Methods for the treatment of angina during pregnancy in the third trimester. The effect of angina during pregnancy in the third trimester Angina during pregnancy in the third trimester treatment

Angina during pregnancy in the third trimester is not as dangerous as in the early stages. This is due to the fact that almost all organs of the fetus have already been formed. At the end of pregnancy, the body of the expectant mother is deprived of strength and vital energy, and the performance of the immune system is depressed. Angina most often gives complications affecting the cardiovascular system. Also, angina in late pregnancy weakens labor.

Angina is an infectious disease that is caused by certain types of microbes. Usually, the causes of the onset of the disease are the following factors:

• drip-air path (due to non-compliance with personal hygiene measures);
• often angina appears due to the activation of opportunistic microflora of the oral cavity. This reduces the overall performance of the immune system;
• also, the disease manifests itself with already existing inflammation of the ear cavity, nose and mouth: caries, sinusitis, otitis media and others.

Angina or acute tonsillitis can only be delivered by a qualified doctor. He must necessarily confirm his diagnosis with laboratory tests, in particular with a smear, as well as confirm complete recovery and ensure deregistration after 2 weeks.

Symptoms

First of all, you need to know that two different forms of angina have their own symptomatic features:

• the catarrhal form is characterized by reddening of the tonsils and palatine arches, the appearance of mucous secretions;
• the follicular variety is characterized by the formation of yellow or white abscesses on the surface of the tonsils;
• the lacunar form is characterized by the formation of a film from a yellow tint.

Pregnant women show the following symptoms of acute tonsillitis:

• general weakness and chills;
• headaches and very fatigue;
• the temperature rises to 40 degrees;
• increased sweating;
• pain when probing the lymph nodes;
• redness on the tonsils and throat;
• pain when eating food;
• swelling of the tonsils.

Since, due to hormonal changes, the working capacity of the immune system is sharply reduced, bacteria quite easily penetrate into the body of a pregnant woman.

With angina, it is imperative to carry out treatment in order to avoid serious complications. You should also be aware that other infections often appear against the background of this disease.

Treatment

Treatment of angina in a pregnant woman should be corrected only by a doctor. If you start therapy even before the formation of purulent inflammation, you can avoid many complications that affect the fetus in the womb.

The doctor most often prescribes a very gentle treatment, combining the intake of vitamins, certain medications and alternative methods, if any are required for a quick and best recovery.

Nutrition

Eating with angina during pregnancy should be light, low-calorie food. She must provide the body of the expectant mother with all the necessary vitamins and microelements. In such situations, doctors advise drinking broths cooked in chicken or vegetables with the addition of white bread croutons. It is also recommended to eat cereals and dairy products. Do not eat the following foods:

• too cold or hot;
• spicy and sour foods;
• foods containing coarse fibers;
• fatty and fried.

If a woman has lost her appetite, then she should be reminded of the need to replenish nutrients in the body. This is due to the presence of the mother's fetus in the womb, which feeds only through the placenta, that is, it is completely dependent on the mother.

Drinking plenty of fluids

With angina, you should drink as much liquid as possible, especially boiled warm water and broth. This is especially important in the early days of an infection. However, a pregnant woman should take into account swelling or kidney problems, if any.

If there is a lot of liquid, then you can quickly bring down the high temperature. This will help a little warm milk with the addition of honey, cranberry juice, lingonberry juice. But in no case should you drink hot drinks, as well as sweet and sour juice-containing liquids, lemonades.

How to bring down a high temperature?

Treatment of sore throat includes several aspects, but it is very important to reduce the temperature as quickly as possible. This is due to the fact that temperatures above 37 degrees can cause fetal abnormalities. Treatment should be prescribed exclusively by a doctor, since the independent selection of drugs can even lead to a worsening of the condition and disastrous consequences for the fetus.

Going to the doctor with angina should not be delayed. Before visiting a specialist, you can alleviate the condition in the following ways:

• warm tea with raspberries, lindens or cranberries;
• drink plenty of water to avoid dehydration with fever;
• wear light clothing, ventilate rooms;
• you can wipe the skin with a solution of apple cider vinegar or lemon juice;
• gauze applied to the forehead and moistened with camphor alcohol also works well.

Often it is necessary to use antipyretic drugs made on the basis of paracetamol (for example, Cefekon). But these drugs can only be prescribed by a doctor. Depending on the individual and the course of the pregnancy, they sometimes cannot be taken.

It is possible to lower the temperature with the help of medicines only in those situations when it is recommended by a specialist, and not with any increase in body temperature. When an antibiotic is prescribed during pregnancy, additional drugs to stop the fever are most often not required.

Antibiotics for angina during pregnancy

Antibiotics are often needed when sore throats develop in pregnant women. They allow you to stop the multiplication of pathogenic bacteria in the oral cavity and prevent the appearance of purulent processes. Usually, in such situations, experts recommend using the following drugs:

• means of the penicillin group, for example, Amoxiclav;
• macrolide groups, for example, Rovamycin;
• groups of cephalosporins, for example, Suprax.

