Is it possible to treat pregnant teeth? What are the harms of anesthesia? Treatment of colds during pregnancy. Acute toothache during pregnancy - what to do if a pregnant woman suddenly has a toothache

It is necessary to be treated for a pregnant cold very carefully so as not to harm the child!

Ideally future mother it would be better not to get sick at all, but few people manage to avoid colds and flu during the cold season. Even if you make contact with outside world to a minimum, viruses can be brought into the house by a family member who has come unstuck.

Furthermore! Sometimes they attack us from within without any external infection, because they doze in the genetic apparatus of cells, waiting for a favorable moment to declare themselves. Pregnancy is just one of these conditions.

Protective system female body by virtue of physiological reasons is in a state of forced oppression - immunosuppression. This is a guarantee that the mechanism of protecting the internal environment from everything alien will not work against the emerging life. Full tissue compatibility is possible only between two clones or identical twins, but not between a future mother and her baby!

However, the same immunosuppression that curbs rejection reactions and keeps a pregnancy going makes a woman highly susceptible to seasonal infections. If you catch one of them, act wisely so as not to harm the child!

Pregnancy: cold treatment

No chemicals can be taken during pregnancy (and the vast majority of drugs from a pharmacy are powerless against viruses), but herbal medicine must also be approached with caution: herbs are sometimes more powerful than drugs!

Drugs containing alcohol are prohibited (even in small quantities it is harmful to the fetus!), especially tinctures of immunostimulants - licorice, echinacea, lemongrass, zamaniha, leuzea, ginseng, rhodiola rosea ... They increase blood pressure and speed up the pulse, increasing the load on the hard working future mother's heart vascular system baby.

His tiny heart is already beating at a frantic pace, making more than 200 beats per minute. Accelerating this pace means wearing out the developing heart muscle and laying the foundation for cardiac ailments.

Tip: use an immunostimulant that does not give unwanted effects. This is horseradish, which has long been used for colds during pregnancy by folk medicine. Grate its root on a fine grater, mix with the same amount of sugar, leave in a warm place for 12 hours, strain and take 1 tbsp. every hour during the acute period of a cold.

Pregnancy and runny nose

Use preparations such as galazolin and naphthyzinum only at the peak of a runny nose, strictly observing the dosage (1-2 drops, not a quarter of a bottle at a time!) And the frequency, which depends on the type of active substance. Some drugs are used 1-2 times a day, others - 4-5 times: carefully read the instructions!

The less you use these drops, the better. Why?

1. The vasoconstrictive effect can also spread to the arteries of the placenta, disrupting the blood supply to the fetus if you drip the medicine too often, for a long time or a lot. Some of it is absorbed through the mucous membrane of the nasopharynx, while the other flows into the esophagus and enters the blood from the digestive system.

2. Such drops have the unpleasant property of causing spasm not only of the afferent, but also of the efferent vessels, increasing the swelling of the nasal mucosa. The action begins to manifest itself from the 3-5th day of illness, forming a dependence on the drug. They dripped - and it became easier to breathe, and an hour later the nose was stuffed up even more and you again reached for the drops - it's not for nothing that modern doctors call them drugs for the nose!

In pregnant women, such an addiction occurs more easily than in everyone else: the hormonal background is such that nasal congestion is sometimes felt throughout all 9 months, and after childbirth, manifestations vasomotor rhinitis magically disappear. This is another reason to be careful with vasoconstrictor drops - good modern science and traditional medicine know many other remedies for the common cold!

Tip: rinse your nose with a douche weak saline solution(for a glass of water - table salt on the tip of a knife) and instill in the nose products based on sea water (Aquamaris, Salin).

The need for them in expectant mothers is already high, and during illness it increases. Do I need to take them extra?

Warming up during pregnancy

Many of them are contraindicated in your position. You may be accustomed to taking a hot bath with salt and herbs when you have a cold. During pregnancy, you will have to forget about it! Soaring your legs is also undesirable: there is a real danger of reflexively stimulating the uterus, provoking an abortion or premature birth.

But even if nothing like this happens, it’s already bad that blood will flow to the veins of the legs (stretch them and cause swelling), and at the same time it will be removed from the placenta: during the procedure, the baby will suffer from a lack of nutrition and oxygen.

Tip: hands under the tap with hot water You can soar for a future mother - this is an excellent remedy for a runny nose and sore throat! Dry heat won't hurt either. Feel like you're starting to come unstuck, wrap around your neck warm scarf, put on woolen socks (you can pour a little mustard powder into them or cut out insoles from mustard plasters), warm pajamas and go to bed: it is possible that by morning the cold will pass without a trace.

Pregnancy: homeopathic cold treatment

Unlike traditional medicines, homeopathy is not harmful to pregnant women..

If you feel unwell, every 15-30 minutes, dissolve in your mouth 5 grains of homeopathic (!) Antigrippin, or take a tablet of flu-hel, which has the same effect, every 15 minutes for 2 hours. To consolidate the effect, continue the same for at least another 5 days, taking antigrippin every 2 hours, and flu-hel - 3-5 times a day.

Contact your doctor if:

Advice: it is better to invite a doctor in the morning, when the painful symptoms are more pronounced and it is easier for the doctor to make a diagnosis and choose the right treatment.

Pregnancy: severe runny nose

Treatment of the common cold during pregnancy

It is difficult for mommy to breathe - and less oxygen is supplied to the baby. Moreover, with abundant mucus secreted from the nose, your body loses up to 2.5 liters of fluid. Drink more - losses need to be replenished!

