Cough during pregnancy at 36 weeks and its treatment

Cough is a complex-reflex protective mechanism that is triggered by the accumulation of mucus, allergens, and pathogens in the respiratory tract.

A dry cough during pregnancy most often becomes a consequence of acute respiratory viral infections - influenza, parainfluenza, adenoviral infection, etc. Colds are diagnosed in more than half of women during gestation (pregnancy).

To prevent complications, they resort to conservative treatment, which has 2 goals - destruction of infection and relief of symptoms.

Causes and signs of nonproductive cough in pregnant women

A dry, or non-productive, cough accompanies many acute respiratory diseases. The causative agents of acute respiratory infections are pneumotropic viruses and bacteria, which are infected by airborne droplets.

Viral diseases are detected in 85% of women during gestation, and bacterial diseases in 15%.

The most common cold pathogens:

• enteroviruses;
• staphylococci;
• reoviruses;
• adenoviruses;
• streptococci;
• coronaviruses;
• rhinoviruses, etc.

With a dry cough, sputum is not produced. When coughing, a burning sensation occurs in the throat. I am concerned about chest pain, dry mucous membranes and soreness.

A decrease in general immunity and hyperventilation of the lungs are factors that provoke acute respiratory infections in pregnant women.

How to treat dry cough during pregnancy

A severe cough during pregnancy provokes uterine hypertonicity. In the early stages it is dangerous due to spontaneous abortion, and in the later stages it can lead to premature birth. Due to a natural decrease in immunity, the infection progresses quickly, so treatment should begin at the first signs of acute respiratory infections.

Features of therapy depend on many factors:

• gestational age;
• infectious agent;
• severity of symptoms.

During pregnancy, gentle conservative therapy is used.

When selecting drugs, their teratogenicity - destructive effect on embryonic development - is taken into account. Due to toxicity and risks to the baby, many medications are not used during pregnancy. Therefore, when treating cough, special attention is paid to non-drug methods of therapy.

Approved tablets and syrups for pregnant women

How to treat dry cough in pregnant women is determined by the doctor based on the results of a comprehensive examination. From 3 to 10 weeks of gestation, the vital organs of the fetus are formed, and taking medications is dangerous due to developmental defects. For severe cough, take medications with minimal content of teratogenic components.

What can pregnant women do if they have a cold with a nonproductive cough:

• Libexin is a peripheral antitussive agent that reduces the sensitivity of receptors in the laryngopharynx, suppressing cough attacks. Recommended from the 2nd trimester of pregnancy.
• Mucaltin is a mucolytic tablet that transforms a dry cough into a wet one. Can be used starting from the 1st trimester of gestation, but only as prescribed by a doctor.
• Stoptussin is a combination medicine that eliminates cough, thins mucus and stimulates its elimination. Reduces sore throat, does not affect respiratory function. Prescribed only in extreme cases in the 2nd trimester with a high risk of spontaneous abortion due to spasmodic cough.
• Bromhexine is a mucolytic tablet that thins mucus. Converts a dry cough to a productive one. Prescribed during pregnancy only taking into account the risk ratio for the fetus and mother.

Antitussive tablets are taken for no more than 2-3 days in a row, after which they switch to mucolytics and expectorants.

Cough syrups for pregnant women:

• Sinekod is an antitussive syrup that has an antispasmodic effect. Does not depress breathing function, softens the throat. Not used in the first 3 months of pregnancy. During other periods, it is used only on the recommendation of an obstetrician-gynecologist.
• Bronchicum is an expectorant syrup that reduces the viscosity of sputum, dilates the bronchi, and stimulates the clearing of mucus from the respiratory tract. Used from 14 weeks of pregnancy. Contraindicated in the 1st and 3rd trimesters.
• Stoptussin is an antitussive syrup that suppresses the cough reflex. Use only under medical supervision in the 2nd and 3rd trimesters.

Medicines are used with caution and only under the supervision of an obstetrician-gynecologist. Self-medication of cough is dangerous due to miscarriage, premature birth, and congenital pathologies in the child.

Sprays

To get rid of a dry cough, aerosol preparations with antitussive, antiseptic, analgesic and anti-inflammatory effects are used. The components of the drugs act locally and are almost not absorbed into the blood, so the risks for the fetus and mother are minimal.

To treat acute respiratory infections during pregnancy, use:

• Cameton is a local antiseptic that is active against bacteria, fungi and viruses. Accelerates the healing of inflamed mucosa, stimulates local immunity.
• Tantum-Verde is an anti-inflammatory spray that eliminates dry cough due to pharyngitis and laryngitis.
• Inhalipt is an antiseptic spray that destroys bacteria and viruses. Softens the throat, reduces the sensitivity of cough receptors.
• Orasept is a spray that disinfects mucous membranes, relieves inflammation and reduces the sensitivity of receptors.

During pregnancy, cough sprays are used in accordance with the dosage recommended by the doctor. Abuse is dangerous due to the absorption of active components into the blood and harm to the unborn child.

