Fever blisters and pregnancy
Cold sores in pregnancy | Pregnancy Birth and Baby
Cold sores in pregnancy | Pregnancy Birth and Baby beginning of content6-minute read
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What is HSV?
If you or your partner has the virus that causes cold sores or genital herpes, you might be worried about what could happen when you're pregnant or have a new baby. Here's what you need to know about herpes simplex virus (HSV), and how to protect your baby from infection.
The herpes simplex virus is a very common virus carried by most people. Sometimes it causes cold sores or genital herpes.
Cold sores are blisters that form on the lips, around the mouth and nose. Genital herpes is blisters or sores around the genitals or anus. The blisters may form a crust after about 3 days. The sores go away by themselves within 2 weeks.
There are two main types of HSV:
- HSV-1 causes mostly cold sores on the face and lips, and sometimes on the genitals
- HSV-2 causes mostly genital herpes
Both viruses are transferred though contact of the skin, saliva or genitals, and the viruses stay in the body for life. The viruses do not always cause symptoms, so you can carry the virus without knowing it.
HSV-1 is very common, with about 8 in 10 Australians carrying it in their bloodstream. But only 1 in 3 people with the virus has ever had a cold sore. HSV-2 is less common.
It is common for women who have had cold sores in the past to experience an outbreak while pregnant.
What happens if I get cold sores or genital herpes during pregnancy?
Having the HSV virus does not affect your chance of becoming pregnant.
It is quite common for women to have a cold sore during their pregnancy, even if they haven’t had one for a long time. Cold sores should not affect your unborn baby. But they are infectious, so it’s a good idea to treat them.
Genital herpes should not affect the baby if you have your first outbreak or it comes back in the first 34 weeks. But it can be transferred to your baby during the birth, especially if it’s your first outbreak.
If you've ever had a cold sore or genital herpes and you become pregnant, or you develop these conditions during pregnancy, it's important to tell your doctor or midwife about it. Together you can make a plan for managing herpes during pregnancy and birth.
How is HSV treated during pregnancy or breastfeeding?
You can treat cold sores and genital herpes with:
- aciclovir cream, available from a pharmacist without prescription
- aciclovir or valaciclovir tablets, for which you need a prescription
These 'antiviral' drugs are known to be safe for pregnant and breastfeeding women and are effective most of the time.
Famciclovir tablets are not recommended to take during pregnancy. Speak to your doctor if the cold sore is severe.
How is genital herpes treated during pregnancy?
You should take acyclovir or valaciclovir tablets, as above.
If it's your first outbreak of genital herpes, your baby may be more at risk because you haven't had time to develop immune protection against the virus, which also helps protect the baby.
Some women experiencing an outbreak of genital herpes might be advised to have a caesarean. This would prevent the herpes virus passing from mother to baby during a vaginal birth. But most women in Australia with genital herpes do give birth safely to healthy babies vaginally.
It's often recommended that women who have ever had genital herpes take antiviral tablets prior to the birth, even if the herpes isn't active at the time.
Talk to your doctor or midwife about the best course of action for your situation.
How do I protect my baby from herpes?
Herpes can cause serious problems in a baby, such as infections to the eyes and throat, brain damage and even death.
A newborn baby can catch HSV-1 and HSV-2 from being kissed or touched by someone with cold sores, or during childbirth.
Fortunately, most babies born to women who carry the virus are not affected. But if you or your partner has a cold sore or genital herpes, talk to your doctor about keeping it under control during the pregnancy and after the birth. It is also important to treat these conditions aggressively while you are breastfeeding.
It's important to maintain strict hygiene habits when caring for a new baby if you, or anyone in close contact with the baby, have cold sores.
If you have cold sores, you should:
- cover cold sores when you're around the baby
- avoid kissing your baby until the sores are completely healed
- avoid touching the cold sores then touching your baby
- wash your hands thoroughly before touching your baby
What if I have a cold sore while breastfeeding?
If you have cold sores, it is safe to breastfeed your baby as long as the cold sores are not on the breast or nipple.
If they are, it may be wise to breastfeed from the unaffected nipple only until the lesions have cleared up. You would express and dispose of breastmilk from the affected nipple. Breastmilk itself doesn't contain the herpes virus but it can be contaminated through the skin lesions.
Talk to your doctor or midwife as soon as you notice any cold sores on your breast or nipple.
