Utrozhestan today is one of the main drugs for the prevention of miscarriage. Available in a convenient form it in the form of capsules that can be taken orally and inserted into the vagina, depending on how prescribed by a doctor. Assign utrozhestan and the initial stages of a miscarriage.

Why be at risk of miscarriage and abortion stage

Miscarriage often occurs when a combination of several factors. This anomaly may be the structure of the uterus, the genetic characteristics of the female organism, immunological and hormonal disorders, any disease and intoxication, stress, high physical and mental stress, pregnancy complications.

Spontaneous miscarriage is divided into five stages or phases: a threatening miscarriage beginning miscarriage, abortion in progress, complete and incomplete abortion. Threatened miscarriage is a strengthening of the motor activity of muscles of the uterus. During this period, the fetus and the membranes are not affected and remain attached to the uterine wall. But the woman at the same time experiencing the pain, sometimes severe, in the lower abdomen and lower back. Which began miscarriage - a partial detachment of the ovum from the uterine wall. Pain in this period can be amplified and appear spotting Spotting - it is important to rule out pathology . In these first two stages it is still possible using the treatment to keep the child.

Later in the course of an abortion begins with a complete separation of the ovum from the uterine wall, part-time and full-abortion, they are accompanied by pain, bleeding and are already irreversible: to save the fetus abortion in these stages is impossible.

How does a pregnant woman utrozhestan

The active ingredient utrogestan is a female sex hormone progesterone Progesterone - norm and pathology Which provides hormonal support of pregnancy, including actively inhibits uterine contractions. That is why utrozhestan appointed under the threat of abortion, when the uterus is in an elevated tone (hypertonia), as well as the first two stages of spontaneous abortion. Assign utrozhestan for the prevention of habitual abortion.

Appointment utrogestan usually required in the I and II trimesters of pregnancy for up to twenty weeks. Later utrozhestan try not to assign, as it creates an increased burden on the liver. But sometimes in severe danger of premature birth it is still administered in late pregnancy.

The appointment of the drug

With the threat of spontaneous abortion or to prevent it in the presence of uterine hypertonus on a background deficient in progesterone in the body utrozhestan Utrozhestan - corrects the deficiency of progesterone   usually administered orally or vaginally. Sometimes, the doctor prescribes a combination of taking the capsules inside and intravaginal administration. Such treatment is given in I and II trimesters of pregnancy (before the twentieth week) 100-200 mg twice daily.

If there is a risk of preterm labor in late pregnancy, utrozhestan appoint 400 mg twice a day until the disappearance of the threat of premature birth. But the dose may be different - it selects the physician, as well as the duration of reception of progesterone. Once the symptoms start preterm births will be, utrozhestan administered in a maintenance dose of individually selected.

Overdose

Overdose utrogestan often manifests itself in the form of a depressing effect on the central nervous system. Woman feels lethargy, drowsiness. After some time after ingestion of capsules utrogestan she may appear dizziness - this usually occurs in one - three hours when the concentration of progesterone in the blood reaches a maximum.

Special treatment of this condition does not require that you just need to adjust the dose utrogestan.

In some cases, utrozhestan pregnant women do not prescribe

The most serious contraindication for appointment utrogestan is increased blood clotting and a tendency to thrombosis. Utrozhestan can strengthen the tendency to thrombosis, which is very dangerous during pregnancy.

Do not appoint utrozhestan and pregnant women suffering from severe liver disease, including porphyria - congenital metabolic disorders.

You can not assign utrozhestan incomplete miscarriage when the fetus is separated from the uterine wall and is not viable. Assigning utrozhestan during this period, it will suppress the uterine cavity and its fetus, or remain part of the membranes, leading to inflammation and bleeding.

Precautions utrozhestan indicated for hypertension (persistent increase in blood pressure), renal failure, diabetes, asthma, epilepsy, migraine, depression Depression - a little more than a bad mood , Disorders of fat metabolism.

