Medications in Pregnancy: rules of

August 27, 2012

 drugs during pregnancy
 Pregnancy is one of the most important and difficult periods of a woman's life. Because of its flow, lifestyle and diet of the future mother depends on the child's health. And, of course, pregnancy is considered the most vulnerable period for the various diseases that require medication. According to statistics about 80-90% of all women ever to take medication during the childbearing. Some women undergoing treatment for acute diseases, but most were forced to take drugs during pregnancy due to the presence of chronic health problems. Accordingly, the question arises of how drugs affect pregnancy, and whether to use them?

 Medications in Pregnancy: rules of

Terms of use of drugs during pregnancy

Prescription drugs during pregnancy requires special care. First, many (almost all drugs have an effect on the fetus), and secondly, during pregnancy a woman's body undergoes a series of changes that may affect the mechanism of action of the drug (the accelerated destruction of drugs, delayed absorption, the development of allergic reactions). Compliance with the rules of use of drugs during pregnancy can help reduce the risk of complications to the fetus and the development of side effects:

  • Failure to self

A pregnant woman should be remembered that in the period of gestation of the child in any case can not be alone, without a doctor's prescription to take any medications, even if it took them early and absolutely confident in them.

  • Accounting for gestational age

In the appointment of treatment, the doctor must necessarily take into account the gestational age and the so-called critical periods. If possible, avoid taking medications in the first trimester (12 weeks). During this period there is a bookmark vital organs, as the fetus is no natural protection - placenta. Taking medication is the most dangerous in the first three weeks of pregnancy, and is fraught with miscarriage Miscarriage - can you protect yourself from it?  Miscarriage - can you protect yourself from it?
   (the law of "all or nothing" - a pregnancy develops without consequences or is interrupted).

  • Use only safe products

There are a number of drugs which are absolutely safe during pregnancy. If the expectant mother with the disease should be the appointment of harmful drugs, you should choose the least toxic drugs, or address the issue of whether the drug will bring more good than harm.

Monitor the status of women and the fetus

During the treatment a pregnant woman should be under close medical attention, regularly take the necessary tests and undergo additional tests (ultrasound of the fetus, cardiotocography, and others).

 Medications in Pregnancy: rules of

Risk groups of drugs

All drugs on the possible harmful effects on the fetus are conditionally divided into five groups:

  • The first group

This group includes drugs that have as a result of controlled trials, there is no risk of adverse effects on the fetus in the first trimester of pregnancy and there is no evidence of teratogenicity at a later date (multivitamin complexes, potassium chloride, iron supplements, iodine).

  • The second group

This group includes drugs that studies conducted on animals, causing their safety has been identified, but is strictly controlled experiments in pregnant women were not conducted (heparin, insulin The principles of action of insulin - the science of saving lives  The principles of action of insulin - the science of saving lives
 Antibiotics Antibiotics - whether they will help you in the foreseeable future?  Antibiotics - whether they will help you in the foreseeable future?

  • The third group

When conducted tests on animals have found their adverse effects on the fetus, or the medicine has not been studied (isoniazid, fluoroquinolones, gentamicin, antidepressants, drugs to treat Parkinson's disease).

  • The fourth group

Drugs in this group have an adverse effect on the fetus, but the potential benefits from their use outweighs the potential risk (kanamycin, diclofenac Diclofenac - relieve inflammation and pain  Diclofenac - relieve inflammation and pain
 , Anticonvulsants, doxycycline).

  • The fifth group

This group includes drugs, teratogenic effect was proved. They are absolutely contraindicated during pregnancy and planning (izotretion, cytostatics, streptomycin, carbamazepine).

Anna Sozinova

Pancreatin during pregnancy - may use

October 28, 2012

 pancreatin in pregnancy
 During pregnancy, women are most concerned about a variety of disorders of the digestive organs. This is constipation, heartburn, nausea, vomiting and so on. Is it possible to reduce these symptoms using drugs, which include pancreatin?