What happens if my baby gets herpes?
It is very important that herpes in a newborn is recognised and treated by a doctor in hospital immediately. Signs of herpes in a newborn include:
- blisters on the skin
- fever
- irritability
- tiredness
- lack of appetite
If you think your baby might have the herpes virus, don't wait to see if they get better — seek medical help. Tell medical staff if you or your partner carry the herpes virus.
Resource and Support
If you are worried about your baby, see a doctor or midwife, or take them to the hospital.
FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.
If you're not sure what to do or want more information, you call Pregnancy Birth Baby on 1800 882 436 to speak with a maternal child nurse.
Sources:
Family Planning NSW (Genital herpes), The Royal Woman’s Hospital (Genital herpes), Mothersafe (Cold sores in pregnancy and breastfeeding), Queensland Government Health (Genital Herpes and Pregnancy), SA Health (Cold sores (herpes simplex type 1) - including symptoms, treatment and prevention), Safer Care Victoria (Herpes simplex virus in neonates)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: May 2021
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Genital Herpes (HSV) | Body Talk
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Cold sores are quite common in older children and teenagers. Cold sores usually clear up by themselves, but see your GP if you’re concerned.
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Genital Herpes and Pregnancy
If you are pregnant and you get genital herpes, it is important to tell your midwife or obstetrician.
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Genital herpes
Genital herpes is a sexually transmitted infection (STI) which shows as blisters or sores on the genitals. This is caused by the herpes simplex virus (HSV).
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Genital herpes: what is it? - MyDr.com.au
Genital herpes is a viral infection characterised by outbreaks of blisters and sores around your genital area.
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Affect on Baby and Safe Treatments
If you’ve ever had cold sores — those annoying, painful, tiny, fluid-filled blisters that usually form around your mouth and on your lips — you know how inconvenient they can be.
But also if you’ve ever had cold sores (and therefore already have the virus that causes them), did you know they can recur, especially when you’re under stress or are undergoing hormonal fluctuations?
Stress and hormonal changes. That sounds an awful lot like pregnancy.
Cold sores in pregnancy aren’t unheard of, and they don’t usually have any impact on your growing baby. So first, let out a deep sigh of relief. Next, read on — because there are still important things to know about cold sores if you’re expecting.
Cold sores are caused by a virus — the herpes simplex virus (HSV). Of the two types of HSV, cold sores are generally caused by HSV-1, whereas genital herpes is usually a result of exposure to HSV-2. There have been a few instances where HSV-1 sores have been found in the genitals and vice versa.
Once you’ve had a cold sore (oral herpes), the virus remains in your system for life — it’s just not active unless you have a current outbreak.
But when we say that stress and hormones can cause the virus to reactivate, it’s important to know that stress and hormones don’t cause the virus in the first place.
If you’ve never had HSV, you can only get it through contact with someone who has. When it comes to a first-time cold sore infection, this can happen via activities like:
- kissing
- sharing food or utensils
- using someone else’s ChapStick or lip gloss
- oral sex
Here’s the really good news: If you already have the virus that causes cold sores, and you have an outbreak of oral herpes during pregnancy, it’s most likely not going to have any impact on your growing baby.
Cold sores are a localized infection, usually around the mouth area. They don’t typically cross the placenta and reach your baby.
The highest risk scenario is if you get HSV for the first time during your third trimester of pregnancy.
When you get the virus for the first time, your body hasn’t developed any protective antibodies to it yet. And while HSV-1 is usually associated with oral herpes, it can cause a genital herpes outbreak, which can be dangerous to your baby — especially as they pass through the birth canal.
Birth-acquired herpes is serious. However, it’s a concern with genital rather than oral herpes. That being said, because the same virus can cause both, it’s important to talk to your OB about any cold sores during pregnancy.
The most common treatment for cold sores is docosanol (Abreva), an over-the-counter topical cream. But the Food and Drug Administration hasn’t evaluated it for safety in pregnancy.
While some research has determined that it’s “likely safe” during pregnancy, at least one pharmaceutical company that manufactures the drug warns against using it unless it’s definitely needed — which really means you need to check with your doctor. There may be other treatments you should try first.
If you’ve had herpes in the past, your doctor may recommend antivirals — like acyclovir or valacyclovir — starting at week 36 and continuing until delivery of your baby, even if you don’t have a current outbreak of lesions around the genital area. This helps prevent reactivation and spread of the virus to the genital area.
