Cough remedy for pregnant women 2nd trimester

Cough tablets during pregnancy: the difficulty of choosing

Cough is one of the symptoms of a respiratory viral infection. During pregnancy, colds are more severe because the immune system is weakened and cannot fully resist viruses.

Table of contents:

Cough tablets during pregnancy are chosen taking into account their safety, reliability and lack of side effects. Women who are expecting a child are faced with the question of the possibility of using certain antitussives. Let's try to understand the question of what cough tablets and mixtures are available during pregnancy.

Features of choosing cough tablets during pregnancy

When choosing a medicine to treat a pregnant woman, you should be guided by the following principles:

  • Safety. Medicines must be equally harmless to mother and fetus. They should not be embryotoxic or have teratogenic or fetotoxic effects. In addition, medications should not increase the tone of the uterus, so as not to provoke premature birth or termination of pregnancy. Also excluded are drugs that exhibit cardio-, hepato- and nephrotoxicity. The instructions for cough drops should indicate that they are safe for use during pregnancy.
  • Efficiency. The number of drugs that can be used by expectant mothers is limited. This confuses the doctor when prescribing treatment - it is necessary to choose 1-2 remedies that are most suitable in this case. Therefore, cough medicine should be as effective as possible.
  • No side effects. Cough tablets should not cause adverse reactions such as bronchospasm, provoke allergic reactions, affect hormonal levels or cause contractions of the smooth muscles of the uterus.
  • Inability to penetrate the blood-placental barrier. That is, the active substance should not enter the bloodstream of the fetus through the placenta, so as not to have a negative effect on it.

Treatment of acute respiratory viral infection begins with choosing a drug that best fits the description given above.

What drugs are allowed

Let's look at which cough tablets are allowed during pregnancy, depending on the trimester.

In 1st trimester

In the first trimester of pregnancy, hormonal changes occur in the woman's body. During this period, the main organs of the embryo are formed, so it is important that the drug chosen for treatment does not have an embryotoxic effect.

Allowed cough tablets in the first trimester:

  • Mukaltin. Has an expectorant effect. It is safe at any stage of pregnancy because it is of plant origin. Increases mucus secretion. Due to this, sputum discharge improves, so the drug can be prescribed for dry cough. In addition, Mucaltin has an anti-inflammatory effect. Improves mucociliary clearance and accelerates the passage of sputum through the respiratory tract, thereby improving coughing. The only contraindication to taking Mucaltin is individual intolerance. Read more about the use of Mucaltin during pregnancy →
  • Cough tablets Dr. Theiss with sage extract and vitamin C. Due to the essential oils of sage, which has an anti-inflammatory and disinfectant effect, sputum thins and its viscosity decreases. The presence of vitamin C additionally stimulates antiviral immunity. Contraindications for use are individual sensitivity and diabetes. The instructions for Dr. Theiss cough lozenges contain no contraindications for use during pregnancy.
  • Sinupret is a homeopathic drug. The composition includes several medicines that exhibit a complex effect - gentian root, primrose flowers with calyxes, sorrel herb, elderberry flowers and verbena herb. Together they exhibit secretolytic, anti-inflammatory and anti-edematous effects. Herbal extracts suppress the proliferation of viruses, including influenza, parainfluenza and other respiratory pathogens. While taking the drug, sputum becomes more liquid and its discharge improves. Like other cough remedies, Sinupret tablets, although safe for pregnant women, require a doctor's prescription.

Taking any other drugs that are not included in this list is possible after consultation with a specialist.

In the 2nd trimester

During this period, the list of approved drugs is expanding. Many medications that could not be used in the 1st trimester are allowed in the 2nd.

List of approved medications:

  • Ambroxol. Shows mucolytic effect. Stimulates the synthesis of surfactant and regulates bronchopulmonary secretion. Due to this, the mucus becomes less thick, which facilitates its better removal during coughing. The drug is well tolerated and approved for use in the 2nd trimester of pregnancy. Available in the form of tablets and syrup. Prescribed 1 tablet/tablespoon 3 times a day.
  • Fluditek. Mucolytic and mucoregulating drug. Regulates the ratio of sialomucin and fucomucin, which helps normalize the viscosity of sputum for its better discharge. Approved for use in the 2nd and 3rd trimesters.
  • Bromhexine belongs to the group of mucolytics. Increases the volume of sputum, makes it less viscous and improves coughing. Bromhexine is a precursor to the active form of Ambroxol. Therefore, the indications and contraindications for its use are identical.

In the 3rd trimester

The list of cough tablets in the 3rd trimester of pregnancy is wider. The tablets should not have a fetotoxic effect and cause uterine contractions.

In the 3rd trimester, it is allowed to use any drugs that are indicated in the 1st and 2nd trimester.

Special instructions for certain drugs

Next, we will consider cough medications that are prescribed if the benefit to the mother is higher than the potential risk to the fetus. These medications are prescribed only by the attending physician, after weighing all the pros and cons. They do not have a toxic effect on the fetus or the mother, but the lack of research limits their use.

  • Acetylcysteine ​​(ACC) or medications based on it. Prescribed for coughs with mucous sputum that is difficult to clear. Used only as prescribed by a doctor if the benefit to the mother is higher than the potential risk to the fetus.
  • Linkas. Complex drug for the treatment of cough. It is not recommended to use during pregnancy due to possible adverse reactions, but may be used as directed by a doctor.
  • Mucitus (erdostein). The studies did not reveal any pathological effects on the development of the embryo or fetus, however, it is not recommended to prescribe in the 1st trimester of pregnancy, and from the 2nd trimester - only as prescribed by a doctor.
  • Milistan. A combined cough medicine containing ambroxol and acetylcysteine. It is strictly contraindicated in the 1st trimester of pregnancy; in the 2nd or 3rd trimester it can be used strictly as prescribed by a doctor.
  • Overslept. Available in the form of effervescent tablets and lozenges. The drug contains dry extract of ivy leaves, which has anti-inflammatory, secretolytic and mucolytic effects. Due to the content of glycosidic saponins, it has an antispasmodic effect on the bronchial tree. There are no contraindications to the use of this drug during pregnancy, but it should be used only as prescribed by a doctor, after weighing the risk/benefit relationship.

What pills are strictly prohibited?

