Antipyretic in pregnancy - what medicines you can take

November 14th, 2014

 antipyretic in pregnancy
 Because immunity in pregnant women is slightly reduced, it becomes an easy target for certain viral and other infections. Colds and flu in pregnant women - a very common phenomenon, and expectant mothers have to carefully choose its lih treatment. Fortunately, to take an antipyretic in pregnancy is quite possible: it will not bring any harm if you follow the recommended dosage and, of course, to choose the right medication.

How can antipyretic in pregnancy, and what not?



This drug is the most common analgesic and antipyretic of use during pregnancy. Paracetamol is considered safe for pregnant women, and can be used on any terms. Experts generally agree that among the existing antipyretic it is best for pregnant women, but even with prolonged use of paracetamol may lead to undesirable consequences. To date there have been only a few studies on the effects of paracetamol on fetal development. In one of these studies found that taking the drug for more than 28 days may impair the development of motor skills and communication skills, as well as to the emergence of behavioral problems in children.

In addition, there is evidence of a possible association between paracetamol and development of attention deficit disorder Attention deficit hyperactivity disorder (ADHD) - how to help fidget?  Attention deficit hyperactivity disorder (ADHD) - how to help fidget?
   hyperactivity disorder (ADHD). This conclusion was made after scientists have carefully studied the history of 871 children aged from seven to eleven years. It was found that ADHD is especially common in children whose mothers took during pregnancy paracetamol.

According to the results of another study, in which researchers analyzed the medical records of 64,000 children, the chance of developing ADHD increased by 13-37% if the mother during pregnancy has taken antipyretics (not just paracetamol). However, researchers emphasize that this is no reason to conclude that paracetamol leads to the development of ADHD. This is - a very complex and incompletely understood disorder in the development of which, apparently, is influenced by a number of factors. Whatever it was, pregnant women before taking paracetamol, you should consult with your doctor.

As a rule, to reduce the chance of serious side effects to a minimum, doctors recommend that pregnant women take acetaminophen in the lowest effective doses and for the opportunity to reduce treatment.

Paracetamol at the time of conception is considered safe; it is not associated with increased risk of any disorders in the fetus.


Paracetamol with caffeine

Preparations composed of the two active substances have a more pronounced analgesic, but not antipyretic properties than regular paracetamol. Pregnant women are not recommended to take, as the abuse of caffeine during pregnancy can cause low birth weight of the child. In addition, it increases the risk of various health problems later in life.

Completely give up caffeine is not necessary - it is recommended limited to 200 mg of this substance in the day.



This is a very effective analgesic, but pregnant women should not take it without doctor's permission. Research has shown that aspirin can cause the following problems:

  • If a woman takes it at the time of conception or early in pregnancy increases the likelihood of miscarriage Miscarriage - can you protect yourself from it?  Miscarriage - can you protect yourself from it?
  • Aspirin at any stage of pregnancy can adversely affect fetal development and increase the risk of placental abruption (this is a disorder in which part of the placenta separates from the uterine wall);
  • Aspirin during late pregnancy may cause problems during childbirth and increase the risk of developing heart disease or lung disease in children. The drug can also cause bleeding, which is associated with some risk to the health of both mother and child.

However, if you are only temporarily from time to time taking aspirin at the time when conception occurred, or sometimes taking it already being pregnant, it is unlikely that it will lead to serious health problems. Moreover, women who have an increased risk of pre-eclampsia, can be assigned to a daily intake of low-dose aspirin (an average of 81 g) in the second and third trimesters of pregnancy. Such treatment can significantly reduce the likelihood of developing this dangerous disorder, and such related complications such as low birth weight and premature birth.

Preeclampsia is one of the most serious health problems for moms and their children, and to take measures for its prevention is very important. It is a complex disorder, which is characterized by high blood pressure and excessive concentration of protein in the urine The protein in the urine - a sign of danger, which should not be underestimated  The protein in the urine - a sign of danger, which should not be underestimated
   after the twentieth week of pregnancy. According to statistics, preeclampsia is diagnosed in about four percent of pregnant women; it is responsible for more than one third of all serious complications of pregnancy, and fifteen percent of all premature births. In the most severe cases, it can lead to life-threatening internal injuries, stroke Stroke - a serious brain injury  Stroke - a serious brain injury
   and fetal death. Aspirin for the prevention of pre-eclampsia can be assigned:

  • Women who during a previous pregnancy developed preeclampsia;
  • Women who have been diagnosed before pregnancy hypertension and / or diabetes;
  • When a multiple pregnancy.

In some cases, this treatment can be scheduled during the first pregnancy, pregnant women over 35, and women suffering from obesity.

Prophylactic use of aspirin can reduce the likelihood of premature birth by 14% and delayed fetal development - 29% of pre-eclampsia - by 24%.

Thus, taking aspirin during pregnancy is possible, but only when indicated and prescribed by a doctor. In the treatment of a cold or flu to pregnant women using this drug is not recommended.


Other nonsteroidal anti-inflammatory drugs (NSAIDs)

Aspirin is included in the group of NSAIDs, but it has significant differences from the other drugs in this class, so we looked at it separately. With regard to other NSAIDs, and their pregnant women to take is possible, but only with the permission of the doctor.

One of the safest and most popular NSAID is ibuprofen. However, even this formulation may lead to complications if taken in large doses and for a long enough time. Ibuprofen first to thirteenth week of pregnancy increases the risk of miscarriage and the emergence of heart problems, as well as abdominal wall defects and malformations such as cleft palate. The safest use of ibuprofen is considered between 14 and 27 weeks of pregnancy. In the third trimester of large doses of the drug may cause a decrease in the volume of amniotic (amniotic) fluid and the occurrence of lung problems in the baby.

Pregnancy - is the wave of expectations for the future, pleasant hassle and increased caution: the expectant mother should be particularly careful to see to it that she eats like trains, and what medicine to take.

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