Rinse

Local treatment of dry cough during pregnancy is one of the safest ways to eliminate the symptoms of acute respiratory infections. To irrigate the mucous membrane of the throat, both pharmaceutical and folk remedies are used. To eliminate pathogenic flora and reduce inflammation, use:

• Rotokan;
• Furacilin;
• Miramistin;
• Chlorophyllipt;
• sodium chloride solution (saline).

Things to consider when gargling during pregnancy:

• optimal water temperature – 40°C;
• procedure time: 30-40 minutes after eating;
• rinsing frequency – every 1.5 hours;
• Course duration is 5-7 days.

To speed up recovery, use home remedies for cough:

• Soda solution. Dissolve ½ tsp in 200 ml of hot water. soda Cool the liquid to 40-42°C.
• Chamomile decoction. 1 tsp. herbs are poured with 250 ml of water. Boil over low heat for 5 minutes. Rinse with filtered broth up to 5 times a day.
• Herbal infusion. Plantain and calendula flowers are mixed in equal proportions. 1 tbsp. l. herbs are steamed with ½ liter of water. Leave in a thermos for 3 hours, then filter through cheesecloth.

To increase immunity during pregnancy, local therapy is used up to 5-6 times a day.

Inhalations

Dry coughs during pregnancy are quickly eliminated by steam and aerosol inhalations. Can be used:

• Rotokan – relieves inflammation in the mucous membrane, strengthens local immunity;
• alkaline mineral water (Borjomi, Smirnovskaya) – reduces the viscosity of sputum, stimulates its coughing;
• Mucaltin - reduces the thickness of mucus in the respiratory tract, stimulates their cleansing;
• saline solution – accelerates the healing of the ciliated epithelium, inhibits the proliferation of bacteria.

During pregnancy, it is recommended to use nebulizers, which convert aqueous solutions into an aerosol rather than hot steam. Unlike conventional inhalers, they are used even at elevated body temperatures.

For inhalation during pregnancy, medicinal herbs with mucolytic and anti-inflammatory effects are used:

• coltsfoot;
• peppermint;
• sage;
• Linden blossom;
• pharmaceutical chamomile;
• wild rosemary;
• liquorice root;
• dog-rose fruit.

1 tbsp. l. the raw materials are boiled in ½ liter of water for 3-5 minutes. If the cough is severe, add eucalyptus or fir essential oil to the decoction cooled to 45°C.

The procedure is performed 1.5 hours after meals 3-4 times a day.

Herbal decoctions

If you have acute respiratory infections, you need to drink a lot of fluids. To achieve a speedy recovery, use decoctions based on medicinal plants.

Folk remedies for unproductive cough:

• Chamomile. 1 tbsp. l. Boil the herbs in 400 ml of water for 5-7 minutes. Take 200 ml 3-4 times a day for 1 week.
• Licorice. 5 g of raw material is boiled in 350 ml of water in a water bath for 15 minutes. The filtered decoction is taken warm, 150 ml 3 times a day.
• Raspberry leaves. 2 tbsp. l. Boil over low heat in ½ liter of water for 10 minutes. Add 1 tsp to 200 ml of warm broth. honey Drink up to 4 times a day, half an hour before meals.

During pregnancy, herbs that provoke uterine hypertonicity are prohibited:

• series;
• Echinops;
• zhoster;
• tansy;
• celandine;
• sagebrush;
• knotweed;
• lovage;
• valerian;
• Sandy immortelle.

If allergic reactions occur during herbal medicine (skin itching, swelling of the mucous membranes, rashes), herbal treatment should be abandoned. Instead, you can take warm alkaline drinks - milk, Borjomi, Essentuki.

Rubs and compresses

Warming compresses and rubbing stimulate blood circulation in the lungs, thereby restoring their drainage function. The following ointments and balms are used for dry cough during pregnancy:

• Eucabalus;
• Doctor Mom;
• Vicks Active;
• Eucalyptus from Dr. Theiss.

Among folk remedies, animal fats are used for rubbing - goose, pork. If desired, essential oils are added to it - fir, pine, juniper.

Cough in pregnant women is treated with warming compresses based on:

• boiled potatoes;
• melted honey;
• cabbage leaf;
• cottage cheese;
• ethyl alcohol.

To avoid unwanted effects and complications, it is better not to use compresses with dry mustard.

Heat treatment during pregnancy is not carried out for serious concomitant diseases - pericarditis, thrombophlebitis, lung abscess, tuberculosis.

Other methods

To speed up recovery during pregnancy, you need to:

• Drink more fluid. Warm drinks help thin mucus. When coughing during pregnancy, green tea with honey, alkaline mineral water, and lingonberry juice are especially useful.
• Humidify the air. To make cough productive, maintain humidity at 65-70%. To do this, use humidifiers or hang wet towels in the room.
• Maintain bed rest. In the first 3-4 days after the disease, physical activity is limited.

If your cough causes a burning sensation in your throat, stick to your diet. Temporarily avoid nuts, crackers, spices, carbonated drinks, and sour vegetables.

How pregnant women should absolutely not be treated

During pregnancy, a limited list of medications is used that combat nonproductive cough. Expectorant syrups are used with caution, as they stimulate coughing, which can lead to uterine hypertonicity.