• Place an additional pillow under the head: this will reduce swelling and inflammation in the mucous membrane, and it will become easier to breathe.
• Massage with tips index fingers points at the outer base of the nostrils - nasal congestion will immediately decrease.
• Apply a little Asterisk balm several times a day to the bridge of your nose, temples and those places on your face where you feel discomfort.
• A hot infusion of plantain, wild strawberry leaves and St. John's wort helps from a runny nose and sinusitis: 2 tbsp. Spoons of any herb pour a glass of boiling water, leave for 30 minutes, strain and drink half a glass 2-3 times a day.
• It cleans the nasal cavity well, making breathing easier, soda-tannin drops: brew a teaspoon of tea with a glass of boiling water, evaporate for 15 minutes over low heat, strain through cheesecloth and add a teaspoon of baking soda. Bury 2-3 times a day, 1-2 pipettes in each nostril, then be sure to blow your nose.
• Herbalists recommend pouring 6-8 drops of fresh juices (carrot and apple) into each nostril 3-4 times a day or herbal infusions. The latter can also be used in the form of inhalations - 3-4 daily procedures for 5 minutes:
• 1. Mix St. John's wort, willow and oak bark, linden flowers and mint leaves (1:1:2:2:2). Pour 2 tbsp. collection with a glass of boiling water. Leave for 3 hours in a thermos, strain and add 3-5 drops of fir oil before drinking.
• 2. Take equally the herb of yarrow and oregano, sage leaves, tricolor violet root and viburnum bark. Pour 2 tbsp. collection with a glass of cold water, leave for an hour, bring to a boil, soak on fire for 5-7 minutes, cool and strain.
• 3. Make a collection of equal parts of pine buds, forest mallow flowers, coltsfoot leaves, willow bark and oregano grass. Prepare the infusion as in #2.

Pregnancy: temperature

Temperature treatment during pregnancy

• If the temperature rises sharply, and at the same time you feel chills and cannot warm up in any way, your hands and feet are icy, cover yourself with a blanket, drink a few glasses of hot diaphoretic tea and apply heating pads to your palms and soles. This will help to expand the narrowed vessels of the skin, causing a rush of blood, and thereby increase the release of heat. When you get warm, start to bring down the heat with traditional grandmother's remedies: rub your body with vodka or 3% vinegar half-diluted with water (undress for the duration of the procedure and do not rush to immediately wrap yourself up).
• For fever, brew herbal tea: 2 tbsp. dried raspberries or raspberries extracted from jam. 4 leaves coltsfoot, 3 plantain, 2 oregano. Another recipe: 1 tsp. finely chopped white willow bark pour 1 cup boiling water, cool. Drink 4 times a day, 1 tablespoon.
• prepare a coniferous cocktail in advance. Grind 100 g of young shoots of fir or pine buds and 50 g of raspberry roots. Fold in glass jar, pouring 100 g of sugar. Add 1 tbsp. boiling water, leave for a day, and then heat for another 6-8 hours in a water bath. Leave to stand for 2 days, drain the resulting bright raspberry juice. Keep it in a dark cool place and take 1 tbsp. 4-5 times before meals.

Pregnancy: sore throat

Throat treatment during pregnancy

Pregnancy: lost voice

Procedures for the treatment of the throat of pregnant women

Do not try to talk, even in a whisper - it can be even more dangerous. What a loud speech. During laryngitis, whispering tenses the vocal cords, as if shouting. You can even lose your voice!

Inhale the fragrant steam every 30 minutes. Pour the herbal collection with a glass of boiling water, soak for an hour under the lid. Composition of infusions:

• 1/2 teaspoon wild rosemary leaves, 1 tsp. plantain leaves and 2 tsp. coltsfoot leaves;
• 3 tsp pine buds or lavender grass and chamomile flowers;
• 2 tsp tricolor violet herbs and 1.5 tsp. herbs of a series of tripartite;
• 1 tsp coltsfoot leaves. Mullein scepter flowers and elder flowers.

Don't gargle! Not a drop will get into the larynx anyway - during the procedure, the epiglottis tightly covers it. And the sounds when rinsing can hurt.

Pregnancy: cough (dry or wet)

Treatment of cough during pregnancy

At the beginning of the illness, when the cough is dry, drink and breathe over the steam of infusions and decoctions of chamomile, plantain, sage, three-leaf watch, lime blossom. They soften the larynx and bronchi, soothe irritated mucous membranes. respiratory tract and has an anti-inflammatory effect.

After 2-3 days, after the cough becomes wet and sputum begins to go away, switch to decoctions of herbs with a drying, astringent and expectorant action - snake mountaineer, lingonberry and eucalyptus leaves, rosemary herbs, yarrow and succession.

With a prolonged cough that does not “let go” of you by the end of the week. You should be examined by a doctor to rule out pneumonia.

Pregnant women with various diseases It is strictly forbidden to use a certain group of drugs for treatment. This greatly complicates the treatment process with.

Cold during pregnancy: causes and symptoms

Colds in pregnant women most often occur due to the development of viruses in the body. During this period, women's immunity very often weakens, which makes her body sensitive to the effects of viruses. Very often, the disease occurs as a result of communication with a sick person or with those who have recently recovered.

Enough common cause occurrence colds is hypothermia during the wet season. If a woman very often experiences stress, then this leads to her appearance. The disease occurs as a result of the development of allergic reactions. With active or passive smoking, the risk of a cold is significantly increased.

With the development of colds, a female representative initially has a slight malaise. Some women complain of headaches fatigue or weakness.

• sneezing
• Pain or itching in the throat
• Body enhancements

If a cold occurs without complications, then its duration is from 2 to 4 days. After this time, there is a gradual fading of symptoms. During the course of diseases of a catarrhal nature, complications of the secondary bacterial infection. IN this case treatment must be done in a hospital.

There are a lot of causes and symptoms of colds, in order to avoid their occurrence, a pregnant woman must avoid factors that negatively affect her body.

When the first symptoms of a cold appear, it is necessary to without fail seek help from an obstetrician-gynecologist, with whom the woman is registered.

Cough treatment

Cough during pregnancy - safe treatment

If a woman has appeared during pregnancy, then she needs to seek help from a doctor. During this period, take medical preparations prohibited, as they may adversely affect the condition of the child.