You should be aware that even these drugs that are approved for use during pregnancy are harmful. Although their harmful effect on the fetus is reduced to minimal boundaries, there is no benefit either. In addition, in case of catarrhal angina, after consulting a doctor, local preparations such as Bioparox can be used.

Homeopathic treatment

During pregnancy, some doctors advise taking homeopathic medicines to avoid negative effects on the fetus. Homeopathic remedies are: Tonsilgon, Angin-hel. If the performance of the immune system is greatly reduced, then such drugs are unlikely to have any therapeutic effect, but on the contrary, they will only harm. Also, this treatment cannot be used for a purulent form of the disease, since complications and fetal abnormalities can be obtained.

Lozenges

Most absorbable tablets and lozenges relieve symptoms but do not completely cure the disease. Based on this, experts recommend taking only those funds that bring a quick effect. This allows you to avoid unnecessary stress and protect the fetus as much as possible. You can take the following drugs: Lizobact, Faringospet, Travisil, Imudon.

Lubrication of the tonsils

In the treatment of angina, the irrigation method is widely used: for this they use Chlorhexidine bigluconate, Miramistin. They are antiseptic agents that kill pathogens and prevent inflammation. However, even such harmless means can be used only with the permission of the attending physician.

To treat the tonsils with solutions of these drugs, you can use cotton swabs. When processing, you should not press too hard on the tonsils, as you can damage the mucous membrane and make the infection even deeper.

Rinses

Rinsing should be used in the first days of the disease approximately every 2 hours. There are several options for preparing solutions:

• a solution of hydrogen peroxide in water;
• alcoholic tincture of calendula, dissolved in water;
• Rotokan diluted in water;
• infusions of medicinal plants in water: oak, sage, chamomile, calendula;
• Furacilin dissolved in a glass of water.

This procedure can reduce plaque build-up on the glands, which as a result reduces the risk of intoxication. Also, when rinsing from the tonsils, pathogens are removed, pain is reduced and drugs are practically not absorbed into the blood. That is why this method is safe for the treatment of angina in pregnant and lactating mothers.

Folk remedies

There are several methods to cure a sore throat during pregnancy, excluding a negative effect on the fetus and the mother's body as a whole. The most effective traditional medicine methods are as follows:

• mix flax seeds, linden, chamomile and eucalyptus. This mixture is poured with boiling water and infused for 2 hours. The infusion should cool. It is recommended to gargle them for about 2-3 minutes;
• resorption of lemon slices helps well. This method allows you to get rid of pathogens by the action of citric acid;
• you can make the following mixture: onion, apple, honey. This improves the performance of the immune system. This medicine is recommended to be taken several times a day after meals;
• with angina, gargling with beet juice helps well. Freshly squeezed juice should be diluted with apple cider vinegar. Rinsing is recommended several times a day.

Alternative methods of treatment, although safe, should be consulted about their use with the attending physician in order to avoid unexpected negative consequences.

Prohibited treatments

There are some treatments that have a negative effect on the development of the fetus, causing abnormal bone formation and various abnormalities:

• antibiotics belonging to the tetracyclines group should not be taken;
• in no case should you take a drug such as Aspirin;
• you can not gargle with preparations that contain iodine;
• it is not recommended to take hot foot baths, as they most often provoke a miscarriage;
• do not apply alcohol compresses, pepper plasters and mustard plasters. They cause the multiplication of pathogens and do nothing to improve the situation.

The doctor should warn a pregnant woman about such methods of treatment and protect her state of health by giving clear recommendations on drugs and preventive measures.

Consequences and complications

The consequences of angina during pregnancy in the third trimester are very diverse and all severe. This is due to the fact that a woman's body provides 2 bodies with nutrients. With angina in the last stages of pregnancy, the following complications may occur:

• myocarditis;
• purulent inflammation of the larynx;
• meningitis;
• intoxication caused by pathogenic bacteria;
• inflamed lymph nodes;
• pyelonephritis;
• heart failure;
• weak labor activity.

All the consequences and complications of angina can occur only if the disease was initially started. At the first sign of sore throat, you should immediately contact your doctor. He will advise on traditional methods of treatment, if necessary, and also adjust the intake of the necessary medications.

Prevention

First of all, it should be said that you cannot take drugs without a doctor's recommendation - this can seriously affect the health of the mother and child. Only a specialist can say for sure which drugs will ensure the safety of a pregnant woman and help to quickly recover.

To protect against sore throat, the following preventive measures should be taken before and during pregnancy:

• establish breathing through the nose;
• to carry out the prevention of diseases of the oral cavity and to cure possible diseases;
• increase the performance of the immune system (you can take mineral and vitamin complexes prescribed by your doctor);
• it is recommended to get rid of chronic diseases;
• you should take water procedures as often as possible (pool, warm shower in the absence of temperature);
• you should not smoke, abuse alcohol, take drugs;
• it is recommended to rest as much as possible and monitor physical activity;
• eat healthy, low-calorie meals, fruits, vegetables;
• it is recommended to ventilate living quarters;
• absolutely not to be nervous;
• during pregnancy, walks in the fresh air and light physical activity and exercise are encouraged.

