Tips for safe medication for pregnant women 1. What are the necessary tips for safe medication during pregnancy?
Pregnant for ten months, expectant mothers are most worried about getting sick. Because of the particularity of pregnancy, some drugs can't be used, so expectant mothers should prevent diseases and reduce the chances of taking drugs.
If you accidentally get sick, you should also seek medical attention in time, tell the doctor about your pregnancy and follow the principle of safe medication to treat the disease. Pregnant! For Xiaoying, who is eager to have children after marriage, it is really great news! So before the baby was born, he had become the "national treasure" of the whole family.
Pregnancy is happy, but sometimes it is also tangled, because discomfort or illness during pregnancy may come unexpectedly, and pregnant mothers will inevitably face the problem of medication. Therefore, how to use drugs during pregnancy to ensure the safety of mother and baby has become the primary consideration for most pregnant mothers.
According to relevant data, it is common for pregnant women to take medicine by themselves. Among pregnant women, 65% of them have bought drugs by themselves, 85% of them used drugs above 1 during pregnancy, and 5% used drugs above 10. Drugs have a dual nature. Proper medication can cure diseases, but improper medication will bring harm.
2. How can pregnant mothers use drugs safely?
Pregnant women should know when choosing drugs that the current drugs are classified into A, B, C, D and X according to their risks during pregnancy, and the risks are gradually increasing. Class a is safe to use, and class x pregnant women are prohibited.
Anti-infective drugs are widely used during pregnancy. Among them, commonly used antibiotics such as penicillin, erythromycin and cephalosporin belong to Class B, which is relatively safe for pregnant women and fetuses. But be sure to follow the doctor's advice, master the dosage and avoid excessive use. Some drugs can cause certain damage to the fetus and are not recommended for pregnant women: tetracyclines, quinolones (such as ciprofloxacin and norfloxacin), antifungal drugs (such as clotrimazole, nystatin and griseofulvin), aminoglycosides (such as gentamicin and kanamycin), sulfonamides (such as compound sulfamethoxazole and synergistic sulfanilamide tablets), chloramphenicol and antivirus.
Pregnant women should not choose their own drugs when taking drugs, and should also be careful not to take over-the-counter drugs casually. Medication should be carried out under the guidance of a doctor. Drugs that are less harmful to the fetus should be selected; Use drugs that can or cannot be used as little as possible; Be sure to pay attention to the gestational age and strictly control the dosage and time of medication.
3. How to use drugs safely during pregnancy
Vitamins are indispensable substances for maintaining life. If pregnant women lack vitamin A, it will affect the development of fetal visual organs. Lack of vitamin D will slow down the growth of the fetus.
People often think that vitamin drugs are the safest drugs. But the premise is that it must be taken within the prescribed dose range. If pregnant women take it blindly, it will have adverse effects on the neural tubes of the fetal central nervous system.
Therefore, it is best for pregnant women to take vitamins under the advice of doctors, so as not to be counterproductive. After pregnancy, the secretion of chorionic gonadotropin in the body is strong, causing vomiting and nausea in the gastrointestinal tract.
At the same time, pregnancy will weaken the function of the gastrointestinal tract itself. At this time, excessive nourishing drugs accumulate in the stomach, further affecting gastrointestinal peristalsis and aggravating nausea and vomiting. Ginseng is a product that greatly nourishes vitality. If pregnant women take it for a long time or take it too much, it will make qi flourish and yin fail and yin deficiency flourish.
Abuse of ginseng can easily aggravate vomiting, edema, hypertension and other phenomena during pregnancy, and may also lead to abortion due to bleeding. Therefore, women should not take tonic drugs after pregnancy, especially in the early stage of pregnancy.
Many people know that some western medicines can cause fetal malformation. However, some traditional Chinese medicines can also cause fetal malformation, and even some traditional Chinese medicines have side effects of abortion, but we just don't know it.
Some people have been misled by "Chinese medicine has no toxic side effects" for many years, thinking that Chinese medicine is safe for pregnant women and fetuses. This view is very wrong.
For pregnant women, Chinese herbal medicines, such as promoting blood circulation and breaking qi, advancing attack, aromatic infiltration, and great heat and toxicity, should be banned. The composition of Chinese patent medicine is complex, so it should be used cautiously after considering the needs of the disease and the advantages and disadvantages.
Some commonly used surgical drugs for promoting blood circulation and removing blood stasis, such as Salvia Miltiorrhiza, Carthamus tinctorius, Sanguis Draxonis, Eupolyphaga Seu Steleophaga, Olibanum, Myrrha, and Semen Strychni, can accelerate blood flow, change blood viscosity, and even cause uterine contraction, leading to abortion. Therefore, pregnant women should take the initiative to tell their doctors about their pregnancy when they see a doctor, so that doctors can prescribe appropriate drugs for treatment.
