Pregnancy

Causes of Dermatitis in Pregnant Women - Symptoms and Treatment

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An unequivocal answer to this question is impossible, since everything will depend on the degree of neglect of the disease and the effectiveness of treatment.

Differ depending on the severity of the disease:

With mild, initial degree of dermatitis. Only a few skin rashes and tolerable itching are visible. To get the disease gone, you just need to stay away from the allergen.

With moderate severity. The rash is already stronger, it spreads to many parts of the body, and the itching becomes quite painful. In this case, without medical intervention is not enough.

Extreme - the strongest allergic dermatitis, requiring mandatory hospitalization and treatment under the constant supervision of specialists.


Treatment in pregnant women

It should be said that potent drugs for pregnant women are better not to use.

Under the strict supervision of a physician, a pregnant woman should take antihistamine and sedative drugs.

As an additional tool that can alleviate the itching and reduce the rash, ointments and talkers for allergies are great.

If the course of the disease is severe, then pregnant women are prescribed corticosteroid ointments for up to four days.

The list of some anti-inflammatory ointments, for which pregnant women do not have contraindications:

Suitable for all trimesters, but the first one needs the control of the attending physician. Apply on small skin areas.

The instructions for the drug says that the tool can be used at any stage of pregnancy, if the benefit to the mother is higher than the risk to the fetus.

It is applied on any term of pregnancy. When first used, a slight burning sensation may occur.

This is a popular talker, which is often designated as an anti-inflammatory and drying agent. The composition includes zinc oxide, which has an excellent softening effect on the skin. The drug is widely used not only for dermatitis, but also for burns, cuts and scratches.

Use the suspension should be as follows:

  • Clean skin thoroughly,
  • Soak a towel,
  • Shake the product
  • Apply with a cotton swab on the affected areas (if they are large, you can use a cotton pad).

Thus, the areas affected by atopic dermatitis should be treated up to six times a day.

After applying the tool, you should wait until it dries on the skin and begins to crumble into small particles. Only after that you can wash.

To protect the skin from possible drying from Zindol, it can be applied with hypoallergenic moisturizing or nourishing creams.

A great effect is the use of Zindol for the night, when the agent is applied to the skin and is fixed on top of the bandage.

The course of treatment is calculated depending on the neglect of the disease and can range from several days to a whole month.

Treatment by succession

The series is one of the most effective remedies for allergic dermatitis. You need to take a few tablespoons of dried flowers of the series, pour boiling water and leave in a thermos for 3-4 hours.

After strain and wipe the affected areas with a cotton pad. If the affected area is extensive, then the pregnant woman can even take baths from the infusion line.




What is dermatitis?

This group of pathologies includes inflammatory diseases of the skin surface. There are several types of this disease and two forms: chronic or acute. Pregnant women are more likely to suffer from atopic, allergic or seborrheic dermatitis. During pregnancy, pathology becomes a reaction to hormonal changes in the body, contact with allergens: dust, food, plant pollen, household chemicals, and cosmetics. A pregnant woman can show signs of dermatitis at any time. The disease must be treated, the symptoms themselves will not pass.

Dermatitis during pregnancy may be accompanied by stages of remission and exacerbation. The condition of a pregnant woman is worsening due to stress. in contact with food, household chemicals. Dermatitis in future mothers is characterized by the following symptoms:

  • stratification of nails, hair loss (sometimes),
  • hyperemic watery rash on the surface of the skin,
  • unbearable itching, when scratching, secondary infection may occur,
  • rhinitis, increased tearing,
  • mild dermatitis has a mild symptomatic expression.

The average degree of dermatitis is manifested by a rash on the back, chest, face and abdomen, which is itchy. At the last stage of the pathology, all symptoms appear very brightly, severe itching can lead to an emotional or nervous breakdown of the woman. If the rash struck the knees, elbows, abdomen, neck, hands, then this indicates the development of atopic dermatitis during pregnancy.

Pregnant dermatitis can develop as a result of hormonal changes in the body and increases the likelihood of weakened immunity. These same reasons lead to increased sensitivity to external factors, products that have not previously caused allergic reactions. Each form of dermatosis during pregnancy occurs for different reasons. The main ones are as follows:

  • gastrointestinal tract diseases
  • allergens of different etiology,
  • genetic predisposition
  • temporary confrontation of cells of the mother and fetus,
  • UV exposure, frost, wind, extreme heat, high humidity,
  • use of steroid ointments.

During pregnancy, dermatitis can manifest itself in different ways, because this concept includes several varieties of this pathology. The appointment of the doctor for treatment depends on this, so you need to consult a dermatologist for an individual treatment regimen.

Atopic dermatitis in pregnant women (allergic)

The most common type that occurs during pregnancy. There is a development of the disease due to hereditary location, transfers to the baby from the mother. If the symptoms of dermatitis appear during gestation, then a very high probability of manifestation of the disease in a child in infancy or adulthood. Signs of atopic dermatitis are represented by skin rashes that itch, scaly and have a red tint.

The disease may be mild, moderate or severe. Pathology requires treatment, as a rule, you need to follow a special diet, but when switching to the average form, probiotics (Bifidumbacterin) and sorbents (Filtrum, Enterosgel) will be needed. At the severe stage of dermatitis, hospital treatment will be needed, it is necessary to take anti-allergic agents (Claritin, Tavegil, Suprastin).

Polymorphic dermatosis of pregnant women

Diagnosed, as a rule, in the last trimester. The reason is the rapid increase in body weight of the child. Externally, the pathology manifests itself in the form of plaques on the abdomen, which are very itchy. This form of dermatitis does not affect the fetus and passes by itself after childbirth. To alleviate the condition of the pregnant woman prescribe antihistamine, corticosteroid drugs (creams, ointments).

Perioral dermatitis

This form is manifested by a watery rash of red, pink color on the face, accompanied by itching. Perioral dermatitis does not pose a threat to the health of the fetus or mother. For the treatment of this pathology do not use a full-fledged treatment regimen during pregnancy, because antibiotics are needed. These drugs are extremely bad for the health of the baby, so therapy begins only in the second trimester. A dermatologist may prescribe Elok, Metragil (antibacterial drugs) to the patient to alleviate the condition.