During pregnancy you should not be treated with the following drugs:

• Eucabal (syrup);
• Pertussin;
• Marshmallow root;
• Travisil;
• Glycodin;
• Terpincode;
• Hexoral;
• Stomatidin;
• Hexosept.
• Immunal;
• ACC;
• Ascoril;
• Bronchipret;
• Bronholitin;
• Herbion with ivy extract.

Heat treatment during gestation is dangerous because it increases blood pressure, tone of the pelvic muscles and respiratory muscles.

Therefore, during pregnancy the following are prohibited:

• warming the chest and back with mustard plasters;
• cupping massage;
• foot baths.

If a bacterial infection occurs, plaque appears on the walls of the pharynx. The clinical picture is replenished with new symptoms:

• change in voice timbre;
• temperature increase;
• pain when swallowing.

Antibiotics are used to kill the infection. But during pregnancy, they must be selected by the attending physician. It is strictly forbidden to use:

• Cefazolin;
• Streptomycin;
• Tetracycline;
• Cephalexin;
• Neomycin;
• Sulfadimethoxine.

If a nonproductive cough does not go away within 5-7 days, make an appointment with an ENT specialist.

Cough during pregnancy increases the risk of spontaneous abortion and premature birth. But the irrational use of drugs is dangerous due to developmental defects, jaundice and hearing impairment in the child. Therefore, at the first sign of a cold, consult a doctor. He will determine the cause of the disease and prescribe safe medications.

Source: https://tden.ru/health/suhoy-kashel-pri-beremennosti

Reasons for the development of cough in pregnant women at 36 weeks and its danger

Pregnancy is perhaps the most crucial moment in the life of every woman. At this stage, the girl’s body changes dramatically. He is rebuilding himself so that the process of bearing a child is successful. All weeks of pregnancy have certain characteristics.

The first stages of bearing a child are considered the most difficult. Every pregnant woman can develop a cough. However, it does not always pose a significant danger. In some cases, a severe cough can cause a miscarriage.

But still, more often than not, women do not know how such a symptom affects a child at 36 weeks of pregnancy.

At any stage of pregnancy, the appearance of a cough can be a sign of pathology and the cause must be determined

Causes of the symptom

Cough is a common ailment that often worries not only pregnant women, but all people in general. Despite many erroneous opinions, such a symptom cannot appear on its own. It always accompanies any disease.

Only a slight cough may appear for no reason. It will be considered normal if a person does not feel discomfort when coughing and does not have any extraneous symptoms. The first to third weeks of pregnancy are characterized by active restructuring of the body.

At this stage, the woman has a significantly reduced immune system. Any disease can cause significant complications. But coughing at 14 weeks of pregnancy is not so dangerous.

When a patient goes to the hospital, the doctor finds out why the woman has a cough. The prescription of medications depends on this.

Pathological coughing may occur in pregnant women for the following reasons:

• presence of acute respiratory infections;
• presence of ARVI;
• the presence of an inflammatory process in the lungs;
• development of bronchitis;
• an allergic reaction to something.

Cough often accompanies colds

Listed here are the most common causes of unwanted symptoms in pregnant women. Often a cough indicates the presence of tuberculosis. There is a misconception that this is a disease that occurs only in disadvantaged and poor people. However, it is not. Tuberculosis can occur in absolutely anyone, as it is transmitted by airborne droplets.

At 13 weeks of pregnancy and earlier, a cough often indicates the presence of an allergic reaction. During this period, the body undergoes restructuring.

Individual intolerance can be caused by absolutely any substance.

It is for this reason that doctors often recommend that women who are 13 weeks pregnant completely review their diet and also focus on daily wet cleaning.

Colds are also possible at 13 weeks of pregnancy. A weakened body cannot cope with a possible infection. That is why almost every contact with a person with a cold at 13 weeks of pregnancy ends in illness.

Allergies also cause coughing

The danger of the resulting illness

Any disease that arises can pose a huge threat to the woman and child. In the first to seventh week, the girl is prohibited from using many medications.

This is why it is quite difficult to cope with any disease. A severe cough brings discomfort to pregnant women.

When such an undesirable symptom occurs, the girl’s abdominal muscles tense significantly.

Before the eighteenth week, there is a huge risk of miscarriage. It is at this stage that the baby develops a sucking reflex and hair growth. Weeks 1-18 are characterized by the formation of all vital internal organs.

Any toxic substance that enters the body of a pregnant woman can disrupt the development of the child. This is especially dangerous in the first trimester. For example, at 7 weeks the baby begins to move for the first time.

However, the woman does not feel this because the baby is still too small.

No less dangerous is a disorder that is accompanied by a cough for a woman in later stages of pregnancy. Labor may begin prematurely. A cough at 38 weeks of pregnancy can result in infection in the fluid that the fetus consumes. This can cause significant complications.

Constant coughing may result in headaches

At the 39th week of pregnancy, as well as at earlier stages, coughing can cause placental abruption.

An undesirable symptom also often becomes the cause of severe toxicosis. In this case, the pregnant woman complains of:

• constant nausea;
• regular headache;
• insomnia;
• dizziness and other equally unpleasant symptoms.

