Despite the fact that we live in the twenty-first century, when medicine has leaped forward, a woman during pregnancy and childbirth are always in danger. To make the situation got out of control and she was able to successfully give birth to a healthy baby, it should be under constant medical supervision - this basic truth is known in all civilized countries.

What is polyhydramnios and its causes

Polyhydramnios - a painful condition in which in the amnion (periconceptional bag, which concluded the fetus and amniotic fluid) is an excessive amount of amniotic fluid (more than 1, 5 liters). Hydramnion occurs at 0, 3 - 0, 6% of births.

Polyhydramnios reasons not well understood. It is believed that polyhydramnios can occur in pregnant women with diabetes Diabetes - threatening and incurable disease , Kidney disease, cardiovascular and other diseases, after infectious diseases, as well as due to incompatibility of blood between mother and fetus Rh Rh factor - still medical mystery . Polyhydramnios develops in violation of suction and secretory capacity of amnion is usually in the middle or the second half of pregnancy.

The course of pregnancy and the effect on the fetus polyhydramnios

Polyhydramnios may be acute or chronic. In acute polyhydramnios amount of amniotic fluid increases quickly, sometimes within a few days. Pregnant appear malaise, anxiety, shortness of breath, difficulty breathing, increased heart rate, abdominal pain, edema. In acute polyhydramnios pregnancy is usually aborted prematurely and the fruit often dies or is born with malformations.

In chronic polyhydramnios amount of amniotic fluid increases gradually. Shortness of breath, heart disorders and other symptoms expressed mild or may not be available. In chronic polyhydramnios during pregnancy depends on the severity of pathological changes: pregnancy may stop prematurely or the fetus to term wears timely delivery. Sometimes the fetus is born with malformations.

Polyhydramnios often develops in monozygotic twins, while in the amnion of a fruit notes an excessive amount of amniotic fluid, the fetus in the amnion another - water scarcity, while the second fetus is less developed.

Based on what the diagnosis of polyhydramnios

Diagnosis is based on research data of the uterus: an increase in uterine size does not correspond to the duration of pregnancy, the uterus becomes normal testovatoy consistency becomes supple and tense. When probing it has a round or barrel-shaped (normal ovoid shape). The fruit mobile, often changes its position, probing its parts is difficult. Mild polyhydramnios can determine the movable head of the fetus, with a strong expression of the fetus polyhydramnios not be felt at all.

The diagnosis is confirmed by ultrasound, including Doppler (to assess the nature and speed of blood flow), also carried out a study dopoln6itelnoe fetal status - cardiotocography (CTG) to find out how hydramnion affect its development. In addition, when examining staorayutsya always find the cause of polyhydramnios - this is very important for treatment.

Treatment polyhydramnios and labor management tactics

Treatment begins with treating the underlying disease causing polyhydramnios (chronic inflammation, endocrine disease, preeclampsia, and so on).

Chronic polyhydramnios, occurring with mild expression of characteristics treated conservatively treated with antibiotics Antibiotics - whether they will help you in the foreseeable future?   (intrauterine development to prevent infection), diuretics, vitamins, medical prophylaxis fetal hypoxia, and so on. In acute polyhydramnios, as well as in severe chronic polyhydramnios, especially when increasing violations of circulation and respiration, pregnancy is terminated. In some cases, to improve the overall condition of the woman and child carried amniocentesis - the introduction of a thin catheter amniotic cavity and removal of the amniotic fluid.

Births when polyhydramnios often begin with untimely premature rupture of membranes, they are often compounded by the weakness of labor force due to distension of the uterus, prolapse of the umbilical cord, small parts of the fruit, the wrong position, premature detachment of the placenta, bleeding and hypoxia (lack of oxygen) of the fetus.

Prevention of polyhydramnios is the timely treatment of women preceding or accompanying pregnancy, systematic observation and treatment of pregnant women with kidney disease, cardiovascular system, prevention of exacerbations of diabetes mellitus and other.