The use of the following drugs is completely contraindicated for use at any stage of pregnancy:

  • Tablets based on licorice root. Liquorice (licorice root) is contraindicated at any stage of pregnancy. It changes hormonal levels and increases the amount of estrogen. This can cause miscarriage or premature birth. Any combination cough medicine that contains even a small amount of licorice is also contraindicated.
  • Tablets containing anise oil.
  • Bronchipret, which contains thyme and ivy extract. Not recommended for use in any trimester of pregnancy due to lack of clinical studies.
  • Prospan, made on the basis of liquid ivy extract. It has antispasmodic, antitussive and mucolytic effects. Used for coughs with sputum that is difficult to clear.
  • Codeine and drugs based on it. Depresses the respiratory center in the medulla oblongata.
  • Erespal or Inspiron. Not recommended for use at any time. However, if pregnancy occurs already during treatment, this is not a reason to terminate it.
  • Antitussin. The composition contains thermopsis grass and sodium bicarbonate. It has a good mucolytic effect, but is contraindicated during pregnancy.
  • Cough tablets during pregnancy with thermopsis are strictly contraindicated, since pachycarpine contained in the herb causes contraction of the uterine muscles.

Treatment of ARVI and its complications during pregnancy is a difficult task. On the one hand, it is necessary to choose an effective remedy that will help cope with the disease, on the other hand, not to harm the fetus. The drugs should not negatively affect the formation of the embryo, placenta, or growth of fetal organs.

It should be remembered that self-medication can harm the health of the mother and fetus; only an examination by a doctor can prevent the development of complications.

Source: http://mama66.ru/pregn/tabletki-ot-kashlya-pri-beremennosti

How can you treat a cough in the second trimester?

The second trimester of pregnancy is considered relatively “quiet”. Unfortunately, a woman’s weakened immunity often leads to the development of various colds, causing coughing of varying intensity. Treating cough during pregnancy in the 2nd trimester is a little easier than in the first, but this can only be done under the supervision of your doctor. Pregnant women in the 2nd trimester cannot decide on their own what to use for a cough. The risk of harming your health or that of your baby is quite high.

This is due to the importance of diagnosis - establishing the cause of cough is mandatory, since it can serve not only as a sign of mild inflammation of the respiratory tract, but also of severe infectious diseases. They, in turn, can provoke abnormalities in the development of the child and cause miscarriage. You need to understand that any cough medicine during pregnancy in the 2nd trimester can have a teratogenic effect. Therefore, before treating cough in pregnant women in the 2nd trimester, it is necessary to consult a doctor and conduct diagnostics.

How does the treatment of cough in the 2nd trimester differ from its treatment during other periods of pregnancy?

Many women have heard that in the second trimester there is practically no threat to the fetus. This is far from true. It, of course, is already reliably protected by the placenta, which is a fairly reliable barrier from substances undesirable for the child, but some cough pills during pregnancy in the 2nd trimester can easily overcome it.

By the way, the inflammatory process itself (a cold), in the absence of proper treatment, can cause fetoplacental insufficiency - a disruption in the processes of feeding the fetus and supplying it with oxygen often provokes premature birth. A mother's cold in the 2nd trimester is dangerous due to improper formation of fetal bone tissue, as well as congenital pathologies of the endocrine system. The doctor prescribes cough medications during pregnancy in the 2nd trimester only after assessing the current condition of the mother, and only by balancing the expected benefits and risks for the baby.

Unlike the first trimester, the list of approved drugs and dosage forms acceptable for use in the second trimester is wider. Doctors often recommend supplementing or even starting treatment with folk remedies, as well as some homeopathic remedies, which are strictly prohibited at the very beginning of pregnancy. It becomes possible to use inhalations and compresses. It is advisable to use mild immunostimulants, since the immunity of expectant mothers is sufficiently weakened.

What immunomodulators are possible in the 2nd trimester of pregnancy

Frequent colds in expectant mothers are explained by a pronounced decrease in the body's defenses. There is not enough immunity for two, so doctors often prescribe immunostimulating drugs to such patients.

The list of approved drugs is determined by a specialist, and only he decides what is available for cough during pregnancy in the 2nd trimester.

Most believe that herbal stimulants are safe and expectant mothers can take them without restrictions - this is not true. Herbal immune stimulants such as eleutherococcus, lemongrass or ginseng are strictly contraindicated for pregnant women. They often cause surges in blood pressure, tachycardia, insomnia and severe allergic reactions.

Synthetic immunomodulators may not have a negative effect on the child, but research in this area is very expensive. Many manufacturers prefer not to carry them out, mentioning in the instructions that these drugs are contraindicated during pregnancy. Among the approved immunostimulants often prescribed to expectant mothers, several drugs can be noted.

Viferon

Combining immunostimulating and antiviral effects, it can be prescribed from the 14th week. It can also be used during lactation - safety has been confirmed by clinical studies. The dosage of the drug is prescribed by the doctor, based on the patient’s current condition and the degree of immune suppression. Viferon is often used for prophylactic purposes.

Limontar

This remedy belongs to the general strengthening means. It contains two active components - succinic and citric acids. The drug increases the body's nonspecific reactivity, improves adaptation and compensatory capabilities.

Beresh plus

Available in the form of drops with immunostimulating, metabolic and tonic effects. They not only perfectly complement cough medicine during pregnancy in the 2nd trimester, but also replenish existing deficiencies of macro- and microelements, and help restore mineral metabolism, including in cases of unbalanced nutrition. The drops help restore appetite, eliminate insomnia and increased fatigue, and normalize the emotional background.

Cough tablets during pregnancy 2nd trimester of pregnancy

The question of how to treat a dry cough during pregnancy in the 2nd trimester is not an easy one even for a doctor. Not all pills can be used by expectant mothers. The doctor prescribes the drug according to the severity of the condition and the type of cough. The list of cough tablets for pregnant women in the second trimester is not so long.

Mukaltin

This is an inexpensive and effective expectorant, the active ingredient of which is marshmallow extract. The action of the drug is realized through two mechanisms.

  1. Stimulation of the bronchial glands that produce mucous secretion, which leads to the liquefaction of sticky and excessively viscous sputum.
  2. The activity of the ciliated epithelium is stimulated, which leads to an acceleration of the removal of mucous formations from the respiratory tract.

