Update: October 2018
С насморком хоть once in жизни сталкивался каждый человек. Phenomenon
it is rather unpleasant, but easily portable. But что делать, если
rhinitis has a pregnant woman? It is believed that for the entire period
the fetus of the future mom will definitely face rhinitis in
to one degree or another. But в период of pregnancy к насморку нельзя
treat it as “devil-may-care” since it threatens with complications
only a woman, but also her future baby. Moreover, it is impossible
uncontrolled use of various drugs from the cold because
that many of the usual means are contraindicated and even dangerous during
Runny nose: его суть и виды
Runny noseом или ринитом называют такое состояние слизистой носа,
when it is inflamed, and profuse mucus is secreted from the nasal cavity.
AT результате этого процесса слизистая носа значительно
increases (swells), which makes breathing difficult.
There are acute and chronic rhinitis. AT свою очередь,
chronic rhinitis is divided into several types:
- atrophic, when the nasal mucosa becomes thinner;
- hypertrophic, while there is a thickening of the mucous that
leads to narrowing of the nasal passages;
- allergic, the body responds to various stimuli
inadequate reaction, that is, allergic.
There are also other types of rhinitis:
- medication – with a long and uncontrolled reception
nasal vasoconstrictor agents;
- traumatic – due to any injury (burn, blow
- vasomotor – occurs after stress or due to
hormonal changes, either after eating spicy food or
external irritants (smoke).
In future mothers runny nose appears as a result of the following
ATо время гестации значительно повышается уровень эстрогенов,
due to which the production of mucus increases, and the mucous membranes
отекают, что, естественно, затрагивает и слизистую the nose. Like
runny nose is called vasomotor rhinitis.
Allergy to various external irritants, such as
plant pollen or animal fur provokes the development
аллергического насморка во время of pregnancy. Allergy can
отсутствовать до of pregnancy и появится с ее началом, чему
helps to reduce immunity in pregnant women.
Various infections, whether viruses or bacteria, significantly
It is easier to hit expectant mothers than ordinary people. This contributes to
ослабление защитных сил во gestation time.
In addition, provoke the occurrence of rhinitis in pregnant women
can the following circumstances:
- curvature of the nasal septum;
- predisposition to frequent colds;
- прием противозачаточных таблеток до of pregnancy;
- a number of diseases of the endocrine genesis;
- disturbed ecology;
- excessively dry climate;
- emotionally labile women with frequent change
- polyps in the nasal cavity;
- chronic sinusitis;
- spicy dishes;
- stress and intense emotional distress;
- various tumors.
Common causes of rhinitis in humans
For “ordinary” people, the causes of the common cold are just as numerous and
as diverse as pregnant women. These include all the same
- бактериальная и вирусная инфекции (различные ОРATИ);
- allergic reaction to various irritants;
- nervous and endocrine pathology;
- surgical interventions in the nasal cavity, trauma;
- fascination with vasoconstrictor agents;
- atrophy of the nasal mucosa (chemical production and other
harmful working conditions);
- the displacement of the nasal septum;
- �“Special” climatic conditions (for example, increased
- adenoids and polyps;
- reduction of body defenses.
AT своем развитии заболевание проходит 3 стадии. On первой –
reflex nasal discharge absent, and upon examination mucous
pale and dry. On второй – катаральной, появляется ринорея –
copious discharge of watery clear mucus, and nasal mucosa
bright red. On третьей – заключительной стадии, появляются
dense and thick discharge, the so-called “snot”, which
become yellow or green.
Spotting, or even bleeding characteristic
atrophic rhinitis. What is associated with draining and damage
слизистой the nose.
Manifestations of the disease, too, as the causes are very diverse.
