Authorized antibiotics during pregnancy (2nd trimester): need for admission, consequences

Today, a variety of antibiotics is simply amazing, there are drugs of a narrow and wide profile that helps doctors save lives. But this is one side of the coin. One can not deny the fact that many pharmacies sell these drugs without prescriptions. At the same time, people save time and money on a visit to a doctor, and follow the instructions to select a medicine and start taking it. Of course, in a number of cases the condition is relieved, but this does not mean that the cause has been eliminated. Perhaps you just muffled the disease, and soon it will come back again, and the same drug will most probably not bring the desired effect.

Antibiotics for expectant mothers

However, today we will not talk about the benefits and harm of antimicrobials in general. Our task is a bit narrower and at the same time more difficult. We want to know whether antibiotics can be taken during pregnancy (2 trimester). This topic will never lose its relevance, since a woman who carries a baby is much more vulnerable to the risk of developing a disease, because the immune system is greatly weakened.

Among the huge list of existing antibiotics to date, there are enough funds allowed for use, since their effect on the body is not harmful to the child. However, there are those whose reception can lead to the most unfortunate consequences. Therefore, without consulting a doctor, it is impossible to select antibiotics during pregnancy. The 2nd trimester is the period when the placenta is already being put into operation, which protects the baby from a number of viruses and bacteria, as well as drugs that can not overcome this barrier. In addition, all vital organs are already formed, which means that the probability of congenital anomalies is minimized.

What is the choice based on?

First of all, you need to assess the condition of the mother, the term, identify the causative agents of the disease, pick up drugs that can help in this case, and, finally, do not forget about the risk to the child. Only after weighing all these factors, you can choose the safest antibiotics in pregnancy. The 2nd trimester is more favorable in this respect, as it gives doctors more room to choose the drugs. Until 12 weeks, almost all drugs were banned, so if there is no urgent need, doctors are trying to hold out until this time, and then already take up the treatment.

Usually, each antibiotic acts on a certain group of microbes. Traditionally, doctors divide them into three large groups:

• Natural - "Penicillin" and its derivatives.
• Semisynthetic ("Amoxicillin", "Cefazolin").
• Synthetic (sulfanilamides).

In order to select effective antibiotics in pregnancy (2 trimester), it is extremely important to have a complete picture of the causative agent of the disease. Having checked up its sensitivity to this or that drug, it is possible to offer the optimum scheme or plan of treatment. And only if this is impossible or the situation requires immediate intervention, a broad-spectrum antibiotic is prescribed.

Dosage for the expectant mother

We did not in vain decide to stop at this moment. Very often, taking antibiotics during pregnancy scares women, and despite the appointment of a doctor, they reduce the dose so as not to harm the baby. In fact, the dosage for the future mother is no different from the usual. It is designed to suppress as much as possible the reproduction of microbes. Reducing the dose can lead to the fact that they have time to adapt and treatment will not give the proper effect. So do not experiment with your health and act strictly on the advice of a specialist.

Antibiotics for prevention

Another common belief is that broad-spectrum antimicrobials (or prescribed to someone from the family) can be taken in case of any ailment to prevent a worsening of the situation. In fact, the question of whether it is possible to drink antibiotics during pregnancy is much more difficult. The answer to it is something like this: not all and not always. Such an appointment should be wholly and fully justified and expedient. Therefore, the tests are first submitted, and only then the doctor makes a decision on the basis of this.

When is antimicrobial therapy ineffective?

As we have already understood, this group of drugs is prescribed for one purpose, namely, to destroy the microbes that have entered the organism and prevent their further reproduction. Even so, even young specialists sometimes doubt how to correctly answer the question whether it is possible to drink antibiotics during pregnancy. You can, but only if you are sure that the symptoms are not caused by viruses.

Antibiotics will not help a pregnant woman in the following cases:

• With influenza, acute respiratory infections. They are caused by viruses, against which even the most modern antibiotic is powerless. However, it is sometimes difficult to determine what causes such symptoms as a runny nose and cough. Therefore, the practical experience of the doctor is important here.
• At an elevated temperature, antimicrobials will not have antipyretic or analgesic effects. Therefore, they must necessarily be combined with other medicines.
• In inflammatory processes, since the antibiotic does not have an anti-inflammatory effect.
• Most often, when you cough, there is no point in prescribing this group. Only in rare cases, when it is caused by the activity of microorganisms, can antimicrobial agents help.
• There is another group of diseases in which antibiotics are ineffective during pregnancy (2nd trimester). When poisoning, when the only symptom is an intestinal disorder, you do not need to use such serious drugs at all. It is enough to drink a lot of water (with "Regidron"), observe a sparing diet and, perhaps, to take a course of probiotics.

Popular "Metronidazole"

This drug today is in many people in first-aid kits, as it is relatively cheap and has a wide range of actions, that is, it helps with many diseases. However, for the future mother there should be only two guidelines - this is a possible benefit for oneself and harm for the child. And only by comparing these two indicators, you can accurately say whether the drug is suitable for you.

Let's now say a few words about the "Metronidazole" itself. Instructions for use (price, reviews of the drug are very attractive) emphasizes that in the first trimester the drug is strictly prohibited. In case the woman took it alone, abortion can be recommended. Despite the fact that the drug is very effective in fighting bacteria, it penetrates the placental barrier to the fetus, which can lead to developmental pathologies.