A slight anti-inflammatory effect is also noted. The main indications for the use of this remedy are dry cough. It can also be prescribed for a rough, wet cough, which is accompanied by difficult to separate, very viscous sputum. This cough remedy during pregnancy in the 2nd trimester is recommended only for inflammation of the lower respiratory tract.

Libexin

An antitussive drug prescribed for non-productive, dry cough.

There is an expansion of the bronchi, as well as a slight decrease in the activity of the respiratory center. The drug is dosed by a doctor, since before use the doctor must assess all possible risks to the fetus - if there are too many of them, Libexin is not prescribed either in the second or third trimester.

Ambroxol

These cough tablets are used with great caution during pregnancy in the 2nd trimester. The main indications for the use of Ambroxol are diseases of DP, accompanied by viscous, difficult to separate sputum. It is unacceptable to combine it with antitussives, and combined use with some antibiotics leads to an increase in the concentration of the latter in bronchial secretions. Even a doctor who decides what to drink for a cough during pregnancy in the 2nd trimester carefully weighs the pros and cons of specific medications.

Rinse and inhalation for dry cough in the 2nd trimester of pregnancy

Rinsing and inhalations, which a woman can do at home on her own, have a good therapeutic effect. You need to understand that folk remedies for cough during pregnancy in the 2nd trimester can also harm the child or mother, so it is advisable to first consult a doctor. Among the effective and safe combinations for rinsing are the following:

  • camomile tea;
  • linden blossom infusion;
  • infusion of dry plantain.

Inhalations have a good therapeutic effect for coughs, but there are certain restrictions for pregnant women - in no case should you use essential oils. It is also undesirable to use recipes with honey, which is a strong allergen. For inhalation, it is best to use a nebulizer, which creates a fine cloud that penetrates deep into the DP. You can use self-prepared solutions - saline, eucalyptus decoction, linden blossom. The duration of the procedure should not exceed 10 minutes.

Cough syrups during pregnancy 2nd trimester

Cough syrup for pregnant women in the 2nd trimester is not the optimal dosage form, since the effect of most of them has not been sufficiently studied in this direction - the choice of a specific drug should always remain with a specialist. The question of how to treat a cough during pregnancy in the 2nd trimester is best left to the doctor to decide also because alcohol-based syrups require strict adherence to the recommended dosages.

Linkas

Herbal preparation with expectorant and mucolytic effects. Quite quickly reduces the viscosity of sputum, makes the secreted bronchial secretions more liquid, and stimulates the activity of the ciliated epithelium. Can be used in complex therapy of dry or productive cough.

Bronchipret

A herbal medicine that uses ethanol as an extractant, so the advisability of prescribing during pregnancy is determined by the attending physician. Bronchipret is indicated for the treatment of acute and chronic diseases of DP, which are accompanied by cough and sputum. For a single use, the dose of the drug should not exceed 5 ml. Cannot be used with antitussives.

Other syrups can also be used: Pectoral, Prospan, Gerbion - but only after a doctor has assessed the benefit/risk ratio. The question “what kind of cough syrup can be used during pregnancy in the 2nd trimester” can only be resolved together with your doctor.

Folk remedies for wet cough during pregnancy 2nd trimester

Traditional methods of treatment for expectant mothers require the same competent approach as treatment with synthetic drugs. Treatment of cough during pregnancy with folk remedies in the 2nd trimester can be carried out either as independent therapy or in combination, as an addition to medications. The following recipes from the “folk” category have proven themselves to be quite good:

  • two teaspoons of flax seeds should be poured into a glass of water and boiled over low heat for 10 minutes - the entire portion is drunk within 24 hours, and if the woman has no contraindications, a little honey can be added to the broth;
  • dry sage greens are poured with a glass of boiling water and left for 30 minutes, after which an equal amount of milk is added, and the resulting mixture is drunk within 24 hours in 3 doses - this recipe should not be used without first consulting a doctor;
  • inhalation of the vapors of garlic or onions - the phytoncides contained in these products have a bactericidal effect;
  • with a wet cough, a mixture of linden blossom with birch buds will help - the grass is filled with water, brought to a boil and boiled for 5 minutes, the resulting mixture must be drunk a day before adding a little honey and half a teaspoon of aloe juice.

These are safe and proven remedies, but before treating a cough during pregnancy in the 2nd trimester, it is still necessary to see your doctor. You can use tea with ginger, radish juice (sugar can be used instead of honey), fruit drink made from fresh or frozen lingonberries. An unpleasant but effective cough remedy can be prepared from milk and garlic. 5 medium-sized cloves of garlic should be poured into a glass of boiled milk and left for half an hour. Drink in 3 doses, preferably warm. Before treating cough during pregnancy in the 2nd trimester with folk remedies, consultation with a specialist is also necessary.

So is it possible to safely overcome a cough for an expectant mother?

To treat cough during pregnancy in the 2nd trimester, you must first consult your doctor. This guarantees safety for mother and child, as well as accurate identification of the causes of cough. In this case, treatment must be accompanied by strict adherence to the dosages established by the doctor - a minimal excess of the daily dosage of some drugs “turns” the medicine into poison for the unborn child.

You should not change the dosage form determined by the doctor yourself - if he decided to treat a cough during pregnancy in the 2nd trimester with tablets, you cannot change them to a syrup with the same name. It is important to understand that only a doctor can decide what pregnant women can do for a cough in the second trimester. It is impossible to independently determine not only the type of cough, but also the cause that caused it. Cough remedies for pregnant women in the 2nd trimester are prescribed taking this point into account.

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Source: http://www.pulmonologiya.com/preparaty/kashel/na-vtorom-trimestre.html

Cough during pregnancy

How to treat a cough during pregnancy, is it possible to do without medication, to cure a cough using home methods such as herbal infusions, soda inhalations, gargling with saline solution? Such questions certainly arise when carrying a baby.

We invite you to find out what pregnant women can drink for a cough, and how to combine folk remedies with treatment using traditional methods.

The dangers of coughing for pregnant women

During pregnancy, the immune defense of a woman’s body weakens, and if the expectant mother does not take care, she will more often than always suffer from respiratory diseases with a severe cough.