When carrying a child, you should regularly engage in the procedure of rinsing the mouth with warm water with the addition of antiseptic drugs. It is not recommended to consume cold drinks, eat ice cream and hypothermia the body by any means - this has a negative effect on health and often causes sore throat. In addition, pregnant women should avoid contact with potential carriers of the infection. This will significantly reduce the risk of developing the disease.

At the first symptoms of a sore throat, you should consult a doctor. He will be able to advise the most optimal treatment and conduct the necessary examination, as well as tell about the possible teratogenic effects of certain drugs on the fetus.

Unfortunately, it is not always possible to spend the entire period of pregnancy without diseases. Sometimes, a decrease in immunity makes itself felt, and the body cannot provide proper resistance to viruses and bacteria. One of the most unpleasant diseases is sore throat.

Treatment of angina during pregnancy is associated with many nuances, in particular, a particularly scrupulous approach to the choice of an antibiotic is required, if necessary, take a drug of this group.

Reasons for the appearance of angina

Where does angina come from in a pregnant woman?

The cause of inflammation of the tonsils is always a bacterium or a virus. Reduced, against the background of pregnancy, immunity cannot cope with the protective functions and, as a result, the disease occurs.

Angina during pregnancy develops due to ingestion of:

1. streptococci or staphylococci (bacterial or purulent);
2. coxsackie virus (herpes);
3. rhinovirus, influenza virus (viral).

Angina in the first trimester of pregnancy

Angina in the early stages of pregnancy is especially frightening, because the baby is still very tiny and it is not known what more harm can do him: illness, high temperature or antibiotics during treatment.

But fears, in the case of timely seeking medical help, are groundless, even without knowing about her delicate condition, but carrying out classical treatment with medicines under the supervision of a doctor, a woman overcomes tonsillitis without harm to the child. The danger is the ignorance of the disease or the unjustified hope placed on traditional medicine. The consequences of a sore throat during pregnancy can manifest itself:

1. in placental abruption;
2. the threat of miscarriage;
3. frozen pregnancy;
4. transmission of infection through the bloodstream;
5. and, as a consequence, a delay and disturbance in the formation of internal organs.

Accordingly, tonsillitis is a serious disease that cannot be cured by gargling alone. Remember, sore throat because of your negligence can take a baby's life!

Purulent tonsillitis is especially dangerous during pregnancy, if the thermometer is steadily growing up, it is better not to hesitate to call an ambulance and go to the infectious box of the maternity hospital, so that the treatment of purulent tonsillitis is really effective and eliminates dire consequences.

Treatment

How to treat angina during pregnancy?

Angina in the first trimester of pregnancy is treated depending on the type of disease detected. For example, the bacterial form most common in pregnant women is treated with antibiotics. The selection of the drug and its dosage should be carried out only by the doctor, in accordance with the list of permitted means.

Approved antibiotics for pregnant women with angina:

• Flemoxin;
• Cefazolin;
• Sumamed;
• Clarithromycin.

Antibiotic treatment of sore throat during pregnancy requires local remedies. These can be sprays (Tantum-Verde, Chlorophyllipt, Ingalipt), solutions for gargling (Miramistin) or lozenges (Faringosept, Lizobakt).

The only generally accepted factor in treatment is bed rest, everyone should adhere to it, without looking at the form of inflammation.

Angina in the second and third trimester

No less difficult is the situation with the treatment of angina in pregnant women in the second and third trimester. Here it is also important to choose the right course of drugs and to fully withstand the entire course of treatment so that the provocateur of the disease has no chance to advance through the body. In addition, angina during pregnancy can not only bring discomfort to everyday life, but also provoke late toxicosis.

There is an opinion that angina during pregnancy in the second trimester cannot bring absolutely no harm to the baby, because all its organs and systems are already formed. But this is not entirely true, because it is more and more difficult for a mother's body to bear a child, the load on organs, bones, joints and immunity is constantly growing, and tonsillitis, unfortunately, takes a lot of strength. A timely visit to the doctor can not only cure the inflammation of the tonsils, but also save energy for a decisive gestation period.

Why is angina dangerous during pregnancy in the second and third trimester?

Angina in pregnant women of the second and third trimester can provoke premature birth, placental abruption, or reduce labor activity if the term of delivery is reached.

Treatment

Angina during pregnancy and its treatment rely solely on medical attention.

2nd and 3rd trimesters exclude heavy drinking, so vehemently recommended for the treatment of infectious diseases. The reason is the existing threat of edema. In the case of the bacterial nature of tonsillitis, the same antibiotics are required, but if the expectant mother falls ill with a sore throat of viral etiology, antiviral drugs are usually not prescribed.

The most popular local remedy of this period is called Stopangin. Stopangin during pregnancy is allowed from 14 weeks. It can be used in the form of both a rinse solution and a spray.

It is customary to gargle for a sore throat twice a day, while the solution is not diluted with water. It will take just a tablespoon and 30 seconds of time.

Spray Stopangin during pregnancy is used three times a day by pressing twice on the aerosol applicator.