The main signs of rhinitis are (not necessarily that
will appear all at once, perhaps a combination of two – three symptoms with
the subsequent addition of the rest):
- it is noted that the nose is stuffed up, the voice becomes deaf, as if
you speak through cotton wool;
- persistent sniffing due to nasal congestion and difficulty
respiration, especially increased during exercise and in
horizontal position (usually characteristic of late
сроков of pregnancy);
- it becomes difficult to breathe, which only worsens the mood;
- ринорея (слизистые или густые выделения из nose);
- sudden rise in temperature
- feeling of constant headache (due to difficulties with
- decline sense of smell, that is, the loss of “scent”;
- constant and frequent sneezing (irritation and swelling of the mucous membranes
- decreased appetite due to impaired breathing;
- feeling of a foreign body in the nose, nose constantly itches;
- disturbed sleep
Bacterial rhinitis is usually associated with colds.
diseases, and begins with the characteristic signs of ARVI. Suddenly
in addition to the cold, the temperature rises, tickles in the throat and appears
cough, headache and muscle pain are also possible. Runny nose
characterized by copious discharge from the nose of watery discharge,
which are transparent and mucous consistency. Due to mucosal edema
joins shortness of breath that disrupts sleep. On
the final stages of the “snot” become bulky and
For allergic rhinitis is characterized by the lack of temperature on
background of suddenly appearing signs:
- nasal itching;
- persistent sneezing;
- nose with abundant clear and watery discharge;
- breathing is impaired;
- increased nasal congestion during sleep.
If the pregnant woman was allergic to conception, she will easily bind
the occurrence of signs of disease with contact with allergens.
Allergens may be flower pollen, pets.
(wool, mites and insects in it), house dust, some
products and medicines. In addition, with allergic rhinitis
The appearance of the future mother is also changing. Characteristic swelling of the face
red eyes, constantly open mouth (mouth breathing),
Vasomotor rhinitis, which is very common in women,
waiting for a child and associated with hormonal changes may
start at any gestational age, including the first
trimester, and proceed until the moment of delivery. Symptoms of the disease can
be mild or significant. Scanty scarce either
abundant, liquid and clear, constant nasal congestion and
impaired breathing contribute to insomnia and worsen
What is the risk of rhinitis during gestation?
Runny nose угрожает не только состоянию беременной, но и здоровью
her unborn child. Permanent nasal congestion makes you breathe
his mouth that dries up the mucosa of the oropharynx, and against the background of
reduced immunity, makes the mucous susceptible to infections,
that can result in pharyngitis or sore throat. Runny nose инфекционного
genesis can cause the development of sinusitis, sinusitis or
In addition, rhinitis caused by bacteria or viruses is very
dangerous for the unborn child. On ранних сроках of pregnancy он
may cause its “fading”, and at later
стадиях привести к внутриутробным порокам fetus. In third
trimester rhinitis of infection is fraught with intrauterine infection
In any case, rhinitis, no matter what origin,
contributes to respiratory failure in women, which is fraught with development
фетоплацентарной недостаточности и гипоксии fetus. In the future, these
pregnancy complications can lead to spontaneous abortion
either premature birth or low birth weight
Treatment of rhinitis during gestation
Do not rely on the “popular wisdom”, which asserts that with
treatment of runny nose takes a week, and in the absence of treatment
in just 7 days. Runny nose при of pregnancy не только можно, но и
need to be treated, because it is not how much inconvenience to a woman,
how much is dangerous for the future baby. But in any case should not
to self-medicate, very many and familiar drugs from
rhinitis is contraindicated in pregnant women. Therefore, the solution is worth
start with a visit to the doctor, he will determine the form of a cold and
will recommend effective therapy.
When rhinitis appeared, many rush to the “wand-wrist”
that is, special drugs – drops in the nose. Before you start
treatment of rhinitis during pregnancy, you need to consult with
doctor, what drops can be, and how to apply them. Categorically
prohibited drugs with vasoconstrictor effect,
especially in the first 12 weeks of pregnancy. Onиболее распространенные
- oxymetazoline and others.
