Antibiotics for Pregnancy

Many women who are expecting the birth of a baby, are interested in the question, is it possible to have antibiotics during pregnancy? The answer to this question is not entirely unambiguous: yes, and no.

Among the huge list of existing antibiotics, there are enough funds that are allowed to use during the period of gestation, since their impact on the embryo is not dangerous. However, there are also such drugs, from reception of which it is necessary to refuse.

It should also avoid the irrational use of antibacterial drugs, taking them without much need: for example, with a cold or ARVI.

[1], [2], [3],

Indications for antibiotics in pregnancy

The use of antibiotics in pregnancy should be fully and completely justified and expedient. It is inadmissible during pregnancy to use antibiotics for prophylactic purposes, and also to take them without prescribing a doctor or to change the dose and the frequency of taking the drug.

Antibiotics for pyelonephritis during pregnancy

Pyelonephritis is often found in women during pregnancy, it contributes to a greater burden on the kidney system. Treatment procedures for this disease can not be postponed.

Usually, the doctor prescribes antispasmodic, analgesic, antiseptic drugs, as well as antibiotics from the list approved for pregnant women. These are ampicillin, methicillin, kanamycin, cephalosporin group preparations. Antimicrobial therapy for pyelonephritis should be performed in a hospital under the supervision of a doctor.

[4], [5], [6], [7]

Antibiotics for sinusitis during pregnancy

Sinusitis is not a disease that affects the outcome of pregnancy, but it gives the woman a lot of discomfort. In this disease, antibiotics are not always prescribed: sometimes it is enough to restore normal breathing and ensure the departure of mucous masses from the sinuses of the nose. Amoxicillin may well be prescribed from antibiotics if its application is justified.

[8], [9], [10], [11], [12], [13]

Antibiotics for polyhydramnios

Polyhydramnios are when the amount of amniotic fluid exceeds the permissible values. Often this condition is provoked by infectious or viral pathologies involving chlamydia, mycoplasma bacteria, cytomegalovirus. If polyhydramnios are caused by an infectious agent, then antibiotics can not be avoided, otherwise it may pose a risk of infection of the fetus.

[14], [15], [16], [17], [18], [19], [20]

Antibiotics for cystitis in pregnancy

Inflammation in the bladder during pregnancy is dangerous because the process can easily move to the uterus and significantly complicate or damage the course of pregnancy. As a rule, pregnant women with cystitis are prescribed only one of two approved drugs - amoksiklav and monural. The latter is most preferable because of the broad spectrum of action and effectiveness of the agent.

[21], [22], [23]

Antibiotic for coughing during pregnancy

Coughing is a symptom of a disease (viral, allergic, and only occasionally infectious). Therefore, antibiotics for coughing are not always necessary. If cough is a consequence of bacterial bronchitis or pneumonia - in such cases, the use of antibiotic therapy is justified. The drug is prescribed by the doctor, taking into account the sensitivity of the pathogen of the pathogen to antibiotics.

[24], [25], [26], [27], [28], [29], [30]

What antibiotics are available in pregnancy?

First of all, it is necessary to remember that buying and taking medications yourself, without consulting a doctor, is absolutely not permissible. Especially it concerns the period of bearing of the child.

Among the admissible preparations, there are those that can be taken during the entire period of gestation, or only at certain times.

Antibiotics approved during pregnancy:

• Penicillin series (do not affect negatively the quality and development of the embryo). To this series are preparations ampicillin, oxacillin, amoxicillin, ampiox, etc .;
• cephalosporin series (have the property of penetrating the placental barrier, but do not have a toxic effect on the baby's future). To cephalosporins should be classified as ceftriaxone, suprax, cefazolin;
• macrolide series (in certain cases allowed in pregnancy, at the discretion of the doctor). These drugs are erythromycin, oleandomycin, roxithromycin, telithromycin, azithromycin (sumamed), etc .;
• aminoglycoside series (gentamicin). It is used only in very severe cases with mandatory strict calculation of the dosage of the drug. In case of non-observance of doses and uncontrolled use, it can provoke hearing impairment in the baby.

Influence of antibiotics on pregnancy

Unfortunately, illness always comes at a time when you least expect it. And even during the gestation of a child, when it is extremely undesirable to get sick and take medications, one must consult a doctor and use antibiotic therapy.

Antibacterial drugs, in addition to therapeutic effects, can have an undesirable effect. Everyone knows the toxic effects of medicines on the liver, intestinal microflora, immune defense functions. All this can affect the overall health of the pregnant woman.

The effect of antimicrobial therapy on the embryo depends quite heavily on the gestation period, because it depends on how much the fetus is protected from the effects of negative factors. Antibiotics in the early stages of pregnancy are dangerous because during this period the embryo does not yet have the level of protection that the placenta can provide. Therefore, any substances, both useful and not very, will necessarily fall to the developing fetus.

Antibiotics in the first weeks of pregnancy should be prescribed only by a doctor, competent in matters of taking medications by pregnant women. True, sometimes it happens that a woman takes antibiotics in the first days of pregnancy, not suspecting her "interesting" condition. The first days are the period of fertilization of the egg and the implantation of the fetal egg. If you are worried about this, in such cases it will not be superfluous to consult a doctor and make some control ultrasound, and also to give hCG to see if the dynamics of the process is disturbed.

Taking antibiotics late in pregnancy can in principle be possible, because at this stage the fetus is already formed, sufficiently protected by the placental barrier. However, there are such drugs that easily penetrate this barrier and harm the child. Therefore, the specialist should make the choice of the necessary antibiotic.

Let's evaluate the possibility of using antibacterial drugs in stages:

Antibiotics in the first trimester of pregnancy

I trimester - the beginning of the birth of a new man, the formation of tissues and embryo systems. At this stage, the baby is not completely protected, and any drug can cause irreparable harm to it. It is for this reason that most of the medicines, including antibacterial drugs, are banned.