At 35 weeks of pregnancy there is a risk of fetoplacental insufficiency. This leads to a slowdown in fetal development. At 28-32 weeks of pregnancy, cough often causes hypoxia in the fetus.

A pregnant woman may have trouble sleeping due to a cough.

At week 26, the baby begins to move actively. Over time, he becomes cramped. 31 weeks is characterized by the fact that the fetus begins to put pressure on the diaphragm. The timing may vary slightly depending on individual circumstances.

At week 33, the uterus is actively contracting, preparing for labor. Coughing significantly enhances this process. It can cause real contractions and premature birth. At 33-34 weeks the fetus begins to hear clearly.

It is believed that his mother’s cough may prevent him from getting proper rest.

Illness at 36 weeks of pregnancy

A cough that occurs during pregnancy (36 weeks) is no less dangerous than in the early stages. Most often, it indicates the presence of acute respiratory viral infections and acute respiratory infections. In this case, the expectant mother complains of:

• increase in body temperature;
• muscle and joint pain;
• discharge from the nasal passages;
• sore throat;
• severe coughing.

Coughing due to a cold also raises your temperature

In this case, the child receives less nutrients.

In itself, a cold that occurs in the thirty-sixth week of pregnancy does not pose a huge danger to the expectant mother. The main thing is to diagnose it in time and begin proper treatment.

Otherwise, significant deviations may occur:

• premature onset of labor;
• fetal hypoxia;
• infection of amniotic fluid.

Lack of treatment is fraught with complications for the fetus

In order not to catch a cold at week 36 and not suffer from a severe cough, you must follow preventive measures:

• walk in the fresh air as often as possible;
• avoid large companies;
• do not contact with infected people;
• regularly ventilate the house and do wet cleaning;
• eat foods that are rich in healthy vitamins and minerals.

Treatment of cough at any stage of pregnancy takes place only under the supervision of a doctor. He selects medications based on the characteristics of the body. You absolutely cannot choose them yourself.

An incorrectly selected drug can worsen the condition of the patient and child. Traditional medicine can be used, but only on the recommendation of a specialist.

This is due to the fact that some natural ingredients can provoke the onset of labor ahead of schedule.

Is a cold dangerous for pregnant women? You can find out from the video:

Source: http://bolezni.com/stati-o-simptomax/kashel/lechenie-kashlja-pri-beremennosti-tridcat-shest-nedel.html

6 ways to treat cough during pregnancy

Cough is a reflex reaction of the body and a symptom of many diseases. Initially, the function of the cough reaction is protective - to remove pathogenic microorganisms with sputum.

Typically, the cough reflex occurs as a result of irritation of nerve endings, the so-called cough receptors, in the respiratory tract. The cough can be rare and frequent, dry and wet, constant and periodic, painful and painless, strong and weak.

Typical conditions for pregnancy that provoke cough are various allergic reactions, the susceptibility to which in expectant mothers increases due to the peculiarities of the functioning of the immune system, toxicosis (in the first trimester) and heartburn, which often occurs in late pregnancy. In more rare cases, the causes of cough in pregnant women are neurogenic (psychogenic) reactions, diseases of the middle ear, gastrointestinal tract (it also has cough receptors), cardiovascular system (due to swelling of the respiratory tract mucosa in heart failure), thyroid gland (usually due to mechanical compression).

How to treat cough in pregnant women?

It should be noted right away that the treatment of cough is aimed at eliminating this symptom, that is, symptomatic. This approach is certainly not the most effective. The most effective way to get rid of a cough is to eliminate its cause, of course, if possible. Thus, in case of infectious-inflammatory processes it is necessary to fight the infection, in case of allergies - to look for and eliminate the allergen, in the presence of chronic diseases - to treat them, trying to achieve normalization of the condition.  

Agree, it often happens that, having caught a cold and contracting a virus, we do not run to the doctor, but use the usual methods that have been tested in practice. However, self-medication during pregnancy should be excluded: a doctor should prescribe any therapy.

Many medications are prohibited for use in pregnant women, and there are many medications that cannot be taken together due to the high risk of various drug complications, and this also applies to seemingly harmless herbal remedies.

In addition, it is necessary to first establish the cause of the cough, that is, make the correct diagnosis, on which treatment will depend.

In pregnant women (as well as in everyone else), cough is most often a symptom of a cold. Expectant mothers experience a natural decrease in immunity (this is how nature takes care of preserving pregnancy), resulting in an increased vulnerability to various infectious diseases, especially during the season of colds, acute respiratory viral infections, and acute respiratory infections.  

The most vulnerable and dangerous is the first trimester of pregnancy, when, against the background of a natural decrease in immunity, all the child’s organ systems are formed, which imposes very strict restrictions on the use of many medications during this period.

In the second and third trimester, after the formation of the placenta, the baby is protected much better, and although there are many drug restrictions, they are not as strict as at the beginning of pregnancy.

Thus, the treatment of cough at different stages of pregnancy is different, but some methods are effective and safe in all trimesters. 

