Treatment of angina in pregnant women in the 3rd trimester. The effect of angina on pregnancy

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 are already formed. At the end of the pregnancy, the body of the expectant mother is deprived of strength and vitality, 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 activity.

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

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

Angina or acute tonsillitis can only be delivered by a qualified doctor. He must 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 redness 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 of yellow plaque.

Pregnant women show the following symptoms of acute tonsillitis:

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

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

With angina, it is necessary 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 only be adjusted 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 that combines the intake of vitamins, certain drugs 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. It should provide the body of the expectant mother with all the necessary vitamins and minerals. In such situations, doctors advise drinking broths prepared with chicken or vegetables with the addition of white bread croutons. It is also recommended to eat cereals and dairy products. You can not eat the following foods:

• too cold or hot;
• spicy and sour food;
• products 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.

Plentiful drink

With angina, you should drink as much liquid as possible, especially boiled warm water and broth. In the early days of the onset of infection, this is especially important. 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 heat. At the same time, slightly warm milk with the addition of honey, cranberry juice, lingonberry juice will help. But in no case should you drink hot drinks, as well as sweet and sour juice-containing liquids, lemonades.

How to bring down the high temperature?

The treatment of angina 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 self-selection of drugs can even lead to a deterioration in 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, linden or cranberries;
• drink plenty of water to avoid dehydration when you have a fever;
• wear light clothing, ventilate rooms;
• you can wipe the skin with a solution of apple cider vinegar or lemon juice;
• gauze soaked in camphor alcohol also works well.

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

It is possible to reduce the temperature with the help of medicines only in situations where a specialist recommends it, and not with any increase in body temperature. When prescribing an antibiotic during pregnancy, most often additional drugs that stop the fever are not required.

Antibiotics for sore throat during pregnancy

Antibiotics are often needed when a sore throat develops in pregnant women. They allow you to stop the reproduction of pathogenic bacteria in the oral cavity and prevent the appearance of purulent processes. Usually in such situations, experts recommend the use of the following drugs:

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

You should know that even these drugs, approved for use during pregnancy, are harmful. Although their harmful effect on the fetus is reduced to minimal limits, there is also no benefit. In addition, with 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. It is also impossible to use this treatment for a purulent form of the disease, since complications and anomalies of the fetus can be obtained.

Lozenges

Most absorbable tablets and lozenges relieve symptoms, but do not cure the disease completely. 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: Lizobakt, Faringospet, Travisil, Imudon.

Lubrication of the tonsils

In the treatment of angina, the irrigation method is widely used: Chlorhexidine bigluconate, Miramistin are used for this. They are antiseptics that destroy pathogens and prevent inflammation. However, even such harmless remedies can only be used 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 put too much pressure on the tonsils, as you can damage the mucous membrane and make the infection even deeper.

rinses

Rinsing should be applied 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;
• alcohol 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 the plaque that forms on the tonsils, which as a result reduces the risk of intoxication. Also, when rinsing, pathogens are removed from the tonsils, pain is reduced and drugs are practically not absorbed into the blood. That is why this method is safe in the treatment of angina in pregnant and lactating mothers.

Folk remedies

There are several methods to cure tonsillitis during pregnancy, eliminating the negative impact on the fetus and the mother's body as a whole. The most effective methods of traditional medicine are as follows:

• you should mix flax seeds, linden, chamomile and eucalyptus. This mixture is poured with boiling water and infused for 2 hours. The infusion should cool down. It is recommended to gargle with them for about 2-3 minutes;
• well helps resorption of lemon slices. This method allows you to get rid of pathogens under 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. It is recommended to rinse several times a day.

Alternative methods of treatment, although safe, should be consulted about their use with your doctor 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 improper bone formation and various anomalies:

• you can not take antibiotics belonging to the group of tetracyclines;
• in no case should you take a drug such as Aspirin;
• you can not gargle with drugs 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.

