Allergy during pregnancy

Allergy sufferers can also get pregnant – if you believe a Danish examination,even faster than other women. It is possible that the changes in the immune system that are typical of allergies mean that a fertilized egg cell can implant itself more easily in the uterus. Once the pregnancy has occurred, the questions come.

Can I still take my medication? Do I have to cancel the desensitization now? Basically, allergies should also be treated during pregnancy.

However, some special features must be observed. Pregnant allergy sufferers can find the best advice in this regard from an allergology’s trained specialist. ¬†sudden attacks of sneezing runny nose itchy eyes If the symptoms occur at the same time as usual, for example during pollen count, it is usually clear that they are caused by the allergy and not by a cold. However, if the symptoms appear for the first time, the doctor must confirm the diagnosis by carefully asking about the symptoms and the place and time of their occurrence.

Blood tests are often also necessary. The usual skin tests are prohibited during pregnancy because of the – albeit minimal – risk of allergic shock. Nasal sprays containing cortisone or cromoglicic acid Nasal sprays containing some cortisone are suitable for treating hay fever during pregnancy .

So far there is no evidence that they harm the child. The same applies to nasal sprays with the active ingredient cromoglicic acid, which, however, are less effective. Antihistamines During Pregnancy? So-called antihistamines are also prescribed relatively often to pregnant women. The manufacturers of these preparations usually advise against their use, as there are too few studies on it.

The risks from antihistamines are considered unclear. Some older active ingredients have harmed unborn life in animal experiments, and there is little experience with use during pregnancy, especially with newer preparations. In individual cases, the doctor should choose the medication whose harmlessness is most reliably documented. It is particularly critical to check whether medication is required at all.

Avoid allergy triggers Aside from medicines, the recommendation for pregnant allergy sufferers, as for all other allergy sufferers, is to avoid the allergy triggers. To do this, for example, the windows should be closed during the pollen season and the hair should be washed before going to bed. However, it is practically impossible to completely avoid allergy triggers such as pollen or the excretions of house dust mites.

This is why drugs are often inevitable even in pregnant women. Therapy through desensitization The only causally effective therapy against allergic diseases is currently specific immunotherapy (SIT), also known as desensitization or allergy vaccination.

For SIT, the substance to which the patient has an allergic reaction (the allergen) is regularly injected under the skin in increasing doses up to a maximum dose or given under the tongue in the form of drops. As a result, the immune system gets used to the allergen and no longer reacts with a pathological defense reaction.

Desensitization: Do not start during pregnancy According to the guidelines of the professional associations, an ongoing SIT, which the patient has tolerated well in the maximum dose, can be continued after the onset of pregnancy. In any case, a particularly careful review of the risk / benefit ratio should be carried out.

In particular if there is a vital indication, especially in the case of a severe allergy to insect venom, it is advisable to continue SIT in order to prevent an anaphylactic reaction after an insect bite . On the other hand, SIT should not be restarted in pregnant women. Background: In very rare cases, an allergic shock reaction can occur.

Hormones cause nasal congestion Changes in the hormonal balance during pregnancy can exacerbate allergic rhinitis . They cause the blood vessels in the nasal mucosa to expand and the mucous membrane to swell. Every fifth woman therefore suffers from a blocked nose during pregnancy , especially at the beginning of the second trimester.

Allergy sufferers seem to be affected a little more often. Saline solution as a nasal spray or the caring substance dexpanthenol provide relief. A lot of fresh air, exercise and sleeping with a slightly elevated upper body also help. In severe cases, short-term decongestant nasal drops can be given – ideally always alternately only on one side and in the lowest possible concentration. Nasal sprays containing cortisone are another treatment option.

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