How is angina treated in the third trimester? Often, the expectant mother is offered temporary hospitalization, because at the end of pregnancy it is quite difficult to cure any disease at home. And it is better not to refuse such an offer, because the body has already devoted almost all its strength to carrying a baby.

Prohibitions in treatment

What can be taken from medicines during this period will certainly be told at a personal meeting by the attending physician, however, it is guaranteed that this list will not include such drugs:

1. Acetylsalicylic acid. The temperature is knocked down exclusively by paracetamol-containing agents.
2. Streptomycin
3. Medicines containing iodine, such as Lugol.
4. Solutions containing alcohol.
5. Tetracycline
6. Levomycetin
7. Biseptol
8. Septrine
9. Streptocide
10. Sulfadimezin (Sulfacil)

In no case should the temperature be lowered in cold and even cool water, rubbing with vinegar and alcohol should be used. It is forbidden to put compresses on the throat and carry out "rubbing". I would like to remind you once again: do not take on self-medication, your child's life is at stake.

Prevention

What to do to avoid getting sick?

Because inflammation of the tonsils is a contagious disease, the main preventive measure is to avoid contact with patients with tonsillitis. Also, the only thing that can be done is to strengthen the immune system: eat rationally and regularly, use special vitamin complexes, prevent passive (not to mention active) smoking and lead an active (if there are no obstetric prohibitions) lifestyle. It will not hurt to avoid large crowds of people in the autumn-winter-spring period and use protective masks in case of epidemics.

In order for the woman's body not to reject the fetus, perceiving it as a foreign object, the immune defense decreases during pregnancy. Expectant mothers are often exposed to pathogenic microorganisms that cause various diseases. Sore throat, enlarged tonsils, fever are the main signs of acute tonsillitis, or sore throat. The disease requires a compulsory visit to a doctor, since if the therapy is delayed or incorrectly selected, it can cause complications that negatively affect the condition of the mother and fetus and require the use of strong medications.

What is angina and what can it be?

Angina is an acute inflammatory disease that affects the palatine tonsils, rarely - pharyngeal, tubal or lingual. With timely treatment, it disappears in 5-9 days. In 4 cases out of 5, the causative agent is group A streptococcus.

Other harmful microorganisms also cause acute tonsillitis:

• bacteria - staphylococci, enterobacteria, diplococci, pneumococci;
• viruses - influenza and parainfluenza, herpes, measles, adeno-, entero- and rotaviruses;
• fungi - candida and leptotrichia.

On the way of pathogens that enter the body by airborne droplets, there is a lymphatic pharyngeal ring - one of the organs of the immune system. It consists of 6 tonsils (glands) - large accumulations of lymphoid tissue, the main task of which is to protect the body from harmful microorganisms.

Primary sore throat is an independent disease, it is provoked by pathogenic agents trapped in the respiratory tract. Often, an inflammatory process in the throat occurs with systemic damage to other organs and systems, for example, against a background of diphtheria, syphilis, measles, herpes, leukemia. Then angina is called secondary.

Types of angina according to the clinical course:

1. Catarrhal. The mildest form of the disease, when only the mucous membrane of the tonsils is affected.
2. Follicular. The inflammatory process is accompanied by the formation of purulent foci, affects the follicles of the tonsils.
3. Lacunar. Deep winding canals that extend deep into the tonsils suffer. Such a sore throat is difficult, with intoxication of the body.
4. Phlegmonous. The pathological process with the formation of purulent foci affects the deep structures of the palatine tonsils and nearby areas. Refers to rare and severe forms of the disease, can cause serious complications.
5. Necrotic. It is characterized by damage to the tonsils and peri-almond areas with the appearance of bleeding ulcerative formations, covered with a yellow or gray bloom. It is accompanied by tissue death.

Acute tonsillitis symptoms

General clinical picture of acute tonsillitis:

• redness and enlargement of the glands;
• burning or sore throat that gets worse when swallowing;
• chills, high body temperature;
• feeling of a foreign object in the throat;
• an increase in the size of the lymph nodes in the neck;
• loss of appetite;
• the appearance of purulent foci on the tonsils;
• malaise, fatigue;
• soreness of the joints.

The catarrhal form is characterized by sore throat, dryness, bright red color of the mucous membranes. With necrotizing angina, gagging, headache and confusion are observed. With follicular, white and yellow dots with a diameter of about 2 mm appear on the surface of the glands and soft palate - suppurating follicles. This form is also accompanied by tachycardia, headache, nausea, and vomiting. Lacunar sore throat is characterized by the appearance of bad breath and the formation of white plaque on the tonsils.

How to treat angina during pregnancy and how does it threaten the baby?

Since the main causative agents of angina are harmful agents, the therapy of the disease is primarily aimed at suppressing them. The main factor affecting the effectiveness of treatment is the correct selection of the drug. It should be carried out taking into account the sensitivity of the pathogen to the drug, the tolerance of its components to the pregnant woman and the severity of the disease.

To suppress pathogens of a bacterial nature, antibacterial drugs are used. They are able to penetrate the fetus through the placenta, some of them can cause congenital anomalies, therefore, during pregnancy, medications with low toxicity are used - belonging to the groups of penicillins (Amoxicillin, Flemoxin solutab, Amoxiclav), cephalosporins (Suprax, Cefalexin, Cefazolin (Rami) or macrolin , Azithromycin, Josamycin). Dangerous are tetracyclines or fluoroquinolones.

