Pregnancy Problems – part 3
Safe and unsafe medications
Some treatments may be necessary during a pregnancy term – even though, the wisest things are to reduce or remove the need to use any medication for the full term. It is important to stop the recurrence or the establishment of any sort of infections during the term of the pregnancy.
Pregnant women can use many of the antibiotics, which are considered safe for use during a term of pregnancy-these medications are frequently prescribed, for appropriate use by pregnant patients who have some infections.
The use of some types of antibiotics must be strictly avoided at all cost-in particular the use of the antibiotic tetracycline and its chemical derivatives such as minocycline and doxycycline, all drugs containing these chemicals as active ingredients must not be used on a pregnant woman. The use of iodides must also be avoided by a pregnant woman.
When used during the term of pregnancy, the drug known as tetracycline, can lead to the discoloration in the teeth of fetuses, further more it can also induce the same effects on children below eight years of age – this chemical has many side effects and the wisest things to do is to avoid its utilization by a pregnant woman.
The condition known as goiter is brought about in fetuses when iodides are used by pregnant women – this medication must also be avoided by all pregnant women.
The use of certain types of antihistamines is alright as long as precautionary measures are taken. A doctor must supervise the use of antihistamines by a pregnant woman. The safest antihistamines for use by pregnant woman include the chemicals chlorpheniramine and PBZ – tripelennamine.
Once the woman gives birth, the next choices of medication are the drug hydroxyzine or the chemical diphenhydramine. When the mother starts to breast feed the baby after the birth of the child, then the further use of antihistamines must be discontinued.
When the woman nears the date of delivery, then the use of high doses of antihistamines must be avoided as it can cause complications for the woman and the child. In women, who have used antihistamines on a regular basis, a higher incidence of the condition known as retrolental fibroplasia occurs – this condition induces blindness in some premature babies; in addition, such women tend to give birth to premature or very small babies, with a birth weight of 1,500 grams -5.25 pounds – or lower. This regular use of these antihistamines must be avoided especially near the end of the pregnancy.
A physician must be present to supervise the use of any antihistamine, especially if there is suspected risk of premature birth, this is particularly true of cases where a woman is carrying multiple fetuses. The natural hormone known as pseudo-ephedrine is the only oral decongestant which is considered safe for use during a term of pregnancy.
While there is no significant research data to support the conclusion, the use of oxymetazoline in the form of a nasal spray is considered safe as it may not be absorbed by other parts of the body in the same way that other topical decongestants may be absorbed.
The chemical known as cromolyn used as a topical medication is a medicine considered better than the others in its effectiveness in treating allergic rhinitis and it is also considered safer – this medication comes in topical forms such as Nasalcrom used for nasal problems and Crolom or Opticrom used for problems with the eyes. This medication also has some disadvantages in that it is meant largely for preventive action the positive effects may take a couple of weeks to become apparent in the body.
Mixed results are suggested by all the research evidence from studies which examined the safe use of nasal steroids in pregnant women. Direct effects on the fetus have been observed during trails conducted on animal test subjects.
The nasally introduced forms of medications are apparently safe and by and large, the inhaled steroids causes no problems in pregnant women already suffering from asthma, there are exceptions such as the chemical dexamethasone – Decadron, this is absorbed systemically within the body and it must not be used on a pregnant woman.
The best option for a pregnant woman affected by rhinitis, is to tough it out without resorting to the use of antihistamines or any other anti-allergic medication – the best bet is to avoid all medications during pregnancy. The doctor must also guide all pregnant women who need to take medications during their term of pregnancy. Some medical treatment may be unavoidable if the woman is affected by severe symptoms of rhinitis – this is also done to prevent sinusitis or other infections from gaining a foothold.
The use of topical medications must be preferred to the use of oral medication whenever the use of any medications or drugs is necessary.
Eczema and hives
Pregnant women are very rarely affected by atopic dermatitis, or as eczema, as it is commonly known. While the use of any medications to ward these disorders away during pregnancy does not seem to affect fetal development in human studies, this is not the case in research conducted on test animals – where fetal developmental defects was associated with the use of the most potent steroid creams and ointments.
The studies on humans shows no evidence of such defects, however, the best option is to use the lowest – potency topical medications as long as they are effective in treating the condition. The use of oral steroids is also to be preferred if the pregnant patient has a widespread and severe skin disease, instead of using large amounts of highly potent topical steroids.
Pregnant women are also not usually affected by conditions such as hives, or urticaria, which occurs along with a lot of swelling-angioedema; this condition is rare in pregnant women. An underlying infection may be the real trigger for an incidence of hives from time to time, undetected conditions such as hepatitis, can trigger hives. If it is possible, then diagnosis of hives must be made before the woman conceives and this can be done during a thorough medical examination from a qualified doctor.
A rash resembling the marks of urticaria often develops in the area around the abdominal stretch marks, in approximately one in hundred women – this also tends to occur during the first pregnancy. This condition is often treatable using a mild cortisone cream as direct topical medication.
An allergy specialist must be present to supervise the mediation and treatment of a woman suffering from frequent attacks of the hives or from severe chronic hives – the specialist must supervise the woman throughout her term of pregnancy. The first preferred treatment must be the use of antihistamines rated safe for use on pregnant women. The use of oral steroids might be necessitated in rare cases of severe urticaria, during the term of pregnancy.