In order to soothe and ensure the full discharge of sputum, it is necessary to take warm. At the same time, a pinch is added to it baking soda and some butter. Plantain leaves, coltsfoot, black currant are characterized by the presence of an antitussive effect. That is why, in the presence of a cough, decoctions from these components are very often used.

If the patient has moist cough, then for its treatment it is necessary to use inhalation.

Eucalyptus oils are used to increase the effect of exposure, tea tree. It will be enough to add just a few drops of oil to a glass of boiling water. To soften the larynx, decoctions based on plants such as sage, plantain, lime blossom, and chamomile are widely used.

When used during the period of all of the above means, you can get rid of a cough as quickly and efficiently as possible.

Sore throat treatment

With the appearance of pain in the throat, one can judge the appearance of more serious illnesses in females than a cold. When the first pain sensations appear, perspiration in the throat is produced by it.

For this purpose, decoctions based on plants such as:

• Chamomile
• Eucalyptus
• Sage
• St. John's wort

Warm decoctions should be used to soothe sore throats and prevent the spread of infection.

To prepare one of them, you need to take 1 teaspoon of rosehip syrup, which can be purchased at a pharmacy. 2 tablespoons of freshly squeezed red beet juice and juice from half a lemon are added to it. The resulting drug is necessary when the first signs of sore throat appear.

If you carry out a complex intake of medicines for pain in the throat, then you can get rid of them as soon as possible.

Temperature - what to do

If the female representative does not exceed more than 38 degrees, then taking antipyretics is not recommended. Pregnant women should not take most of the pharmaceutical preparations. That is why in most cases folk remedies are used.

To relieve pain and make it easier to transfer heat, cold ones are most often used. To do this, you need to soak a piece of cloth in water. room temperature and apply to the forehead.

The most harmless way to lower the temperature is to rub with vinegar. To do this, it must be diluted with warm water in half and wipe the entire body of the pregnant woman. If a female representative has heat, then the application of vinegar compresses is carried out under large arteries.

Quite effective in the fight against fever is tea based on linden blossom.

When applied to patients, the pores open, which allows them to sweat and get rid of the temperature. Also, herbal teas based on coltsfoot, oregano, raspberries, etc. are used to combat the disease.

All these funds give a high impact effect, which guarantees a decrease in temperature in pregnant women as soon as possible.

For treatment, vasoconstrictor drops or sprays are most often used. In this case, the female representative must strictly adhere to the dosage of drugs. It is necessary to use drugs for the treatment of the common cold as little as possible. This is due to the fact that the body of women who are in an interesting position very often gets used to drugs, which negatively affects their health.

At frequent use vasoconstrictor drugs, they can enter the esophagus and be absorbed into the blood. After this, the drug narrows the vessels of the placenta, which leads to a violation of the blood supply to the child.

In order to eliminate it is necessary to use lightly salted water for. You can cook it yourself or buy it in pharmacies. For self cooking solution, you must use a glass of boiled water, in which two grams of salt are diluted. Pharmacy analogues this tool are Saline and .

Useful video - cold during pregnancy.

To combat a runny nose, massaging the points that are located near each nostril is very often used. In order to enhance the effectiveness of this method, Eucabal, Asterisk, and other similar drugs are used.

The common cold can be treated with traditional medicine, the preparation of which is carried out on the basis of raspberries, sage, oregano, apples, beets, carrots, violets.

All of the above drugs have a high effect in the treatment of the common cold. But before using them, a woman should consult a doctor.

Alternative treatment

To date, there are a huge number of traditional medicine that can be used to treat pregnant women.

• The most effective in the treatment of colds is ginger. Tea is made from it. To do this, you need to take fresh ginger, grate 1/4 cup and pour 0.8 liters of water. Tea must be boiled for 10 minutes, let it brew and drink with honey and lemon.
• Also, aloe can be used for treatment, which is explained by the presence of bactericidal and anti-inflammatory properties in it. During pregnancy, it must be used as carefully as possible, as it negatively affects the tone of the muscles of the uterus.
• The most useful and fast-acting remedies in the fight against colds are. Especially if they are prepared on the basis of eucalyptus. It is an effective expectorant, with the help of which the mucus of the nasal passages and lungs is cleared, which has a positive effect on the healing process.
• Essential oil is used for inhalation. The procedure is carried out over a container of hot water, to which a few drops of oil are added. You can also use dried eucalyptus. To prepare the medicine, it must be boiled for 10 minutes.
• During pregnancy, colds can be treated with lemon and honey. This is not only a highly effective, but also a delicious way to treat colds. There are a huge number of recipes for the preparation of medicines based on lemon and honey. The simplest of them is the addition of lemon and honey to tea from linden, coltsfoot, chamomile, etc.
• For the treatment of colds in pregnant women, rose hips can be used, which is characterized by the presence of diuretic, anti-inflammatory, hemostatic properties. With the help of this tool, not only a full-fledged fight against colds is carried out, but also the strengthening of immunity.

Traditional medicine is very strong in the treatment of colds. Despite this, it is forbidden for pregnant women to use it without consulting a doctor.

In order to avoid colds during the period, it is imperative to adhere to preventive measures. First of all, a pregnant female should avoid places where a large number of people accumulate.

If an epidemic occurs in autumn or winter, then a pregnant woman needs to wear a gauze bandage. After going outside, you need and. This will prevent the virus from entering the body.

To strengthen the body of a pregnant woman, it is necessary to drink vitamins daily, natural juices and bioadditives that are allowed by doctors.

The implementation of all these preventive measures will help pregnant women avoid colds.Treatment of colds in pregnant women is carried out with the help of, which are made on the basis of natural ingredients. Highly effective in this case is traditional medicine.

Even seemingly harmless medications can harm a child.

Fortunately, for the treatment of most diseases, drugs can be used that are allowed to be taken during pregnancy. However, it is very important that treatment is started only after consulting a doctor. This also applies to pharmaceutical products that are sold freely in pharmacies, without a prescription.