Dermatitis during pregnancy is treated depending on the manifestations on the body pathology, the degree of skin lesions. To avoid complications, the development of the disease is possible only when going to a doctor and prescribing a course of treatment. The doctor will take into account the form of the pathology, the type and determine the appropriate antihistamine, sedative drugs. A specialist will definitely prescribe antiallergic ointments, talkers for external use to reduce the degree of manifestation of unpleasant symptoms.

Dermatitis ointment during pregnancy

If the pathology does not bring discomfort to the woman, has only external manifestations, it is not necessary to treat it. Doctors often reassure the pregnant woman that after childbirth everything goes away by itself, therefore no one even does dermatitis self-medication. Such cases are rare, often the disease is accompanied by severe irritation of the skin, itching. It is necessary to conduct a qualified therapy that alleviate the state during pregnancy. Self-medication is contraindicated because unconscious medication may harm the fetus.

As a rule, for the treatment of dermatitis use sedatives, antihistamines. For outdoor use can be assigned:

  • corticosteroid ointments,
  • antipruritic talkers,
  • chlamine cream,
  • ointment of eucalyptus and sea buckthorn,
  • when papillomas appear, it is necessary to remove them after birth surgically,
  • with the development of herpes, it is necessary to use boromentol, acyclovir,
  • to relieve itching with psoriasis can give direction to phototherapy.

Losterin during pregnancy

This medicine belongs to the latest generation of drugs that help eliminate skin irritations of different nature. The tool has a balanced composition, a high degree of effectiveness and a simple method of application. Relief comes in a short period after use, which made this drug popular. The tool belongs to the group of non-hormonal ointments, is effectively used in pregnancy for the treatment of lichen, eczema, psoriasis.

The absence of hormones in the composition eliminates the harm from use during pregnancy, this is the main advantage of the tool. No negative effect of Losterin in the treatment of dermatitis on the mother or child was observed, the habituation effect was not observed, healthy skin areas are not damaged if the cream is injected. The release form - cream for external use, the following components are a part:

  • glyceryl,
  • deresinated naphthalan,
  • urea,
  • propylene glycol,
  • stearyl alcohol,
  • almond oil
  • Sophora extract.

Folk remedies

All the methods described below are not effective when used alone, can only be recommended as part of complex therapy. When diagnosed dermatitis during pregnancy, breastfeeding need to choose a safe tool. Folk remedies are soft medicines, you can use:

  • lotion soaked in Kalanchoe extract,
  • compresses soaked with a decoction of rosehip oil, oak bark,
  • freshly squeezed potato juice is applied in the form of compresses,
  • apply birch sap to the affected area,
  • cabbage leaf for a bandage for several days to a disturbing area of ​​skin,
  • tablespoon bedtime decoction of nettle and elderberry in a ratio of 1: 1.

Prevention

During pregnancy, a woman should be very careful about her health and baby. The main task of the woman is to avoid stressful situations, eat right and follow the following rules:

  1. It is recommended to consult a doctor before pregnancy. It will help identify possible contraindications.
  2. It is necessary during pregnancy to be very attentive to the compilation of the menu, because dermatitis or neurodermatitis very often occurs on the basis of improper diet. It is necessary to exclude seafood, chocolate, coffee, fruits and vegetables of red color, carbonated drinks. During pregnancy, it is better for girls to create a menu with a nutritionist to avoid dermatitis.
  3. You need to use more water, but you should take into account that because of the excess fluid, swelling sometimes occurs.
  4. Do wet cleaning in the room more often; during pregnancy, clean air, the absence of dust and allergens will help to avoid dermatitis. Because of changes in the body, even food, things, flowers that have not previously cried for dermatosis can provoke it.
  5. For the period of pregnancy it is recommended to use hypoallergenic cosmetic, household products.

Course of pregnancy

Atopic dermatitis does not prevent the conception of the child, does not affect the course of pregnancy and does not prevent the development of the fetus. Births with this pathology are without features. Severe itching and insomnia can cause the future mother to feel unwell, but the undesirable effect of the disease ends there. Specific complications of pregnancy with atopic dermatitis is not observed.

During pregnancy, many women notice a decrease in the symptoms of the disease or even their complete disappearance. This phenomenon is associated with increased production of cortisol during pregnancy. After giving birth, all manifestations of atopic dermatitis will return after 3-4 months. In anticipation of a baby, severe exacerbations of the disease are extremely rare.

Consequences for the fetus

Is the disease inherited? There is a certain genetic predisposition to atopy - a hypersensitive reaction of the body to certain substances (allergens). Tendency to atopy is inherited. It is impossible to predict in advance how this disease will manifest itself in a child: in the form of atopic dermatitis, pollinosis or bronchial asthma. Atopic parents should be especially attentive to their baby and, if possible, eliminate all factors that can lead to the manifestation of the disease.

What is the probability of transmission of the disease? It is known that in the presence of atopic dermatitis in both parents, the risk of developing a pathology in a child is up to 80%. If only one parent has a problem, the probability of inheritance of the disease is between 30% and 50%. The risk of developing atopic dermatitis in a child with unceremonious hereditary history is 20%.

Principles of treatment

All the symptoms of atopic dermatitis are primarily supersensitive to the skin. Cure this disease completely impossible. All that can be done is to eliminate the symptoms and alleviate the condition of the woman. For this purpose, a number of measures are being taken aimed at moisturizing the skin and preventing their drying in the future.

Non-drug therapy

Non-drug treatment includes:

  1. Termination of contact with possible allergens. Carpets, soft toys and any things that keep dust away should be removed from the house.
  2. The creation in the room where the pregnant woman resides is the optimum humidity (50-70%) at air temperatures up to 22 ° C. In such conditions, the skin will not dry out, which will speed recovery and reduce the risk of disease recurrence.
  3. Daily wet cleaning and ventilation of the room.
  4. Constant moisturizing of the skin with cream-emolanty.
  5. Compliance with a hypoallergenic diet (especially when combined with food allergies).