This precaution is because you shouldn’t expose your baby to herpes in the vaginal area during delivery.
Alternatively, your doctor may suggest a cesarean delivery, which avoids the birth canal altogether — something that’s especially important if you have a current outbreak of genital herpes.
Cold sores are highly contagious, despite the fact that they won’t affect your baby in the womb. If you have them after your baby is born, avoid kissing those adorable little cheeks or touching any sores and then touching your newborn without first washing your hands with soap.
In the extremely rare event that you have cold sores on either breast, avoid breastfeeding from that breast while you’re still contagious.
Your cold sores are contagious until they crust over, at which point they’ll start to heal.
If you do pass a cold sore infection on to your newborn, it’s known as neonatal herpes. While not as serious as the birth-acquired version, it can still cause serious complications in a baby who hasn’t yet developed a robust immune system.
The cold sore on your mouth is likely to be more of an annoyance to you than a serious risk to your developing baby, particularly in your first two trimesters of pregnancy and especially if you’ve had one before. But you should still let your OB know about it.
The virus that causes cold sores — usually HSV-1 — can also cause genital herpes, which is more of a risk to your pregnancy and growing little one.
If you have an outbreak in your third trimester — or if you acquire the virus for the first time in your third trimester — your doctor may want you to follow certain treatment or precautionary guidelines, like antivirals or a cesarean delivery.
Fever during pregnancy: causes, risks, treatments
During pregnancy, the level of hormones in a woman's body increases, as a result of which the temperature rises slightly in the early stages, and this is normal. High body temperature during pregnancy can be dangerous complications, and in the early stages it increases the risk of developing neural tube defects in a child.
Natalya Chebakova
legion-media
Various viral and bacterial infections, from which even a pregnant woman is not immune, can cause body temperature to rise above 38 degrees. This condition is considered dangerous. Studies have proven the association of fever with the risk of developing anomalies in a child. nine0003
Contents of the article
Do not self-medicate! In our articles, we collect the latest scientific data and the opinions of authoritative health experts. But remember: only a doctor can diagnose and prescribe treatment.
What can cause fever during pregnancy?
In fact, during pregnancy, a woman is more susceptible to all diseases due to a suppressed immune system. Fever can be caused by a bacterial or viral infection, such as a cold or flu, food poisoning, or a urinary tract infection. nine0003
A temperature above 38 degrees Celsius is considered a fever.
Can fever during pregnancy harm the baby?
25% of pregnant women have a fever at least once during pregnancy, and the vast majority of them have healthy children.
If the temperature does not rise above 38.3 degrees and does not last long, it is the least of concern. High body temperature that persists for a long time can have serious consequences for the child. nine0031
This aspect is still being studied. Previously conducted studies have shown that the fever during pregnancy can cause:
- Nervous tube defects (DNT)
- miscarriage
- Congenital heart defects
- Defects in the abdominal wall
However, not all studies confirm the negative impact of fever on child development. Thus, in Denmark, observations of more than 77,000 pregnant women and their children born between 1996 to 2002 showed no association between maternal fever during pregnancy and the risk of birth defects.
Is high fever dangerous in early pregnancy?
Fever in very early pregnancy can be more dangerous as fetal structures are just forming. The risk of developing neural tube defects in a child, such as anencephaly, encephalocele, craniocerebral hernia and spinal hernia, increases. This is because the neural tube that forms the baby's spinal cord develops during the first six weeks of pregnancy. nine0003
Once the neural tube closes at the beginning of the sixth week, the baby is no longer susceptible to fever-induced NTDs.
Experts say you can reduce your risk of developing neural tube defects, even when you have a fever, by taking prenatal vitamins with at least 400 mcg of folic acid.
Folic acid is a scientifically developed water-soluble analogue of vitamin B9, essential for the proper development of the human circulatory and immune systems. nine0003
Fetal NTD screening is done in the second trimester of pregnancy using blood tests and ultrasound.
Can fever be a sign of pregnancy?
Many women experience a slight increase in body temperature along with an increase in progesterone levels in early pregnancy.
The temperature rise is a small, normal spike that stays well below the fever threshold of 38 degrees. Fever cannot be a sign of pregnancy. nine0003
Does fever during pregnancy increase the risk of autism, ADHD or developmental delay?