Cough of any kind is dangerous during pregnancy. In order not to start the disease, treatment for it should begin when the first signs appear that indicate a deterioration in the woman’s health.

What is the threat of cough, why is it so necessary to start treating it during pregnancy, as early as possible? The danger of this phenomenon lies in the development of chronic inflammatory processes in the lungs, as well as in mechanical overstrain of the respiratory muscles, and the risk of a significant increase in intrathoracic pressure.

Reflex cough impulses:

  • increase the muscle tone of the uterus, threatening abortion;
  • with placenta previa, they can provoke uterine bleeding.

Dry cough is especially dangerous. It may be a sign of developing bronchitis or pneumonia.

What to do for a cough

Cough during pregnancy can occur due to allergies, mucus flowing into the respiratory tract due to a runny nose, or sinusitis. In such cases, the following will help cope with attacks:

  • air humidification;
  • allergen identification;
  • taking medications with antihistamine properties as prescribed by a doctor.

Allergic manifestations rarely intensify during pregnancy, but if they occur, they can manifest as a runny nose, which causes sneezing, coughing, irritating the nasopharyngeal mucosa.

With this disease, you need to get rid of the source of the problem that causes coughing attacks as quickly as possible - allergic rhinitis, which we talked about in the “Rhinitis” section.

Targeted treatment of these diseases will help with night coughs caused by sinusitis and runny nose, which we also described in detail earlier.

Night coughing attacks caused by mucus flowing into the airways during a runny nose cannot be treated with vasoconstrictor medications in pregnant women. We suggest learning about how to cope with allergies and how to treat coughs caused by ENT diseases in pregnant women from the materials published earlier on the site.

If the cough is of inflammatory origin, it must be treated immediately under the supervision of a doctor.

Treatment in the 1st trimester

If a cough appears, you can immediately resort to such a method of treatment as tea with raspberries, lemon and drinking plenty of fluids.

A glass of warm water, prudently prepared in the evening, can serve as a temporary saving measure against attacks at night. A sip of warm water when approaching or at the beginning of an attack can stop a cough and prevent its occurrence.

But how to treat a severe cough during pregnancy, if treatment with folk remedies does not bring relief, what medications can be used to cure it without harming the child during the 1st, 2nd, 3rd trimester?

During the trimesters of pregnancy, you can use the following against coughs of any origin:

  • Mucaltin is a universal drug in tablets, which we talked about earlier;
  • Syrup or infusion (decoction) of marshmallow - both pharmacy syrup and self-prepared marshmallow decoction are effective for coughs in pregnant women and are safe for children;
  • Licorice root syrup is a safe drug for women that does not have a negative effect on the fetus;
  • Bronchipret - tablets under the supervision of a physician due to the presence of thyme extract in the composition.

Bronchipret tablets are a medicine that can be taken from the 1st to 3rd trimester during pregnancy for cough, while Bronchipret syrup contains alcohol, which makes it undesirable for use during pregnancy.

The best treatment for cough during pregnancy is inhalation of medication.

With this method of treatment, the active components of the drugs go directly to the site of inflammation. They act specifically on pathogenic microorganisms without penetrating into the general bloodstream.

The most effective cough inhalations for pregnant women are soda solution, alkaline mineral water, linden decoction, and the drugs Mucaltin and Lazolvan through a nebulizer.

Previously, we told you how to treat a cough due to bronchitis using inhalations during pregnancy. Inhalation of medicinal solutions is the safest method of treatment. We suggest you familiarize yourself with it in the “Inhalations” section.

It is safe to soften a dry cough and speed up the removal of phlegm during pregnancy by gargling.

In the article Chlorophyllipt for gargling, we described in detail how to treat a cough during pregnancy with gargles, and in what proportions to dilute the drug for the procedure.

2nd, 3rd trimesters of pregnancy - treatment

At the end of the 1st trimester - beginning of the 2nd trimester of pregnancy, cough can be treated with soda rinses. This simple and completely safe remedy is not used in the first weeks due to the risk of irritating the vomiting center and provoking vomiting.

In the second trimester, rinsing with soda can be used by pregnant women for any type of cough, which makes this remedy a universal method of treating colds, flu, and bronchitis at the very beginning of the disease.

If the infection cannot be stopped and the disease has become serious, it is necessary to resort to stronger cough medications, which are allowed for pregnant women.

In the 2nd trimester of pregnancy, cough medicines Fluimucil and antibiotics Amoxiclav, Rovamycin, Augmentin are prescribed. Such measures are necessary and are taken when there is a threat of complications of inflammatory disease of the respiratory tract with pneumonia.

In the 3rd trimester, in the last weeks of pregnancy, the permeability of the placenta for microorganisms that cause inflammatory diseases increases. This threatens the normal development of the fetus, which makes timely treatment during this period especially important.

Dry cough medications

For dry cough, under the supervision of a doctor, it is allowed to take the drugs Gedelix, Bonhikum, Falimnt. In case of a painful cough, the doctor may recommend, in exceptional situations in the 2-3 trimesters of pregnancy, treatment with Bromhexin, Libexin, Stoptussin.

During pregnancy, Gerbion (plantain) cough syrup is prescribed with caution during the 1st to 3rd trimester. This medicine contains natural ingredients, but there is not enough medical research data to say with confidence that this remedy is completely safe for the fetus.

For frequent coughing with sputum, Herbion syrup with primrose is used for treatment. The possibility of prescribing this medicine during the entire period of pregnancy remains at the discretion of the doctor who prescribes the drug, assessing the expected benefits for the health of the mother and possible risks for the fetus.

Medicines for wet cough

To cleanse the respiratory tract of accumulated mucus, from the 2nd trimester the drugs Prospan, Stoptussin-Fito, Doctor Theis, Tussin, Stodal, Pulsatilla are prescribed.

Under the supervision of a doctor, medicines in tablets or in the form of syrups, such as Linkas, Bronchicum, Bronchipret, Herbion, are used for cough during pregnancy in the 2-3 trimesters.

A wet cough often accompanies bronchitis and is accompanied in the acute phase by a rise in temperature and a deterioration in health. Inflammation of the bronchi in the mother negatively affects the condition of the fetus - it causes oxygen starvation in the developing tissues.

To prevent the woman’s condition from worsening, they resort to prescribing potent drugs Fluifort and Ambroxol.