 Pancreatin during pregnancy - may use

The work of the digestive system during pregnancy

During pregnancy, it changes the operation of all organs and systems of a woman's body. Digestive are no exception. From the very beginning of pregnancy in a woman's body begins to produce large amounts of the female hormone progesterone. The main objective of this hormone during pregnancy is a suppression of uterine smooth muscle contractions: contractions of the uterus can lead to premature termination of pregnancy, that is a miscarriage Miscarriage - can you protect yourself from it?  Miscarriage - can you protect yourself from it?

But the fact that the smooth muscles of the abdominal cavity has a single nerve and its suppression of spasms in one body some impossible. Thus, progesterone Progesterone - norm and pathology  Progesterone - norm and pathology
   not only causes relaxation of smooth muscle of the uterus, and smooth muscle of the gastrointestinal tract.

As a result, significantly inhibited intestinal peristaltic movements which contribute to the promotion of normal food, which leads to chronic constipation characteristic pregnancy. A chronic constipation - a prolonged exposure of stool in the intestine, reabsorption into the blood of toxic substances, a violation of the general condition of the woman in the form of nausea and vomiting, and a negative impact on all the organs of digestion.

In addition, during pregnancy, women are often tormented by heartburn. But in this case it is not a consequence of heartburn power of gastric juice and raise its pH (gastric secretion in some cases may even decrease), as consequence of the relaxation of smooth muscles of the stomach, including the sphincter at the junction of the esophagus to the stomach. Because of this wicking occurs acidic gastric contents of the stomach into the esophagus - woman feels this as heartburn. With increasing duration of pregnancy heartburn increases as the growing uterus and helps the stomach backs thrown at its contents into the esophagus.

 Pancreatin during pregnancy - may use

Do I need during pregnancy Pancreatinum

Pancreatin - a drug, which comprises enzymes, digesting the proteins, fats and carbohydrates entering the body with food.

Assign pancreatin with a decrease in the secretory function of the digestive system, including the reduction of gastric secretion. It also stimulates its own secretion of the gastrointestinal tract.

The main symptoms in the digestive system, which disturb women is heartburn, nausea and constipation Constipation - Watch out for food  Constipation - Watch out for food
 . It will pancreatin with heartburn? In most cases, pancreatin only exacerbate the problem, as it will help to stimulate the secretion of gastric juice.

It will pancreatin with constipation? Probably not, cause constipation (violation of motor activity of the gastrointestinal tract), he does not remove, and constipation when taking only increase (from pancreatin Pancreatin - a means to improve digestion  Pancreatin - a means to improve digestion
   there is a side effect). Since constipation is reduced, it comes off and nausea, which is often a consequence of intoxication against constipation.

So to relieve unpleasant symptoms of the gastrointestinal tract that accompany pregnancy, pancreatin not do. In addition, manufacturers honestly warn that the clinical trials of the drug in pregnant women have not been conducted, and no one knows exactly, as in this case acts pancreatin. The one thing the producers believe is that pancreatin is not teratogenic, that is not cause malformations in the fetus.

 Pancreatin during pregnancy - may use

In some cases, pregnant women are prescribed pancreatin

Pancreatin pregnant women appoint a doctor if she has to receive indications of the drug. After pregnancy does not exclude the presence of a woman or chronic pancreatitis, chronic gastritis with reduced gastric acid secretion.

In the presence of these diseases pregnant women prescribed drugs, which include pancreatin.

Under the influence of pancreatin normal food intake, removed its irritating effect on the wall of the stomach and intestines that contributes to the overall improvement.

The doses of these drugs and the duration of their use is determined individually by your doctor.

Perhaps the appointment of pancreatin and prior diagnostic study of women, for example in front of pelvic ultrasound.

Medicinal products containing pancreatin, are not prohibited during pregnancy, but they are appointed only by a physician when indicated.

Galina Romanenko

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