In milder forms of the disease, it is sometimes possible to cure a sore throat with the help of local antiseptics, but only if treatment is started at an early stage. Purulent sore throat during pregnancy can cause complications in the expectant mother in the form of damage to the myocardium, joints, otitis media, kidney disease, with phlegmonous sore throat - bleeding. They have a harmful effect on the fetus, lead to hypoxia or asphyxia, and increase the risk of its death.

The toxic waste products of pathogenic microorganisms, actively multiplying with a progressive disease, negatively affect the mother's condition. Through the blood, toxic substances penetrate to the child. Negative consequences of this kind arise in complicated forms of angina due to improper and untimely treatment.

Angina during pregnancy can be treated at home, exactly following the doctor's prescription, using drugs with antipyretic action based on paracetamol (Panadol, Efferalgan, Paracetamol) and local antiseptics. If the disease is of a viral nature, medications are prescribed that have antiviral and immunomodulatory actions (Anaferon, Kagocel, Arbidol).

The use of sprays and solutions is allowed, such as Miramistin, Chlorophyllipt, Tantum Verde, Faringosept tablets, Laripront, Lizobact (we recommend reading :). Stomatidin is used to treat the glands (not prescribed in the early stages). Yoks, Lugol and other means, including iodine, are prohibited for expectant mothers (we recommend reading :). The use of any means should be agreed with the attending physician.

Angina during pregnancy requires bed rest. It is recommended to drink moderately abundant drink in the form of fruit drinks, milk, weak tea, rosehip broth, still water. Kissel is especially useful - it envelops the affected tonsils, relieving the condition. Drinks should not be too hot or cold. The volume of fluid you drink is no more than 2 liters per day, otherwise edema may develop. The room in which the patient is located must be regularly ventilated. It is recommended to use humidifiers, especially during the heating season.

In the early stages (in the first trimester)

The first trimester of pregnancy is the period when the main organs and systems of the fetus are laid. Any negative factors can disrupt the process. Sometimes sore throat occurs at a very early stage, when the woman does not yet know about pregnancy. The connection between the mother's body and the embryo at this stage is just beginning to improve, so there is a possibility that the medications taken will not have a significant effect on the fetus.

There are 2 critical periods when external factors cause the greatest harm - the first 11 days after fertilization and from 3 to 6 weeks. Depending on the duration, antibiotics can cause lesions (when using drugs of approved groups, the risk is minimal):

• visual organs - from 5 to 8 weeks;
• heart and blood vessels - from 3 to 7;
• CNS - from 3 to 5;
• dental system - from 6.5 to 9;
• auditory organs - from 4 to 10.

The harmful effects of antibacterial drugs on the embryo in the first trimester are maximal. Other possible negative consequences from the use of such medications are impaired blood circulation, slowing growth and skeletal formation, and liver damage. The decision to take antibiotics for angina is made by the doctor after weighing the possible harm from the use of drugs with the risks that may arise with the progression of the disease.

Since the use of medications during the first trimester must be minimized, alternative methods are often used, but their use does not cancel the traditional treatment regimens prescribed by the doctor.

It is allowed to rinse the throat with chamomile or sage infusions (1 tbsp (for more details in the article:). L. Pour 250 ml of boiling water over the raw material, leave for 60 minutes, drain). You can prepare a soda-salt solution - 1 tsp. salts and the same amount of soda are dissolved in 200 ml of water. Rinses are carried out 4-5 times a day. They help to eliminate pain, relieve puffiness, increase local immunity, and speedy tissue regeneration.

In the second trimester

In the second trimester, tonsillitis is less dangerous than in the first. During this period, a wider range of drugs are allowed. The negative consequences of the use of antibacterial medicines for the baby in the form of impaired development of the auditory organs, bone marrow, liver pathologies or growth retardation in the second trimester are minimal.

With an untimely diagnosis and illiterate treatment, the disease is dangerous, since it can provoke a spontaneous abortion or stop the development of the fetus. Placental insufficiency is possible - a violation of blood flow between the mother and the baby. As the pathology progresses, it can cause delays in the physical and mental development of the baby.

Late and before childbirth (third trimester)

In the third trimester, the use of the same antibacterial drugs is allowed as in the first. If in previous periods the temperature had to be brought down with an increase to 38 ° C, then at the final stage of gestation, antipyretics should be taken already at 37.5.

The risk of fatal malformations in the third trimester is minimal because the fetus is already mature. The use of some antimicrobial agents and complications of sore throat can provoke premature birth. The further outcome will depend on the period on which they occurred.

Complicated disease during pregnancy in the last stages can lead to a weakening of labor, polyhydramnios, prolonged oxygen starvation of the fetus, placental insufficiency and gestosis. A significant deterioration in the well-being of a pregnant woman is an indication for a cesarean section. During natural childbirth, the infection can be transmitted to the baby.

Can the disease be prevented?