Interestingly, in Germany, for example, in order to make it easier for women to navigate the variety of medicines, they are divided into ten risk categories: from G1 to G10. Group G1 includes drugs that can be taken with little or no risk. Taking medications in category G7 or more can be dangerous for the child. During pregnancy, these medicines should not be taken in any case.

Cold

Ordinary colds, accompanied by cough, runny nose and hoarseness, are not dangerous for the child. Avoid taking over-the-counter combination medications, even if you have long-term symptoms such as a stuffy nose or a painful cough that don't go away. Many of the medicines contain substances that are not safe to take during pregnancy (such as alcohol or painkillers). Whenever you want to use this or that medicine for a cold, discuss it with your doctor. By the way, the gynecologist is now your main consultant in those issues for which you previously sought the help of a general practitioner. Treating a cold is a living example of this. IN women's consultations therapists also work: in case of questions or problems that require a competent solution, you can contact them.

At strong cough you need to drink as much as possible. Inhalations with essential oils will also help alleviate discomfort. If the cough bothers you a lot, you can resort to expectorants for a short time - the child will not suffer. In Europe, drugs based on codeine are prescribed in such situations, but remember that in Russia this substance is actually equated to the category of narcotic drugs and should not be used by pregnant women - especially without consulting a doctor!

At severe runny nose the child does not experience problems as long as you are able to inhale enough oxygen. steam baths for the face with essential oils or a solution of table salt almost always bring relief. From the use of drugs that relieve swelling of the mucosa, you should refuse, as they usually cause narrowing blood vessels. Safe spray with sea ​​salt or drops from the common cold for newborns - as a rule, they are quite enough. At elevated temperature and headache, you can take 500 mg of paracetamol with the permission of your doctor. In this case, strictly observe the dosage. If the temperature is above 38.5 °C, a doctor should be called. In the case of a prolonged viral infection after the tried remedies have not led to improvement, the doctor may prescribe more serious drugs for you. Do not worry: in the correct dosage, antiviral and immunomodulatory agents should not lead to serious consequences. In any case, their side effects are incomparably less than the harm that the virus itself has on the fetus.

How medicines affect the child

In the first weeks of pregnancy, some women do not yet know that they will have a baby. Often, the beginning of this period takes place against the background of taking quite serious medications, some of which are considered critically dangerous for the fetus. There is no need to be very upset if this applies to you: the risk of serious harm to the child is very small.

This is because the effect of drugs on the fetus depends on many factors:

• Not all children react to negative influences in the same way.
• Violations occur only at certain stages of development (as a rule, these are very short periods of time). For this reason, most medicines are not so dangerous on later dates pregnancy.
• If the child is really injured, then under certain circumstances the small organism will be able to cope with them on its own.
• The severity of the damage depends on the amount of drug. Therefore, long-term use of drugs in principle is not allowed. And a single dose probably won't cause any problems.

Headache

Headaches during pregnancy are unfortunately not uncommon. However, you should be extremely careful when choosing a pain reliever: there are only a few drugs that you can take without putting your child in danger. Even paracetamol or acetylsalicylic acid is not so harmless. Before you decide to take any medicine, just in case, consult your doctor.

Might help get rid of the headache alternative methods treatment:

• Walk 10-15 minutes in the fresh air.
• Learn relaxation techniques.
• If tension in the back of the head is the cause of the headache, ask for a massage session.

Headaches accompanied by blurred vision, nausea and vomiting, last trimester pregnancy should be taken very seriously. The cause of this malaise may be preeclampsia, requiring urgent medical attention.

Heat

A short-term fever with a cold is usually not dangerous for a child. But if the temperature rises to 38.5 ° C and above, you should take an antipyretic (paracetamol). At the same time, you should drink as much as possible to compensate for the loss of fluid in the body. If the temperature does not drop for a long time, you should consult a doctor.

Combination preparations sold in pharmacies for the treatment of influenza infections should not be taken in any case. They almost always contain ingredients that can harm your baby. Therefore, every time you are going to use one of these medicines, talk to your doctor.

urinary tract infection

infections urinary tract- enough frequent occurrence during pregnancy. At the first symptoms, check if you are drinking enough fluids during the day.

Opt for still water or mild herbal teas. Avoid coffee and high acid vegetable and fruit juices. They further irritate the bladder. Your condition may improve already from the fact that you adhere to these rules.

If you had inflammation before pregnancy Bladder, then you will have to be treated with antibiotics just in case. It is best to discuss this with your gynecologist. When consulting with doctors of other specializations, be sure to inform them about your pregnancy.

Gastrointestinal infections

Gastrointestinal infections usually disappear as suddenly as they appear. For treatment, electrolyte solutions sold in pharmacies are best suited. If no later than two days later you feel well again, the disease will not affect the child in any way.

But when you are sick for more than two days and symptoms appear:

• heat,
• vomit,
• headache and aches all over the body,
• chill,

you should call a doctor immediately. The cause of the disease could be food poisoning or severe infection. And in these cases qualified health care It has great importance.

Diarrhea

Diarrhea is rare during pregnancy. In the event that you do get sick, try to solve the problem as soon as possible (the maximum period is 2 days) - this is important for the child, since lack of fluid and electrolyte imbalance negatively affect his condition.

• With diarrhea, it is essential that you drink as much as possible. Eat crackers and salty sticks - this normalizes the content of electrolytes in the body.
• Avoid hard to digest and fatty foods.
• If necessary, the doctor can schedule an appointment for you activated carbon or tablets containing loperamide as the active ingredient.

Alternative Treatments

Many people think: "Illness during pregnancy is fraught with nightmarish consequences." The emergence of such thoughts is quite understandable, because medicines are almost impossible to take, and you will have to endure the symptoms of the disease, often very unpleasant, until they pass by themselves. Fortunately, many common ailments respond well to alternative treatments.