4. What should pregnant women pay attention to in drug safety?
First of all, choose the right time to take medicine.
* * * Oral drugs should generally be taken before going to bed at night, so that the drugs can be fully dissolved and absorbed. Secondly, keep the vulva clean and dry.
Wash the vulva before taking medicine every day, be spacious and breathable, and change it every day. The basin and towel for cleaning vulva should be dedicated by special personnel, and towels and replacement towels should be disinfected every day.
Third, patients with leucorrhea should be washed with lotion prepared by doctors before taking the medicine, so as to reduce secretion and clean * * *, so that the medicine can be better absorbed and the curative effect can be improved. Fourth, the general drugs used by * * * should be sent to deeper places as far as possible. The medicine is not easy to fall off and flow out, can be fully dissolved and absorbed, and improves the curative effect.
Fifth, the treatment should be thorough. Some patients feel the symptoms disappear and stop taking drugs without authorization.
In fact, the pathogen may not be completely killed, leading to recurrent diseases. Therefore, the treatment should be carried out under the guidance of a doctor, and the secretion of * * * should be detected regularly.
Even if the results of the first examination are normal, you still need to continue a course of treatment after the next menstrual period is clean. Only after three consecutive tests are normal can it be called recovery.
5. What is the principle of safe medication for pregnant mothers?
Careful use of drugs during pregnancy does not mean that drugs cannot be used during pregnancy. If you delay taking medicine because you are afraid of causing harm to your baby, some diseases that could have been cured by using medicine correctly as soon as possible will lose the chance of treatment and the consequences will be more serious.
Therefore, if you get sick during pregnancy, you should make a diagnosis and take medicine as soon as possible to prevent the illness from getting worse and hinder prenatal and postnatal care. Therefore, pregnant mothers need to grasp the following basic principles when taking medicine during pregnancy: 1.
The application of any medicine is carried out under the guidance of doctor Yamatonokusushi. 2。
Never use more drugs that can be used less; If it works, don't use it. 3。
When drugs must be used, try to choose drugs that are harmless or have little effect on your baby. If teratogenic drugs must be used for a long time because of treatment needs, pregnancy should be terminated.
4。 According to the therapeutic effect, try to shorten the course of medication and reduce or stop the drug in time.
5。 When taking medicine, pay attention to the words "pregnant mother should use it with caution, contraindication and prohibition" on the package.
Try to avoid unnecessary medication during pregnancy, including health care products. Pregnant mothers suggest careful consumption of ginseng within 3 months before pregnancy.
If you can use one drug, you can avoid combining drugs. If you can use old drugs with positive curative effect, you can avoid using new drugs that have not yet determined whether they have adverse effects on your baby. If you can use small doses, you can avoid using large doses of drugs. 6。
Pregnant mothers should consult doctors after taking teratogenic or possibly teratogenic drugs by mistake, and consider whether to terminate pregnancy according to their pregnancy time, dosage and duration, combined with age and parity. 7。
Avoid using advertising drugs or new drugs that you don't understand. 8。
Pregnant mothers should not abuse drugs, and should not listen to the so-called "remedies", "secret recipes" and "prescriptions" to prevent accidents.
6. How to use drugs safely during pregnancy?
During pregnancy, the third week to the third month of pregnancy is the key period for the differentiation and development of fetal organs. At this time, expectant mothers take drugs, which is more dangerous to the fetus. What kind of drugs, because pregnant women's human trials are too easy to implement, can only be judged from the actual medication experience. Therefore, even in the critical period of fetal development, class A, B and C drugs are seriously ill, it is safer to avoid taking any drugs. Class D and X drugs are dangerous and have passed the critical period, but they have also been evaluated by doctors and used when necessary. In short, expectant mothers can have knowledge of medication and follow the obstetrician. The medical advice of specialists and pharmacists can only ensure the health of them and the fetus. After all, only healthy mothers can give birth to healthy babies. Tips: Regarding non-steroidal drugs, whether Denmark will take non-steroidal anti-inflammatory drugs (NSAID) for pregnant women will cause abortion and birth defects (congenital malformation, low birth weight infants), and a new statistical study has been made on non-steroidal anti-inflammatory drugs commonly used by pregnant women. About 365,438+0% pregnant women have taken such drugs in the first three months of pregnancy, while as many as 65% pregnant women have used such drugs throughout pregnancy. All non-steroidal anti-inflammatory drugs have side effects on pregnant women and fetuses, such as cold medicines, antipyretics and analgesics. Most prescription drugs or over-the-counter drugs such as antirheumatic drugs contain non-steroidal anti-inflammatory drugs, so it is necessary for couples of childbearing age to know this kind of knowledge. Some researchers believe that pregnant women taking aspirin and anti-inflammatory drugs will lead to an increase in the incidence of neonatal congenital malformation and low birth weight, and some researchers have studied the conclusions and can confirm the correctness of the above conclusions. Due to the widespread use of non-steroidal anti-inflammatory drugs, even if the incidence of fetal birth defects is slightly higher, it will have a serious impact on human health. Through census and mathematical statistics analysis, it is concluded that taking NSAIDs during pregnancy has no obvious correlation with birth defects (congenital malformation, low birth weight infants or premature delivery) and abortion.