Galina Romanenko

During pregnancy, women's immune system is reduced and it allows you to "get out to the surface" all latent infection, the presence of which the woman is often not realized. Any infection during pregnancy is dangerous for both mother and child, so her treatment prescribed Makmiror.

Pregnancy and infection

During pregnancy, under the influence of hormones is reduced immunity, it allows to develop in the mother's foreign cells of the fetus. But at the same time it causes a spike and a variety of infectious and inflammatory processes. Any infection during pregnancy is very dangerous. They can cause serious complications in the mother, fetus intrauterine infection and infection of the child during birth.

But the modern obstetrics learn how to cope with such infections. For this part, the safest fetal development pregnancy are special treatments of drugs approved for use during pregnancy.

Can I use during pregnancy Makmiror tablets

The composition includes tablets Makmiror nifuratel which relates to synthetic drugs nitrofuran series. Nitrofurans are an effective means for the treatment of infectious and inflammatory diseases of the kidneys and urinary tract, but have many side effects. Nifuratel, developed in the laboratory of the Italian pharmaceutical company Polihim, side effects has little, while maintaining a high therapeutic efficacy.

It is believed that Makmiror not contraindicated during pregnancy, but to appoint him to be strictly on the evidence in the event that the anticipated benefits to the mother's body exceeds the risk of possible negative effects on the fetus. Especially cautiously to the appointment of the drug should be treated in the first 12 weeks of pregnancy, when there is a tab of tissues and organs of the fetus. Nifuratel, part of Makmiror can pass through the placenta to the fetus and fall. Clinical trials showed no negative impact of the drug on the fetus, however, it requires a careful appointment during pregnancy.

Makmiror tablets can be administered in various infectious and inflammatory diseases of the kidney and urinary tract infections, which are often found in pregnant women, there is even such a diagnosis - "pyelonephritis of pregnant women."

Appoint Makmiror tablets can only physician after urine culture to culture media to identify the infectious agent and its sensitivity to various drugs.

Application

A frequent occurrence during pregnancy is the development of vulvovaginitis (infection-inflammatory processes in the vulva and vagina) of different origin. These diseases can be caused by various bacterial microflora, chlamydia Chlamydia: insidious and widespread disease , Protozoa (Trichomonas), fungi. But more often they are caused by mixed infection.

Makmiror complex comes in the form of two dosage forms for topical use - vaginal suppositories Vaginal suppositories - for contraception and treatment of inflammation   and vaginal cream. The structure includes nifuratel vaginal suppositories (500 mg in 1 candle) and an antifungal antibiotic nystatin Nystatin - help with candidiasis   (200,000 units in 1 candle). Last enhances the antifungal effect nifuratel. The composition of vaginal cream Makmiror complex consists of the same drugs - 1 g of cream contains 100 mg nifuratel and 40,000 IU of nystatin.

Vaginal suppositories and vaginal cream Makmiror complex given to pregnant women only after a preliminary study of vaginal discharge Vaginal discharge   and the sensitivity of detection of infectious agents to the drug. Independently pregnant women use these drugs can not.

Vaginal candles Makmiror complex introduced as deeply as possible into the vagina once a day, at night for eight days, sometimes - longer duration of treatment is determined by your doctor. Vaginal Cream Makmiror complex also inserted into the vagina strictly certain dosage prescribed by the doctor.

Dosing cream helps special applicator dispenser, which is screwed onto the tube of cream, and the right amount of cream squeezed from a tube into the applicator. Thereafter, the applicator is removed, it is inserted into the vagina, where the cream is extruded.

Appoint a doctor

Contraindications for use Makmiror and Makmiror complex during pregnancy and the side effects that occur when using these drugs

Absolute contraindication for use and Makmiror Makmiror complex during pregnancy is an individual intolerance of the drug.

When using tablets Makmiror may cause irritation of the gastric mucosa, which manifests itself in the form of abdominal pain, heartburn, nausea, vomiting and diarrhea, but this is quite rare, usually Makmiror well tolerated. It is also possible allergic reaction.

When using candles and cream Makmiror complex and possible allergic reactions.

Makmiror used during pregnancy, but strictly on the evidence and on prescription.

Galina Romanenko