Ill never good, but during pregnancy, there is no worse nightmare. Women should be careful, though Tilden exaggerated. Laura, who is 6 months pregnant, avoid all sick people “like the plague.” And the truth, even if they hurt her friends, Laura is absolutely right and the right to protect against viruses that are around out there and cause an annoying cold or common cold. There is a reason that many people do not know: During pregnancy the body’s defenses are weakened so that the woman’s body does not reject the baby. That’s why this stage of pregnancy makes women become more prone to viruses and infections. Until the flu.

If this is your case, and suddenly you wake up with a cough, nasal congestion, headaches and other discomforts of cold, do not run to the drugstore to buy any OTC medication. That’s right: aspirin, ibuprofen (Motrin, Advil), acetaminophen (Tylenol) and some herbs should be used with caution and never without asking your doctor.

This is because some medications contain substances that may be harmful to the developing fetus, or have not been well studied for use in pregnant women. This is the recommendation of experts and again confirmed by a pediatrician at the University of California at San Diego, USA.

Therefore, it is best to take precautions against cold medications during the months of your pregnancy. Notes!

- Avoid oral decongestants in the first trimester of your pregnancy, as their ingredients are harmful to the development of the fetal abdominal wall. Use saline drops to help with nasal congestion (in the nose) if you need. They sell them at the pharmacy or you can make at home with warm water, salt and baking soda.

- Beware of herbal ingredients (from herbs) found in many nonprescription drugs or recommend you, as the effect of some herbs can be detrimental to your pregnancy or have not yet been evaluated to determine if it has any effect harmful. So when in doubt err on!

- Do not abuse the candy for the throat, as though they may temporarily relieve, may contain vitamin C and zinc, which must be taken in moderation during pregnancy (80 to 100 milligrams per day of vitamin C and 11 milligrams of zinc )

- Note that the cold medicines contain ingredients to combat a variety of symptoms, and may not need all that to feel better.

- Most important: Talk to your doctor without fail!

If you have a cold or cold and you’re pregnant, you better get some rest, you take plenty of fluids, sleep inclined (with several pillows) and do their best to avoid drugs for the sake of your baby. Prevention is also key: eat well, wash your hands frequently and like Laura, stay away from sick people to keep viruses and infections at bay during your months of gestation.

Rest and sedation will be the first step to try to control the blood pressure if it is mild not require hospitalization, maternal-fetal controls will be made within the periods established by the obstetrician.

When the box is moderate or severe, will be used a number of antihypertensive drugs that do not reduce uteroplacental flow, which could be detrimental to the welfare of the fetus. Drugs will be used to accelerate lung maturity, if need be to terminate pregnancy before term.

Should never be used diuretic drugs, nor shall any salt free diets.When checking the fetal lung maturity, will end the pregnancy with an induction to vaginal delivery address if possible, or by performing a cesarean section when circumstances require.

Follow your pregnancy
See when teething or when thumb sucking our test.

Prophylaxis

It is essential to think in this disease in pregnant women when they appear one of the risk factors discussed above.

Monitoring of blood pressure in pregnant women in the OB with each visit will help early diagnosis and the establishment of appropriate control measures.

It has been shown how the early administration of antiplatelet acetylsalicylic acid type also reduce the incidence of preeclampsia. Diets rich in calcium, high protein and rich in vitamin C, antioxidants, also appear to reduce the incidence of this disease.

credit to: Dr. Francisco Javier García Santos, Dra. Vibeke Manniche, Dr. Philip Owen

Doctor visits

- Pregnancy
- Down Syndrome Risk
- Risk of fetal malformation
- Pain during pregnancy
- How to calculate the weeks of pregnancy

There are pictures very slight adequately controlled with rest, and allow the arrival of the pregnancy to term without major complications in mother or child.

The middle tier would be those cases that require admission to inpatient treatment and control with the end of gestation, as fetal maturity guarantees are true.The extreme cases in which termination of pregnancy is essential to save the life of the mother and the fetus is mature lung.

Most symptoms disappear within hours or days of the termination of pregnancy may rarely occur pictures of hypertension and pre-eclampsia in the immediate postpartum period, when they occur but are even more dangerous because they no longer thought both of them.

credit to: Dr. Francisco Javier García Santos, Dra. Vibeke Manniche, Dr. Philip Owen

When after the twentieth week of gestation, the pregnant woman has high blood pressure, fluid retention with edema and protein loss in urine, it triggers the table is known as pre-eclampsia.