All over the world and in Russia in particular, homeopathy and naturopathy are becoming more and more popular. The advantage of these methods is that they do not call side effects Therefore, during pregnancy, they can be used without fear. However, in order to achieve the desired goal, in most cases it is necessary to consult an experienced specialist, because to choose the right remedy very difficult on your own. It is important that you carefully monitor yourself and correctly record all the symptoms. This observation is especially important when we are talking about psychosomatic disorders.

Treatment of comorbidities

If, due to your chronic disease(epilepsy, hypertension, diabetes, bronchial asthma) you must take your medicines regularly, consultation with your doctor is especially important. Try to inform him about your pregnancy immediately - as soon as you yourself find out about it. Then you can think together how to continue treatment further. Never make your own decision to stop medication. Your condition may worsen in the most dramatic way and endanger the well-being of your child. So be sure to continue taking all necessary medications. If the treatment is carried out competently, then pregnancy will not negative influence to the course of the disease.

Asthma

The study proves that with proper treatment and constant medical supervision, maternal asthma during pregnancy does not pose an increased threat to either the child or the woman in labor. As long as asthma is under control, the negative effects of cortisone (steroid) treatment are eliminated. However, there appears to be a direct correlation between inadequately treated asthma and low birth weight.

HIV infection

If this disease is treated correctly, then today there are real chances that the child of an HIV-infected mother will be born healthy. Thanks to the use of antiretrovial drugs during pregnancy and the prompt delivery of a planned caesarean section, the risk of infection has been reduced from about 20% to less than 1%. With a low concentration of the virus in the mother and additional therapy, even natural childbirth is possible.

Liver disease

Hepatitis A

Pregnant women who go to regions infected with this virus can get themselves vaccinated, and then receive additional immunoglobulin treatment for ten days. If the acute phase of hepatitis coincides with the term of delivery, then it is advisable to conduct active and passive immunization of the newborn.

Hepatitis B

The hepatitis B vaccine during pregnancy is safe and effective. A newborn child of a mother infected with the hepatitis B virus must undergo active and passive immunization (immunoglobulin against hepatitis B) within 12 hours after birth. In this case it is even possible successful establishment breastfeeding.

Hepatitis C

Unfortunately, no vaccine has yet been developed to prevent this disease. C-section not required to protect the child. Breast-feeding possible and even desirable.

Diabetes

With qualified treatment, all the problems associated with this disease are surmountable. If the blood sugar has stabilized at an optimal level, and the doses of insulin are correctly selected, then the expectant mother is unlikely to be in any danger. With well-regulated sugar, the risk of pathological development of the child does not increase, and his intrauterine supply does not suffer. Childbirth can proceed spontaneously, they will not have negative consequences for Your health.

Heart disease during pregnancy

The vast majority of heart disease during pregnancy and childbirth is not an out of the ordinary problem.

However, there are a few diseases that put the mother at serious risk, in these cases it is recommended to refrain from pregnancy.

Thrombosis

If you suffer from thrombosis, you do not need to worry about your pregnancy: during the entire period of expectation of the child, you can take heparin as prescribed by the doctor, and this will not harm your baby in the least.

cholestasis of pregnancy

Many women experience skin changes during pregnancy. A multitude appears age spots, it comes to itching and skin rashes. Despite the fact that all these phenomena are usually harmless, it is necessary to find out their origin. They can be called skin disease or response to pregnancy. In addition, such changes may indicate problems with the liver. Cholestasis of pregnancy, accompanied by itching and pathological changes in the liver, poses a great danger to the child. Therefore, just in case, be sure to visit a doctor. Local external treatment (ointments, lotions with glucocorticoids) is preferable to systemic therapy with tablets and injections. Ursodeoxycholic acid in cholestasis of pregnancy helps not only improve the condition of the mother, but also significantly reduce the risk to the child.

The thyroid gland and its diseases

Diseases thyroid gland most often exacerbated during pregnancy. Remember, both hypofunction of the thyroid gland and its hyperfunction can lead to a violation of the health of the mother and child. To prevent thyroid problems, you need to consume enough iodine. This is easiest to achieve if you constantly use only iodized salt for cooking and eat fresh sea fish twice a week.

For the timely detection of the disease, the doctor at the beginning of pregnancy should conduct a thyroid function examination and determine the level of antibodies - first of all, this applies to women at risk. These future mothers either already have a disease or have a hereditary predisposition.

Epilepsy

Epilepsy is one of the most common severe neurological diseases during pregnancy. It affects 0.5 to 1 percent of expectant mothers. In order to avoid insufficient intrauterine supply of the child, epilepsy must be treated without fail. When choosing medications, extreme caution is required, since some drugs (valproic acid) increase the risk of pathological development of the fetus.

It is important that even before pregnancy, treatment is carried out using a preparation containing only one single active substance. In addition, the patient should be guided by the minimum dosage. Daily intake folic acid in the first third of pregnancy, it will additionally protect the baby from the formation of neural tube defects.

It is recommended to treat your teeth at the dentist at the stage of preparation for pregnancy. However, it happens that the help of a doctor is required while carrying a baby. A lost filling, a chipped tooth, gum disease and other problems require urgent intervention, as they threaten complications and more expensive treatment in the future. You don't have to put off your visit to the doctor. postpartum period, because then the young mother will have much less time for herself.

Is it necessary to treat teeth during pregnancy?

When carrying a baby, the condition of the teeth may worsen already in the first trimester due to hormonal changes. An increased level of progesterone leads to increased blood supply to body tissues, including the gums. They become loose, which provokes gingivitis, stomatitis, exacerbation of caries. With poor oral hygiene and poor heredity, teeth quickly deteriorate and fall out. Their enamel becomes sensitive to hot, cold, sour foods.