Cough during pregnancy: general recommendations

When coughing, it is recommended that the air in the room be cool and not dry (humidity 50–70%): cool air promotes reflex deepening and slowing of breathing, which makes breathing more efficient, and sufficiently humidified air helps to moisturize mucous membranes, reduce the amount of viscous mucus, and thin sputum, which is one of the causes of cough. Therefore, during the heating season, when the air in apartments is very dry, you cannot do without ventilation and the use of humidifiers (or other methods of humidification). In addition, the air must be clean, for which you need to regularly do wet cleaning and use air purifiers.  

Treatment of cough during pregnancy: nutrition tips

There is an opinion that some familiar dishes have a positive effect on coughs: for example, mashed potatoes prepared with the addition of milk help relieve cough. It should also be taken into account that the digestion process is very energy-intensive.

Therefore, to save the body’s energy to fight infections (and a signal for this is poor appetite), you should choose foods that are easy to digest, low-calorie, rich in vitamins and minerals: fruits, vegetables, dairy products, compotes, jelly, juices.

In order to avoid additional irritation of the mucous membranes and provocation of cough, it is advisable to exclude from your menu very sour, spicy, salty foods and, of course, foods that cause allergic reactions. 

Why is this so important? The fact is that such a drinking regime helps to moisturize the mucous membranes, pathogenic agents and viscous mucus are mechanically washed away (gargles are also used for the same purpose), and toxins formed during infectious and inflammatory processes are removed from the body.  

Treatment of cough during pregnancy: inhalation and gargling 

One of the fairly effective and safe methods of treating cough during pregnancy is inhalation. They can be carried out at any stage of pregnancy either with the help of special devices - nebulizers (their fine spraying facilitates the penetration of the medicinal substance into the lower sections of the respiratory tract), or without special devices, in the old fashioned way, breathing over potatoes, or decoctions of herbs that have an anti-inflammatory effect. It must be remembered that hot steam can burn the upper respiratory tract, so both potatoes and herbal decoctions should be allowed to cool a little, and only then begin the procedure. At elevated body temperatures, hot inhalations are prohibited; cold inhalations and aromatherapy can be used (if there is no allergy to essential oils).  

For dry cough, it is recommended to use inhalations with linden blossom and marshmallow; when wet - inhalation with chamomile, eucalyptus, lungwort herb, primrose.  

Gargling moisturizes the mucous membranes, removes viscous mucus and pathogens from their surface.

For rinsing, it is recommended to use warm decoctions and infusions of herbs (chamomile, linden, rose hips, etc.

), water with the addition of soda (soda helps to liquefy and remove sputum), antiseptic solutions (furatsilin, miramistin), which have antibacterial and antiviral effects.

Treatment of cough during pregnancy: physiotherapeutic procedures

• Most often, for coughs caused by colds, infectious and inflammatory diseases, the following types of physiotherapeutic procedures are used: inhalations, ultraviolet irradiation, UHF therapy, electrophoresis, chest massage. 
• For coughs in pregnant women, inhalations are most often used. 
• UHF, like other electro- and heat treatment procedures, is relatively contraindicated during pregnancy, and cannot be performed at all at elevated temperatures. 
• Since the technique of drainage massage, which helps remove phlegm from the bronchi, includes vibrations, this procedure is not recommended for pregnant women. 
• Electrophoresis with magnesium is quite widely used when there is a threat of miscarriage, however, this method, but with other components, is useful for coughs: in the case of a wet cough, calcium chloride is used, and in the case of a dry cough, calcium iodide is used.

Ultraviolet irradiation (UVR) has a powerful bactericidal effect.

Local use of ultraviolet radiation for infectious and inflammatory processes of the upper respiratory tract in pregnant women is permitted and can be used as an auxiliary method of treatment for cough. 

Medicines to treat cough during pregnancy 

Many medications are prohibited for use in pregnant women, and even more medications whose effects in pregnant women have not been studied or have not been studied enough. However, in a number of situations, the use of medications cannot be avoided (for example, the prescription of antibiotics for pneumonia or severe bacterial bronchitis is mandatory), and only a doctor can choose a drug that is most effective and safe during pregnancy.  

All cough medications can be divided into two groups: antitussives and expectorants, and the simultaneous use of drugs from different groups is unacceptable.

Antitussives act on cough receptors (peripheral action) or on the cough center (central action).

Expectorant drugs, in turn, are divided into three subgroups: the first of them increases the amount of mucus (baking soda, potassium and sodium iodides), the second, through irritation of the nerve endings in the stomach, activates the cough and vomiting centers in the brain (most herbal remedies: mother -and-stepmother, wild rosemary, thermopsis grass, etc.) and the third subgroup - mucolytics - substances that dilute sputum and promote its elimination (drugs ambroxol, bromhexine hydrochloride, acetylcysteine). 

If the attending physician has decided to prescribe you medications, you should not refuse to take them for fear of harming the baby: firstly, if the doctor prescribes medications for you, then it means that in this case you cannot do without them, and secondly, the doctor chooses the most safe means during pregnancy, and thirdly, the disease itself that caused the cough and its complications can be much more dangerous for you and the child than prescribed medications.

Herbal medicine for the treatment of cough in pregnant women

It is important to remember that a number of herbal remedies are contraindicated for pregnant women. Thus, a common cough remedy made from licorice or licorice should not be taken by expectant mothers due to the pronounced effect on water-salt metabolism and the high probability of hormonal imbalance.