Treatment during pregnancy

During pregnancy, antitussive drugs are not prescribed; you should not take: Thermopsis, Alex Plus, Codelac, Terpincode, ACC, Bronholitin, Glycodin, Josset.

Not all medicinal herbs that are usually used for coughs are allowed during pregnancy. You cannot treat with coltsfoot, ginseng, St. John's wort, sage, gincobiloba.

These plants can affect the formation of the fetus, cause increased blood pressure in the mother, or provoke premature termination of pregnancy.

To improve the condition of the woman and baby during this period, it is better to use safe folk remedies for coughs that do not pose a threat to health - decoctions, infusions of licorice, marshmallow, radish juice with sugar. Honey should not be used during pregnancy due to the risk of allergies.

And a prerequisite for good health at this time is compliance with preventive measures, which include preventing contact with sick people and hypothermia.

Pregnant women will also benefit from information on how to fight colds and herpes.

It was so unpleasant to catch a cold at 4 months of pregnancy. But it’s okay, the doctor prescribed Prospan syrup, and it helped me. It’s plant-based, so I took it without fear. Cured my cough quickly.

I was also treated with Prospan at 35 weeks. The doctor said the syrup was natural, without alcohol, and in my case it helped within a few days. At the same time, I drank a lot of tea with linden and raspberries and often moistened the room.

Prosap is a really good cough suppressant. I did inhalations at 30 weeks. Thank God, the cough went away quickly.

At week 27 I suffered from a severe cough. I was cured in just 5 days with Prospan syrup. It is natural, without harmful additives. Therefore, now I give it to my child if he starts coughing.

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Source: http://loramed.ru/simptom/kashel/k-pri-beremennosti.html

How to treat cough during pregnancy in the 2nd trimester

Colds, infectious and viral diseases during pregnancy pose a threat to the health of the mother and fetus. They occur against the background of a weakened immune system, which is the source of the development of acute respiratory infections and acute respiratory viral infections with varying severity.

Despite the fact that in the 2nd trimester the fetus is already reliably protected by the developed placenta from any negative influence of the surrounding world, colds, depending on the clinical picture and severity of the course, can cause fetoplacental insufficiency, which is a reflection of violations of the protective function of the placenta. Placental dysfunction leads to intrauterine infection of the fetus under the influence of pathogenic microorganisms penetrating the placenta.

Clinical studies indicate that in pregnant women who received influenza vaccinations, compared with pregnant women without vaccination, placental insufficiency was observed much less frequently (3.5% and 28%, respectively).

A pregnant woman who has had acute respiratory infections in the second trimester may experience the following pathomorphological changes:

  • enlarged uterus;
  • thickening of the placenta;
  • an increase in blood vessels on the surface of the placenta;
  • thickening of the umbilical cord with a circular disorder.

Against the background of respiratory diseases, the most frequent cases of hospitalization occur in the second and third trimester; more than 50% of pregnant women had concomitant diseases such as bronchitis and pneumonia.

A wet, persistent cough during pregnancy in the second trimester leads to tension in the walls of the abdominal cavity and uterus, which interferes with the normal process of blood circulation and impairs the supply of oxygen and essential nutrients through the placenta to the fetus. As a result, intrauterine hypoxia develops.

A severe cough in the 2nd trimester of pregnancy may be accompanied by vomiting. Such coughing attacks, especially repeated ones, can lead the pregnant woman’s body to dehydration, as well as to the loss of nutrients not only for the mother, but also for the unborn child.

A suffocating and dry cough that occurs against the background of influenza infection often leads to premature placental abruption, which can lead to spontaneous miscarriage.

Cough can be caused not only by infectious diseases of the ENT organs, but also by an allergic reaction, stomach diseases, and also as a result of smoking.

Pregnant women who use tobacco products cause irreparable damage to the health of the unborn child. As a result of smoking in the second trimester of pregnancy, the fetus naturally develops hypoxia, and the respiratory and motor activity of the fetus is inhibited. In such children, in 90% of cases, minimal brain dysfunction, mental retardation, and mental retardation are observed.

How to treat a cough

Cough during pregnancy, regardless of trimester, is a particular problem, since most medications that are antitussive and expectorant are prohibited. And many traditional medicines cause allergic reactions or are completely contraindicated when carrying a child.

Only a specialist doctor can prescribe adequate antitussive drug therapy. Therefore, the use of drugs during pregnancy should be under the supervision of a therapist, obstetrician-gynecologist and other specialists, if necessary.

Drug treatment of cough during pregnancy in the 2nd trimester

Compared to the 1st trimester, restrictions on taking medications in the 2nd trimester of pregnancy are not so strict. At this time, doctors allow cough treatment with synthetic drugs. Thus, for the treatment of dry cough during pregnancy, herbal preparations are prescribed. These include:

  • "Mukaltin" - release form: tablets. The active plant component is marshmallow extract.
  • “Bronchipret” is a release form in drops and syrup. Plant components – thyme herb extract and ivy leaves.
  • "Eucabal" is available in the form of a syrup for oral use and an emulsion for inhalation procedures and rubbing. The plant components of the syrup are plantain and thyme extract. Emulsions – eucalyptus oil and pine needles.

A medicinal form of treating dry cough in pregnant women using synthetic drugs:

Synthetic cough remedies are prescribed to pregnant women in cases where other treatment methods do not produce a visible effect.

To treat wet cough, stimulants are used to separate sputum, activating the production of secretion from the bronchial and salivary glands. Such drugs include:

  • “Prospan” is available in the form of drops and syrup. The drops and syrup contain ivy extract, peppermint and fennel oil. "Stoptussin - Phyto" - dosage form - syrup. The composition includes extracts of thyme, plantain and thyme.
  • "Doctor Theiss" - the syrup contains peppermint oil and plantain extract.

Synthetic medicine with expectorant effect:

The above treatments are allowed for use in the second trimester of pregnancy, but there is a risk of an allergic reaction to one or another component of the drug.

Folk remedies

Only those approved by the attending physician can be considered effective folk remedies that can relieve and eliminate coughs during pregnancy. Antitussive and expectorant herbs are traditionally used to treat cough.