Galina Romanenko

A pregnant woman should not take any medication without a prescription, even the most seemingly secure. But if an obstetrician-gynecologist or therapist prenatal yet appointed any drug, so it does have a need.

Can I take a pregnant woman furazolidon

Furazolidone refers to the number of nitrofuran drugs. It is effective primarily against gram-negative bacteria (including Salmonella and Shigella causing intestinal infection), as well as against some Gram-positive bacteria. Furthermore, it has protivotrihomonadnoy activity and is effective in giardiasis.

Of all the drugs nitrofuran series (eg furagin, furadonina) furazolidon less toxic, so it is not contraindicated in pregnancy. Unlike other nitrofurans, which operate mainly in pathogens that cause infections of the urinary tract, furazolidone more effective in intestinal and genital infections.

Intestinal infection is especially dangerous for pregnant women, as the bowel disease, which is located in close proximity to the uterus, can not affect the course of pregnancy. Furazolidone in this case can be a great way out.

No less dangerous and genital infection such as trichomoniasis, after Trichomonas Trichomonas - leads to infertility   can get into the uterus through the riser. Furazolidone can be assigned in this case.

Regarding giardiasis, the adults it rarely gives manifested complications, however, if such features will still also designate furazolidone.

Indications and contraindications for receiving furazolidone during pregnancy

Indications for a doctor's prescription furazolidona pregnant women are:

• intestinal infections (shigellosis, salmonellosis), paratyphoid fever, foodborne diseases;
• intestinal giardiasis with severe clinical manifestations;
• trichomoniasis, including Trichomonas colpitis Colpitis - take a lot of trouble   (inflammation of the vaginal wall) and urethritis (inflammation of the urethra.

Any means basified urine (e.g., alkaline mineral water) to reduce the effect furazolidone and acidifying (for example, ascorbic acid) - increase.

Antibacterial properties furazolidona enhanced when administered with aminoglycoside antibiotics and tetracycline group.

Contraindications are individual intolerance furazolidona drug. However, precautions must be taken in case of severe kidney disease in violation of their function, metabolic disorders Metabolism: The basis of life of all living things   to congenital deficiency of the enzyme glucose-6-phosphate dehydrogenase.

Side effects that may occur while taking furazolidone

Furazolidone is a MAO inhibitor - enzyme monoamine oxidase, which oxidizes and breaks down the neurotransmitters (norepinephrine, serotonin), transmission jitters in the central nervous system. MAO inhibitors inhibit the expansion of the neurotransmitters, which has an antidepressant effect.

This effect must be considered when assigning furazolidona pregnant women and observe the appropriate precautions. For example, in patients receiving MAO inhibitors in pregnant women may appear (this happens rarely, nevertheless, it happens) severe headache, dizziness, weakness, nausea, especially when getting up from a lying or sitting position (up to be slow), drowsiness, reduced appetite, slight twitching of muscles, dark urine, diarrhea, skin rash, swelling in the legs, unusual restlessness, yellowness of the eyes or skin, heart pain Pain in the heart - always consult a doctor , Increased sensitivity of eyes to light, tension or pain in the neck, an unusually fast or slow heartbeat, sweating drastically. When such symptoms should be reported to your doctor, furazolidone in such cases are usually overturned.

Food, drinks and medicines that should be avoided while taking furazolidone

• strong meat and fish broth
• canned and smoked meat and fish
• beef or chicken liver
• smoked sausages
• dates
• bananas
• avocados (especially overripe)
• cheese
• kefir
• sour cream
• soy sauce
• Brewer's yeast
• a lot of chocolate and coffee.

Because drugs with MAO inhibitors incompatible drops and sprays on a cold tablets and medicine for colds, inhalants from asthma.

Side effects are possible allergic reactions - the appearance of an itchy rash and oppression blood (decrease in the number of white blood cells, platelets and red blood cells) while taking furazolidone and drugs such as chloramphenicol and ristomycin.

Furazolidone during pregnancy can be used only on prescription.

Galina Romanenko