Scientists have not yet fully studied the answer to this question. However, there have been some studies linking fever during pregnancy with an increased risk of autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), and developmental delay.
Important to know! Retrospective studies, when subjects are asked to report symptoms in the distant past, appear to be less reliable than prospective studies that collect information in real time. nine0003
1. One retrospective study analyzed data from more than 500 children with ASD and more than 160 children with ADHD and found an association between maternal fever and both conditions.
It was also found that the risk of ASD was lower among mothers who took medication to reduce fever.
2. A prospective Norwegian study of more than 114,000 children found an association between intrauterine fever and an increased risk of ASD, especially (but not exclusively) in the second trimester. nine0003
These investigators concluded that the risk increased markedly with the frequency of fever (three or more episodes), especially after 12 weeks of gestation.
Data from the same study showed that maternal fever in early pregnancy may be a risk factor for ADHD and especially inattention problems.
3. A large, multicenter, retrospective study of children with ASD and developmental delay born in the United States between 2003 and 2006 showed that women who had an infection accompanied by fever in the second trimester of pregnancy were more likely to have children with ASD. nine0003
4. A prospective study of the motor development of children whose mothers had a fever during pregnancy found a significant association between maternal fever during pregnancy and dyspraxia in 7-year-old children (clumsiness, poor coordination, clumsiness of hand movements, inaccuracy of articulation, difficulties in writing).
Although the results of these studies may be worrying, the absolute risk of developing these disorders is quite low. nine0031
Medicines for fever during pregnancy
In order to reduce the temperature during pregnancy, you need to see a doctor. Only a doctor can prescribe a drug that is safe for the expectant mother and child.
In addition, the drug should be taken in strictly recommended dosages. Taking too much medication can be harmful to a woman's liver and her baby's liver.
Other treatments for fever during pregnancy
In addition to taking medication, there are some things that can help bring down the temperature:
- Lie down in a comfortable position with a cool, damp towel over your forehead.
- Take a warm bath. It is important to avoid using cold water, as it can cause chills, leading to a temperature spike. Warm water will do - the fever will subside when the water evaporates from the skin.
Rubbing with rubbing alcohol or vinegar does not bring down the fever, but can lead to too rapid cooling, and later to a higher temperature jump. nine0003
- Drink plenty of fluids to stay hydrated.
- Ventilate the room where a pregnant woman is.
When should I call a doctor?
Call a doctor or an ambulance if:
- fever lasts more than two days during pregnancy;
- chest pain or shortness of breath;
- cough lasts more than 7 days;
- have diarrhea or bloody diarrhea; nine0038
- back pain, abdominal pain, nausea or vomiting.
How to protect yourself from infection?
Preventive measures such as frequent handwashing, avoiding contact with people who are sick, and flu and COVID-19 vaccinations can help minimize the chance of contracting infections that cause fever.
To avoid intestinal infections, it is important to thoroughly wash food before eating, and do not eat undercooked meat and eggs. nine0003
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Did you have a fever during pregnancy?
Early pregnancy | Shchelkovsky perinatal center
Pregnancy is a wonderful period! However, the changes taking place in the body at this time can greatly frighten you. The phenomena characteristic of pregnancy are different for all women, and will not necessarily be repeated during each subsequent gestation. Let's analyze the most common symptoms, their causes and possible methods of correction. nine0003
1. Frequent urination.
Frequent, painless (!) urge to urinate is one of the signs of pregnancy. This is due to increased secretion of progesterone (pregnancy hormone), changes in metabolism and pressure from the growing uterus on the bladder.
Be sure to see a doctor if:
- urination is painful (this may be a sign of an infection)
- urine of strange color (stained with blood, brown)
- the amount of urine excreted per day is much less than the liquid drunk per day
Life hack! Under no circumstances should fluid intake be restricted! To alleviate the condition and reduce the frequent urge to urinate, it is necessary to exclude products that have a diuretic effect: tea, coffee, zucchini, watermelon; as well as salty, spicy and fried foods. It is better to drink water or juice. Wear comfortable cotton underwear that does not squeeze the lower abdomen.