Hormones also affect the amount and pH of saliva. It becomes more, the balance shifts towards acidity. In the absence of preventive and therapeutic measures, hard plaque and tartar quickly form, due to which you can lose teeth. In the 2nd and 3rd trimester, there is a lack of calcium, which also leads to tooth decay.

Expectant mothers are wondering if treatment and prosthetics are necessary during gestation, or whether these procedures can be postponed. Doctors recommend coming for check-ups at least once every three meters, or with specific complaints. The decision on dental intervention is made individually, based on the problem and condition of the pregnant woman. Often manipulations are carried out immediately, using local anesthesia. Sometimes treatment is delayed until the postpartum months.

When is the best time to go to the doctor?

This article talks about typical ways to solve your questions, but each case is unique! If you want to know from me how to solve exactly your problem - ask your question. It's fast and free!

A dental examination is mandatory when registering during pregnancy (for a period of 6-12 weeks). If nothing bothers the expectant mother until this time, you can not go to the doctor. During the examination, the doctor may identify:

Also, the expectant mother should consult a doctor with acute and aching pain. In this case, pulpitis or periodontitis is diagnosed (complications of caries that gradually affect neighboring tissues). In severe situations, periostitis and osteomyelitis are possible - severe purulent processes that are observed in the absence of treatment for caries complications.

If dental problems are identified, the doctor conducts sanitation, which is recorded in the pregnant woman's card. In difficult cases, treatment is carried out immediately. If possible, the procedure is postponed to the second trimester. At this time, the placenta is formed, which protects the baby from the effects of anesthesia. Early toxicosis pass, and the expectant mother feels good, she can sit in the chair for the allotted time.

1 trimester

In the 1st trimester, the organs and tissues of the fetus are laid. It is highly undesirable to treat teeth until the fertilized egg is fixed. Anxiety and stress future mother, as well as the anesthetics used, affect the health of the fetus, can provoke early miscarriage. Dental intervention is also undesirable within 8-12 weeks.

If possible, fillings are postponed to the second trimester. An exception is made when acute pain, pulpitis, periodontitis, which cannot be ignored. As a freeze in the first trimester, "Ultracain" often acts - the most safe drug for the fetus. Lidocaine, popular in dentistry, is not used because it leads to an increase blood pressure and palpitations.

2 trimester

In the second trimester, dental diseases are prevented and teeth are treated, the condition of which threatens to worsen at 30-38 weeks. If there is no risk, manipulations are postponed by the dentist for the postpartum months. Small pockets of caries can be cured without an injection. The doctor carefully removes the lesion with a drill and places a filling without touching the nerve endings. Thanks to modern equipment, filling is painless and comfortable.

3rd trimester

Period intensive growth fetus, in which the expectant mother experiences increasing fatigue. In the prone or half-sitting position, the pressure of the fetus on the inferior vena cava, the aorta, increases, which leads to a strong heartbeat, migraine, and sometimes even loss of consciousness. sensitivity of the uterus to external influence increases, which sometimes leads to premature birth.

Treatment in the third trimester is indicated in extreme cases(it is desirable to carry out manipulations up to 36 weeks):

• irreversible processes in which it is important to remove dead tissue;
• purulent inflammation;
• unbearable pain.

What procedures do not affect the fetus?

Dental treatment while expecting a child is not dangerous. At the appointment, the expectant mother should tell the doctor at what stage of pregnancy she is, inform about her state of health and the medications she takes. The information will allow the doctor to choose the optimal treatment tactics.

Pregnant women are allowed to remove soft plaque, fill teeth, treat gum disease, gumboil, pulpitis and periodontitis, and remove teeth. The issue of prosthetics is solved individually.

It is important not to refuse anesthesia and not to endure pain, especially in the treatment of teeth for long periods (35-36 weeks). The pain leads to the release of adrenaline into the blood, which increases the tone of the uterus. This negatively affects the condition of the fetus.

Permitted types of anesthesia

When prescribing painkillers, the dentist will take into account allergic reaction expectant mother for medicines. At high blood pressure"Novocain" is allowed (we recommend reading:). If the pain bothers at home, you can take "No-shpu", "Spasmalgon", "Paracetamol", "Nurofen" in the doses recommended by the doctor. It is forbidden to use "Lidocaine", "Septanest", "Imudon", "Sodium Fluoride" during any period of pregnancy. Drugs can lead to pathology, adversely affect the fetus.

Can an X-ray be taken?

Ultrasound of the teeth of pregnant women is not performed. To assess their condition, the doctor uses an x-ray, which shows the location and condition of the roots, dental canals, hidden carious cavities. The procedure is done after 12 weeks using radiovisiographs - modern devices that give the minimum dose of radiation. In this case, the patient is covered with a lead apron, a highly sensitive film is used, and the necessary pictures are taken at the same time.

Removal of a tooth

Extraction of teeth is an extreme measure, which is resorted to only in the most serious cases. Thanks to modern anesthetics, the procedure is painless, but very exciting for the expectant mother. In order for the hole to heal quickly and correctly, it is necessary to follow the doctor's recommendations for caring for the oral cavity after surgery. You can remove teeth according to indications at any time. The anesthetic "Lidocaine", popular in dentistry, is not used in this case. It can disrupt the pressure and work of the heart, lead to shortness of breath, vomiting, rash, migraine.

caries treatment

Crown caries and its complications negatively affect the course of pregnancy, become a source of infection, purulent inflammation and pain. By themselves, pain does not affect the fetus, but leads to discomfort for the mother, which is transmitted to the baby. with infection and inflammatory process much more difficult. They can lead to various pathologies.

Caries during pregnancy is treated at any time, but better in the second trimester. When depulping and complicated forms, anesthesia is used. The use of arsenic is unacceptable. There are no restrictions on the choice of fillings. The doctor will select either chemical filling materials or light-curing fillings.

Can crowns be placed?