7. How can expectant mothers who are sick during pregnancy use drugs safely?
The most famous example of drug teratogenicity in the history of improper drug use is the thalidomide incident in the early 1960s.
At that time, thalidomide was found to have a very good therapeutic effect on pregnancy vomiting, which can effectively improve the pregnant reaction of pregnant women. However, before long, obstetricians found that the incidence of neonatal limb short deformity, the so-called seal-like baby, increased greatly.
After investigation, the mothers of these deformed children all used thalidomide in the early pregnancy, which confirmed that thalidomide had obvious teratogenic effect on the fetus. For example, children who take norfloxacin during pregnancy are obviously stunted and show short stature.
It is found that norfloxacin has the side effect of promoting premature ossification of epiphysis in infants, thus affecting their height. Generally speaking, from 18 days after fertilization, that is, within 33 days after menopause, almost no drugs have teratogenic effects; Three weeks to three months after fertilization, that is, 33 days after menopause to 13 weeks, is the sensitive period of fetal malformation, and congenital malformation is most likely to occur.
During 3~5 weeks of pregnancy, teratogenic drugs can cause central nervous system, heart, intestine, skeletal muscle, muscle and other organs or systems malformation; 34~39 days of pregnancy, can cause fetal limb; In 43~47 days, it can cause fetal hypoplasia and rectal stenosis. Pregnancy from 3 months to full term is the last stage of fetal development, which can cause central nervous system or reproductive system malformation.
Drugs that have teratogenic effects in embryonic period include alcohol, diethylstilbestrol, radioactive iodine and chloramphenicol. Different drugs have different hazards. The application of aminoglycosides after 0/4 weeks of pregnancy/KLOC-can lead to permanent fetal deafness and nephrotoxicity. Tetracycline can cause fetal malformation or congenital cataract, necrotizing pancreatitis and infant enamel hypoplasia after 35 weeks of pregnancy. Long-term use of erythromycin can cause fetal obstructive jaundice; Chloramphenicol can cause gray baby syndrome.
Diethylstilbestrol can cause fetal hydrocephalus and other malformations within 14 weeks. Androgen can make baby girls masculine; /kloc-application of progesterone within 0/4 weeks can cause delayed tumor in baby girls; The use of oral contraceptives in early pregnancy can cause congenital heart disease. If a large amount of vitamin A is used during pregnancy 14 weeks, vitamins will lead to low fetal weight, malformation, abortion and skeletal abnormalities. A large amount of vitamin K used in childbirth can cause hemolysis, hyperbilirubinemia and nuclear jaundice in infants. Long-term excessive use of vitamin D can cause fetal hypercalcemia, mental retardation and anencephaly.
The principle of medication does not have to be used. First of all, pregnant women should not use drugs at will, and all drugs that can or cannot be used should be used; Secondly, before taking medicine, we should weigh the advantages and disadvantages from both mother and baby, and we should not give up treatment because of the adverse reactions of drugs, which will worsen the condition and cause harm to mother and baby. When pregnant with tuberculosis, anemia, diabetes and cardiovascular diseases, reasonable treatment is not only harmless to the fetus, but also can prevent the fetus from being affected by maternal diseases.
Generally speaking, in order to prevent teratogenesis, drugs should be avoided in the first three months of pregnancy, especially drugs that have been confirmed or suspected to have teratogenic effects. If you have used some drugs that may cause teratogenesis, especially in the first trimester, it is recommended to terminate the pregnancy. When drugs must be used, we should try to choose drugs that are harmless or less toxic to pregnant women and fetuses, and adopt appropriate dosage, medication route and time, and it is best to detect the blood drug concentration; When pregnant women have to use drugs that are toxic to the fetus, they should be closely observed and use antagonistic drugs if necessary.
Pregnancy is a special period related to the health of mother and child. Medication during pregnancy must be used under the guidance of a doctor (preferably an obstetrician) to avoid harm to the fetus. .