Aloe, raspberry leaves, barberry, thermopsis grass, elecampane, tansy, hyssop (as well as preparations based on them) can increase the tone of the myometrium (muscle layer of the uterus), cause uterine contractions and provoke miscarriage or premature birth.

Plantain, tansy, rhubarb, string, calamus and pine buds have had an adverse effect on the fetus; Thyme and sage can provoke uterine bleeding.

Unfortunately, all possible adverse effects of herbal medicine, the interaction of various components of herbal preparations, as well as medicinal plants with various medications have not yet been fully studied. Therefore, the use of any herbal preparation during pregnancy should be approached with caution.  

For colds and coughs during pregnancy, linden flowers, lingonberry berries and leaves, blackberries, blueberries, blueberries, chamomile, yarrow, rose hips, birch leaves, and viburnum are allowed.

Most of these herbal remedies have antibacterial and anti-inflammatory effects.

Marshmallow flowers and root help thin and remove mucus, but it is preferable to refrain from using them in the first trimester. 

Traditional medicine for the treatment of cough in pregnant women

A number of traditional medicines have proven their effectiveness for coughs. These well-known methods can also be used during pregnancy: radish or onion with honey (in the absence of an allergic reaction to honey), figs with milk, Borjomi mineral water.

Precautionary measures

When treating cough in pregnant women, it is not recommended to use general thermal procedures (hot baths) and thermal procedures on the legs (hot foot baths, applying mustard plasters, etc. are prohibited), since they cause a pronounced blood flow to the pelvic organs and can provoke serious uterine bleeding.

It is not recommended for expectant mothers to have mustard plasters or cupping (the latter, previously very popular method of treatment is considered by experts to be inappropriate and even harmful due to injury and hemorrhages of the pleural membrane (it covers the surface of the lungs).

At elevated temperatures, any thermal procedures are also prohibited, in addition, any physiotherapeutic treatment is not recommended. 

Why is a cough dangerous during pregnancy?

A seemingly harmless cough reaction can be quite dangerous for the expectant mother and baby. With a strong, often dry and constant cough, tension in the abdominal wall occurs, and pressure in the chest and abdominal cavities increases.

This can lead to a reflexive, involuntary increase in tone and contraction of the muscular layer of the uterus, which can lead to miscarriage in the early stages of pregnancy (especially if there is a threat of miscarriage) and premature birth in later stages.

 

1. In addition, with frequent, constant coughing, fetal hypoxia may develop (impaired oxygen supply to the baby), which leads to a delay in intrauterine development. 
2. In the presence of predisposing factors (previa or low position of the placenta), cough can provoke uterine bleeding. 
3. A strong cough in a pregnant woman increases blood pressure. 

Photo source: Depositphotos

Source: https://www.9months.ru/zdorovieberem/6024/6-sposobov-lechit-kashel-pri-beremennosti

Details about how to treat cough during pregnancy without harm

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During pregnancy, a woman's immune system is especially vulnerable. Even minor contact with the infection causes infection. Mucus accumulates in the respiratory tract. And reflexively the body tries to get rid of it. A cough occurs.

While expecting a baby, coughing is a particular problem. Most cough medicines are contraindicated for pregnant women and have unwanted side effects. Therefore, treatment must be approached with extreme caution and promptly consult a doctor.

The dangers of coughing for pregnant women

Most often, a cough is a symptom of a bacterial or viral respiratory tract infection. This reflex of the body itself can be dangerous for the woman’s body and the fetus. It can become a factor that provokes such complications:

• intrauterine infection;
• an increase in the tone of the uterus, as a result of which oxygen starvation of the fetus may develop or a miscarriage may occur;
• uterine bleeding;

• early developmental defects;
• early birth;
• attacks of nausea and worsening toxicosis.

The risk of miscarriage is especially high at 14 weeks. At 16-17 weeks, bone tissue is formed. And a cough can disrupt its formation.

In the 3rd trimester, a woman’s illness with viral infections is fraught with accelerated aging of the placenta. The fetus's defenses are weakened. Viruses can penetrate the amniotic fluid, infecting the fetus.

Therefore, in the 3rd trimester it is recommended to do blood and urine tests more often.

Causes

A cough signals that there is an infection in the body that is irritating the upper respiratory tract. In the case of rhinitis or sinusitis, mucus from the nose flows onto the back wall of the nasopharynx, irritating it. If the infection is located directly in the pharynx or trachea, coughing is the body's reflex to inflammation.

If the infectious process has affected the bronchi and lungs, a cough occurs due to the accumulation of a large volume of sputum in them.

A cough can also be caused by an allergic reaction of the respiratory system to certain irritants. It is allergic in nature.

Thus, the causes of cough can be the following diseases:

• viral infections (whooping cough, measles, acute respiratory infections);
• sinusitis;
• rhinitis;
• pharyngitis;

• tonsillitis;
• tracheitis;
• bronchitis;
• pneumonia, etc.

Cough therapy in pregnant women should be administered by a gynecologist or therapist. If necessary, seek the help of other specialists.