Not always happen the three groups of clinical signs and symptoms. It is a picture that requires a very strict control obstetric and sometimes can lead, if not properly controlled, to a cataclysmic picture with grave danger to the mother and fetus.

Why there is pre-eclampsia?

Although the ultimate causes are unknown, it appears that because there is mismatching the uterus at the placental system, which causes the production of a number of substances that will increase the resistance of the vessels and therefore reduce arteriovenous flow to the fetus.There are some unsafe conditions that increase the frequency of occurrence of pre-eclampsia:

- The first pregnancy

- Diabetes, both gestational and pregestational diabetes

- Essential hypertension prior

- Chronic kidney disease

- Previous pregnancies with hypertension induced by pregnancy

- Multiple gestations.

What are the symptoms?

- Elevation of blood pressure. When an elevation of blood pressure above 140/90 mmHg in at least two serial measurements with the patient at rest, or when an increase in systolic blood pressure (maximum) above 15 mmHg, or 10 mmHg diastolic (the lowest).

- Very high blood pressure (above 170/110), are pictures of real gravity and maternal fetal often accompanied by other symptoms such as severe headache, abdominal pain, seeing flashing lights, etc..

- High level of protein in urine. In the normal pregnancy protein in urine are high, in boxes pregnancy-induced hypertension, these losses are higher and facilitate the development of edema in the distal lower extremities, upper extremity edema, facial edema etc..

- Epigastric pain is also a sign of alarm, and is produced by the distension of the lining surrounding the liver. Always accompanied by changes in the production of clotting factors, a fact that further complicates the picture that is this serious disease.

credit to: Dr. Francisco Javier García Santos, Dra. Vibeke Manniche, Dr. Philip Owen

Also, as usual, given prophylaxis against bacterial endocarditis if the patient suffers from congenital heart disease: from the American Heart Association, as if the mother is subjected to any invasive procedure such as tooth extraction, recommend using ampicillin ( or vancomycin if you suffer from allergy to penicillin) and gentamicin.

During childbirth and postpartum, is closely monitored heart rate and breathing as well as hydration by fluid therapy. The best position for the patient undergoes placed on the left side during the period of expansion. Control pain, elevate the heart rate and blood pressure, is another specialist who will assess the position.

To do so, according to the cardiac disease suffered by the mother, are used more opioid anesthetics, because these drugs often used in pregnant women can cause heart patient vasodilation worsening the underlying disease. Since the SEC, brought to the epidural anesthesia as a safe option.

Delivery of choice is the infection because it causes fewer changes in blood pressure, less blood loss and fewer infectious complications and bleeding. If the stage of labor (from full dilation to birth) is extended, the option is the use of forceps or vacuum, which helps to reduce maternal effort by pushing.

However, some studies suggest that caesarean section to vaginal delivery is preferable to some diseases, such as coarctation of the aorta and Marfan syndrome, as during labor and delivery is intermittent increases in cardiac output and pressure blood, threatening to these patients. In entities that do not let the pregnancy to term, the vaginal route may be at greater risk for a premature baby. In addition, it is easier to plan the time of cesarean completion by the vaginal route.

The most critical period is the immediate postpartum period, due to the distribution of blood flow changes after the expulsion of the placenta, bleeding birth itself and the drugs commonly used in the process. Often, these patients should be seated to reduce the venous return of the lower limbs and, in some situations, you use diuretic drugs.

credit to: Montse Arboix

A healthy woman tolerated in general, the changes in your body throughout pregnancy. However, these changes can lead to decompensation in the heart of a pregnant woman with a history of heart disease. If the risk is very high for the mother, experts recommend stopping. If this risk is acceptable, as in most cases, be scrupulous track throughout the process and the immediate postpartum period.

As you go through pregnancy, women experience physical and physiological changes due to circulatory adjustments to a new type and the requirements of the growing fetus. Although these changes occur in almost all organs and systems and their effects on the heart of pregnant women with cardiac disease may endanger their health and her unborn baby.

Changes in blood volume, vascular resistance, heart rate or blood clotting are some major complications. And although it is frequently the Spanish Society of Cardiology (SEC) estimates that heart disease affects between 0.4 and 2 of every 100 pregnant – should take precautions before and during the whole process.