A doctor should warn a pregnant woman about such methods of treatment and protect her state of health, 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 the woman's body provides 2 organisms 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 a sore throat, you should immediately contact your doctor. He will advise alternative methods of treatment, if necessary, and also adjust the intake of the necessary medications.

Prevention

First of all, it should be said that you should not 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 medicines will ensure the safety of a pregnant woman and help her recover quickly.

To ensure protection against angina, the following preventive measures should be taken before pregnancy and during its course:

• improve breathing through the nose;
• to prevent diseases of the oral cavity and cure possible diseases;
• increase the efficiency of the immune system (you can take mineral-vitamin complexes prescribed by a 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);
• do not smoke, abuse alcohol, take drugs;
• it is recommended to rest as much as possible and monitor physical activity;
• eat healthy low-calorie foods, fruits, vegetables;
• it is recommended to ventilate living quarters;
• categorically it is impossible to be nervous;
• during pregnancy, walks in the fresh air and light physical activity and exercise are welcome.

When carrying a child, you should regularly engage in the procedure of rinsing the mouth with warm water with the addition of antiseptic preparations. It is not recommended to drink cold drinks, eat ice cream and supercool the body by any means - this has a negative impact on health and often causes a sore throat. In addition, pregnant women should avoid contact with likely 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 talk about the possible teratogenic effects on the fetus of certain drugs.

Angina during pregnancy is a fairly common occurrence, as the body is under heavy stress, resulting in reduced immunity. Angina is an acute or chronic infectious inflammation of the throat, which, without proper treatment, leads to the development of other serious diseases. During pregnancy, the difficulty lies in the fact that many drugs remain banned, and the negative impact on the development of the child is great.

In any trimester of pregnancy, any of the forms of angina can develop: both catarrhal and bacterial or purulent. Pathogens (staphylococci, adenoviruses, streptococci) are easily transmitted by household contact and airborne droplets.

You can distinguish angina from other colds by the following signs:

• high rise in temperature;
• severe pain, dryness and sore throat;
• dry cough;
• an increase in submandibular or parotid lymph nodes;
• deterioration of sleep, loss of appetite, drowsiness, apathy.

On examination, the therapist or infectious disease specialist notes a red, sore throat, the tonsils increase in size, it is easy to notice a white or yellowish coating on them. With a purulent form of angina, purulent foci can additionally be detected.

During the treatment of angina during pregnancy, you must strictly follow all the doctor's recommendations. You should not drink medicines on your own and change their dosage. Only the therapist and infectious disease specialist, taking into account the week of pregnancy, select safe drugs and calculate the dosage.

Therapeutic therapy of tonsillitis is not complete without antibiotics, disinfecting compounds for processing, irrigation and rinsing of the oropharynx, herbal medicine.

First trimester

The first months of pregnancy are characterized by the laying of important organs of the fetus, and any infectious and inflammatory processes in a woman's body can disrupt this process. Pregnancy proceeds with complications and constant threats of miscarriage.

Angina during pregnancy during the first trimester leads to a lack of oxygen supply, fetal hypoxia develops. The chance of miscarriage increases.

The rise in body temperature above 38.3 degrees leads to disturbances in the development and functioning of the internal organs of the child. Premature birth may begin due to premature detachment of the placenta.

When you find the first symptoms of the disease, you need to seek help from a specialist. Angina in early pregnancy is undesirable to treat with antibiotics. The doctor will select the safest therapy, but only if the sore throat is not accompanied by complications.

Second and third trimester

In the event of a sore throat during pregnancy in the second and third trimester, the threat to the unborn child remains, although not to such a strong extent:

• There is still a risk of developing a lack of oxygen due to a violation of the distribution of blood supply.
• Toxins cause poisoning of the fetus.
• The amount of nutrients that are delivered to the fetus decreases, and there is a lag in its growth and development.

Treatment of angina in pregnant women in the 2nd and 3rd trimesters is carried out with penicillin or cephalosporin antibiotics.