Since the main source of infection is bacteria, fungi and viruses that enter the body through the respiratory tract, you should try not to contact sick people. Before visiting public places, the nasal passages must be treated with Oxolinic ointment (for more details in the article:). It is recommended that you rinse your nose with saline when you arrive home.

To prevent the development of pathogenic microorganisms in the oral cavity, its hygiene should be regularly and efficiently carried out. Dental diseases must be treated promptly. It is necessary to maintain a comfortable microclimate in the house - often to clean, ventilate and humidify the room, maintain the temperature regime in the range of 20-23 ° C in winter, 22-25 ° C in summer.

The stronger the immunity, the less likely it is to get sore throat. An increase in the body's resistance to infections is facilitated by:

1. Regular walks. They increase hemoglobin, relieve emotional tension, have a beneficial effect on the muscle, cardiovascular, and digestive systems. Clothing should be selected for the season to prevent hypothermia or overheating.
2. Proper nutrition, providing the body with the necessary nutrients.
3. Taking vitamins as prescribed by a doctor.
4. Physical Education. There are many exercises designed for pregnant women that can be done at home and in the gym. Even simple morning exercises are very beneficial.
5. Swimming. It not only strengthens the immune system, but also trains the respiratory system, saturates the body with oxygen, and reduces swelling.
6. Good rest and good sleep.

Angina during pregnancy is dangerous with complications that may occur in the mother or fetus. To avoid them, it is necessary to consult a doctor from the first hours of illness and carefully follow his recommendations. The only thing you can do before visiting the doctor is to gargle every hour with a decoction of neutral herbs like chamomile or a solution of soda and salt. Adequate medical prescriptions significantly reduce the likely consequences for the child.

In the early stages, angina is especially dangerous.

What is angina?

Angina is an acute infectious (read - contagious) disease of the tonsils, which is most often caused by streptococcus and staphylococcus. The palatine tonsils form a protective lymphoid ring that guards the body. Any infection that tries to enter the body through the nose or mouth encounters resistance from the immune system. The battlefield in this case is the throat, which becomes severely inflamed.

Angina during pregnancy, as well as in any other period, is acute and chronic. The acute form develops following a respiratory infection or hypothermia, which reduces the defenses. The chronic course is erased, exacerbations have the same symptoms as the acute form.

The symptoms are as follows:

• an acute onset with a sharp increase in body temperature to 39 degrees and above;
• severe intoxication - chills, headache, weakness, body aches, sweating, lack of appetite;
• sore throat caused by enlargement and swelling of the tonsils, when solid food cannot be swallowed;
• swelling and tenderness of the lymph nodes under the ears and lower jaw.

Angina is especially dangerous in the early stages, since the body not only begins to fight against infectious agents, but also involves its own internal organs - the heart, kidneys, joints - by the mechanism of autoimmune defense. Too many antibodies are produced that can damage the fetus both in the first trimester and in other periods.

The infection has the ability to penetrate into any internal organ through the network of lymphatic vessels, which is more branched than the bloodstream.

Why you can't heal yourself

Symptoms similar to angina can be a manifestation of completely different diseases: diphtheria, infectious mononucleosis, leukemia, HIV and others. Self-treatment of viruses not only makes no sense, but also brings obvious harm: the body has to not only fight the causative agent of inflammation, but also to neutralize the medicine, which is in vain to load the body of the expectant mother.

The first trimester is the most vulnerable period of pregnancy for the fetus, when its internal organs are laid. The slightest failure at this time leads to developmental defects that cannot be eliminated in the future.

The second trimester is the time when the main organs of the fetus are formed and it is more protected. However, a woman becomes more vulnerable, she may develop heart and kidney diseases with a serious dysfunction of these organs, which will remain for life.

In the third trimester, the disease is dangerous for both the fetus and the woman, the following complications are possible:

• premature birth;
• freezing of fetal development;
• placental abruption;
• late toxicosis.

The correct treatment, prescribed by a doctor, almost always avoids adverse consequences, especially in the early stages.

How is angina treated?

In the early stages, special attention is paid to creating optimal conditions for the development of the fetus and preventing infection from affecting it. While the temperature is holding, it is necessary to observe bed rest - this way the probability of heart damage decreases. You need to drink a lot of warm liquid so that the body quickly clears itself of fragments of bacteria, pathological metabolic products and toxins. Tea, mineral water, homemade compote will do. It is important that the drink is exactly warm, at about room temperature.

You need to eat when you want. If there is no appetite at all, you should not eat through force: the body spends energy on fighting infection and there are no resources left for digesting food. A day or two on a half-starved diet cannot harm the fetus, the body has reserves for this case.

The first trimester is too important a period to fight your own body. The food is simple and soft: broths, mashed meat, cottage cheese, mashed potatoes, soft-boiled eggs. You need something that is easy to swallow. Swallowing food through pain is not only unpleasant, but also harmful: you can mechanically damage the inflamed tissue.

It is advisable to gargle the throat every hour; regular gargling removes pathogens from the surface of the tonsils. Rinsing cannot resist the penetration of the pathogen into the internal organs and shorten the duration of the disease, but it improves the general condition well. Gargling after every meal is very helpful.