Folk remedies for treating cough:

  • Honey - will relieve dry and wet cough. For internal use, it is enough to dissolve 1 tsp 3 times a day. liquid honey or use as an additive to warm milk. For external use, honey is used as a rubbing and warming agent. You should only rub the chest area, preferably at night.
  • Onion decoction - relieves attacks of persistent cough. Cooking recipe: chop the peeled onion in a blender and add milk, cook over low heat for 5-10 minutes. Remove from heat and add honey. The decoction is prepared at the rate of 250 ml of milk and 1 tbsp per onion. honey Take 1 tbsp orally before meals. within 2-3 days.
  • Black radish juice helps remove stagnant, sticky mucus. The radish is grated on a fine grater and sprinkled with sugar. The resulting mixture is placed in a deep container and put in a dark place for 12 hours. Drink the resulting juice every 3-4 hours, 1 tsp. within 2-3 days.

Another recipe: choose a large radish, wash and cut off the top and remove 1/3 of the pulp. Pour honey into the resulting cavity and cover with the top of the radish, which has been cut off. Place the radish in a container with water for 5-6 hours. The resulting juice is consumed orally, 1 tbsp. 30 minutes before meals.

Tinctures of medicinal herbs effectively eliminate attacks of wet and dry cough.

  • Calamus root - thins and removes phlegm. 2 tablespoons boiling water ground root, mix thoroughly and infuse for hours. Take half a glass before meals.
  • Coltsfoot - softens the throat and eliminates attacks of dry cough. 2-3 tbsp. dry collection is poured with 250 ml of boiling water. Leave for 5-6 hours and take 1 tbsp. every 1.5-2 hours.
  • Tincture of currants and honey. The tincture is prepared at the rate of 3 tbsp per 100 g of berries. honey Mix thoroughly and leave to infuse for hours. Take 1 tbsp. 3 times a day.
  • Tincture of St. John's wort herb. Used for any type of cough. Recipe: St. John's wort 2-3 tbsp. mix with propolis and pour 500 ml of boiling water. Leave for a minute, strain and gargle 2-3 times a day.
  • The chest collection has a complex effect; it is used to liquefy and remove mucus from the bronchi, as well as to relieve dry cough and relieve inflammation in the nasopharynx. The plant components included in its composition are plantain, coltsfoot and licorice. Method of preparation: the collection is poured with boiled water at the rate of 1 tbsp. collection per 250 ml of water. Prepared with water banemin. The infusion is cooled and filtered. Drink 50 ml 3 times a day.
  • Healing tea from linden and thyme. Recipe: 3 tbsp. linden flowers and 2 tbsp. dried thyme herb is brewed with boiling water. Tea is consumed hot with honey.

It is a misconception that you can take herbal medicines without consulting a doctor; many herbs can cause an allergic reaction and provoke the appearance of rashes, itching and even Quincke's edema.

Inhalations

Inhalation procedures are widely used in the treatment of dry cough and inflammation in the bronchi using an inhaler or nebulizer. The procedures are carried out using medicinal decoctions of plant origin, which soothe the bronchial mucosa and promote the formation and removal of mucus. There are two main decoctions that are actively used in the treatment of cough:

  • Plantain leaves and string are mixed in a 2:1 ratio and poured with 200 ml of boiling water. It is not recommended to bring the broth to a boil.
  • Mix crushed eucalyptus leaves (you can add 2-3 drops of pharmaceutical eucalyptus or mint extract) with pine needle oil in a 2:1 ratio. Pour boiling water over the finished mixture and let it brew for 1-2 minutes.

Both recipes relieve coughing attacks and are safe for pregnant women. The vapors of the decoction should be inhaled alternately through the mouth and nose, covered with a towel. Use procedures no more than 2 times a day (morning and evening). After the procedure, you should not go outside. It is not recommended to carry out procedures at high body temperature.

Prevention of cough during pregnancy

Basic recommendations on how to prevent the development of respiratory diseases during pregnancy:

  • At the first symptoms of the disease, visit your doctor.
  • Avoid any contact with carriers of viral and infectious diseases.
  • Avoid public places during seasonal acute respiratory viral infections and acute respiratory infections.
  • Before leaving the house, you need to treat your nasal passages with oxaline ointment.
  • Wear a protective medical mask in public places.
  • After a walk, at home, thoroughly wash your hands up to the elbows with soap, rinse your sinuses, and gargle with saline solution.
  • Ventilate rooms in the house regularly.
  • Walk outdoors every day.
  • Avoid travel and climate change.

Coughs during pregnancy should be treated in a timely manner, since the development of cough can be caused not only by common viral diseases, but also by the development of such infections, the full clinical picture of which appears several months later, which poses a serious danger both for intrauterine development and for the mother.

Influenza vaccine prevention takes a leading place in the fight against respiratory infections. Modern clinical studies have proven that the influenza vaccine in the 2nd trimester of pregnancy is safe for the mother and intrauterine development of the fetus, since modern vaccines do not have a teratogenic or embryotoxic effect.

Conclusion

Factors in the development of dry and wet cough in pregnant women are respiratory and background diseases of the lower and upper respiratory tract, which are accompanied by an inflammatory process in the ENT organs and negatively affect the health of the mother and the intrauterine development of the fetus. Against the background of cough in the second trimester, there is a threat of miscarriage, oligohydramnios, compaction of the placenta, intrauterine hypoxia and fetal anemia.

As a preventative measure, experts recommend receiving annual vaccinations against respiratory viral infections before and during pregnancy. Vaccination will significantly reduce the risk of influenza infection and provide additional immunity not only to the mother, but also to the child.

Any form of the disease during pregnancy requires timely and adequate therapy under the supervision of specialists.

Source: http://kasheld.ru/pri-beremennosti/kashel-pri-beremennosti-2-trimestr-lechenie

How to treat cough during pregnancy

December 20, 2017

General information

If a person coughs a lot, this symptom significantly worsens his life. During pregnancy, coughing causes the expectant mother great discomfort. Since immunity significantly weakens during pregnancy, a woman can catch a cold at any stage. Sometimes even short contact with a patient or slight hypothermia can trigger a cold or ARVI.

However, if we talk about the dangers of coughing during pregnancy, it should be noted that it is only a symptom of the disease, and can be evidence of a variety of ailments. This is a reflex reaction aimed at clearing the airways from bronchial secretions. Consequently, it is not the symptom itself that requires treatment, but the disease that provoked it. Sometimes a person coughs due to an allergic reaction to external irritants.

