During pregnancy, most women appear hemorrhoids, which can flow seamlessly, and can - very painful. In recent years, women are more likely to relieve pain, itching and bleeding hemorrhoids become self-applied medication Relief, which is available over the counter without a prescription. Should we do it?

Why during pregnancy appears hemorrhoids

The main cause of hemorrhoids are chronic constipation. A pregnant woman constipation start literally from the first day of pregnancy due to hormonal changes. During pregnancy, particularly during the first 12 weeks, the main hormone is progesterone Progesterone - norm and pathology , Whose main task - not to terminate a pregnancy. To do this, progesterone inhibits motor activity of muscles of the uterus.

And since all the smooth muscles of the abdomen and pelvis is a common innervation suppressed motor activity of the gastrointestinal tract, biliary tract, urinary tract, which creates problems during pregnancy, such as constipation, pyelonephritis, and so on. Constipation can be quite quickly lead to hemorrhoids. As far as he is pronounced depends on the individual woman, that is the initial state of the venous system, it inherited from the parents.

In the second half of pregnancy the active role of progesterone decreases slightly, but growing uterus compresses the internal organs and blood vessels of the small pelvis, causing congestion in the veins of the rectum. This reinforces the effects of hemorrhoids.

What to do with hemorrhoids during pregnancy?

Hemorrhoids can occur extremely painful, and why women seeking to withdraw his own symptoms, such as using drugs Relief Series. But to do so not worth it. You should know that there is many hemorrhoids, and if his symptoms are significant, it is necessary to turn to an obstetrician-gynecologist of female consultation, which advise how to deal with this problem.

The main method of prevention and treatment of hemorrhoids Hemorrhoid treatment - a long, difficult but possible   during pregnancy is nutrition. Your doctor will tell you what diet is suitable pregnant woman to solve problems with hemorrhoids. But sometimes required, and prescription drugs. Including a doctor can prescribe medications and Relief series, but not every woman.

Preparations Relief why they can not apply to all pregnant women

To drugs Relief Series include: rectal suppositories Relief, rectal ointment Relief, Relief Advanced rectal suppositories and rectal suppositories Relief Ultra.

As part of these preparations have shark liver oil, which has anti-inflammatory, anti-inflammatory, antipruritic, hemostatic and immunomodulatory effects. Since clinical trials in pregnant women by the manufacturer (Sagmel, USA) were not carried out, no one knows exactly how shark liver oil acts on the body of a pregnant woman and the fetus.

The remaining components have different preparations of a series Relief. For example, of the candles and ointments include phenylephrine Relief - a drug that acts like adrenaline, sharply narrowing the blood vessels. This leads to the rapid removal of edema, reduction of itching, pain and bleeding. However, phenylephrine is rapidly absorbed in the rectum into the blood and the body can have on the overall impact, narrowing blood vessels, raising blood pressure (BP) and causing cardiac arrhythmia. That is why Relief can not apply to all women. You can not use it if there are any problems with the cardiovascular system, such as high blood pressure.

Relief Advanced Rectal suppositories are composed of shark liver oil in addition to the anesthetic benzocaine. This is an anesthetic for topical application on the skin or mucous membranes benzocaine impedes pain impulses, removing pain and itching. The blood of benzocaine is not absorbed, so Relief Advanced often prescribed during pregnancy when severe pain and itching.

The composition of rectal suppositories Relief Relief - for the treatment of diseases of the rectum and anus   ultra except shark liver oil include hydrocortisone and zinc. These candles instantly relieve the inflammation, swelling, pain and itching, but are contraindicated during pregnancy because they can cause numerous disorders in women. This happens because of the presence of hydrocortisone Hydrocortisone - a drug that could save the life of the patient   - Glucocorticosteroid hormone (GCS), which has a very strong anti-inflammatory effect, but it reduces the immune system (the risk of joining infection), increases blood pressure and can cause a number of undesirable consequences.

Thus, the question of whether to appoint or not to appoint in each case a pregnant woman drugs Relief Series solves a doctor.

Galina Romanenko

Amniotic fluid are the habitat of the fetus from the moment of implantation of a fertilized egg in the lining of the uterus until birth. Amniotic fluid protects the fetus from mechanical damage, are involved in metabolism and the creation of a comfortable temperature for the baby.