Treatment of angina during pregnancy

To choose the right method of treatment, a preliminary diagnosis is carried out. The doctor examines the patient's throat, determines the condition of the lymph nodes by touch, listens to the chest and listens to the main complaints. Laboratory results are required. A swab is taken from the surface of the tonsils to determine the pathogen and its sensitivity to a particular group of antibiotics. A blood test will help determine the extent of the infection.

Angina is often treated with antibiotics.

The least safe and effective antibiotics for angina for pregnant women are: "Ampicillin", "Amoxicillin", "Azithromycin", "Erythromycin".

Assign sprays, tablets and lozenges for slow resorption ("Antiangin", "Lizobakt", "Gexaliz"). They disinfect the mucous surface and eliminate inflammation.

An approved and proven method of treatment is rinsing the mouth with herbs (they make decoctions based on sage, chamomile, calendula). Disinfects surfaces, reduces inflammation, relieves pain with a solution of "Furacilin".

Antibacterial therapy

When choosing antibiotics for a sore throat during pregnancy, one should take into account their effectiveness against the causative agent of the infection, as well as the severity of the disease.

Medicines should not have a negative effect on the fetus.

Permitted drugs that are usually prescribed for inflammation of the tonsils are: Amoxiclav, Azithromycin, Augmentin, Vilprafen, Rovamycin, Flemoxin, Zinnat, Sumamed. The active components of these drugs do not adversely affect the development of the child.

cephalosporin and penicillin series is carried out only in a hospital.

Nutrition and care

In the acute phase of the course of angina, it is recommended to lie in bed and drink plenty of fluids. The diet should include fortified foods. Additionally, you should take a multivitamin. They will help increase the body's resistance to angina. Food should be fractional, it is better to eat food in crushed form, so as not to injure the sore throat once again.

It is better to give up spicy, sour, salty, fatty and sweet foods, as they further aggravate the irritation of the sore throat and contribute to the spread of the infectious process. Do not eat too hot food.

Local therapy

Lozenges and lozenges for resorption ("Lizobakt", "Faringosept", "Imudon") help reduce pain, destroy bacteria and prevent their further spread.

Solutions for treating tonsils help to remove plaque, disinfect the surface and reduce the area of ​​​​inflammation.

The bandage is wound on a finger, moistened in a solution and the throat is treated. Good and permitted antiseptics are: "Stomatidin", "Chlorophyllipt", "Lugol".

A local spray allows the composition to be evenly distributed and effectively fight the causative agent of the disease: Miramistin, Stopangin, Ingalipt.

• Furacilin solution helps to speed up recovery, relieve inflammation and reduce pain syndrome. To prepare it, it is enough to dissolve one tablet of the drug in water.
• The solution for rinsing "Stopangin" does not need to be diluted before use. 13 ml is enough for one procedure.
• Rinsing with Miramistin helps. For one rinse take 12 ml of solution.
• Assign the drug "Rotokan". It will take 5 ml of the composition to dissolve in 180 ml of water.
• Soda solution is considered effective.

Regular gargling with decoctions of pharmaceutical herbs helps (calendula, chamomile, eucalyptus, sage are considered effective).

Temperature with angina and pregnancy

Heat in the body during pregnancy can cause physical and mental abnormalities in the development of the child.

At elevated temperatures, the blood begins to thicken and circulate more slowly in the body. The amount of oxygen and nutrients that reach the fetus through the placenta is significantly reduced. Hypoxia develops. Therefore, to bring down the temperature is not just possible, but necessary.

Take an antipyretic should be in case of a high rise in temperature for a long time.

To reduce the temperature, it is useful to drink plenty of liquids (compote, raspberry, ginger, lemon tea with honey are suitable).

You can apply a towel soaked in cool water to your forehead. Herbal tea from oregano, plantain and coltsfoot helps to quickly and safely lower the temperature. Each herb is taken in the amount of 30 g. The mixture is poured with boiling water and left to infuse for 40 minutes. It is recommended to drink a ready-made broth three times a day, 90 ml each.