Skin care is an important element in the treatment of atopic dermatitis. For moisturizing the skin, special emollient creams are used (Emolium, Lipikar, Losterin, etc.). Daily care products do not allow the skin to dry out, reduce the risk of irritation, cracking and abrasion. Use the cream should be after a shower, as well as severe dryness of the skin during the day. At the initial stages of the disease, the emolent is applied to the affected area after the inflammation subsides (as the second stage of treatment after steroid ointments and creams). In the future, it is recommended to use emollients constantly as a basic skin care product (even in the complete absence of symptoms of the disease).

Diet is another important point in the treatment of atopic dermatitis. When exacerbation of the disease is recommended to exclude from the diet the following products:

  • cocoa, chocolate,
  • nuts,
  • honey,
  • citrus and exotic fruits,
  • fish (including fish broth),
  • spicy and spicy foods.

After improvement, you can gradually add these products to your diet (in small portions and under the condition of good tolerance). The basis of the diet in the period of exacerbation should be vegetable dishes, steamed. Fermented milk products will benefit: yoghurts, kefir, cottage cheese without additives. In case of intolerance to cow's milk, it should be excluded from the diet.

Drug therapy

For the treatment of atopic dermatitis during pregnancy, the following groups of drugs are used:

Local funds

In the treatment of atopic dermatitis, corticosteroid ointments, creams, lotions and gels are widely used. The choice of drug will depend on the form of skin lesions. The effect of the use of steroid means comes quickly enough. Already on the second day of treatment, itching subsides, the size of the spots decreases. Dry skin lasts for a long time. To moisturize the skin, it is recommended to use special emollient cream.

The use of corticosteroid drugs during pregnancy is very limited due to the possible risk to the fetus. The medicine is selected by the doctor, giving preference to means that do not penetrate the bloodstream. Creams and ointments are used in a short course on small areas of the skin. Self-treatment of atopic dermatitis during pregnancy is not acceptable.

Enterosorbents

Sorbents are the means that promote the removal of allergens from the body through the digestive tract. Эффективны при сочетании атопического дерматита с пищевой аллергией. Курс терапии составляет около 3-5 дней. Возможно использование схожих по действию препаратов внутривенно.

Other medications

For the treatment of atopic dermatitis in pregnant women can be used such tools:

  • drugs that improve the digestive tract (probiotics, enzymes, bacteriophages),
  • vitamins
  • antibiotics (in the case of a bacterial infection).

Antihistamines and other systemic drugs are practically not used during pregnancy.

Pregnancy Allergy - Double Threat

As a rule, pregnancy allergy is rarely manifested for the first time. Most women have a clear idea of ​​"their" allergens and manifestations of the disease, but there may be exceptions. Pregnancy acts as a catalyst, exacerbating the problem.

Table: Where allergens can trap pregnant

The immune system of a woman during this period works, as they say, “for wear”, so the reaction to a particular cosmetics product or food product can be unpredictable.

Allergies in pregnant women can occur with varying degrees of severity. For convenience, they are divided into 2 groups. The first includes mild symptoms:

  • Allergic rhinitis accompanied by serous discharge from the nasal cavity, nasal congestion, sneezing.
  • Conjunctivitis on the basis of allergies manifests itself enhanced tears, fear of light, corneal redness. Allergic conjunctivitis and rhinitis often occur simultaneously.
  • Urticaria, allergic dermatitis. Manifestations of contact dermatitis is the appearance of a rash on the abdomen, back or chest area. Dermatitis is manifested by swelling of the skin, itching, redness. The urticaria in its appearance resembles a “burn” from stinging cells of nettle.

The second group includes systemic reactions with a severe course:

  • Quincke’s edema (swelling of the eyelids, lips, tongue, trachea), called “giant urticaria”, is manifested by a sudden swelling of the mucous membranes and subcutaneous fatty tissue in the face and neck. Of particular danger is swelling of the trachea and larynx, which can lead to serious breathing problems.
  • Anaphylactic shock manifested by impaired consciousness, a sharp drop in blood pressure. If a woman is not helped, she may die.

These are immediate type allergic reactions. In case of delayed allergies, the allergen accumulates in the body (often a delayed allergy develops against the background of several allergens).

Immunocomplex reaction can be one of the causes of glomerulonephritis, rheumatoid arthritis and other diseases.

Pregnancy allergy - effects on the fetus

Photo: Baby in the womb. Remember, everything you do affects your baby. Care should be taken when treating allergies during pregnancy and not starting a disease.

Allergies are especially dangerous. first trimester of pregnancy, since the organs, systems and tissues of the fetus are in their infancy, and the placenta with its protective functions is not yet fully formed.

In the second and third trimesters an allergy does not have a negative effect on the fetus, because a fully formed placenta does not pass antigens. But poor health of the pregnant woman, depressed moral status can adversely affect the health of the child.

Predisposition to allergies can be inherited: if the mother is sick, the probability of transfer to the child is 40%, if the father, then 20%, if both parents are 70%.

In addition, allergic reactions can threaten the life of the expectant mother, and uncontrolled intake of antihistamines can cause fetal malformations and premature termination of pregnancy. When self-administered medicines can not accurately answer the question "Will the baby suffer?". Therefore, you should consult an allergist and a gynecologist as to what doses should be taken to treat allergies.

Diagnosis of pregnancy allergies

Photo: Allergy in pregnancy on the stomach, accompanied by itching

Diagnosis includes a blood test for allergies, namely:

  • total level of IgE antibodies
  • allergen screening of blood, which determines specific antibodies,
  • skin tests
  • history taking,
  • keeping a food diary in case of suspected food allergies.

The physician should be aware of the patient's position in order to prescribe optimal diagnostic methods for her.

How to treat allergies during pregnancy

Treatment of allergies in pregnant women is quite diverse. Below we describe what can be taken to get rid of the main symptoms of allergies.

Remember that the main task of drugs in this exciting period is the safe and effective elimination of allergic symptoms without the risk of adverse effects on the fetus. Medicines should be used extremely carefully and only as prescribed by a doctor.

Allergic rhinitis

Nose drops, which are used for the common cold, help a lot in allergic rhinitis.

The best for pregnant women are the means with the content of sea salt.

