Many women who are in an interesting position cannot but worry about the question - what can be taken? It is worth noting that in most cases, pregnancy and early antibiotics are two incompatible concepts. These drugs can be of synthetic or natural (natural) origin, they are used to suppress the development of pathogenic microorganisms or even completely destroy them.
Pregnancy is a special state of the body when a new life begins within it. And therefore, it is extremely undesirable to influence this process from the outside, especially in the early stages, when all future organs of the child are laid. Nevertheless, there are situations when you can not do without such a medicine. What to do?
Summary of antibiotics
Can all of us determine the cause of a cough or runny nose? It is hardly possible. Only a doctor can prescribe antibiotics, and strict adherence to the treatment course is necessary. This means that in addition to the fact that these drugs can be useless, they can also have a harmful effect on the body. The reason is pretty simple.
As already noted above at the beginning of the article, pregnancy and early antibiotics are poorly combined. These drugs are biologically active substances that differ significantly from other drugs. The thing is their aggressive effect against bacteria. Only here the whole feature is that it is precisely these microorganisms that come under attack, and nothing threatens viruses and fungi.
In addition, most of the drugs in this group (but not all) are very toxic, others (in the minority) do not have such a radical effect, and still others (and such units) are practically harmless. Antibiotics leave behind a number of side effects. Among them are:
- load on the liver;
- destruction of beneficial microflora (in the intestines, vagina);
- development of dysbiosis;
- digestion disorder;
- the appearance of candidiasis or other fungal diseases.
There are drugs that negatively affect the functionality of the kidneys, inner ear.
Another feature of antibiotics
There is another feature of the use of antibiotics in early pregnancy before delay, and it is worthy of attention. To rid the body of the presence of any bacteria, you will have to use not one drug, but a whole range of drugs. Or you need to take for a certain period of time. Moreover, the importance of the selection of these drugs is due to the development of resistance. By this we should understand the following. The bacterium did not disappear from the body, but only subsided, as it were, in anticipation of the right moment (exacerbation, relapse). And when he arrives, then the drugs used will not be of any use. In other words, the bacterium itself develops its own immunity to the effects of the drug.
It should also be noted that most antibiotics do not really know who to attack. Such imperfection has undesirable consequences, since beneficial microorganisms that create a favorable microflora also live in our body. Often their death happens earlier than pathogens.
Many women should remember that if they took antibiotics in the early stages of pregnancy, then for the body it is almost akin to stress. Therefore, it is necessary to take a responsible approach to treatment, weighing all the pros and cons. And if you can do without them, then you should use drugs of another group. However, this does not always happen, and then the doctor is simply obliged to prescribe hepatoprotectors and probiotics in addition.
Short-term use of antibiotics will not do harm, regular - only harm your body. In addition, if a patient has a bacterial infection again, the specialist needs to change the treatment strategy in order to increase the immunity. After all, often the use of these drugs depresses him.
Reason for the ban
Thus, antibiotics are not as harmless tablets or pills as it might seem at first glance. Without a reason, not a single qualified doctor will appoint them, much less a pregnant woman. At the same time, it cannot be argued that taking antibiotics in early pregnancy is strictly prohibited. Sometimes their help is simply invaluable. And again, the appointment of antibiotics is the prerogative of the doctor and no one else!
And that's why:
- These drugs have the ability to penetrate the placenta.
- Antibiotics have an embryotoxic effect, that is, adversely affect the formation of teeth, the performance of the kidneys, contribute to damage to the auditory nerve.
- Pathology in the development of the fetus is not excluded.
- Blood circulation is disturbed.
- The growth of bone structure is slowed down, various tissue defects are formed.
In this regard, only a doctor can make responsible decisions about which drugs can be used without harm to the child.
Inevitable consequences
After taking a number of antibiotics in the early stages of pregnancy, the consequences can hardly be avoided. Moreover, under their influence is not a female body, but just a child due to the ability of substances to penetrate the placental barrier. Once in a child’s body that has not yet been formed, they begin their active work in interacting with developing internal organs. As a result, their activity causes various pathologies and complications.
To this day, scientists do not stop studying the harmful effects of antibiotics on the fetal development. But the fact that in the early stages of pregnancy these drugs cause maximum damage is already proven and no one doubts this.
And if the consequences of antibiotics in early pregnancy can hardly be avoided, then, as for the II and III trimester, their appearance should not be expected. At this time, the internal organs of the child have already formed, and therefore the drugs of this group will not do much harm. At the same time, their intake may cause some deviations in the development of the fetus in the future. And in order to avoid this, one should know which drugs can be used during the period of bearing a child without harm to him.
Indications for pregnancy
Pregnant women should never use antibiotics for prevention, prescribe them to themselves, without a doctor's prescription, change the dosage and frequency of administration. As a rule, these drugs will be useful in the following cases:
- The presence of extensive purulent wounds or burns.
- The course of the inflammatory process in the lungs.
- The presence of pyelonephritis.
- Infectious diseases like brucellosis, listeriosis, salmonellosis.
- Toxoplasmosis.
- Angina.
- Bowel disease.
And this is not a complete list of all the diseases that expectant mothers may have. For this reason, self-medication is unacceptable, in order to avoid the dangerous consequences of taking antibiotics in early pregnancy. Only the attending physician can prescribe suitable medications! At the same time, his instructions should in no case be ignored.
In some cases, such a necessary measure is justified and does much less harm than the possible consequences of the disease. Just here, one folk wisdom will be appropriate, which states that it is better to choose the lesser of two evils.