Dental prosthetics during pregnancy has no contraindications. Dentists-orthopedists carry out manipulations painlessly and safely for health. However, it is important to remember that the gums are swollen during this period, and the casts may be incorrect. This will lead to discomfort during the installation and operation of finished prostheses. Whether it is possible to insert teeth, put veneers and onlays, and from how many months to do this, the orthopedist will determine during an individual consultation.

Other restrictions to be aware of

A number of dental procedures are prohibited for pregnant women. Among them:

• orthodontic treatment (undesirable installation of braces, bite correction, normalization of the functions of the dentoalveolar system);
• teeth whitening;
• implantation and other manipulations where general anesthesia is required;
• removal of tartar with highly abrasive and chemical devices.

It is highly undesirable during the embroidery period to remove the “eights” (wisdom teeth). It is often accompanied by swelling, bleeding and other complications, after which you need to drink antibiotics. The removal time is agreed with the gynecologist.

It may be the 2nd or 3rd trimester when the freeze is not reflected intrauterine development fetus. They tear a crookedly growing tooth, which interferes with the neighboring one and causes inflammation of the gums, as well as “eights” with deep caries of the crown.

Prevention of dental diseases

Healthy teeth during pregnancy are the result of competent care and timely preventive treatment. To save them and forget what caries, gingivitis, dental cyst are, you should follow the recommendations:

• brushing your teeth 2 times a day using a brush and paste selected by your doctor;
• use of dental floss;
• thorough rinsing of the mouth after vomiting caused by toxicosis;
• a diet rich in calcium and phosphorus;
• to strengthen the gums will allow a decoction of chamomile, St. John's wort, oregano for rinsing;
• intake of vitamins A, C, D, E and mineral complexes for pregnant;
• self-massage of gums and teeth.

The future dad should also go through the sanitation of the oral cavity. Dentists explain why this is necessary. Rotten teeth and unhealthy gums are a hotbed of infection that can be passed on to a newborn. Close contact with the baby (hugging, rocking, kissing) is acceptable only with healthy teeth.

There is a misconception that dental treatment during pregnancy is strictly prohibited. But doctors say otherwise. Carrying out therapy during the bearing of a child is not only not prohibited, but also extremely necessary. They exist just for that. certain deadlines and precautions.

What threatens neglected caries?

The statement of experts that dental treatment is a necessary procedure is not groundless. The presence of carious cavities and other foci of infection at least leads to deterioration already existing dental pathologies.

But this is not the most dangerous. The infection can spread throughout the body, leading to systemic complications.

Suffer first gastrointestinal tract, since the infection from the mouth quickly enters the esophagus and stomach. This can lead to gastritis, intestinal dysfunction, late toxicosis. As a result, violated metabolic processes, What negatively affects the development and growth of the fetus.

Often, in the presence of dental diseases, a child is born with a small body weight.

If the focus of the disease is located near the periodontium or bone tissue, then the infection can lead to complete loss of teeth. The infection can enter the bloodstream and provoke inflammation of the organs or cause general intoxication organism.

Studies have shown that caries-causing bacteria are a common cause premature birth.

Therapy in the first trimester

The first trimester is one of milestones pregnancy, on which to carry out dental treatment using anesthetic drugs extremely undesirable. During this period, the laying and development of all organs of the fetus.

An incompletely formed placenta is not able to provide high-quality protection for the fetus. Any impact medical preparations can lead to pathological violation of the formation his internal organs.

At this time interval, treatment is carried out only in case of acute manifestations of the disease, for example, periodontitis, pulpitis, which threaten complication in the form of a purulent infection. In the chronic course of the disease, treatment is recommended to be postponed until a more favorable period.

Therapy in the second trimester

The second trimester is the most auspicious time for treatment, as the risk of negative effects is minimized. Back to top given period the woman's body gets used to the new state and becomes stronger.

The placenta, which acts as a barrier and prevents the penetration of foreign substances to the fetus, is fully formed.

At this stage allowed treat acute and chronic dental pathologies with the use of anesthetics local action, which no adrenaline or its presence is reduced to a minimum dosage.

Before therapy Can conduct research using x-ray equipment(visiograph), only in this case it is necessary to use a special protective apron.

Conduct implantation in the 2nd trimester Not recommended, since these procedures require the use of a large number medicines.

Therapy in the third trimester

Just like the first trimester, the third is to not myself favorable period for dental treatment. At this time, the muscles of the uterus become as sensitive as possible and react to any impact with an increase in tone.

Anesthesia drugs have the same effect. In most cases, they contain a minimal dose of adrenaline, which increases the tone of the uterus, which increases the risk of preterm labor.

In case of urgent intervention during therapy, the woman should be in the supine position, as the fetus strongly presses on the main aorta and can cause increased pressure and loss of consciousness.

What diseases need to be eliminated?

Not always the dentist is ready to take up the treatment of diseases during pregnancy. The main indications for therapy are the following pathologies:

• Caries. Even with a small caries lesion, the infection penetrates the gastrointestinal tract and causes its dysfunction. In addition, in the presence of cavities, the quality of chewing food deteriorates significantly, which increases the load on the stomach.

  With a deep lesion, the infection can penetrate into the bone tissue, leading to its inflammation and loss of the crown.

• Periodontitis and/or pulpitis. Act as a complication after caries. A problem that is not stopped in a timely manner leads to the occurrence of a purulent infection, which can lead to the development of sepsis.
• Odontogenic periostitis- characterized by inflammation of the periosteal tissue. Complete loss of a tooth is a complication.
• Parodontosis, periodontitis. They cause pathologies of the heart, joints and general intoxication of the body.
• Stomatitis- a dangerous pathology, which is often accompanied by deterioration general condition body up to a steady increase in temperature and severe intoxication. The disease can cause pathological development of internal organs or fetal death.
• Gingivitis- inflammation of the mucous tissues of the oral cavity. Leads to overall decline immunity and accession of other dental pathologies.

In addition to the listed diseases, during the period of bearing a child Can conduct simple tooth extraction(except for the last molars, which most often require complex extraction).