  • Drops Marimer and Aqua Maris,
  • Complex Dolphin with sea salt and herbs,
  • Spray Dr. Theiss Allergol sea ​​water

In addition to the above, you can use:

  • Pinosol - contains extracts of mint and eucalyptus, which improve well-being during allergic rhinitis.
  • Spray Prevalin - forms a thin foam on the mucous membrane, blocking allergens.
  • Drops Salin - The main active ingredient is sodium chloride. Promotes cleansing of the nasal cavity.

Itching, rash, peeling

Photo: Zinc ointment (photo is increased by click)

A good tool is an ointment, they will help get rid of skin allergies during pregnancy - rash, skin dermatitis. For example, zinc ointment has a pronounced drying effect.

Similarly, you can use and suspension Tsindolcontaining zinc oxide.

A good option - creams that contain extracts of medicinal plants. In atopic dermatitis, a thin layer of the affected area helps. Physiogel A.I.

Before use, be sure to test for allergies on a small area of ​​skin. If redness does not occur, the drug can be used.

Food and drug allergies - cleaning the body

This type of allergy is most often characterized by urticaria and other skin rashes. The first step is to eliminate the allergen from use, and after - to clean the body. This will help:

In case of severe allergy, accompanied by itching or scaling, in the first days you should take a double dose of any sorbent, for example, activated carbon.

The dose is calculated as follows:

1 tablet of means on 5 kg of weight of the person.

How easy it is to calculate: divide your weight by 5. This will be the number of pills.

Use 2-3 times a day for 1-2 days. Next comes the usual dose - 1 tablet per 10 kg of body weight.

Can I take pills for allergies during pregnancy?

What allergy pills can you get pregnant? - The answer to the question can only give a doctor

As for antihistamines, then, unfortunately, there are no absolutely safe drugs for a pregnant woman. Consider how to treat allergies during pregnancy, which antihistamines can be used on this doctor’s recommendation, and which antihistamines are completely prohibited.

It is necessary to take into account the indications and contraindications of antihistamines in order to choose the right way to treat allergies in pregnant women, especially in severe cases.

It should take only drugs prescribed by a doctor, since many drugs can adversely affect the course of pregnancy and the development of the fetus, and the specialist is able, based on all the data collected during the diagnostic process, to prescribe a safe and effective treatment.

H1-histamine blockers

Blocking histamine receptors, thus eliminating the symptoms of an allergic reaction. There are 4 generations of these drugs, where each subsequent is characterized by fewer side effects and the strength of their manifestation, a longer action. The following are the main tableted products category H1 and the possibility of their use in different trimesters of pregnancy.

1st generation
  • Diphenhydramine. It is strictly contraindicated throughout pregnancy, since it affects the contractility of the uterus when taken in a dose of more than 50 mg. In extreme cases, it is possible to use only in the 2nd trimester.
  • Suprastin. This drug is contraindicated in pregnancy, although there is no reliable information about its effect on the fetus. The drug is not prescribed in the first trimester of pregnancy and in the later periods.
  • Tavegil. The drug is used only when absolutely necessary, when it is not possible to use another tool. In the first trimester, the drug is not used. Animal experiments showed the presence of malformations in the fetus.
  • Pipolfen (piperacillin, diprazin). Clinical data on the use of this drug is not, therefore, its use is contraindicated. If necessary, taking medication during lactation should be discontinued.
2nd generation
  • Claritin. No negative effect on the fetus and maternal organism has been identified, but, at the same time, the reaction of a pregnant woman to the drug may be unpredictable. For this reason, claritin is prescribed to a pregnant woman only as a last resort.
  • Terfenadine. Undesirable during pregnancy, can lead to weight loss of the newborn. It is used if the effect of use exceeds the risk to the fetus.
3rd generation
  • Fexadine. These allergy pills for pregnancy are contraindicated.
  • Zyrtec (the second name is cetirizine). Teratogenic effect from the use of the drug has not been identified, but it is able to penetrate into breast milk.
  • Allertek - can be used in 2 and 3 trimesters as prescribed by a doctor

Corticosteroids

Available in the form of tablets, injections, as well as ointments and creams. The mechanism of action of corticosteroids is based on the inhibition of Th-2 cytokines “responsible” for the occurrence of an allergic reaction.

It has been established that the use of such drugs as Dexamethasone, Metipred significantly reduces the resistance of the female body to various infections, and therefore also has a negative effect on the fetus. That is why, corticosteroids are prescribed to a pregnant woman, if the traditional antiallergic drugs do not give the desired effect.

Allergy Treatment in Pregnant Folk Remedies

Folk remedies are mainly used in the treatment of skin manifestations of allergy in pregnant women.

When coughing, inhalation with mineral water, from which all gas is pre-released, helps. You can use Borjomi, Essentuki (№4, №17) or Narzan. An hour after this procedure, in addition carry out inhalation with oils - eucalyptus, peach or olive.

Please note that allergic manifestations may increase when using herbal decoctions.

Urticaria during pregnancy

From the skin itch relieve solutions salicylic acid or menthol. Use a disc or cotton swab to wipe the affected areas. Unpleasant sensations disappear in just a few minutes.

With severe pruritus it will help. infusion of plantain leaves and dill seeds. The mixture (a tablespoon of dill seeds and the same crushed leaves of plantain) is poured with boiling water (0.22 l), infused for about two hours and used to wipe the affected areas.

Allergic dermatitis

To wipe the skin use decoction of chamomile, calendula, St. John's wort and sage. Mix a tablespoon of each component. Then one tablespoon of the mixture is brewed with a glass of boiling water. Infusion can be taken inside as well (1/3 cup, three times a day).

Well helps minced plantain leafmixed in equal proportions with calendula and chamomile flowers. Four tablespoons of the mixture brew 0.5 liters of boiling water. Apply to wipe the skin and compresses. A good option for lotions is a decoction of oak bark.

Broth oak bark and rosehip oil extract also treat allergic dermatitis.

  • 100 grams of oak bark are boiled for 30 minutes in 1 liter of water, used in the form of rubbing and compresses.
  • Oil is extracted from the seeds of wild rose, used externally and inside of 1 tsp. in a day.

Allergic Eczema

To cope with such manifestations of this disease helps fresh cabbage leafwhich is tied to the affected place. The sheet is changed once a day, until the symptoms disappear. You can also use compresses with chopped cabbage and egg white (3 tbsp. 1 protein).