Pregnancy and cough - this combination can be a problem, because during the period of bearing a baby, especially in the early stages, a woman should not take effective expectorants or cough suppressants. By the way, most herbal remedies should not be taken during pregnancy. Therefore, those expectant mothers who prefer folk remedies when coughing so as not to harm the child also often risk harming the baby. After all, such drugs also have side effects.

Children's cough syrup should not be used either. Despite the fact that such medications seem safe at first glance, because they are given to children under 3 years of age, in fact, the drug approved for children can negatively affect the fetus.

Therefore, in order to protect the health of mother and baby, medications allowed for pregnant women should be prescribed by a doctor, as well as the regimen for taking them.

Why is coughing dangerous?

In most cases, cough is a sign of a bacterial or viral respiratory disease. Therefore, in the absence of proper treatment, the disease can gradually become chronic, and complications are also likely to develop. In such conditions, the likelihood of miscarriage, premature birth, and intrauterine infection increases. The risk of developmental defects in the baby also increases.

In addition, immediately at the moment when the expectant mother coughs, the tone of her uterus increases. And this condition threatens miscarriage and fetal hypoxia.

If the expectant mother has low placentation or placenta previa, then due to strong muscle tension during coughing, bleeding from the uterus may begin.

And with toxicosis, coughing attacks can significantly increase the severity of nausea and aggravate the condition.

Treatment of cough during pregnancy

We will discuss below what you can drink when you cough in order to quickly cure the disease that caused it.

How to treat cough during pregnancy in the 1st trimester

The most important period in the process of fetal formation is the first months after conception. It is at this time that all systems and organs of the unborn child are actively formed. Accordingly, then there is a high risk of developing severe pathologies and fetal malformations, which can be caused by prohibited drugs. Of course, at this time it is better not to get sick at all, so the expectant mother needs to be very conscious about her health. But if a woman still gets sick, she can only take medications approved by her doctor. Only a doctor can tell you how to treat a cough during pregnancy, after conducting all the necessary research and making a diagnosis.

If the question arises about how to treat cough in the 1st trimester during pregnancy, the doctor will recommend the most gentle treatment methods that are safe for the woman and baby.

However, during this period all medications are only relatively safe. Sometimes a woman, without thinking about how to treat her throat during pregnancy in the 1st trimester, sucks lozenges. But even they contain active ingredients, the effect of which can negatively affect the fetus. Cough lozenges sold in stores contain extracts of eucalyptus, mint, as well as preservatives and flavorings that are not at all beneficial for the baby.

During the first trimester, it is acceptable to use some medications, as can be found in the table below.

Treatment of dry cough during pregnancy

  • Broncho-gran,
  • Pulsatilla,
  • Stodal.
  • Bifidophilus Flora Force,
  • Pregnacare,
  • Mamavit.
  • Gedelix,
  • Lollipops Doctor Mom,
  • Bronchicum.

How to treat a wet cough

  • Broncho-gran,
  • Stodal,
  • Pulsatilla.
  • Bifidophilus Flora Force,
  • Pregnacare,
  • Mamavit.

How to cure a severe cough during pregnancy in the 2nd trimester?

The second and 3rd trimester is the time when all systems and organs of the fetus are finally formed and mature. During this period, the child is actively preparing for birth and life after it. Therefore, in both the second and third trimesters, it is better not to take large amounts of medications.

However, if we talk about what can be used in the 2nd trimester if you need to get rid of a cough or treat a throat, then it should be noted that during this period the restrictions are no longer so strict. If necessary, the doctor may advise that pregnant women can also take some synthetic drugs for cough.

The tables indicate how to cure a cough in the 3rd trimester and in the second.

For dry cough

  • Broncho-gran,
  • Pulsatilla,
  • Stodal.
  • Bifidophilus Flora Force,
  • Pregnacare,
  • Mamavit.
  • Gedelix,
  • Bronchicum,
  • Overslept.
  • Akodin,
  • Stoptussin,
  • Bromhexine,
  • Libexin.

If the cough is wet

  • Stodal,
  • Broncho-gran,
  • Pulsatilla.
  • Pregnacare,
  • Mamavit,
  • Bifidophilus Flora Force.
  • Bronchicum,
  • Bronchipret,
  • Overslept.

However, only the attending physician can correctly determine how to treat a dry cough during pregnancy or what to take if you have a sore throat.

Physiotherapy – treatment at home and in medical institutions

The safest way to treat cough while carrying a baby is physical therapy, since it is a non-drug method. This method is most effective for dry cough.

However, some methods still cannot be used.

Should not be used:

  • radiation treatment;
  • banks;
  • mustard plasters;
  • foot baths;
  • electrotherapy;
  • hot baths.

However, expectant mothers should not once again visit medical institutions where a lot of patients are concentrated. Moreover, a number of physiotherapy procedures can be successfully carried out at home. Almost every forum where treatment problems for pregnant women are discussed contains advice on how to carry out inhalations or how to treat a throat with gargles.

Inhalations

To carry out inhalation, you can use a nebulizer or use a very ordinary teapot. The vapors are inhaled through the spout of the kettle, onto which a funnel twisted from cardboard is placed. To carry out inhalation, you need to adhere to some important rules:

  • body temperature should not be elevated;
  • the solution for inhalation should have a temperature of 30 to 40 degrees;
  • the duration of inhalation is about 10 minutes, such “sessions” need to be carried out 3-6 times a day;
  • After the session you need to not talk or eat anything for about half an hour.

The following mixtures can be used as solutions for inhalation:

  • Dilute 50 g of baking soda in one liter of boiling water, then cool the mixture slightly.
  • Dilute 10 g of honey in one glass of warm water. Whether honey can be used during pregnancy in any medicinal product depends on whether the woman has had allergic reactions to this product.
  • Dissolve 10 g of pre-chopped garlic and eucalyptus leaves in one liter of boiling water. After this, you need to cool the mixture a little.
  • Dilute 20 g of sage in one glass of boiling water and cool slightly.

Gargling

If a pregnant woman has a sore throat or just a sore throat, gargling is an excellent treatment method in this case.