In case of an increase in body temperature to 39 degrees, it is imperative to take an antipyretic (Nurofen, Ibuprofen, Paracetamol, Panadol). It is highly undesirable to use them in the last months of pregnancy. You can not bring down the temperature "Aspirin".

During pregnancy, specialists should decide. The therapist, taking into account the recommendations of the gynecologist about the peculiarities of the course of pregnancy, must prescribe the appropriate medications. If the treatment was started on time, then it will be possible to get rid of the disease in 7-9 days. You can not apply compresses to the neck area, hot foot baths, warming up and other thermal procedures are contraindicated.

What is dangerous angina during pregnancy

If you start a pregnancy late or choose the wrong drug therapy, the risk of complications increases.

The danger threatens not only the woman herself, but also the fetus, especially in the first and second trimesters of pregnancy.

The penetration of the inflammatory process into neighboring organs becomes a provoking factor in the development of meningitis, pneumonia, pyelonephritis, severe heart disease, and can even lead to blood poisoning. In this case, treatment in a hospital under the constant supervision of doctors is necessary.

In the case of a secondary infection, blood circulation is disturbed, blood flow to the placenta decreases, hypoxia develops, fetal intoxication occurs, a lag in its growth and development, and premature detachment of the placenta.

Prevention

To prevent the development of angina during pregnancy, a woman should follow a number of recommendations:

• visits to crowded places should be limited;
• avoid contact with people who have colds;
• when visiting the clinic, it is recommended to wear a gauze bandage;
• in the cold season, you need to start taking vitamins;
• the room should be regularly ventilated and wet cleaned.

The disease is easier to prevent than to deal with unpleasant symptoms and possible consequences later. You can discuss this issue with the attending gynecologist and therapists, they will help you choose the right means to protect against infections.

Angina is an infectious disease of the tonsils, which is most often caused by streptococci, transmitted by airborne droplets. What to do if you get a sore throat in the 3rd trimester of pregnancy? Of course, to be treated. How - we will talk about this later.

Angina during pregnancy in the 3rd trimester is accompanied by severe sore throat, as well as aching joints, high fever, lack of appetite and general malaise. The disease is characterized by the appearance of a white coating on the tonsils and reddening of the throat. Depending on the type of angina, its symptoms may differ. In general, the disease can be of several types: lacunar, catarrhal, and also follicular.

If a sore throat occurs in the last months of bearing a baby, the expectant mother should immediately consult a doctor. The doctor will conduct an examination, establish the correct diagnosis and prescribe a treatment that is as safe as possible for the pregnant woman and her child.

How to treat a sore throat during pregnancy in the 3rd trimester

Treatment of angina during pregnancy in the 3rd trimester is carried out by complex methods that the doctor chooses. In the treatment can be used:

1. Antibiotics. Despite the fact that they are contraindicated in pregnant women, the disease cannot be eliminated in another way. Therefore, the doctor must choose the drug that is most safe for the pregnant woman.
2. Rinses and inhalations. For these purposes, various herbal decoctions, antiseptic solutions, etc. can be prescribed.
3. Proper nutrition. A young mother needs a balanced diet by definition: this is necessary for the proper growth and development of the baby. During the period of an infectious disease, she may also be advised to exclude spicy and sour foods from the diet, that is, foods that irritate the mucous membrane.
4. Abundant drink. During the period of illness, you need to drink tea with milk and honey, ordinary water. Fruit drinks and water or tea with lemon are contraindicated.

The doctor will tell you how to cure a sore throat during pregnancy in the 3rd trimester. It is imperative to contact him if a disease occurs, since the body of a pregnant woman is weakened, and he will not be able to cope with a sore throat on his own.