Will help and herbal tea: buckthorn, fennel (in 2 parts) mixed with dandelion roots, chicory and watch leaf (1 part). A tablespoon of the collection pour a glass of boiling water, boil for half an hour. Take twice a day for ¾ cup.

In addition, you can use apple cider vinegar or birch juice:

  • Apple cider vinegar, water and a raw egg are mixed in a ratio of 1: 1: 1, used as a compress.
  • Birch sap wipe the skin.

Allergy succession during pregnancy

The decoction of the train relieves itching and redness, has a soothing effect. The course can last up to several years, but for 20 weeks of use should be done 10 weeks break.

One application: 1 tsp. herbs in a glass of boiled water, use instead of tea / coffee. The same solution from 3 tsp. on a glass of boiling water can be processed skin.

Before using any folk remedies and vitamins should consult with an allergist.

Natural antihistamines for pregnant women

Can natural substances help prevent allergies or smooth out symptoms? Below we describe the possibility of reducing allergies without the help of antihistamines.

Vitamin C or ascorbic acid

Minimizes allergic manifestations such as bronchospasm or runny nose.

The recommended daily dose ranges from 1 to 3 g.

Should be taken gradually, starting with 500 mg / day and then gradually increase the dose to 3-4 g.

Fish oil and linoleic acid

Prevents symptoms such as rashes, itching, redness of the eyes and excessive tearing. Acceptance of these drugs depends on the characteristics of the body.

Vitamin B12

It is a universal natural antihistamine. It will help you reduce the symptoms of allergic asthma or dermatitis. Take 500 mcg for 3-4 weeks.

Zinc preparations

Zinc helps reduce allergies to various chemical compounds. It is necessary to accept inside only in a complex form as a part of drugs.

Olive oil

Oleic acid, which is part of the oil - an excellent anti-allergic agent. Therefore, it is useful to use this type of vegetable oil for cooking.

Perioral type

Symptoms are small watery rashes on the face.:

  • pink or red
  • accompanied by itching.

Perioral dermatitis does not pose a threat to the health of the mother and the unborn child.

Appear in the form of:

  1. stretch marks
  2. skin atrophy,
  3. band-like atrophoderma - a kind of atrophyskin in the form of:
  • narrow wavy stripes of different widths,
  • with color from white to red-violet,
  • formed in places of the greatest stretching of the skin.

Causes

The main cause of dermatitis in women are malfunctions in the body, which most often occur during pregnancy.

An important factor here is weakened immunity.

There is also a sensitivity to certain foods and external factors.

As a result, allergies can develop even among those who have never encountered a similar problem before.

Each type of dermatitis has its own reasons.

Here are some of those that may be the root causes for the occurrence of the disease:

  1. the effect of various allergens,
  2. temporary incompatibility of fetal and maternal cells
  3. the use of drugs containing steroids,
  4. gastrointestinal tract diseases
  5. inheritance predisposition,
  6. adverse meteoric conditions (such as rain, wind, etc.).

In the case when a pregnant woman is prone to problems of a similar nature, it is necessary:

  1. before the onset of pregnancy to prevent all risks,
  2. not to use exotic foods, especially if the future mother never tried them before,
  3. to consult with the doctor, in order to avoid the recurrence of the disease during childbirth.

Medicamentous

Often, expectant mothers do not cure the rash properly, as they are confident that this disease goes away by itself after giving birth.

Very rarely, symptoms appear only externally, not causing any trouble to a woman.

Usuallyskin diseases are accompanied by:

  • severe itching
  • irritation
  • dry or watery.

Therefore, without appropriate treatment it will be very difficult to cope with such unpleasant feelings.

The selection of drugs for the treatment of dermatitis in pregnant women should deal with a doctor.

Affected skin requires care that gives you peace of mind and positive well-being.

Usually, doctors for internal use prescribe antihistamines (which, however, are not suitable for all expectant mothers) and sedatives.

However, each type of dermatitis in pregnant women has an individual treatment.

ethnoscience

You can consult with your doctor about the use of existing and, importantly, safe for the fetus folk remedies:

  1. compresses decoction based on oak bark, rosehip oil,
  2. can be applied to the affected area diluted birch sap,
  3. dressing from the cabbage leaves, you need to keep a few days,
  4. lotions based on Kalanchoe extract,
  5. drink a decoction of elderberry and nettle, which are mixed in a 1: 1 ratio, take a tablespoon before bedtime,
  6. make compresses from freshly squeezed potato juice.

It should be noted that the above methods are not always effective in treating this disease.

Therefore, their use should take place under the strict supervision of the doctor.

Important! Traditional medicine can equally help and harm.

Based on this, you should strictly follow the instructions of the doctor and have patience, which will help you safely transfer this important period of your life.

Atopic and allergic

The main goal of treating atopic dermatitis in pregnant women is to relieve symptoms, which can greatly facilitate the life of a pregnant woman.

It is strongly recommended to use medicinal products only as prescribed by a physician.

  1. moisturizing preparations. These funds can be used repeatedly throughout the day. The range of ointments is quite large, so you can choose the exact remedy that suits you. These drugs are designed to replace conventional soap, so as not to overdry the skin, moisturize the damaged areas and bring some comfort to the woman. It is also not recommended to take baths too often to keep the skin in tone.
  2. steroid creams, ointments. These remedies are also used to suppress symptoms. It is recommended to apply them only on those skin areas that have undergone the disease.

For example, when a rash appears on the arms, external agents are applied to the rash.

It is advised to use only weak, such as hydrocortisone, or medium-strength creams.

The dosage of the cream should remain minimal and comply with the doctor’s prescription.

And yet, for acute forms of atopic dermatitis, using a more potent steroid cream will always be safer than taking steroid tablets.

  1. steroid pills. The use of this tool is an extreme method. It can take place only in a short period of time, with a small dosage. When exacerbations of dermatitis in pregnant women, prednisone is prescribed.
  2. antibiotics. In severe cases where dermatitis is infected with bacteria (soak), some antibiotics may be prescribed.

In some individual cases, patients may be given treatment with ultraviolet rays that do not harm either the baby or the mother during pregnancy.