You need to prepare this product before you start rinsing. When the liquid becomes homogeneous, it should be cooled. You need to gargle up to 8 times a day; one glass of the prepared solution is enough for one gargle. Rinse after meals.

Expectant mothers can use the following rinsing solutions:

  • An infusion of 10 g of chamomile flowers poured into one glass of boiling water.
  • A solution of half a teaspoon of baking soda in one glass of warm water.
  • An infusion of 10 g of plantain leaves poured into a glass of boiling water.
  • An infusion of 10 g of linden leaves poured into a glass of boiling water.

Traditional methods for treating cough during pregnancy

You can learn about what you can drink for a cough during pregnancy from numerous traditional medicine recipes. However, even when talking about traditional methods of treating an expectant mother, you need to know that you should consult a doctor about what you can take.

In addition, it is important not only to know what to drink, but also to clearly monitor how the body perceives this or that treatment method. After all, sometimes even a seemingly ordinary radish with honey can cause undesirable effects if an allergic response develops.

Products with honey

Honey products can be used both externally and internally, provided that the woman is not allergic to bee products. After all, honey is a strong allergen, and if any negative effects occur, its use should be stopped.

The use of honey internally helps dry cough gradually become productive. However, you can also use products with honey when it is wet. This treatment will help speed up the process of clearing the bronchi from mucus.

External use

  • Русский
  • You can rub the chest area with honey - this procedure is carried out in the morning and evening.
  • At night, you can put compresses on your chest using warmed honey. The compress is covered with cling film.

Application internally

  • Русский
  • Three times a day before meals you need to slowly dissolve 1 tsp. honey, slightly warmed.
  • Honey can be added to tea and other drinks - 1 teaspoon per glass of liquid.
  • You can prepare a remedy from honey and black radish juice (1:2), which you drink three times a day, 2 tbsp. l.

Onion garlic

These are very strong natural antiseptics, the phytoncides of which effectively destroy bacteria and viruses. Therefore, both onions and garlic can simply be cut and placed indoors to ensure air disinfection. If you put several cut cloves of garlic and onion on plates, you get the so-called indirect inhalation.

You can also use onion and garlic juice separately. To get juice, you need to chop onion or garlic and mix with 1 tbsp. l. honey After half an hour, strain the released juice and take 1 tsp several times a day.

As for whether pregnant women can eat garlic, there are different opinions. After all, some experts claim that it can increase the tone of the uterus and also cause allergic manifestations. But still, most doctors agree that it can be consumed in very small quantities.

Milk

You can soothe a throat that is inflamed due to illness with warm milk. It will also help cope with coughing attacks and calm the nerves.

Milk should be drunk in small sips, it should be warm.

  • If you mix it with alkaline still mineral water (1:1), then this mixture will promote the separation of phlegm.
  • You can boil milk with sage (1 tablespoon of herb per 200 g of milk). Drink 1 tbsp before bed. l.
  • A drink made from milk and figs helps with colds. To prepare it, four dried figs are boiled in half a liter of milk until it turns brown. Drink 100 g of this product warm three times a day.

Prohibited cough medicines during pregnancy

It is important to know not only what medications the expectant mother can take, but also which drugs have been proven to have a negative effect on the fetus.

Synthetic products

The following medications should not be used:

Folk remedies for cough during pregnancy

You cannot take folk remedies based on the following plants:

  • Folk remedies with comfrey and coltsfoot: these plants contain pyrrolizidine alkaloids, which are carcinogenic and can cause mutations during development.
  • Products containing ginseng, eleutherococcus, and echinacea, since they increase blood pressure and cause allergic reactions. If tablets or medicine contain such drugs, you must inform your doctor about this.
  • Medicines with ginkgo biloba - they impair blood clotting and can cause uterine bleeding.
  • Medicines with St. John's wort: reduce the effectiveness of painkillers and can worsen the effect of anesthesia during cesarean section.

How to prevent coughing in expectant mothers

Every woman expecting a child is responsible not only for her own health, but also for the condition of the unborn baby throughout the entire nine months. It is very important to try not to get sick at this time and to prevent the development of those unpleasant symptoms that can negatively affect the condition of the fetus. How cough affects the fetus has already been discussed above. To avoid negative effects, you need to take maximum care of yourself during pregnancy:

  • Avoid contact with people with colds and stay as little as possible in places where there are many people at the same time. The latter is especially relevant during periods of epidemic colds.
  • If there is a need to visit any public place, you need to lubricate the nasal mucosa with Vaseline or oxolinic ointment, and try to keep your mouth closed. After returning home, you should wash your hands very well, rinse your nose and rinse your mouth with saline or boiled water.
  • The room in which a woman stays needs to be ventilated as often as possible and wet cleaned.
  • Daily walks in the fresh air are very important - they should be long.
  • It is necessary to prevent hypothermia and overheating, and not to change the climate sharply.

As soon as the first signs of the disease appear, you should consult a doctor. You can practice inhalations, traditional methods or suck lollipops only if the woman is sure that she is developing a cold.

conclusions

Thus, every expectant mother should take care of her health and try by all means to prevent illness. If the cold still prevails, you should definitely consult a doctor about whether pregnant women can take any cough tablets during pregnancy. Even those cough tablets for pregnant women or cough syrup during pregnancy, which, according to the instructions, can be used by expectant mothers, it is better not to drink without a doctor’s prescription. By the way, if, after treating a cold, thrush begins to bother you, you should not take medications like Flucostat. You should also consult a doctor with such symptoms.

If you have a strong cough, you should not follow advice on forums about what kind of cough syrup you can use during pregnancy. And even pharmacists’ recommendations on which cough syrup to choose for pregnant women should not become a guide to action. Only safe means described above and prevention methods will not harm the health of mother and baby. All other drugs can be taken only under the supervision of a doctor.

Education: Graduated from Rivne State Basic Medical College with a degree in Pharmacy. Graduated from Vinnitsa State Medical University named after. M.I. Pirogov and internship at his base.

Work experience: From 2003 to 2013 – worked as a pharmacist and manager of a pharmacy kiosk. She was awarded diplomas and decorations for many years of conscientious work. Articles on medical topics were published in local publications (newspapers) and on various Internet portals.

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Source: http://medside.ru/chem-lechit-kashel-pri-beremennosti