It is unacceptable to self-medicate. The use of many drugs can cause serious complications.

1st trimester of pregnancy

The first 8 weeks of pregnancy are the most important. This is the time of formation of all important organs and systems. All fetal pathologies begin in the 1st trimester. And they can be caused, among other things, by medications. Therefore, it is better for a woman to avoid diseases during this period .

If the cough appears in the early stages, the doctor will first prescribe milder, gentle remedies.

For dry cough it is freely allowed to prescribe:

• Marshmallow root syrup;
• Mukaltin;
• Broncho gran;

The following dietary supplements and vitamins are allowed as strengthening agents

• Mamavit;
• Pregnacare;
• Pregnavit.

Gedelix and Doctor Mom are also prescribed in the 1st trimester. But their effect on the fetus has not been fully studied, so they must be taken with caution.

For wet cough the following are allowed:

• Dr. Theiss;
• Stodal;
• Broncho-gran.

with caution .

2nd and 3rd trimester

In the 2nd and 3rd trimester, the formation of the baby’s organs and systems is completed. Therefore, infections that cause coughing do not cause as much harm to the fetus as in the 1st trimester. The range of drugs approved for use is expanding.

In case of dry cough, you can freely take (in addition to approved medications in the 1st trimester):

• Coldrex Knight (in the presence of high temperature).

Falimint, Gedelix, Bronchicum are prescribed with caution

For wet cough in the 2nd and 3rd trimesters the following are allowed:

• overslept;
• Dr. Theiss;
• Tussin;

• Stoptussin-Fito;
• Homeopathy (Pulsatilla, Stodal).

It is possible to use Gerbion, Bronchicum, Bronchipret.

Contraindications for treating cough during pregnancy

Pregnant women are prohibited from performing a number of manipulations to get rid of cough:

• Take hot baths and steam baths for your feet.
• Use mustard plasters and jars.

• Do inhalations at high temperatures.
• Conduct electrotherapy.

List of prohibited drugs that have a teratogenic effect:

• Travisil;
• Bronholitin;
• Ascoril, etc.

Some herbs should not be used:

• St. John's wort;
• coltsfoot;
• comfrey;

• echinacea;
• ginseng;
• ginkgo biloba.

Any folk remedy can have side effects. Therefore, a preliminary consultation with your doctor is necessary. Inhalation and rinsing are effective for coughs. Do not inhale if your body temperature is elevated. The liquid for inhalation should be 35-40°C. Each procedure should last no more than 10 minutes.

Permitted inhalation solutions:

• 10 g honey per glass of water;
• 10 g eucalyptus, 10 g garlic, 1 liter of water;
• 50 g soda, 1 liter of water.

Means for oral administration:

• Pour 1 spoon of thyme into 200 ml of boiling water. Place in a warm place for 1 hour. Drink 1 tbsp. spoon 4 times a day before meals.
• Mix honey and black radish juice (1:2). Eat 2 spoons three times a day.
• Dilute milk with alkaline water without gas (1:1). Drink warm.
• Boil 4 dried figs in 0.6 liters of milk until dark. Take 100 ml of the drink three times a day.

For gargling, it is allowed to use decoctions of linden, chamomile, and plantain (10 g of raw material per glass of water).

Preventive measures for cough in pregnant women

While carrying a child, you need to especially closely monitor your health and prevent infection. To protect yourself from a possible cough, you must:

• Don't be in crowded places.
• Treat your nasal passages with oxolinic ointment before leaving the house.
• After visiting the street, immediately wash your hands with soap. Rinse your nose with saline solution.
• Avoid hypothermia.
• Do wet cleaning and ventilate rooms more often.

Video

This video provides recommendations on the treatment of cough during pregnancy.

Cough in pregnant women is an unpleasant symptom of infectious diseases. It can cause serious complications for the woman and fetus if the situation is left to chance. Cough can only be treated under the supervision of a doctor. But it’s better to take care of your health and not get sick.

Source: https://www.beremennost-po-nedeliam.com/bolezni/kashel/chem-lechit-2.html

Cough during pregnancy

Despite the fact that the expectant mother always tries to pay more attention than usual to the state of her health, it is still not always possible to protect herself from some unpleasant painful conditions. Cough during pregnancy can easily be classified as such conditions: most often it appears in the spring-autumn period and becomes a harbinger or companion of the inflammatory process occurring in the organs of the respiratory system. Thus, a cough during pregnancy can occur against the background of a cold, acute respiratory infection or acute respiratory viral infection, becomes a sign of bronchitis or pneumonia, and less often - a consequence of allergic diseases.

In any case, the nature of the cough must be established by visiting a doctor: it is possible, of course, that the cough is nothing particularly terrible, but it is also very possible that it is a harbinger of a disease, the specialized treatment of which cannot be avoided. This is especially true when a cough during pregnancy lasts more than 5-7 days, despite the fact that the woman tries to cure it using safe methods according to traditional medicine.

Cough during pregnancy, in addition, can not only indicate an inflammatory process developing in the respiratory system, but also cause discomfort for both mother and baby.