Do not use means:

  • who have not passed clinical studies
  • not allowed for use during pregnancy,
  • as well as those that are able to suppress the mother’s immune system.

Among them, in the first place we can name tacrolimus, pimecrolimus.

You can relieve the itching of your skin with antihistamines.

Safe for the fetus means are:

  • sedatives: clemastine, chlorpheniramine,
  • non-sedatives: loratadine, cetirizine, etc.

The condition of the skin depends on the diet of the pregnant.

Therefore, at the slightest suspicion of rash, special attention should be paid to the products that a woman eats.

Products such as:

  1. fatty, fried,
  2. canned foods
  3. pickled, salty food,
  4. alcoholic beverages
  5. coffee,
  6. fast food,

It is also not superfluous to protect a pregnant woman from all sorts of stresses and shocks.

Perioral form (increased skin hydration syndrome)

External therapy:

  1. cream, ointment based on metronidazole. Application: apply to the affected skin twice a day (morning and evening). A gel with 2% erythromycin will also be effective.
  2. azelaic acid has a beneficial effect
  3. Protopic 0.03% can be used for the face and 0.2% for the rest of the body,
  4. ointments containing zinc are recommended. At the same time, you need to use sunscreen with at least thirty units of photoprotection.

Antibiotics can also be part of the treatment:

  1. Minocycline - one hundred mg twice a day until the redness completely disappears, then one hundred mg once a day, and gradually reduce the dose, taking the drug throughout the month,
  2. Doxycycline is accepted if minocycline did not give a positive result,
  3. Tetracycline - Five hundred mg twice a day. Take until the rash disappears, then gradually lower the dose and take over the course of a month,
  4. In cases where itching has taken a severe form, it is advised to take antihistamines,
  5. When emotional means need to take anti-stress,
  6. To raise immunity, take vitamins,
  7. To heighten the effect, you can use a tool such as massage with liquid nitrogen,
  8. If possible, avoid exposure to direct sunlight.

With oral dermatitis, you must follow a diet.

It is necessary to avoid eating:

Be sure to consult your doctor about your diet, as each type of dermatitis requires food specifications.

Naturally, you need to exclude from the diet such products as:

It is desirable to use in food products containing fiber.

Toxic erythema

In most cases, it is easy and does not need medical intervention.

In case of acute formpolymorphic dermatosisappoint:

  1. drink as much fluid as possible
  2. antiallergic drugs (usually orally),
  3. treat affected areas with antihistamine ointments, creams).

Baby Care Tips:

  • avoid too tight swaddling, tight clothing, as this can increase irritation,
  • be sure to bathe the baby regularly,
  • avoid excessively high temperatures in order to avoid large perspiration and slow and slow evaporation (fraught with hemorrhagic).

Allergies - an unpleasant phenomenon that brings a lot of trouble to a person, and sometimes can lead to the most sad consequences. She is especially worried about pregnant women and those who are planning a pregnancy: each of them thinks about the impact this condition can have on the baby. So, is there a risk to the health of the child if the mother suffers from allergic manifestations, and what to do in such a situation?

Pregnancy allergy: effects on the fetus

Allergy and pregnancy

Maternity and allergies are far from an ideal combination, especially if you take into account that it is completely impossible to cure this condition, and drugs only eliminate the symptoms. But there is good news. In the period of carrying a child in the female body increases the production of a hormone called cortisol, which has antiallergic effect. In other words, even in women suffering from severe allergies, asthma or hay fever, these diseases usually manifest themselves mild or absent altogether. After birth, cortisol levels gradually return to normal and unpleasant symptoms recur. But at the same time, there are a number of women who, during the period of carrying a child, have allergic manifestations, on the contrary, become aggravated.

Where may be allergens

Another allergic manifestation that occurs in 2% of pregnant women is bronchial asthma. Usually, this disease does not manifest itself in the period of childbirth, but much earlier, therefore, a woman who knows about her problem should report this fact to her doctor.

Allergy and child health

Manifestations of allergies do not threaten the child’s condition, since toxins that cause specific symptoms are not able to overcome the placental barrier and enter the fetus.

The manifestations of allergy of the future mother does not threaten the condition of the child

However, with manifestations of a head cold, when a woman has difficulties with nasal breathing, the baby can also experience oxygen starvation, and the discomfort that the mother is experiencing always affects the child. In addition, the risk of fetal allergy in this case increases.

But the real danger is represented by medical devices that usually take allergy sufferers to alleviate their condition - some of them are able to impair the blood supply to the fetus and cause serious disturbances. Especially carefully you need to treat these drugs in the first three months of pregnancy, when all the organs of the baby are formed.

Risk factors

One of the causes of allergy in the future mother can be the reaction of her body to the fetus itself. The mechanism of occurrence of the disease in this case is similar to that which is present during the development of toxicosis - the female body reacts to the fetus as an alien body, resulting in allergic symptoms. They arise at the beginning of pregnancy (up to 12-14 weeks) and go away on their own after a woman gets used to her new condition. In addition, the following factors can cause allergies:

Foods that cause the most allergies

  • some products
  • animal hair, bird feathers,
  • poplar fluff, pollen of some plants,
  • insect bites,
  • hygiene and household products, cosmetics,
  • cigarette smoke,
  • dust mites,
  • severe stress.

Allergy symptoms

Since many women suffer from symptoms similar to signs of allergy (it can be both physiological manifestations and colds, SARS, etc.), it is important to be able to distinguish between normal and pathological conditions. The fact is that it is impossible to ignore the signs of allergy - they can lead to very dangerous phenomena: in particular, Quincke’s edema and anaphylactic shock. The first state is manifested by edematous phenomena in soft tissues or mucous membranes, which are most often noted in the region of the face and head, larynx, gastrointestinal tract, and extremities. In anaphylactic shock, there is a decrease in blood pressure, loss of consciousness, respiratory disorders, and abdominal pain.

What is allergy and its pathogens

Allergy symptoms that develop during pregnancy are usually directly related to any changes in the nature or life of a woman (grass blooms, the appearance of a pet, a new diet).

Most often, they include runny nose, conjunctivitis and dermatological manifestations (urticaria and dermatitis).

