During pregnancy, many women suffer from back pain, but they do not always happen exactly caused sciatica. Researchers estimate that about 34% of back pain in pregnant women is associated with pinching and / or inflammation of the spinal nerves, it usually begins sciatica during pregnancy.

Causes

Sciatica during pregnancy can be caused by:

• The increase in weight. During normal pregnancy weight women increased by 11-15 kg. As a result, the load on the spine is substantially increased and this could lead to a displacement of the intervertebral discs and pinching of the spinal nerve roots. The likelihood of sciatica is especially great for women who lead a sedentary lifestyle, and rarely participate in sports;
• Changing posture Posture - a few helpful tips for those who want to walk straight . Pregnancy leads to a change in the center of gravity of the body, resulting in a gradual and often unnoticed by the woman's changing posture and the way she moves. Because of this also increases stress on the spine, and increases the likelihood of displacement of the vertebrae Offset vertebrae: to early detection ;
• Hormonal changes. During pregnancy, hormones are produced, relaxing ligaments to prepare the body for childbirth. As a result, the spine becomes less stable. However, this leads to radiculitis not always, but only in cases where there are factors that increase the risk for this disorder;
• Stress. Emotional stress How to beat stress? Create an oasis   It increases the likelihood of various diseases, including sciatica. This is just one of the reasons why pregnant women are very important to control stress and, if necessary, seek medical attention.

In addition, if a woman has previously been bouts of sciatica, a fairly high probability of repeated exacerbations during pregnancy.

Treatment of sciatica during pregnancy

Fortunately, in most cases, the pain caused by sciatica, held a few weeks after emergence, and it is possible to facilitate a variety of home remedies and OTC drugs.

• Exercise is necessary to strengthen the back muscles, and thereby reduce the load on the spine. Pregnant women suffering from sciatica, useful yoga, perform stretching exercises Stretching exercises - Be careful As well as some simple yoga exercises. It is important that the load corresponded to the level of physical fitness of women: if earlier it was rarely involved in sports during pregnancy need to train very carefully and preferably under the guidance of a coach. Also it is necessary to talk to your doctor about what kind of load you are fit, and what - are undesirable.
• Packs. Cold or hot compresses to help relieve pain and inflammation in sciatica, and do not cause any side effects, which is especially important for pregnant women. Apply compresses to back or other parts of the back (depending on where the source of pain), for 15-20 minutes, at least twice a day. Many experts recommend to alternate packs: for two or three days to do a cold compress, and then a couple of days - hot and cold again.
• Acupuncture. Scientific evidence that sciatica in pregnant women can be successfully treated with the help of acupuncture, yet, but many women around the world to successfully use the services of experts in the field of alternative medicine. If you also want to try this method of treatment, pre-consult with your doctor.
• Massage - is an effective and safe remedy to relieve pain caused by sciatica, but only if it makes an experienced specialist who knows how to do massage for pregnant women. Ask your doctor to recommend you a good massage therapist or physiotherapist.
• Painkillers. Suffering from sciatica Pregnant women are recommended, if possible, to do without analgesics, but if the above-mentioned funds do not help ease the pain, should talk to your doctor. As a rule, doctors advise in such cases to take paracetamol - it is relatively safe for pregnant women, and if you take it in moderation, rarely causes side effects. Only in rare cases, a doctor may prescribe more potent analgesic intake and / or anti-inflammatory drugs.

Syphilis and pregnancy - is a threat of congenital syphilis to the fetus, and thus a real threat to his life and health. That is why all pregnant women for syphilis is required to inspect at least three times, including at the time of registration in the antenatal clinic and just before birth.

Syphilis in pregnant women

It is always a danger for the child. This disease can be a cause of miscarriage Miscarriage - can you protect yourself from it?   or premature labor. If the birth occur in a timely manner, children are often born dead with signs of maceration or with signs of congenital syphilis.

The causative agent of syphilis wilts to the fetus through the diseased placenta (placental syphilis). The placenta thus detected significant changes: chorionic villi thickened, rich in connective tissue, blood vessels largely obliterated (clearance of reduced or absent).

Syphilis during pregnancy causes changes in the placenta, which considerably increases in volume to a pale pink color and increased density. Subsequently, affected with syphilis, it may be two or more times heavier than the placenta of healthy women. In this afterbirth abortion occurs in 24-28 weeks due to the fact that the child's body does not receive the necessary nutrients and oxygen and dies - that's why most experts believe that syphilis and pregnancy are incompatible concepts.

If the fetus is infected with syphilis during pregnancy the baby is born with signs of congenital syphilis and may die soon after birth. If a child survives, there may be significant changes to its internal organs and central nervous system. Sometimes all manifestations of congenital syphilis develops a few years after birth.

Syphilis and childbirth - is also always the problem: premature birth, and often the child dies. If the infection of syphilis occurred in the last months of pregnancy, and the fetus does not have time to become infected with syphilis, it is possible the infection during birth.

Analysis of syphilis in pregnancy

Tests for syphilis Syphilis - punishment of Venus   during pregnancy for all women held three times: at the time of registration in the antenatal clinic, 28 -30 and 36 weeks of pregnancy.

Netreponemnye conduct such tests as Wasserman (RW) and its more sensitive and high-quality modern counterparts - RPR, VDRL. If you have syphilis, they are always positive. But these tests may identify false positive syphilis in pregnant women, because they are non-specific and may be positive in other diseases.

In identifying the positive RW necessarily held treponemal tests (ELISA, TPHA, FTA, RIBT), which are positive only in syphilis. A disadvantage of these tests is that they may remain positive and after successful treatment of syphilis Treatment of syphilis - a laborious process   until the end of life. These tests detect antibodies to syphilis Treponema pallidum.

In order to definitively confirm the diagnosis of syphilis requires a positive non-treponemal test (for example, RW), and two non-treponemal (eg, ELISA and PHA).

The treatment of syphilis in pregnancy

The treatment is performed in the second trimester, from 20 to 24 weeks of pregnancy - is the safest for the fetus period. It is believed that up to 24 weeks of pregnancy, fetal syphilis infection occurs.

The treatment of syphilis in pregnant women with antibiotics of the penicillin group of specially designed for pregnant schemes.

Treated syphilis and pregnancy

Syphilis during pregnancy is transferred to the fetus through the mother's body, syphilis. The more time passed from the moment of infection to her pregnancy and the more intense it is treated before pregnancy and during it, the less the risk of infection of the fetus, its fetal death or birth of a child with congenital syphilis Congenital syphilis - infection of the fetus in utero from sick mother .

Can you give birth after syphilis? Yes, it is possible, and perhaps the birth of a healthy baby. It is believed that the optimal time for planning pregnancy counts as two - three years after treatment. If, despite treatment, during pregnancy there is a suspicion of infection, treatment is carried out during pregnancy in the second trimester, from 20 to 24 weeks, after which the woman carefully observe, analyze syphilis - it allows you to give birth to a healthy baby.

Pregnancy after syphilis is quite possible, but careful observation, and sometimes preventive treatment of women.

Prevention of syphilis during pregnancy - a pregnancy planning with advanced full examination of the future parents. If in such a case, one of the spouses is detected syphilis, the diagnosis be confirmed disease conducted a thorough examination of the spouse, the results of which the couple or one spouse is assigned treatment. Pregnancy after treatment of syphilis is recommended after two or three years.

Galina Romanenko