The following solution is suitable as a rinse:

• 200 ml, or one glass, warm water;
• 1 half teaspoon of salt
• 1 incomplete teaspoon of baking soda;
• a few drops of iodine (2-4, no more), if there are no thyroid diseases.

Herbal decoctions can be used if the doctor permits. Many medicinal plants - string, wormwood, thyme, sage - are contraindicated during pregnancy because of their properties. Before brewing any plant, you need to consult your doctor.

Antipyretics are also recommended by a doctor. Paracetamol is considered the safest for the mother and the fetus, for which full-fledged clinical studies have been conducted. Paracetamol is sold under various trade names by pharmaceutical companies in many countries. The use of antibacterial drugs, especially in the second trimester, is mandatory, without them complications are possible. Proven antibiotics are used, preferably those that the pregnant woman has already used before. This will avoid an allergic reaction. The doctor decides which antibiotic to use.

After the appointment of antibacterial drugs, the state of health improves within 1-2 days. The most common and dangerous mistake of this period is the unauthorized cessation of medication. A decrease in temperature and a decrease in pain does not mean that the disease is over. The infectious agent and antibodies to it continue to circulate in the body, doing their destructive work.

The overwhelming number of kidney inflammation and rheumatic diseases is a consequence of untreated tonsillitis.

Simultaneously with antibacterial agents, antihistamines are prescribed to reduce the likelihood of developing autoimmune processes.

A little about prevention and myths

Treatment is prescribed only by a doctor, taking into account the individual characteristics of the body and the duration of pregnancy.

Angina is a contagious disease, so it is impossible to get sick just like that, without a source of infection. It is necessary either to contact the patient, or the focus of chronic infection must be activated in the body. Chronic infection can be found, for example, in carious teeth, enlarged and loose tonsils. A woman of childbearing age must fight foci of infection constantly, especially if she is planning a pregnancy. It is advisable to avoid contact with sick people, constantly wash your hands, use separate dishes and linen.

During the period of gestation, it is extremely important that the mother is healthy. Pregnancy itself is a huge burden for a woman - during this period all the systems of her body work "for two", therefore the immune system weakens, as a result of which the pregnant woman easily becomes ill.

One of the most common diseases during childbearing is tonsillitis or tonsillitis. What is the danger of tonsillitis during pregnancy, how the disease can affect the development of the fetus and whether it is worth treating the exacerbation of the chronic form of the disease - all this in detail in this article.

At the initial stage of the development of the disease, angina and tonsillitis are very similar in clinical symptoms, but there are still differences, this is clearly presented in the table.

Important! if even a slight sore throat appears, the expectant mother should definitely consult a doctor, since the progression of the disease, especially in the early stages of pregnancy, can lead to the formation of fetal anomalies.

Angina during pregnancy: is there a cause for concern?

Any gynecologist will confirm to a woman planning a child that it is extremely undesirable to get sick even with ARVI during pregnancy, but, alas, no one is immune from viruses and microbes, and the expectant mother even more so. When a sore throat occurs, a woman in a position, of course, is worried about the question - how can a sore throat affect pregnancy? Let's consider each trimester separately.

Angina in the first trimester of pregnancy

The first trimester of pregnancy is the most dangerous in terms of the health of the unborn child. It is in the first 12 weeks that all organs and systems of the fetus are laid, and taking medications to cure the disease can negatively affect this subtle process.

Of course, if angina nevertheless arises, then the most loyal treatment regimen is selected for the expectant mother. An experienced doctor will prescribe a medicine that has a detrimental effect on the causative agent of the infection, but at the same time carries minimal risks for the unborn baby.

Attention! There is no need to be afraid to take medications for the treatment of angina, since the complications of this disease are much more dangerous for the mother and fetus. Of course, we are not talking about self-medication, all drugs should be selected only by the attending physician according to the gestational age.

Angina in the second trimester

By the beginning of the second trimester, all the organs of the fetus have already been formed and further improve and grow. The angina that occurs in the expectant mother at this time is less dangerous for the child than in the first trimester, since the effect of drugs that the woman will take is no longer so destructive for the developing internal organs of the fetus, which means that the risk of developing congenital anomalies is much lower.

How sore throat can affect pregnancy in the second trimester, the specialist tells in detail on the video in the article, however, if the expectant mother conscientiously follows all the doctor's recommendations and observes the regimen prescribed for her, then the risk of complications is minimal.

Angina in the third trimester

How does angina affect pregnancy in the third trimester? It all depends on the duration of pregnancy and the general condition of the expectant mother. Postponed infectious diseases in the last weeks of gestation are dangerous in that they increase the risk of the onset of premature birth and infection of the child during the delivery process.

In this regard, when a sore throat is diagnosed in late pregnancy, the expectant mother must be hospitalized in the observational department of the maternity hospital, where she will be under constant supervision and control of doctors.

Important! if the attending physician insists on hospitalization, then you should not refuse. Remember that the most important thing now is to deliver the baby before the due date and give birth to him healthy, and this can be done only on the condition that the mother herself at the time of birth will not be sick.