  1. Allergic rhinitis. Manifestations - shortness of breath, nasal congestion, swelling of mucous membranes, watery discharge, frequent sneezing, sore throat.
  2. Allergic conjunctivitis. Inflammation and swelling of the eyelids, itching in the eyes, pronounced vessels on the protein surface, increased tearing, narrowing of the eyes.
  3. Hives. Urticaria can be localized or generalized. The first type is characterized by the formation of individual round-shaped wheals with clear boundaries, swollen edges and a bright center, which itch severely. In the second case, blisters affect the entire surface of the skin.

Rhinitis and nasal congestion quite often suffer from completely healthy women who are not prone to allergic manifestations, but in this case it occurs spontaneously and is not associated with any external factors.

Allergy medications

Pregnant women should never prescribe medication for themselves.

In any case, pregnant women should not prescribe medication for themselves, as this can lead to very serious consequences. Most common drugs that use allergies to alleviate their condition are not recommended for expectant mothers, as they can adversely affect the course of pregnancy or the development of the baby.

The safest remedies for eliminating allergic symptoms are ointments based on herbal extracts and zinc, which have a hypoallergenic and soothing effect, as well as relieve inflammation and swelling. With a runny nose and nasal congestion, expectant mothers can use sprays or regular saline, which dries the mucous well. You can also use vasoconstrictor drops for newborns and infants. In any case, before using a particular drug, it is recommended to consult a doctor.

Pregnancy and Allergies

Doctors explain that every woman may have different substances with allergens. Unfortunately, a genetic predisposition to allergies cannot be cured. It is possible only to eliminate the signs accompanying it. But not in every case, the symptoms will indicate its occurrence. Nasal congestion, rhinitis, sneezing can occur in half of expectant mothers. And talking about allergic rhinitis is only when flowering trees and shrubs.

Bronchial asthma is a more serious allergic disease. In itself, it is not a contraindication for carrying a child, but still the obstetrician-gynecologist must be informed about it to ensure proper monitoring.

If we talk specifically about the effect of allergy on the fetus, then it is not dangerous for fetal development. After all, allergens that affect a pregnant woman do not penetrate through the placenta to the baby.

If the expectant mother is allergic, then the baby's susceptibility to allergic diseases increases. As for the influence of the mother’s disease state on him, the main thing is that the doctor should choose safe medicines for her treatment that do not get to him through the placenta. It is very important that a woman avoids contact with allergens in the first trimester of carrying a child. After all, during this period, he laid down the systems and organs. Therefore, the use of antihistamines is highly undesirable. We must try to eliminate all factors that can provoke an exacerbation of allergies.

Treatment and prevention of allergies in expectant mothers

If, however, its manifestations could not be avoided, then it is necessary to consult a doctor as soon as possible. He will prescribe a therapy that will not harm the future baby and his mother. Most of the drugs traditionally used to eliminate allergic conditions during pregnancy are contraindicated. These are Astemizol, Pipolfen, Dimedrol.

When a woman’s condition poses a greater threat than the intended harm from the medication, Cetirizine, Claritin, Fexadin are prescribed. They are prescribed to future mothers only in the second or third trimesters. Tavegil is used very rarely.

In most cases, women with allergies can not avoid taking medication. Then they must be selected together with the allergist, while comparing the harm and benefits of taking medications.

If the expectant mother is prone to allergic reactions, then their prevention is very important. First of all, it is necessary for a woman to pass an allergy test. Such a study helps to establish the allergen, to develop a line of conduct if necessary.

If the expectant mother is prone to allergic reactions, she should follow a hypoallergenic diet. Its essence lies in the exclusion from the menu of seafood, nuts, honey, citrus fruits, marinades, smoked meats, exotic fruits, carbonated drinks, sweets. Without fear, the expectant mother can introduce butter, dairy products, dietary meat in the form of rabbit, veal, turkey, chicken. Fruits and vegetables are recommended to use dim. Nutritionists advise in the menu to include buckwheat, oatmeal, millet, cabbage, zucchini, legumes, greens.

Natural antihistamines during this period can be vitamins B12 and C, pantothenic acid, zinc.

It would be useful to remind you that women who have a predisposition to allergies should give up bad habits, regularly do wet cleaning in the house, get rid of things that collect dust, as well as pets.

Why does the disease appear?

Pathology is hereditary. It will manifest itself with a probability of up to 80% if both parents are atopic, and with a probability of 30-50% if one of them suffers from pathology. The disease, although less likely (up to 20%), can be identified if someone from more distant relatives has allergic rhinitis, asthma, eczema.

The immune system of atopic humans is over-active and prone to inflammation. The protective barrier is weakened, and the skin dries out, more susceptible to infections. In response to the penetration of allergenic substances, the body begins to increase the production of immunoglobulin E and histamine. Capillary permeability increases, as a result, allergic symptoms appear - itching, redness, rash, etc. Genetic predisposition does not mean that a person will certainly develop pathology. After all, not the dermatitis itself will be inherited, but only the propensity for it.

The following factors can trigger a pathological process (triggers):

  • life in a metropolis with a developed industry and unfavorable ecology,
  • frequent inclusion in the menu of products with a high index of allergy,
  • smoking (at risk also passive smokers), alcohol,
  • uncontrolled medication,
  • bacterial, fungal and viral infections,
  • excessive psycho-emotional stress.

Flowering plants, household chemicals, clothes made of synthetic fabrics, cosmetics, saliva and pet hair, etc., may be affected by pathology catalysts. Sudden changes in humidity and temperature, lack of sun can affect. Атопия обостряется зимой из-за чрезмерной сухости воздуха от работающих батарей отопления. Солнце и повышенная влажность приводят к ремиссии и облегчению состояния.

When a woman is pregnant, she, in addition to the above, significantly changes hormones. Among pregnant women suffering from atopic dermatitis, in 20% of women, the disease aggravates, and in the remaining 80% of cases, atopy appears for the first time. Usually, these 80% are naturally dry, easily irritated skin (so-called atopic diathesis), and (or) have relatives with allergies.

Allergic dermatitis in pregnant women is manifested in the first half of the child's birth (up to the third trimester - in 75% of cases). After childbirth, the disease subsides, but it is possible that in a few months signs will appear due to newly occurring hormonal changes.

