during pregnancy? 3rd trimester requiresprevention of the negative impact of the disease on the fetus, therefore, immunoglobulins and Interferon should be included in therapy.
The acute form of the disease on the eve of childbirth often leads to the use of painkillers, as labor activity can increase pain in the chest and bronchi.
Serious therapy is indispensable if bronchitis occurs during pregnancy. The 3rd trimester is different in that the selection of drugs should be carried out with particular care, as some may affect the process of childbirth or the baby.
If the disease provoked respiratory failure, then a caesarean section is indicated.
If Biseptol and Trimethoprim are included in the treatment, then there is a risk of developing jaundice in a newborn baby. During this period, if the course of the disease allows, it is better to use proven methods of therapy. This is tea with honey, a decoction of raspberry leaves, which, as a bonus, will also help open the uterus during childbirth, prepare it for labor.
With the development of any disease during this period, an urgent consultation with a doctor is required, bronchitis during pregnancy is no exception (3, 2 or 1 trimester - it does not matter). It is only necessary to take into account that in each period the therapy will be different.
How dangerous is bronchitis for a future mother
Bronchitis comes in several forms, and the most dangerous for a pregnant woman is obstructive. With this form, there are difficulties in breathing, shortness of breath appears, which is fraught with a decrease in the concentration of oxygen in the blood, as a result -fetal hypoxia.
If this form of the disease develops in the first trimester, then oxygen deficiency can provoke various pathologies in the development of the fetus. When respiratory failure is added to the obstructive form, it can even cause an abortion.
At any time, this form of bronchitis should be treated only in a hospital, under the constant supervision of a doctor. In the last three months of pregnancy, bronchitis is dangerous because it can provoke premature labor or water discharge.
A strong cough can increase the tone of the uterus, and this is dangerous for miscarriages in the first months, and for premature births in the last months.
Consequences of bronchitis for a developing baby
If the disease goes too far, it threatens the baby with serious consequences. The infection can cross the placenta and enter the amniotic fluid and respiratory tract of the child, causing inflammation of the mucous membranes.
Intrauterine infection can significantly affect the formation of internal organ systems. The baby may be born with congenital pneumonia and a weakened immune system.
How to protect yourself from bronchitis
The expectant mother should understand that she is responsible not only for her he alth, but also for the condition and development of the baby. It is possible to prevent the development of the disease if:
- Avoid contact with sick colds.
- Don't get cold.
- Dress for the season.
- In the heating seasonhumidify the air in the apartment.
- Do not get the flu shot during the first months of pregnancy.
- Treat all chronic infectious diseases before pregnancy.
- Quit smoking and do not allow others to do so in your presence.
- Reconsider the diet, it should contain more fresh vegetables and fruits.
If it was not possible to avoid bronchitis, then you should not self-medicate. During this period, this is fraught with serious consequences for the unborn baby. Only a competent specialist will help to cope with the disease without negative consequences for the mother and the developing child.