Regular strict control

Although each of the diseases of the heart requires an individualized approach, some recommendations are general in scope: a strict prenatal care by a multidisciplinary team that has a cardiologist, midwife, obstetrician and anesthesiologist, among others, and pay attention to development of any signs or symptoms of dysfunction (such as increased respiratory rate and breathlessness when lying down, increased heart rate, leg swelling due to fluid retention, tiredness, dizziness, coughing up lung sounds abnormal, etc.).

It is important to remember that many of these symptoms caused by heart disease are similar to those typical of pregnancy. It is therefore important that the patient knows prematurely recognize to treat early and avoid greater evils. It is also recommended reducing physical activity to reduce cardiac output (sometimes, you need to rest in bed, especially during the last quarter), to restrict salt intake and increasing calories and vitamins, not to mention the iron. To circumvent complications, it is also necessary to address the early signs of diseases that could cause cardiac decompensation, such as a cold or urinary tract infection.

Similarly, avoid factors that may encourage the development or worsening of arrhythmias, such as caffeinated beverages, alcohol, snuff or toxic substances, among others.

credit to: Montse Arboix

Being either case, both are more likely to suffer complications during pregnancy. For example:

a) is seven times more likely to have hypertension.
b) have a much better chance of bleeding during childbirth.
c) is more likely to suffer from edema, swelling, etc..
d) has more chances of getting varicose veins.
e) prolonged labor (at a rate of 25%).
f) C-sections with complications (at a rate of 33%).
g) Diabetes after pregnancy at a rate of up to 40%.
h) newborn weight higher than normal.

Weight control of pregnant women with weight problems should be under strict medical supervision, since any deficiency or disorder in the calories of the diet, may adversely affect the baby and herself. The pregnant woman should not lose weight but to increase between 9 and 11 kilograms.

In this regard, it should be noted that a low calorie diet should not contain an amount less than the 1,600 calories a day, because otherwise the determination of an inappropriate use of dietary protein, even if your submission is longer than usual. During lactation, observed the same behavior, an increase of up to 1,800 calories daily.

You should always consider your obesity problem will be resolved in the future, after pregnancy and the birth of your baby it is also advisable to take into account the diet of the appendix, and observe if possible before pregnancy.

Between 30% and 40% of weight gained during pregnancy is preserved after delivery (3 to 4 kg in a normal pregnancy). The extra kilos due to calorie diets are more difficult to lose later, and often the same problem of excess weight is repeated in subsequent pregnancies. It must be borne in mind that pregnancy does not completely transform a woman’s body is the power and desire that this change does not involve disruption or the health of the pregnant or the baby.

We must exclude any type of medication to cut the appetite as well as diuretics and thyroid hormones, drugs and other dangerous and banned completely during pregnancy due to the harmful effects to the fetus.

But being too obese is also a risk to the mother. Weight gain means an increased workload of the liver, kidneys and circulatory system, which would add to the body’s efforts to maintain the pregnancy problems of obesity (hypertension, diabetes, edema, swelling, etc.. .) Ideally, start with the ideal weight and in good shape, so that later weight control does not become an obsession or the physician nor the pregnant woman.

My love, I’ve come menstruation!: If your period is late, you suspect you may be pregnant. By the time the notice that is delayed, it will be late and a pregnancy test is likely to give a positive result. However, it can sometimes bleed slightly for a day or two, known as implantation bleeding because the embryo is attaching to the uterus wall.

Note that feel cravings for certain foods and hates other:
What have you heard about a pregnant woman’s appetite is true. It may now be dying from pickles, pasta and other foods, but on the other hand hates other foods you normally like. Nobody knows for sure what causes these changes in appetite, but experts suggest that these changes are at least partially, the way in which nature ensures that you obtain the nutrients you need. Maybe you are dying for bread, potatoes and rich in carbohydrates otrosalimentos: it is likely that the intake of these foods in the first days of pregnancy to help you store energy for later when the baby begins to develop rapidly. Perhaps you may feel very thirsty inthe early weeks of pregnancy, and extra water to drink is going to be useful in increasing the amount of blood and other fluids in the body.

The breast becomes more sensitive and large: Do not be surprised at how big their breasts are placed in early pregnancy. In fact, the increased size and sensitivity of breasts is often the first symptom of pregnancy that you feel because in the beginning of it, levels of estrogen and progesterone increase causing immediate changes in them.