It is also possible to install orthodontic structures ( braces) And prosthetics with minimal use of medications.

Pain medications

The choice of drug for administering anesthesia plays important role during the period of gestation. Preference is given to products with a minimum content of adrenaline.

Usually, small dosage such a drug should not act on the uterus and penetrate through placental barrier having a negative effect on the fetus.

Only a few drugs meet these requirements:

• Ultracain. It is a colorless solution, the active ingredients of which are articaine and epinephrine. As auxiliary components, the product included: sodium metabisulfate, purified water, sodium chloride.

  The drug is fast-acting - the effect of anesthesia occurs within 2 minutes after the injection and lasts up to 45 minutes. It does not have a depressing effect on the vascular system and the heart, but is prohibited in glaucoma, kidney pathology, and severe hypoxia.

  It is also worth remembering about side effects drug: urticaria, lowering blood pressure, heart rhythm disturbance. The drug is sold in special cartridges (carpules) intended for use only with a special syringe.

  This injection system is painless. After the introduction of ultracaine, the syringe along with the carpula are destroyed. The cost of one cartridge of this tool is from 45 to 90 rubles.

• Primakain. This is a combined anesthetic, which included epinephrine and articaine. The main difference of this drug is its short half-life, thanks to which it can be used for children, pregnant and lactating mothers.

  After the injection, primacaine begins to act after 30 seconds. The action lasts about 40 minutes. The drug is contraindicated in heart disease, anemia, renal failure, high blood pressure.

  Last trimester its use may lead to bleeding. The average cost of funds is 80 rubles.

• Ubistezin. The main active ingredients are articaine, epinephrine. Additional components: sodium sulfite, water for injection. Like other drugs of the articaine series, it has an anesthetic effect 1 minute after administration and retains it for up to 45 minutes.

  The drug has practically no negative effect on the heart. In rare cases, there is slight increase pressure and heart palpitations.

  Contraindications are kidney disease, hypertension, tachycardia. Ubistezin can be purchased for about 40 rubles.

• Septanest. The main components of articaine and adrenalin. It has a minimal vasoconstrictive effect and does not adversely affect the functioning of the heart.

  The maximum analgesic effect occurs three minutes after the injection and lasts about an hour. The drug is contraindicated in bronchial asthma, as it can provoke an attack of suffocation.

  Using in the first trimester may cause dizziness and loss of consciousness. The average market cost of one ampoule of funds is about 60 rubles.

Septanest

Therapy without injection

It is not always necessary to use anesthetics during dental treatment. In some cases, you can do without anesthesia. Even if therapy is carried out at the most safe period, the risk of negative effects of drugs on the body of a pregnant woman and the fetus always remains.

Therefore, with pathologies in initial stage try not to use anesthesia. As a rule, with this treatment, pain is absent. Instead, they can only manifest discomfort.

If the patient is unable to tolerate discomfort, can be used local anesthesia spray or gel.

In situations where the procedure is accompanied severe pain, it is recommended to use anesthetic drugs, since in some cases pain can have a greater negative effect than the drugs used.

Conclusion

Dental care during pregnancy is a necessary procedure. The method used in this case will depend on the pathology and the degree of its neglect. No dentist will resort to treatment with anesthesia, unless there are certain indications.

The use of painkillers will be justified only if the harm from the pathology exceeds the negative effect of anesthetics.

If you find an error, please highlight a piece of text and click Ctrl+Enter.

2 Comments

• Daria Gikst

  September 9, 2016 at 03:25 pm

  Quite recently, a couple of months ago, I became a mother and the question of dental treatment arose for me. I can say with confidence that pregnancy is not a sentence and not a reason not to visit a dentist. I'm not a doctor, but in an elementary, understandable way for ordinary person level i can do unequivocal conclusion about the fact that the means used for pain relief are not more harmful than all those factors that no pregnant woman is insured against: ecology; the quality of store products (in the manufacture of which God knows what they use). And it is better to cure the teeth before the birth of the baby than he will receive a dose of harm from his mother's diseased teeth. Moreover, medicine has stepped far ahead and converges to a minimum of painful procedures.

• Olga

  September 11, 2016 at 2:55 am

  I treated my teeth at the dentist during pregnancy, the doctor assured me that anesthesia would not affect the child in any way, and I believed him. The main thing is not to be too nervous in the dentist's chair, this can affect the child. So I tried to calm down and distract myself, think about something good. Of course, X-rays also needed to be done, but I was afraid and postponed this procedure. But it's already gone more than a year after the birth of a child and I still haven’t done an x-ray, so they say correctly that after you give birth there will be no time to go to the doctors. This is one of the reasons for dental treatment during pregnancy.

• Lisa

  November 7, 2016 at 03:06 pm

  When I was pregnant, dental treatment didn't seem very important to me. In principle, everything was fine with my teeth, but somewhere in the sixth month, one of the teeth began to crumble and, as a result, almost nothing was left of the tooth. I didn’t go to see a dentist, but somehow a conversation about this incident came up with my gynecologist, how much he scolded me that I didn’t immediately go to treat a tooth. My second trimester was almost over and I still went to the dentist, the tooth was affected by caries and it was difficult to save it, but I managed to save it with the use of anesthesia, the dentist explained everything to me and explained that the anesthesia he used would not harm the child, but here's how since my caries would have done him enough harm. Only now it dawns on me how stupid I was ..

• Marina

  March 2, 2017 at 5:24 am

  During pregnancy, I treated all my teeth. I turned to the dentist in the first trimester, but she advised me to start all the manipulations from the fourth month. She was treated with painkillers, fortunately, this did not affect the child in any way. As a result, she breastfed another child for almost two years and her teeth remained intact. And if she hadn’t dealt with this issue during pregnancy, then probably more than one tooth would have had to be removed. So, really, you need to do everything on time. Moreover, now there are absolutely harmless painkillers for the expectant mother and baby.