Is angina dangerous during pregnancy? At first glance, it seems that the drugs that the woman takes to cure the disease seem to be of great danger (see), therefore many expectant mothers refuse drug therapy in favor of rinsing and traditional medicine.

By such actions, a woman exposes the life of the child and her health to unjustified risk, because what is dangerous about angina during pregnancy is its complications, the most frequent of which are:

• heart disease;
• pyelonephritis;
• glomerulonephritis;
• the development of renal failure;
• damage to the organs of the endocrine system.

Important! sore throat is an infectious disease that can be cured only with the right antibiotic, herbal treatment and various rinses can be carried out only in combination with antibacterial drugs, but not instead of drug therapy.

Consequences of a sore throat suffered during pregnancy

How is angina reflected on pregnancy and its further course?

This question, of course, worries every expectant mother who had to deal with this disease in the process of carrying a child. If a woman immediately consulted a doctor, kept to bed rest and regularly took medications prescribed by the doctor, then there would be no serious consequences.

After a sore throat, the expectant mother will be under the increased supervision of a gynecologist until the very birth. Regularly, a pregnant woman will need to take urine tests to assess the work of the kidneys, and also at least 2 times after an illness, before childbirth, it is necessary to undergo an electrocardiogram. Such studies will allow the doctor to diagnose in time the slightest irregularities in the work of the heart and kidneys (see), which may be the consequences of the transferred tonsillitis.

Is angina dangerous during pregnancy?

The danger to the mother and the fetus is rather not the disease itself, but complications that may arise later, but do not worry - negative consequences make themselves felt only in a few cases:

1. The diagnosis was made incorrectly and the disease was initially treated incorrectly - as mentioned earlier, angina is extremely similar to acute tonsillitis or pharyngitis in clinical symptoms, therefore it is extremely important to consult a physician and undergo an examination that will help identify the pathogen. The diagnosis of angina cannot be made only on the basis of a woman's complaints and an examination of her throat; to confirm the disease, smears are taken from the expectant mother from the pharynx, which are sown on a nutrient medium. On this medium, colonies of microorganisms grow in a few hours and they are studied under a microscope. Most often, the development of angina is provoked by streptococci and staphylococci, and they can only be killed with antibacterial drugs to which microorganisms are sensitive. The appointment of antiviral drugs for angina is not only meaningless, but also leads to a loss of time, as a result of which the expectant mother develops serious complications.
2. Treatment is carried out incorrectly or incompletely - many expectant mothers, fearing to harm the child with drugs, are selectively treated for sore throat - they refuse to take antibiotics, but are limited only to rinsing and resorption of tablets from the throat. Remember that angina is not pharyngitis and it will not be possible to cure the disease without the use of antibacterial drugs.
3. Taking pills that are contraindicated for expectant mothers - even if you have previously had tonsillitis, and you know exactly what drugs it is treated with, do not self-medicate! What is suitable for an ordinary non-pregnant woman for the treatment of sore throat can be toxic to the fetus and cause developmental abnormalities and even intrauterine death. Most drugs easily pass through the placenta and have a detrimental effect on the heart, kidneys and meninges of the fetus, so you can only take the antibiotic recommended by your doctor!

Chronic tonsillitis during pregnancy

It is not for nothing that doctors recommend that women plan pregnancy in advance. At the planning stage, a married couple undergoes a series of studies, tests, treats chronic diseases and takes vitamin complexes. These actions allow you to maximally protect the unborn child from possible complications during pregnancy.

Often, women turn to antenatal clinics after pregnancy and only when registering begin to take tests and undergo the necessary examinations. It is important to understand that pregnancy for the female body is a kind of catalyst for exacerbation of chronic infections, therefore, if preventive measures were not taken at the planning stage and preparation for conception, then the disease will certainly make itself felt.

Exacerbation of tonsillitis during pregnancy poses a threat to its further course, because the presence of a chronic focus of infection in the body provokes a number of complications:

• reduces the immunity of the expectant mother, as a result of which her body cannot resist viruses and infections;
• worsens the general well-being of the pregnant woman, as she is constantly worried about sore throat, malaise, weakness;
• pathogens are actively multiplying, and their waste products and toxins with blood flow through the placenta to the fetus.

Attention! Exacerbation of chronic tonsillitis during pregnancy increases the risk of premature birth and low birth weight and immunocompromised babies.

Prevention of exacerbations of tonsillitis during pregnancy

To reduce the risk of exacerbations of the chronic form of tonsillitis, following simple rules by the expectant mother will help:

• avoid places where a large number of people gather, thus, the risk of infection with viruses is minimized;
• do not overcool, including do not drink cold drinks;
• eat balanced and spend more time outdoors;
• do not contact sick people;
• after returning from a walk or crowded places, gargle with a weak saline solution - you can cook it with your own hands (preparation instructions - 1 teaspoon of salt for 1 liter of boiled water) or purchase ready-made in a pharmacy (suitable for expectant mothers, its price may differ depending on from the manufacturer).

Remember that the health of an unborn baby completely depends on the consciousness of his mother, so do not self-medicate and consult a doctor in time.