Wednesday 9 May 2012

Cough and cold in pregnancy


 Though cough and cold are quite common but when they occur in pregnancy they should be treated carefully.
Normal dry cough won’t affect the baby much but if severe cough is there with expectoration it can affect the baby by,
- while coughing increased abdominal pressure will lead to rupture of chorionic membranes and leakage of amniotic fluid sometimes.
- the underlying cause of cough can affect the baby like in case of cough due to some infections, the infecting organism can affect the baby also.
But  there are natural protectors inside the body like, the amniotic fluid will protect the baby from the increased pressure while coughing. And placental barrier to some extent will prevent the entry of organisms from the mother to the baby.
Cough syrups will contain different ingredients meant to reduce particular symptoms of cough like anti histamines, cough suppressants, expectorants, decongestants and analgesics.
 The recommendations during pregnancy are,
-Anti histamines to reduce inflammation, in pregnancy the safe antihistamines are loratadine, doxylamine, diphenhydramine etc.
-Cough suppressants to stop coughing, dextromethorphan is considered to be safe.
-Expectorants to dilute the mucus, guaifenesin is relatively safe in second trimester.
-Decongestants to reduce the congestion of sinuses, pseudoephydrine hydrochloride is considered to be safe.
-Analgesics to relieve the pain, acetaminophen is considered to be safe.
According to above combination the cough syrup can be choosed. But those containing alcohol to be avoided. Along  with this the underlying cause to be treated.
 

The natural remedies for cough and cold are increasing water intake also other fluids like soups, juices, warm tea can be taken which will dilute the mucus secretions.

Inhaling steam also do same thing and also decrease sinus congestion, to treat sore throat you can use lozenges tea with honey also help. By adding moisture to air with humidifier cough can be improved.
If cough is getting increased due to supine position semi-recumbent position can be opted   by putting pillows under head and back.

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