2. Nausea, vomiting, heartburn, increased susceptibility to smells.
Nausea is one of the common symptoms of early pregnancy. The range of issues related to nausea and vomiting during pregnancy is quite wide. From "it's good, I don't even feel sick" (with relief), "I don't feel sick, what's wrong with me?" (with anxiety) to "when will this nausea pass" (with hope). Indeed, these symptoms are not at all a mandatory accompaniment of gestation, they can manifest at 7-8 weeks and last up to 12-14 weeks. The duration of this condition can sometimes be delayed, but rarely persists throughout pregnancy. nine0003
Life hack! For nausea, eat before feeling hungry. Solid, non-hot food and drinks at a cool temperature are best. With heartburn, you should eat small portions of food and often, and most importantly, sit, stand or walk for at least 30 minutes after eating, but do not lie down.
You should definitely consult a doctor if:
- vomiting occurs even after drinking water
- vomiting is exhausting, accompanied by dizziness, weakness
- dryness, jaundice and flaking of the skin appear
- nausea and vomiting impede proper nutrition, accompanied by weight loss
To reduce nausea and vomiting in the morning, try eating something before you get out of bed. It can be a cracker, a cookie, a piece of hard cheese. And salty food is preferable to sweet. You can have a snack in the same way at night when you get up to go to the toilet. Do not lie down immediately after eating, this will only increase nausea. Vitamins for pregnant women with nausea should be taken in the evening after meals. Cool water with lemon, ginger, mint tea, or ginger or mint candies can alleviate the condition. It is necessary to exclude those foods, drinks and smells that are unpleasant to you. Brushing your teeth and rinsing your mouth often can also reduce nausea. nine0003
3. Pain or cramps in the lower abdomen, constipation, pain in the lumbar region.
The simplest and most easily controlled cause of pain is delayed and incomplete bowel movements. An increase in the concentration of progesterone relaxes the smooth muscles, which are located not only in the uterus, but also in other hollow organs. In this case, the correction of the diet and the restoration of the passage of feces will help. If the measures are ineffective, the doctor may prescribe safe drugs for you. A special type of pain that occurs during exclusivity in pregnant women is pain in the round ligament of the uterus. This acute, rather intense pain occurs, as a rule, on the one hand with a sharp change in body position (for example, when getting up from a chair or leaving a car). This pain occurs due to stretching, and then a sharp contraction, like a spring, of the round uterine ligaments. The pain quickly passes if you immediately take a comfortable position and does not require special treatment. nine0003
You should definitely consult a doctor if:
- pain is accompanied by spotting bloody discharge from the external genitalia
- increasing duration and intensity of pain
- abdominal pain accompanied by dizziness, fever, loss of consciousness
Life hack! To normalize bowel movements, eat more vegetables and fruits, drink water and move more during the day. Try to eat often and in small portions. nine0003
4. Enlargement and soreness of the mammary glands.
Hormonal restructuring of the body during gestation is accompanied, among other things, by an increase in the size of the mammary glands and an increase in their sensitivity. By the end of the first trimester, the soreness usually disappears, no additional methods of treatment are needed.
Life hack! Choose comfortable supportive underwear (it should not leave marks on the skin at the end of the day). You may need a larger size or a sports bra. Pain in the mammary glands is relieved by a warm shower at the end of the day. nine0003
You should definitely see a doctor if:
- the pain is intense
- mammary glands are very dense with redness and body temperature is increased
- there is discharge from the nipples (purulent, bloody)
5. Increased body temperature.
In early pregnancy, an increase in body temperature to 37.5 ° C is not necessary, but is possible due to the peculiarities of the action of progesterone. Because of this, it is difficult for pregnant women to endure stuffy, hot rooms. Self-medication is dangerous: an attempt to bring down the temperature even with a seemingly harmless folk method - tea with raspberries - can mask the true cause of hyperthermia and delay the diagnosis. Due to the increased body temperature, pregnant women should dress in layers and avoid stuffy and hot rooms and spaces so that they can always “adjust” their temperature on their own. nine0003
- temperature above 37.5 °C
- along with fever, any pain occurs
- runny nose, cough, body aches appear
6. Nasal congestion, difficulty breathing, nosebleeds.
These symptoms can be explained by the individual reaction of the vascular system to the increase in blood volume that occurs during pregnancy. Another possible reason is dry air in the room, the operation of central heating batteries. nine0003
Life hack! The easiest way to deal with nasal congestion is to use a humidifier. If you don't have one, you can put a damp towel on the battery - less effective, but better than nothing. It is possible to use sprays with sea salt, but you need to carefully read the instructions and especially the "Indications" section, it should contain information about the safety of the product during pregnancy.