Consequences of angina during pregnancy in the 3rd trimester

What happens if angina is not treated? Especially dangerous during this period is the follicular form of the disease, which can provoke septic poisoning. Angina, in this case, can cause severe toxicosis, miscarriage, placental abruption. Also, the disease will adversely affect the development of the fetus: children whose mothers had a sore throat and did not treat it during pregnancy are born with various abnormalities and health problems.
In addition, angina can cause fetal fading.
It is necessary to treat a sore throat during pregnancy, moreover, strictly under the supervision of a doctor. Self-medication or no treatment at all can lead to very negative consequences. Take care of your health and try to strengthen your immune system. In this case, throughout the pregnancy you will not get sick.

Angina, or acute tonsillitis, is an infectious and inflammatory disease of the palatine tonsils. During pregnancy, this condition can occur at any time, including just before childbirth. Is angina dangerous for pregnant women? How to treat acute tonsillitis in the third trimester?

Causes

The development of angina in pregnant women can go in two ways. With exogenous infection, pathogenic agents penetrate into the body of the expectant mother: viruses, bacteria, fungi. A sick person with obvious manifestations of a sore throat, runny nose and sore throat will stop as a source of infection. With endogenous infection, the activation of its own microflora and the occurrence of inflammation on the tonsils occur. The latter option is implemented in women suffering from chronic tonsillitis.

Among bacteria, the causative agent of the disease is most often b-hemolytic streptococcus group A. This microorganism has one unpleasant property. Penetrating into the respiratory tract, it not only provokes local inflammation, but also causes autoimmune reactions. Antibodies are formed that attack the internal organs and nervous system of a person. After suffering streptococcal tonsillitis, rheumatism, glomerulonephritis and other no less serious complications may develop.

In addition to streptococcus, staphylococcus and yeast-like fungi can become the causative agent of the disease. Often, the examination reveals a mixed bacterial flora. In young women, enteroviruses and adenoviruses can become the culprit of angina.

The development of angina is promoted by banal hypothermia and the use of cold drinks. Against this background, the most favorable conditions for the development of viruses and bacteria are created. Natural immune suppression also plays a role in the development of acute tonsillitis. The disease often occurs even in those women who, before conceiving a child, did not encounter anything more serious than the usual SARS.

Symptoms

Signs of angina during pregnancy do not have specific differences:

• increase in body temperature;
• chills, weakness and other signs of intoxication;
• sore throat, aggravated by swallowing, opening the mouth, talking;
• soreness of regional lymph nodes.

The disease always begins acutely with a rise in body temperature and chills. Often, the development of angina is preceded by a runny nose and other symptoms of SARS. A few hours later, a sore throat, dryness, and perspiration join. Lymph nodes in the neck enlarge and become sharply painful. The severity of the manifestations of angina will depend on its form, as well as on the general resistance of the woman's body to infections.

In the third trimester of pregnancy, angina is rather difficult to tolerate. The growing uterus constantly presses on the diaphragm, leading to shortness of breath. The woman's breathing is difficult. Many expectant mothers in the later stages complain of nasal congestion (pregnancy rhinitis). Against this background, sore throat and high body temperature significantly worsen the general well-being of a woman, lead to increased shortness of breath and make normal breathing difficult.

Complications of pregnancy

High body temperature with angina adversely affects the condition of the expectant mother. Severe intoxication can lead to a premature start of labor and the birth of a baby prematurely. Termination of pregnancy in the third trimester can also be caused by uncontrolled intake of antipyretic drugs. For a period after 24 weeks, any antipyretics can only be used at a body temperature above 38.5 ° C and under the supervision of a physician.

Bacterial or viral angina in the third trimester can cause such complications:

• premature birth;
• polyhydramnios;
• placental insufficiency;
• fetal hypoxia and delayed development.

The formation of various defects of internal organs in the III trimester does not threaten the baby. In most cases, with timely treatment, angina proceeds safely and practically does not affect the health of the fetus and newborn.

Treatment Methods

A sore throat with a high temperature is a reason to see a doctor. The local therapist is engaged in the treatment of angina. Many antenatal clinics have their own doctor specializing in the management of pregnant women with various extragenital diseases.