Undoubtedly, vasoconstrictor drops have a good effect, and
in just a few minutes they eliminate the “flood” from the nose. But
pregnant women can not be used for several reasons:
- vasoconstrictor effect extends to placental
vessels, which means that the spasm of blood vessels in the placenta
inhibits oxygen delivery to the fetus, which will cause its hypoxia;
- These drops are addictive, so they become
ineffective after a short time that requires an increase
dosage of the drug, which means that aggravates fetal hypoxia;
- drops can increase blood pressure, especially in
pregnant women whose blood pressure is labile and prone to increase (usually
in 2 – 3 trimesters);
- vasoconstrictor drops due to vasospasm in the nose
dry out the mucous and nasal and nasopharyngeal, which makes it
susceptible to infections.
In severely pronounced rhinorrhea, the doctor may prescribe
drugs with a vasoconstrictor effect, but only for a short time
(no more than 3 days), for the night (if necessary up to 2 – 3 once in
day). Это детские капли Onзол Беби либо Onзол Кидс, в состав
which includes phenylephrine, less dangerous during gestation than
the above drugs.
Allowed to drip into the nose drug Pinosol, consisting of oils
pine, peppermint and eucalyptus. This drug makes it easier
breathing, has anti-inflammatory and antimicrobial
action, accelerates the healing of the nasal mucosa and is absolutely safe
в период вынашивания fetus.
The nasal wash procedure has a very good effect.
moves. During this procedure, mucus, dust and
other foreign particles, as well as microbial agents. For washing
You can use saline or drugs,
containing sea salt (Humer and Dolphin, Aquamaris and
Aqualore, Salin and Marimer). Prepare saline wash solutions
at home is not recommended because it is very difficult to comply
dosage. But допускается промывание носа настоем ромашки аптечной
(brew 1 tablespoon in a liter of boiling water and insist for
hours, strain and cool to room temperature).
Of the thermal procedures, heating has proven itself well.
the nose. To the wings of the nose on both sides are applied 2 welded
eggs wrapped in cloth, bags of heated stones, sand or
with salt. This method enhances blood circulation in the nasal mucosa,
which improves blood flow and thins mucus. As a result
nasal passages are cleared, and breathing is easier. But запрещено греть
nose in case of fever.
You can also warm your feet, but in a “dry” way. That is, in the case of
runny nose, pregnant should walk in woolen socks.
No less effective and steam inhalation, which also follows
perform on the background of normal temperature. In boiling water
10 – 15 drops of eucalyptus oil, peppermint, sage are added
or tea tree. Onкрыв голову полотенцем, необходимо дышать
steam for 5 – 7 minutes. You can apply medicinal
herbs (chamomile, wild rosemary, mint or sage) or breathe over
boiled potatoes or potato peelings.
But желательно проводить процедуру с помощью небулайзера (состав
solution will appoint a doctor).
Drinking and nutrition
It is very important to observe drinking during the described disease.
mode. Abundant nasal discharge is fluid loss, which is very
dangerous during pregnancy. The amount of fluid you drink should be
not less than two liters per day. Preference should be given
herbal teas and infusions (tea from chamomile, rosehip), fruit drinks
(cranberry, currant), still water and milk.
It is necessary and to review the food. It is necessary to exclude spicy dishes.
and seasonings, possible food allergens (honey, citrus,
Widely used in the fight against the common cold folk remedies,
which are safe during pregnancy and quite effective:
Onion and garlic
You can simply chop the onion and a few cloves
garlic and inhale fumes that contain
anti-inflammatory and antimicrobial properties. Can the data
vegetables use for steam inhalation (in boiling water, lower
onion and garlic), or squeeze juice, diluted with boiled water in
1: 1 ratio and bury a few drops in each nostril
three times a day.
Carrots and beets
Finely grated carrots or beets squeeze through gauze or
strain through a strainer, and dilute the resulting juice with boiled water
in the ratio of 1: 1. Instill the prepared drops in the nose to 4 – 5
once in день (до 6 – 8 капель).
To prepare these drops should be in a glass of boiling water.
add 1 teaspoon of black tea, and then the resulting infusion
evaporate over low heat for a quarter of an hour. Decoction
strain, add a teaspoon of soda. The resulting tool drip in
нос по несколько капель three times a day.
