Poisoning in early and late pregnancy
No one is immune from food intoxication, including pregnant women. Moreover, their body is more sensitive to toxic effects.
So let's find out how to treat poisoning during pregnancy, what consequences for a woman? Is there a threat to the child at the early and late stages of development in the case of mother poisoning and what is it? Let's talk about the causes and features of treating food poisoning during pregnancy, we learn what can and should not be done.
Sources of food poisoning
It turned out that food is loved not only by people, but also by microbes. Getting into food, pathogenic organisms eat, produce their own kind, produce toxins. What are these infectious agents?
- Staphylococcus aureus. It occurs most often. Reproduction of microbes occurs when improper storage of cooked products. You can get poisoned when milk is used for food from sick animals mastitis, if you violate the rules of hygiene during cooking. The products of factory production serve as a source of staphylococcus in case of violation of sanitary standards, when the health of employees is not checked for pustular skin diseases, acute inflammation of the upper respiratory tract (nose, throat, vocal cords, trachea).
- Salmonella. Their source are raw eggs and products cooked on their basis, due to insufficient or no heat treatment. It can affect all parts of the digestive tract from the stomach, ending with the large intestine.
- Proteus and clostridia. They feel comfortable in meat, fish products, canned food, milk, sausage. One of the types of this infection is botulism.
The susceptibility to foodborne infection is very high and is more than 90%. Even higher it is during pregnancy.
Treatment of staphylococcal intoxication during early pregnancy
It is also important to immediately delineate the concepts of "toxicosis of pregnant women" and "poisoning". It is important not to confuse one with another.
Than to treat a poisoning at pregnancy?
The first thing to do is take activated charcoal, it can be used at any time of pregnancy.
Gastric lavage is done only if the condition of a pregnant woman is moderate or severe. The need for gastric lavage should be determined only by the doctor. The procedure is carried out under the control of the blood pressure of the future mother and the condition of the child. To prevent the termination of pregnancy, a woman is administered Magnesia, Papaverin.
Be sure to fill the lost fluid. As drinking drink tea, compote of dried fruits, as well as saline solutions like Regidron.
At low blood pressure, caffeine is administered to maintain blood circulation in the placenta at a normal level.
If vomiting is repeated and there is a threat of dehydration, intravenous drips are injected with saline solutions in the required amount. The ionic composition of the blood is necessarily controlled.
A doctor can prescribe antibiotics, but usually they do not need to be.
When poisoning during pregnancy, you must adhere to the therapeutic diet. In the first 2 days of the disease, not very sweet tea with breadcrumbs is allowed, you can drink diluted juice of black currant, blueberry juice, broth of wild rose. In the future, the diet is expanded. During the recovery period, white bread, mucous soups, steam knels, meatballs of meat and fish of low-fat varieties, porridge on water or low-fat meat broth, fresh cottage cheese or in the form of a souffle are allowed. In a limited number of sweets, fruits, berries.
Categorically can not eat after poisoning:
If the poisoning proceeds easily, which happens more often, a sparing diet, sorbents, plentiful drink is prescribed. After 2-3 days, the well-being improves, and treatment is no longer required.
Consequences for the child
What can the prognosis be after and during the poisoning during pregnancy in the early stages?
There is a possibility of development of threat of abortion, spontaneous abortion. A sharp decrease in blood pressure, dehydration, a violation of the ionic composition of the blood can lead to a delay in the development of the fetus, a frozen pregnancy.
But overall, the prognosis for mom and baby is mostly favorable and the disease goes through without consequences.
Treatment of staphylococcal poisoning during pregnancy at late stages
Approaches to treatment are the same. Also prescribe a diet, activated charcoal, a plentiful drink. Only after 36 weeks does Magnesia no longer apply. If necessary, administer drugs that improve blood circulation in the placenta.
Consequences for the child
Poisoning during pregnancy in later periods may cause the following complications:
- the threat of premature delivery;
- placental abruption;
- premature delivery;
- discrepancy of child's development during pregnancy;
- insufficient weight of the fetus;
- placental insufficiency, when there is insufficient supply of oxygen and nutrients to the child.
Consequences develop with severe poisoning or a combination of intoxication with the pathology of pregnancy. In general, after poisoning for the mother, the consequences are minimal. Detachment of the placenta, bleeding creates more serious situations. Something definite is difficult to say here.
Treatment of poisoning with salmonella during pregnancy
What can be pregnant with food poisoning contaminated with salmonella?
- Make detoxification with sorbents.
- Drinking salt solutions.
- Antibiotics, the need for appointment of which determines the doctor.
There are several forms of salmonella flow, depending on the affected parts of the digestive tract, so treatment of such poisoning can be very different. Hospitalization is necessary for moderate to severe conditions. But an examination of a therapist or an infectious disease specialist is necessary for all even mild cases of poisoning.
The consequences for the child and mother are similar to the above.
Treatment of botulism poisoning during pregnancy
Botulism is very dangerous for life. When suspected of this kind of intoxication during pregnancy, emergency hospitalization is required in a hospital. Gastric lavage is mandatory. Conduct cleansing enemas. In the first three days of the disease, antibotulinum serum is administered. In this case, it is vital, so it is used, despite pregnancy.
Penicillin antibiotics are prescribed for infectious complications (for example, in the case of lung inflammation due to casting the contents of the stomach into the trachea). Such complications accompany the severe course of the disease. Spend abundant administration of solutions and drugs that stimulate urination.
According to the indications, heart means are administered. Do vitamin therapy.
Respiratory disorders are treated with oxygen under high pressure. If necessary, make a hole in the trachea and insert a communicating with the environment tube (tracheostomy) or perform artificial ventilation of the lungs.
The consequences for the child at an early stage of development are the same, but the frequency of intrauterine fetal death is much greater. In the late term of pregnancy, there is also a great danger of the death of the unborn baby and the mother herself.
Thus, food poisoning during pregnancy has similar general approaches to treatment. For each woman, the duration of the course of treatment, the types of drugs, a set of methods for influencing the disease is determined depending on the type of infection, the severity of the process, the course of pregnancy. Knowing the threat to the baby in case of poisoning, so as not to put yourself and the child at risk, you should consult a doctor. Because the amount of "can" and "not" in relation to treatment - is determined by the situation.