When there will be no use
There are diseases in which it is pointless to use antibiotics due to the fact that there will be no benefit from this. In addition, such treatment can lead to undesirable consequences for the child. In this case, it is practically impossible to avoid anomalies in its development, and in severe form. Moreover, these consequences may become irreversible.
The effect of antibiotics on early pregnancy can be serious in the following pathological conditions:
- Respiratory diseases of a viral nature.
- Flu.
- The presence of bronchial asthma.
- Allergic cough.
The same goes for candidiasis. This disease is not uncommon among pregnant women. For treatment, only local antifungal drugs are used. But the use of antibiotics will do nothing but harm the body.
List of approved drugs
Throughout the first trimester, women are not recommended to take antibiotics, except in urgent need and only as directed by the attending physician. You can drink these antibiotics in early pregnancy:
- Penicillin group. Amoxiclav, Amoxicillin, Ampicillin, Oksamp are among the allowed antibiotics in early pregnancy before the delay. Their active substance is able to penetrate the placental barrier, but they do not have a negative effect on the fetus. These drugs have a wide range of effects and are rapidly excreted through the genitourinary system. Due to this, they are very popular among pregnant women.
- Cephalosporin group. This includes Cefazolin and Ceftriaxone. These drugs are also able to penetrate the placenta, but in smaller quantities. They also have no influence on the development of the fetus. They can be used in the first trimester.
- Erythromycin, Spiramycin, Josamycin. If a woman has already taken antibiotics in the early stages of pregnancy from this group, she can not worry. Drugs do not have the ability to cross the placenta. Any abnormalities in relation to the fetus when using them do not occur.
- Erythromycin group. This includes Chemomycin, Zitrolide, Sumamed. At this point in time, a negative effect on the intrauterine development of the fetus has not yet been detected. Nevertheless, the use of these drugs is prescribed only in special cases. Their benefits are simply invaluable for the treatment of chlamydia.
The duration of taking such drugs, as the actual dosage, is selected by the attending physician strictly individually, depending on the course of the disease and the characteristics of the female body.
Possible but careful
But in addition to drugs that have no contraindications for use in the first trimester, there is another variety. Here they just can be used only after 12 weeks and then in case of emergency.
Here, pregnancy and antibiotics in the early stages can be combined with each other. These include:
- "Furadonin" - is allowed for admission only during the II trimester.
- Metronidazole group - it is represented by Trichopolum, Metrogilom, Klion. They should be used with caution, since the active substance can cause abnormalities during the development of the nervous system, genitals and limbs of the embryo.
- "Gentamicin" - this drug is also recommended for use only in the most critical vital case. This may include blood poisoning or, more simply, sepsis. Incorrect dosage at any period of pregnancy can lead to hearing impairment, not excluding even its complete loss and renal abnormalities.
As you can see, the total number of antibiotics allowed for use during pregnancy in the early stages is not so large. Now it's time to get acquainted with those drugs that need to be avoided while carrying a child.
Medicines that are banned
Every pregnant woman, and even those girls who are just planning to become a mother, needs to know which medications are strictly prohibited. This is mainly due to the fact that the child himself is under attack, while the female body may not be threatened. And this is due, as has already been noted several times, with the ability to penetrate the placenta, and this organ is responsible for the nutrition of the fetus and performs some protective functions.
But as soon as the active substances penetrate the bloodstream, nothing will deter them from their destructive work. Here is a clear example where pregnancy and early antibiotics do not combine with each other:
- Doxycycline, tetracycline - active substances, passing through the placenta, begin to be deposited in the bone tissues (bones, teeth themselves), which ultimately leads to a violation of mineralization.
- Fluoroquinolones - this category includes Phloxal, Abactal, Nolitsin, Ciprolet, Ciprofloxacin. They also have a negative effect on the joints of the fetus.
- Clarithromycins (Klabaks, Fromilid, Klacid) - this group of drugs has a toxic effect that is inherent in roxithromycins and midecamycins (Rulid, Macropen).
- Aminoglycosides - they can lead to complications of the kidneys of the fetus, and also cause partial or complete hearing loss. The drugs in this category include Streptomycin, Tobramycin, Kanamycin.
- Chloramphenicol - in no case should you use during pregnancy "Olazol", "Syntomycin", "Levomycetin". Taking antibiotics in early pregnancy leads to a violation of the division of blood cells, the bone marrow is at risk.
- Dioxidine - yes, he does a good job of disinfecting wounds with a bang, but he should not be taken during pregnancy.
- Co-trimoxazoles - taking "Groseptol", "Bactrim", "Biseptol" can lead to a slowdown in embryo growth, an increased risk of heart pathologies and various malformations.
As shown by numerous studies, taking drugs of this group inevitably led to serious consequences. Moreover, in the early stages of pregnancy, everything ended in a spontaneous abortion, embryo freezing, or genetic mutations.
Pregnancy planning
It is possible to plan a pregnancy after a course of antibiotic treatment, but subject to certain conditions:
- Wait a while.
- Perform a full examination.
- Get advice from a specialist.
Many doctors strongly recommend curing existing chronic diseases before planning to have a baby. To get rid of some diseases, you will need to take drugs of a fairly strong effect.
There is nothing wrong with this, only after treatment should you wait a few months. How many, the attending physician will tell.
Opinion of the people
On the Internet you can find many reviews about antibiotics in early pregnancy. There were times when someone was prescribed these drugs without even making sure that the woman was in an interesting position. Actually, she herself did not suspect about her pregnancy. Perhaps everything worked out, and the drugs were among the permitted ones.
Where, if not here, the expectant mother can find support and understanding from other women who managed to visit a similar situation!