You should definitely see a doctor if:
- symptoms of a cold occur
- nasal congestion accompanied by ear congestion
- These symptoms appeared after exposure to the allergen known to you
7. Blood pressure fluctuations.
An ideal option for the course of any pregnancy is the stability of the blood pressure throughout the gestation. However, this is extremely rare. A small (up to 10 units) increase in pressure from the usual reference may be due to an increase in the load on the cardiovascular system as a result of changes in body weight, hormonal changes, and uterine pressure on the vessels. Normal pressure: systolic below 130 mm Hg, diastolic no more than 85 mm Hg. Blood pressure in the range of 130-139/ 85–89 mm Hg considered high to be normal. High numbers are often observed in patients of older reproductive age, suffering from diabetes mellitus and kidney disease, obesity, etc. However, it is imperative to tell the doctor about all these concomitant pathological conditions at the first appointment and, if necessary, consult a neurologist, cardiologist, endocrinologist and other related specialists . Reasonable physical activity, adherence to sleep and wakefulness, a balanced diet, and the rejection of coffee and strong tea allow you to keep pressure within limits. Of the completely exotic for our days, but no less significant - the prevention of stress. nine0003
Life hack! If you are experiencing high normal blood pressure for the first time, repeat the measurement after 15 minutes. If the pressure remains elevated, see a doctor.
Be sure to see a doctor if:
- the pressure is above 140/90 mmHg.
- pressure increased by more than 10 mm Hg. relative to your usual
- an increase in the pressure indicator is accompanied by edema, the appearance of "flies" before the eyes
NB! You should also pay attention to lowering blood pressure. Numbers less than 90/60 mmHg - an excuse to see a doctor.
Life hack! Keep a blood pressure diary, especially if you are prone to hypertension. Show your diary to your doctor at every appointment.
8. Heaviness and pain in the legs.
Heaviness and pain in the legs, especially in the evening, are frequent companions of pregnancy. There is an explanation for the occurrence of symptoms: an increase in load due to growing weight and a shift in the center of gravity of the body. nine0003
Life hack! Ask your partner/husband to give you a foot massage, relax with your limbs elevated (not too much!) A therapeutic pedicure, dousing the legs with cool water, a contrast shower, a cream or gel for legs with cooling components (menthol, essential oils), as well as compression stockings or stockings of the lightest degree of compression will help.
Be sure to see a doctor if:
- one or both legs are severely swollen or discolored
- previously diagnosed varicose veins, family history of thrombosis
9. Skin changes.
During pregnancy, you may notice dark spots on your skin. Especially often such darkening (hyperpigmentation) is observed in the nipple area, along the white line of the abdomen. Stretch marks (stretch marks) may appear on the skin of the abdomen and thighs. These are normal signs and do not require any treatment. In most cases, skin color will return to normal after breastfeeding ends, and stretch marks will shrink and fade. Itching can be associated with stretching of the skin, especially in the abdomen and mammary glands. This symptom occurs infrequently and is usually successfully stopped by the use of special products to moisturize and soften the skin. By the way, these same remedies usually help in the fight against stretch marks. nine0003
Life hack! Oils and moisturizing creams to increase skin elasticity, contrast showers, massage with a hard brush will help reduce the likelihood of skin changes.
You should definitely consult a doctor if:
- along with itching there are areas of redness, spots, peeling
- the intensity of itching increases
10. Bleeding gums.
Changes in the characteristics of blood circulation in the body of a pregnant woman can cause bleeding gums. The appearance of minor blood impurities during brushing your teeth, when eating solid foods (for example, an apple) is acceptable. However, the key provision is "insignificant". If you find it difficult to assess your own condition, consult a specialist. nine0003
You should definitely consult a doctor if:
- you have loose teeth, sore gums, bad breath
- bleeding in the gum area increases
11. Fatigue, mood instability.
Tearfulness, lack of strength, forgetfulness, distraction, the whole palette of feelings "here and now"... The list can be continued, and there is only one explanation for this - pregnancy. The most common early symptom is severe fatigue. There is no universal recipe, just as there is no single picture of these states. The main recommendation for all pregnant women is to rest often, relax and even sleep during the day. Most importantly, you need to remember: pregnancy is not a disease, but a great time to prepare for motherhood.