On мелкой терке натереть корень хрена и яблоко в соотношении
1: 2, add a teaspoon of sugar and stir. Received
vitamin mixture to take 1 teaspoon twice a day. Mixture
possesses anti-edematous action, and therefore, improves breathing.
In addition, this mixture stimulates the immune system.
Helps to cope with nasal congestion and self-massage
reflex zones. It should be simultaneously massaged (light circular
pressure) nose and area under the nose. Also allowed
tapping of the nasal bone on both sides, massage of the maxillary sinuses
(infraorbital region) and areas above the eyebrows.
To stimulate the immune system to prepare a vitamin infusion. To mix
2 tablespoons of plantain and St. John’s wort, pour a glass of boiling
water and infuse for 2 hours. Strain and drink in
several tricks. Onстой готовится несколько раз, общий курс 5 – 7
In the treatment of viral rhinitis apply all described above.
ways In addition, antiviral should be used.
- oxolinic ointment (lubricate 2 – 3 times a day nasal
- Viferon ointment (applied to the nasal mucosa three times a day);
- Derinat dragee (consists of herbal extracts
has anti-inflammatory and anti-edema effect),
принимать по 2 драже three times a day.
Treatment of allergic rhinitis
In case of allergic rhinitis, it is necessary, firstly, to
opportunities to eliminate allergens (food blooming
plants in the house, pets). Secondly, apply
The methods described above (nasal washing, inhalation with essential
oils). With significant rhinorrhea, the doctor may prescribe with
vasoconstrictor action. Taking antihistamines in
the period of gestation is contraindicated, but allowed
the use of third-generation antiallergic tablets,
for example, Telfast. Or non-aggressive drugs are prescribed, such
как спрей Onзалваль (содержит экстракт мяты) или Кромогликат натрия
in the form of a spray (contraindicated in 1 trimester).
- airing the room;
- wet house cleaning;
- use of aroma lamps with essential oils indoors;
- prevent overheating of the body (aggravates the course
- correct breathing (take shallow and long breaths and exhalations,
breathe smoothly and evenly));
- during sleep put an extra pillow (sleep
half-sitting), which relieves nasal congestion:
- avoid nasopharyngeal irritants (cigarette smoke and exhaust
- put on the wings of the nose balms “asterisk” or “Doctor Mom”
(help relieve swelling and nasal congestion).
ATопрос: Можно ли беременной с насморком греть ноги
or put mustard plasters?
Ответ: Нет. Categorically запрещаются подобные
thermal procedures, as they may cause a threat of interruption or
ATопрос: Как проводится промывание носа?
Ответ: AT первые 2 – 3 дня заболевания
промывания выполняются до 5 – 6 once in сутки, затем их количество
can be reduced to 3 – 4 times. You can flush the nasal passages with a syringe,
a small kettle or special fixtures that
attached to preparations for washing.
ATопрос: Можно использовать как народное средство
from a cold aloe juice for instillation into the nose?
Ответ: Нет, категорически нельзя. Aloe juice
increases the tone of the uterus, which will trigger an abortion.
ATопрос: Что такое аллергические пробы и можно ли
do they hold during pregnancy?
Ответ: Аллергопробы – это внутрикожное введение
allergens. Then local reaction is evaluated and
an allergen is established, to which the subject is sensitive. AT
Allergy tests cannot be performed during pregnancy
allergic rhinitis is diagnosed by a blood test (definition
specific immunoglobulin G to certain stimuli).
ATопрос: ATрач говорит, что мой насморк исчезнет
after childbirth. How soon after birth will he pass?
Ответ: ATрач прав, «насморк беременных» проходит
himself after the birth of the baby, but, of course, this takes time.
As a rule, rhinitis disappears on the 7th – 10th day of postpartum
ATопрос: Как можно предотвратить появление
Ответ: ATо-первых, исключить посещения людных
places, especially during epidemics of influenza and colds.
ATо-вторых, следует одеваться по погоде, не переохлаждаться и не
get wet feet. If possible, avoid contact with allergens and
irritants. You should also follow a balanced diet,
rich in vitamins. I. of course, take walks in the fresh
air, avoiding gas areas.