Drug therapy for angina includes:

1. Taking antibacterial drugs.
2. Irrigation of the throat with antiseptic and antibacterial solutions.
3. Reception of antipyretic drugs (according to indications).

Antibiotics are an essential component in the treatment of bacterial tonsillitis. In the III trimester of pregnancy, macrolides are added to the already known penicillins and cephalosporins. Antibiotics from these groups are approved for use in expectant mothers and do not pose a danger to the fetus. The choice of a specific antibacterial drug is determined by the type of angina and the severity of the disease.

The course of treatment for sore throat lasts from 5 to 10 days and is usually carried out at home. Hospitalization in a hospital is indicated in such situations:

• deterioration of the woman's condition against the background of ongoing therapy;
• tonsil abscess and other complications;
• violation of the condition of the fetus (decrease in motor activity, changes in CTG);
• development of pregnancy complications (threat of premature birth, signs of fetal hypoxia, etc.).

With a viral infection, antibiotics are not prescribed. To increase the overall reactivity of the body, interferon inducers (Viferon and other drugs) are used. To maintain immunity, do not forget about taking multivitamins and rational nutrition.

Local antiseptic preparations are used for severe sore throat. In the third trimester, the list of approved drugs is quite large (Lizobact, Miramistin, Geksoral, etc.). A good effect is given by gargling with a decoction of calendula, chamomile, a solution of furacilin. To facilitate nasal breathing, rinse the nose with saline solutions every 2-3 hours. At night, you can use vasoconstrictor drugs (no more than 3-5 days in a row).

1. Drink more fluids. Warm drinks relieve sore throat and relieve the condition.
2. Avoid hot, acidic drinks, spicy foods and spices until you are fully recovered. These products injure the oral mucosa and slow down its healing.
3. Stay in bed if your body temperature is high.
4. Don't forget to ventilate the room.
5. Use humidifiers to create an optimal microclimate.

Childbirth with angina usually takes place through the natural birth canal. The reason for a caesarean section can be a significant deterioration in the condition of the woman and the fetus, as well as the development of complications. If necessary, the treatment of angina continues in the postpartum period.

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 the disease and carefully follow his recommendations. The only thing you can do before visiting a doctor is to gargle every hour with a decoction of neutral herbs like chamomile or a solution of soda and salt. Adequate medical appointments 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 palatine tonsils, which is most often caused by streptococcus and staphylococcus aureus. The palatine tonsils form a protective lymphoid ring that stands guard over 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 very inflamed.

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

The symptoms are as follows:

• acute onset with a sharp increase in body temperature up 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 it is impossible to swallow solid food;
• enlargement and soreness of the lymph nodes under the ears and lower jaw.

Angina is especially dangerous in the early stages, because the body not only begins to fight infectious agents, but also involves its own internal organs - the heart, kidneys, joints - according to the mechanism of autoimmune defense. Too many antibodies are produced, which 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 blood.

Why you can't heal yourself

Symptoms similar to a sore throat 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 neutralize the medicine that the expectant mother’s body is needlessly loaded with.

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;
• fading of fetal development;
• placental abruption;
• late toxicosis.

Proper treatment prescribed by a doctor almost always avoids adverse effects, 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 its infection. While the temperature is maintained, bed rest must be observed - this reduces the likelihood of heart damage. You need to drink a lot of warm liquid so that the body is quickly cleansed 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, it is not worth eating through force: the body spends its strength on fighting the infection and there are no resources left for digesting food. A day or two on a semi-starvation diet cannot harm the fetus, the body has reserves for this case.

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

It is advisable to gargle 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. It is very useful to gargle after each meal.

As a rinse aid, the following solution is suitable:

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

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

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

After the appointment of antibacterial drugs, the state of health improves after 1-2 days. The most common and dangerous mistake of this period is the unauthorized termination of medication. A decrease in temperature and subsidence of 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 vast majority of inflammation of the kidneys and rheumatic diseases are the result 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 with the patient, or the focus of chronic infection should 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.