[31], [32]

Antibiotics in the 2nd trimester of pregnancy

At this stage, the basic systems of the embryo organs have already been determined. II trimester is the stage of development of the brain and reproductive system, the best time for the use of approved antibiotics. The fruit in this period is already quite independent and quite able to protect itself.

[33], [34], [35], [36]

Antibiotics in the 3rd trimester of pregnancy

III trimester - the child is already practically formed, now his organs and systems are only being improved. In this period, you can take antibacterial drugs from the list of medications permitted during pregnancy, so as not to provoke the child's appearance of pathologies and developmental anomalies.

[37], [38], [39]

Antibiotics of various groups in pregnancy

Penicillin antibiotics in pregnancy - one of the most famous and common in the world. They have a fairly wide range of effects, and are often and universally used during pregnancy. These drugs include ampicillin, amoxicillin, amoxiclav, oxamp and some others.

Amoxiclav in pregnancy is a combined antibiotic agent consisting of amoxicillin and clavulonic acid. The drug is considered one of the safest antimicrobial agents in pregnancy. Can be administered for oral or injectable use.

Ceftriaxone in pregnancy is a strong antibiotic that destroys even those pathogens that are resistant to the effects of other antimicrobial agents. It is used more often in the second half of pregnancy, using as intramuscular injections daily. Ceftriaxone is used for infections of the genitourinary system, respiratory and digestive tracts, skin.

Vilprafen in pregnancy is used for bacterial infections, mainly urogenital. Most often it is used in the treatment of ureaplasma: this pathology is extremely dangerous for both the pregnant woman and her child.

Cefazolin during pregnancy is used only if there are strict indications in the pregnant woman, and only from the second trimester of gestation. Used to treat pneumonia, osteomyelitis, joint infections and bone system, skin, urinary system.

Amoxicillin during pregnancy is a penicillin antibiotic, does not have a toxic effect on the liver, does not provoke fetal development anomalies. Actively used in pregnancy for the treatment of sinusitis, bronchitis, pneumonia, pyelonephritis, lymphadenitis.

Cefotaxime in pregnancy is a cephalosporin antibiotic, not intended for use during pregnancy.

[40], [41], [42]

Lineks during pregnancy after antibiotics

As you know, antibiotics do not influence the state of the intestinal microflora in the best way, especially for long-term use of drugs. Stool disorders, tenderness in the abdomen, flatulence, indigestion are manifestations of dysbiosis. To prevent the development of this condition, it is necessary to discuss with the doctor before taking antibiotics, the possibility of taking medications that normalize the flora of the intestine. These drugs include Lineks - an effective and safe drug for pregnancy. It contains bifidobacteria, lactobacilli, enterococci, restores the level of beneficial microflora, while maintaining the body's immunity. The drug is well tolerated, has no side effects and contraindications (except lactose intolerance).

However, even with respect to such a safe means as Lineks, one should consult an expert. Probably, in your case, any other drug, for example, bifiform, lactobacterin, acipol, enterol, bifidum-bacterin or eubicor, will be appropriate.

Planning pregnancy after antibiotics

Before the beginning of pregnancy planning, most doctors recommend treating all chronic diseases, both in the future mother and the father, in order to avoid their exacerbations during the gestation of the baby. And it is right. However, it is often impossible to treat such diseases without quality antibiotic therapy. What to do?

Reproductive specialists often insist that the beginning of planning should be determined not earlier than 2 months after the completion of antibiotic therapy. Pregnancy after her husband's antibiotics can be planned no earlier than three months later. Why? Antibacterial drugs do not influence sperm cells in the best way: their structure and structure are disturbed, there is a risk of development of embryonic development disorders. It is important that before the conception of such altered spermatozoa left the body, and the update of male sperm need just 2.5-3 months.

Some types of antibiotics may not affect the quality of semen: to clarify the situation, you need to consult a reproductive health expert.

Can a pregnancy test with antibiotics be mistaken? Unambiguously, the test results do not depend on the use of antibacterial agents: the test strip reacts to the level of the human hormone HG, and the antibiotic does not affect the hormonal background. A test error may be caused by a low threshold for the sensitivity of the test strip, or by too early testing.

Doctors do not welcome the appointment of any medications during the period of gestation. However, if a doctor has prescribed antibiotics during pregnancy, then there really is a need. It is much more reasonable to cure a dangerous disease in time than to wait for the infection to strike a small person who has not yet been born.

Antibiotics contraindicated in pregnancy

In the period of gestation, it is better to refuse any medications, especially antibiotics, and take them only in case of acute necessity. There are drugs that, due to their properties, in addition to treating a future mother, can have a negative impact on the developing baby. The names of such drugs should be known and beware of use.

• tetracycline series (has a toxic effect on the embryo, can be cumulated in the bone system of the child). Such agents include doxycycline, morphocycline, and, in fact, tetracycline.
• fluoroquinolone series (the preparations of this group did not undergo clinical trials for their effect on the developing fetus, therefore their use is risky). The most popular among such drugs can be called ofloxacin, ciprofloxacin, nadifloxacin, pefloxacin.
• levomitsetinovy series (may provoke the development of certain types of anemia and disorders of blood formation).
• Nitrofuran series (furadonin, furazolidone). May cause hemolytic anemia and methemoglobinemia in the child.
• quinoxaline series (experimentally proven embryotoxic effect, negatively affecting the embryo and capable of damaging the fetus). Such preparations include dioxidin.
• sulfanilamide series (contraindicated in pregnancy). These preparations are biseptol, bactrim, oriprim, triksazol, novotrimed, oribakt, baktrizol.

[43], [44]