Doctors distinguish 3 stages of pathology.

  • mild rash on the neck, in the popliteal fossae, on the elbow bends,
  • skin swelling
  • there is almost no flaking and hyperemia (redness) of the skin, itching appears occasionally, usually in the evening.

  • the rash also spreads to the face, chest, abdomen, hips, back,
  • itching intensifies and worries more often
  • peeling begins
  • hyperpigmentation of the eyelids is not excluded: the eyes become as if circled in dark circles.

  • persistent itching. It leads to nervous breakdowns, a woman suffers from insomnia,
  • skin is swollen and flaky,
  • red spots appear, nodules (up to 2 mm), bubbles up to 1 cm (exudates), where there is a transparent content,
  • pustules, small open wounds (excoriation) that appear due to scratching are possible. An infection can easily get there.

Exacerbation of atopic dermatitis to severe stage is typical for pregnant women who have suffered from this disease for a long time. This condition requires a hospital stay.

Does pathology affect the course of pregnancy and the fetus?

Atopy is not an obstacle to the conception of a baby, does not affect pregnancy, does not harm the child and does not affect delivery. The future mother, because of the incessant itching and insomnia, usually becomes nervous, tearful, feels chronic fatigue. To a certain extent, her psycho-emotional state is transmitted to the baby, but not so much, of course, to speak of a significant impact on the fetus.

However, the future mother should know that against the background of atopic dermatitis, genetic predisposition to atopic diseases (pollinosis, asthma, eczema) in a child is not excluded. It is not necessary that she turn into a disease, but there is such a risk.

Drug therapy

The doctor may recommend:

  1. Moisturizers, emollients based on fat for daily care (Losterin, Lipikar, Emolium, etc.). They remove irritation, heal cracks, reduce itching. Usually used after a shower or, if excessive dryness, additionally during the day.
  2. Steroid creams. Only the weakest of them are prescribed, for example, hydrocortisone ointment, and in the minimum dosage (a tube of 15-30 g is enough for a course). Apply only to inflamed areas.
  3. Antihistamines. Loratadine, Clemastine, Chlorpheniramine, Cetirizine, Dimetinden are considered safe.
  4. Pills with steroids (Prednisolone, etc.) are prescribed in the most severe cases. Minimum doses are recommended and the course cannot last longer than two weeks.
  5. Antibiotics - Cefazolin, Ceftriaxone and others. Effective if eczema is complicated by infection.
  6. Enterosorbents - Polysorb, Enterosgel, Polifan, Atoxin, etc. They quickly remove toxins from the body.
  7. Probiotics for improving immunity - Lactobacterin, Probiform, Biobacton, Bifidumbacterin, etc.

During the exacerbation of pathology, it is necessary to limit or completely withdraw from the diet:

  • nuts,
  • exotic fruits and citrus,
  • fish and broths from it,
  • seafood, caviar,
  • chicken eggs,
  • lamb, pork,
  • chocolate,
  • honey,
  • strawberries
  • red currants,
  • sweet cherry
  • tomatoes,
  • carrot,
  • mushrooms,
  • soy
  • too spicy foods, smoked foods, spices, pickles, preservation, fast food.

The basis of the daily menu should be dairy products, lean meat, whole wheat bread, cereals, vegetables and fruits of green or yellow flowers. It is better to cook the food, to cook on the grill, for a couple, stew with a small amount of vegetable oil.

Causes of Atopic Dermatitis

Atopic dermatitis is diagnosed not only in pregnant women, this disease occurs in people of different ages and sexes in almost every country in the world. Recently, the number of atopic increases dramatically.

Doctors attribute this massive distribution of atopic dermatitis to various causes: environmental pollution, the quality of the food we use, and psycho-emotional stress. Allergens, catalysts may be flowering plants, synthetic or wool products, pets, perfumes, cosmetics. In addition, modern mothers are increasingly reducing the time of breastfeeding and very early switch to artificial formulas. Often the disease is provoked by toxemia during pregnancy and maternal nutritional errors. Various viral, bacterial and fungal infections and stress can cause an exacerbation of the disease. The cause of atopic dermatitis can even be a sharp temperature drop, air humidity or insufficient solar radiation exposure.

As shown by recent studies, in 90% of cases, atopic dermatitis is diagnosed during the first five years of life. In 60% of them, the disease begins in the first year of life, most often - immediately after the birth of the child. According to doctors, about 50% of women suffering from atopic dermatitis, during pregnancy it is exacerbated.

Why, then, can atopic dermatitis not manifest itself for years and “wake up” during pregnancy? This phenomenon is easily explained by the fact that in the body of a pregnant woman in large quantities produces a special hormone - "cortisol". It plays an important role in the process of the formation of the fetus and is responsible for the development of allergic reactions. After the baby is born, the level of cortisol in his blood rapidly drops, the child can easily pick up any allergic disease, including atopic dermatitis.

If a woman has previously had atopic dermatitis, then it should be especially carefully prepared for pregnancy. After all, it is not known how the disease will behave in the future and whether its child will not inherit. The more seriously the expectant mother will react to this problem, the earlier preventive therapy will begin even before conception, the more chances she has to give birth to an absolutely healthy baby.

So, if you know about your tendency to atopic dermatitis, first of all, consult with your gynecologist and consult an allergist. Even if you or the father of the child have never been atopic, there is no guarantee that the child will not receive this disease from the next of kin.

Symptoms of atopic dermatitis during pregnancy

Atopic dermatitis is usually fairly easy to recognize. A pregnant woman has an itchy rash on the elbows, knees, abdomen, neck and chest. Doctors distinguish three stages of the development of this disease during pregnancy:

  • light form. The expectant mother has the following symptoms:
  1. mild skin rash on the elbows, under the knees, on the neck,
  2. puffiness
  3. skin white-pink color, normal moisture, without peeling,
  4. itching of the skin occurs periodically, often in the evening.
  • medium shape. This is the second stage of atopic dermatitis, which is accompanied by the following symptoms:
  1. skin itching increases,
  2. the rash spreads to the face, back, chest, abdomen, inner thighs,
  3. hyperpigmentation of the eyelids is possible: the skin around the eyes acquires a darker shade.

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