In the second trimester appointment is possible, but with great care. And again only the doctor should determine that you can take "Metronidazole". Instructions for use (price, reviews, of course, stimulate the desire to use this drug and restore health, it costs only 25 rubles.) Tells us that a single dosage can help cope with a variety of diseases, but a high concentration of active substance in the blood can lead To its falling into the fruit, which can affect the development. And at usual doses within 7 days the risk of premature birth increases.

Treatment for pyelonephritis

The most common pathology in pregnancy. And most often up to the 12th week the state of the genitourinary system is relatively normal, but as the baby grows, the burden on the kidneys increases. If the results of urine tests show that the situation is already getting out of control, then urgent measures must be taken. Treatment of infection during pregnancy most often goes in two directions. The nephrologist tells the woman about the drinking regimen (sometimes this restriction, but in most cases dispenses with this), recommends drinking sea-fruits from cranberries and cowberries, as well as broths of medicinal herbs.

However, these are only ancillary tools that will prevent a deterioration of the situation in the future. In the meantime, it is extremely important to conduct antimicrobial therapy. The permitted antibiotics during pregnancy (the 2nd trimester) are "Ampicillin", "Methicillin", "Kanamycin", preparations of the cephalosporin group.

Problem number 2 - cystitis

Also a popular ailment among expectant mothers. And he is also quite dangerous. Inflammation inside the bladder is also dangerous because the process is easily able to go to the uterus. This greatly complicates the course of pregnancy, and can also harm the fetus. As a rule, the choice of doctors in this case is rather narrow. Assigns "Amoxiclav" or "Monural". Most often, the choice falls on the second because of the wide range of action and effectiveness of this tool.

Angina

An extremely serious complication, which it is desirable not to admit. An ordinary cold against a background of reduced immunity causes an exacerbation of chronic respiratory diseases. What should a woman do? At the first signs of malaise, you should immediately consult a doctor. If there are precursors of the development of angina, then the treatment must begin immediately and necessarily under the supervision of a doctor. The consequences of negligence in this case can be the most serious. Intoxication of the body and high temperature can lead to fetal hypoxia or miscarriage.

What are the recommended antibiotics for angina during pregnancy (2nd trimester)? In most cases, these are topical drugs that are used directly in the inflammatory focus. This "Grammidine", "Bioparox" and a number of other sprays, which are allowed from the 13th week. In addition, it is recommended to gargle with a solution of "Furacilin", salt and soda at least once in 60 minutes. And of course, to comply with bed rest.

If the patient has entered a serious condition

If at the time of going to the doctor the woman already has a high fever and a serious inflammation of the throat, then rinses can not be avoided. At a period of 13 weeks or more, the list of approved drugs is already large enough, and the doctor will choose from what. What antibiotics are allowed?

• Penicillin series - based on the results of studies, these drugs do not affect the quality and development of the child. This group includes "Ampicillin", "Oxacillin", "Amoxicillin", etc.
• Cephalosporins are modern drugs that easily defeat microbes that are resistant to penicillins. They penetrate the placental barrier, but do not have a toxic effect on the baby. This should include funds "Ceftriaxone", "Suprax", "Cefazolin."
• Macrolide series - "Erythromycin", "Sumamed" and other analogues. The use is permissible at the doctor's discretion in certain cases.
• "Gentamicin" - only in the most difficult cases the doctor can choose this drug. Dosage is selected strictly individually.

Prohibited antibiotics in pregnancy

On the one hand, this information may seem superfluous. And so it is clear that self-medication is unacceptable, and therefore, follow the recommendations of a specialist, he knows exactly what you can not use. However, for general information, we will list the medicines that need to be removed from the medicine cabinet, if they are in your home:

1. The very first group is tetracyclines. They not only have a toxic effect on the embryo, but can also accumulate in the bony system of the baby.
2. The sulphanilamide series is "Biseptol" for all its visible safety, "Oribact" and many others.
3. Fluoroquinolone series - in fact, these drugs simply did not pass the research, so no one can say for sure whether they are dangerous for the fetus. These are "Ofloxacin" and "Ciprofloxacin".
4. "Levomycetin" and its analogs may well provoke the development of some forms of anemia in the baby.
5. "Furadonin", "Furazolidon" is in almost every medicine chest, but they are also capable of causing anemia in the fetus.

Influence of antibiotics on pregnancy

Of course, it's best if the future mother does not get sick at all, then you will not have to find a compromise between the benefit for the mother and the risk for the baby. However, illnesses come when they are least expected, which means that it may happen that you will also need antibiotics during pregnancy. The consequences for the fetus can be minimized with the timely treatment of a woman and the proper appointment of a doctor.

However, one can not say that antibiotics are a blessing. In addition to the therapeutic effect, they also have a number of undesirable ones. All medicines have an effect on the liver and intestinal microflora, the immune system as a whole. All this can affect the overall health of women.

In general, the effect of antibacterial therapy on the baby depends heavily on the timing of gestation. Until the 13th week, you should try to avoid taking any medications. Of course, if the question concerns life and death, then the choice is obvious. Later, the fetus is protected by the placenta, which means that many drugs will not be able to pass this barrier.

Instead of concluding

As you can see, with proper use, antibiotics can be true friends during pregnancy (2 trimester). Consequences (reviews repeatedly emphasize that, after the course of treatment, women gave birth to healthy children on time) may be negative, but more often it happens in cases of self-medication. A competent doctor will pick up the safest means and adequate dosage and check the condition of the pregnant woman. In this case, treatment will be extremely beneficial.