What is amniotic fluid

Amniotic fluid - a fluid that is in the amnion (periconceptional bag). Amniotic fluid is the intermediate medium between the organism of mother and fetus during pregnancy and the necessary environment for the fetus, which performs multiple functions to ensure its growth and development.

• Volume

The properties of amniotic fluid changes depending on the duration of pregnancy, the mother and the fetus. The amount of amniotic fluid in the 8 weeks of pregnancy is 5-10 ml at 10 weeks - about 30 ml at 18-20 weeks - 250-280 ml. The maximum amount of amniotic fluid (1 - 1, 5 L) noted in the period between the 30th and 38th weeks of pregnancy, at the end of pregnancy, it decreases of approximately 600 ml. A smaller amount of amniotic fluid is called oligohydramnios greater - polyhydramnios.

• Appearance and structure

At the beginning of the pregnancy the amniotic fluid is usually colorless and transparent, the end of pregnancy they become unclear due to ingress of secretions of the sebaceous glands, vellus hair, skin flakes fruit.

Amniotic fluid has slightly alkaline reaction, low weight, and low viscosity. By the end of pregnancy in the amniotic fluid provides a stable quantity of mineral substances (in mg per 100 ml of fluid): sodium - 175, 3, Cl - 363, potassium - 27 P - 2, 46, calcium - 7, 35.

The major component of amniotic fluid are proteins, they contain 210 to 390 mg per 100 ml. Besides proteins it contains free amino acids, fats, fatty acids, vitamins A, C and B, human chorionic gonadotropin (the hormone that is always present during pregnancy), steroid hormones, enzymes, and several other substances, e.g., clotting factors. Insulin is present in the amniotic fluid from the 16th week of pregnancy.

What are the amniotic fluid

Amniotic fluid are directly involved in the metabolism Metabolism: The basis of life of all living things   between mother and fetus. Due to the amniotic cavity amniotic fetal body flows through the skin, gastrointestinal tract and lungs. By the 25th week of pregnancy, the skin and pulmonary exchange reduced, the main importance is the result of ingestion of amniotic fluid, which come in his digestive tract. The fetus ingests 300 to 500 ml, and it identifies the urine and alveolar (lung of) the secret. After the surface of placental amniotic fluid can pass from the blood in the fetal amnion and back.

Amniotic fluid is a kind of shock absorber in the mechanical injuries and maintain the constancy of the environment surrounding the fetus. The amniotic fluid is a constant and rapid metabolism Improves metabolism and losing weight without dieting : 0 replaced every hour, 33 liters of water and a large portion of mineral salts. For about three hours the composition of amniotic fluid is completely updated.

Amniotic fluid is important for fetal development Fetal development - week after week Which differ in certain stages of pregnancy. In the first weeks of the embryo has a consistency, a little different from the consistency of the amniotic fluid that makes possible his development as a whole and the development of individual parts. With the development of the fetus becomes movable, the movements are amplified, they are only possible in a liquid medium. If insufficient quantity of amniotic fluid or with their complete lack of possible fusion of the skin of the fetus to the amniotic sack (amnion) and the development of various malformations.

Effect of amniotic fluid at birth

By the end of pregnancy the amniotic fluid is usually divided into two unequal parts. Water in the sac below the belt touch the fetal head to the pelvis woman called the front waters. Rear water washed the base of the trunk and the head of the fetus. In the absence of contact between the belt in the case of mobile-head over the entrance to the pelvis, transverse or oblique position of the fetus water separation front and rear does not occur.

Amniotic fluid contribute to the disclosure of the cervix and uterine muscle activity. In premature discharge of amniotic fluid in early pregnancy usually occurs an interruption or premature delivery.

Methods of diagnostic study of amniotic fluid

The study of amniotic fluid allows to evaluate the status and maturity of the fetus and the need to address questions about the delivery or carry out the necessary treatment. In order to examine the amniotic fluid, held a special puncture (puncture) bag of membranes (amniocentesis). Then, a study of cellular, hormonal, biochemical and immunological composition of the amniotic fluid, and then makes recommendations for the further management of pregnancy.

  Galina Romanenko