Cough in early pregnancy

Cough in early pregnancy, associated with any unhealthy conditions, necessarily requires qualified treatment. Otherwise, without regular attempts to cope with the abnormal condition, you may subsequently encounter quite serious consequences, such as increased uterine tone or insufficient oxygen supply to the fetus.

Probably, any of us are aware that during a cough, tension and contraction of the abdominal wall occurs in an absolutely “independent” manner.

This condition, in turn, is dangerous due to premature spontaneous termination of pregnancy.

In addition, a constant severe cough interferes with a woman’s normal “consumption” of oxygen. And this leads to impaired blood circulation in the placenta, insufficient supply of blood, and therefore oxygen and nutrients to the fetus. In some cases, the result of this state of affairs may be fetal hypoxia.

An equally unpleasant consequence of constant coughing can be vomiting, which often overtakes the expectant mother after another severe coughing attack. Without a proper response to this fact, vomiting may recur in the future; repeated vomiting processes can cause dehydration and leaching of useful substances from the pregnant woman’s body.

In later stages, cough, among other things, also poses additional dangers. Thus, with low placentation or placenta previa, muscle tension that occurs during coughing can even provoke spontaneous bleeding.

But we are sure that you are unlikely to come to such terrible things: the reverent and attentive attitude of expectant mothers to the state of their health for the sake of the health and life of the child is well known. And, fortunately, the cases described above are still more rare than the norm - a woman tries to take a responsible attitude towards her own health and make the decisions necessary in a given case in a timely manner.

How to cure cough during pregnancy

So, we found out: cough during pregnancy must be treated immediately from the moment it appears.

It is, of course, advisable to consult a doctor, but you can initially try to eliminate the cough using traditional methods.

Moreover, during pregnancy you need to be very, very careful when taking medications, but the use of many medicinal herbs during the period of bearing a child is not prohibited.

You can also drink decoctions: for example, for chamomile decoction you will need 1 tablespoon of dry chamomile and a glass of boiling water. It should help with coughing and gargling with, say, a decoction of coltsfoot - it is prepared at the rate of half a tablespoon of herb per glass of boiling water.

Inhalations will be good helpers for coughing - for them you can use the same herbal decoctions, boiled potatoes (remember how you breathed in their vapors in childhood? By the way, if the potatoes are boiled in their skins, then you can sprinkle soda on top - it will also not hurt when coughing ).

Or you can resort to newfangled inhalers sold in pharmacies and use essential oils - say, eucalyptus.

But you will have to forget about mustard plasters as a means of eliminating cough during pregnancy - thermal procedures are contraindicated for expectant mothers. But instead of mustard plaster, you can effectively use compresses made from cabbage leaves or grated potatoes.

If you have cabbage at home, then you need to separate one leaf from the fork, spread it with honey and apply it to your chest overnight, wrapping it in plastic and insulating it with a terry towel.

As for the potatoes, you need to boil them, grate them, add honey and vegetable oil to the pulp, then, after mixing and forming a flat cake, use it according to the principle described above. It is advisable to leave such compresses overnight. Honey, by the way, can provide invaluable help for coughs - you can also take it orally.

How else can you use honey to treat cough during pregnancy? Drink it with hot milk and butter (not everyone can overcome such a mixture, and there is no need to force yourself - you don’t need to add butter); mix honey with onion juice from a pre-grated onion and drink a teaspoon of the mixture three times a day. Milk, which was mentioned above, is also useful for coughs: when hot, but not scalding, it can be mixed with Borjomi mineral water - it is believed that such a remedy effectively fights coughs.

Treatment of cough during pregnancy in traditional medicine

If a cough during pregnancy does not go away within a few days, despite all the efforts made, you should not put off going to the doctor. Perhaps the cough in this case is a symptom of some more serious disease, which cannot be cured without the use of medications.

The doctor, having listened to the lungs and determined the severity of the inflammation, will prescribe the most optimal medications based on the condition of the expectant mother and, of course, the duration of pregnancy.

Thus, for the treatment of dry cough at any stage of pregnancy, Breast Elixir or Sinekod can be prescribed; in the second and third trimester, the use of Stoptusin is acceptable.

To treat wet cough during pregnancy, always after consulting a doctor, you can use Mucaltin, Bromhexine, Licorice root syrup, Bronchicum, Gedelix, Doctor MOM and Doctor Theis, Pectusin, Prospan. Lazolvan, Ambrobene, Flavamed are used with caution in the 1st trimester for the same purpose.

Sometimes a cough during pregnancy cannot be cured without antibiotics, for example, if the cough is a symptom of pneumonia. In this case, antibiotics Ospamox, Amoxil, Flemoxin (a group of penicillins) can be used; Fromilid, Macropen (macrolide group); Cefazolin, Ceftriaxone (group of cephalosporins).

It happens that cough is not the only symptom of the disease - fever is also added to it. If this happens, it is permissible to use paracetamol (Panadol, Efferalgan), acetylsalicylic acid (Aspirin).

At the same time, drugs that contain analgin are prohibited, and at any stage of pregnancy.

Especially for beremennost.net - Tatyana Argamakova

Source: https://beremennost.net/kashel-pri-beremennosti

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