Regulations 

Whether there is a temperature of 37 during pregnancy. What do the lowered indicators say? Why high temperature is dangerous

An increase in temperature in humans is observed for various reasons. This phenomenon is a normal reaction of the body to various external and internal changes. Fever during pregnancy, however, is a serious cause for concern. The use of many drugs at this time is contraindicated. Therefore, the approach of the mercury column to the 38-degree mark is a reason to see a doctor.

What influences the onset of fever

The female body reacts with temperature fluctuations in the range of 36.6 ° C - 37.7 ° C to a change in hormonal levels, which begins as soon as the time of the onset of the next menstruation approaches.

The upward change in the indicator falls on the second half of the menstrual cycle. It is at this time that the production of progesterone begins - a hormone that is responsible for saving the ovum if conception occurred earlier. Therefore, a temperature of 37 during pregnancy, in its early stages, is considered a kind of normal phenomenon. Many pregnant women experience fever. However, due to the fact that at first the general well-being does not change, one of the symptoms of a possible disease is simply ignored.

When the temperature speaks of illness

During pregnancy, the immunity of the expectant mother changes qualitatively, the woman becomes open to all kinds of infections.

Formally, the fetus is a foreign element for the mother's body. Due to the fact that the embryo has a half foreign genetic set, the body gives the command to weaken the protective functions of the body during pregnancy. All this helps to preserve the embryo.

During a flu epidemic, pregnant women are especially susceptible to the virus. The first symptoms are high temperature readings, headache, nasal congestion, body aches, cough.

Thinking that this is a common cold due to hypothermia, some women do not go to the doctor. The danger of influenza is a complication of the disease. In addition, the virus can cross the placenta and infect the fetus. If this happens in the early stages, it is better to terminate the pregnancy - it is possible that the child will be born with developmental defects.

High, more than 38 ° C, body temperature during pregnancy is observed against the background of pyelonephritis - an inflammatory process in the kidneys.

Women who are carrying a pregnancy are especially susceptible to its development due to the fact that the fetus presses on the ureter, making it difficult for urine to drain. As a result, the emergence of an infectious process.

The onset of the disease can be said:

  • headache;
  • chills;
  • temperature increase;
  • weakness in the whole body;
  • discomfort during urination;
  • back pain.

It should be remembered that in pregnant women, the diagnosis of pyelonephritis in the early stages is difficult due to the fact that the symptoms are not pronounced and are similar to general complaints associated with the restructuring of the body. The lack of an adequate treatment program threatens the development of preeclampsia or toxicosis in the later stages, miscarriage. Impaired development may be observed directly in the fetus, the brain receives less oxygen.

Fever during pregnancy is often a consequence of an intestinal infection or banal poisoning, which are similar in symptoms to the toxicosis of pregnant women that often appears in the early stages. But if they are joined by loose stools, abdominal cramps and high fever, then this is a reason to consult a doctor in the near future.

Danger that's hard to see

If in the early stages the mercury column does not rise above 37 ° C, then this is considered a normal fluctuation. What mark should you worry about?

Experienced gynecologists say that if the thermometer shows 38 ° C, a woman should immediately consult a doctor.

This condition negatively affects the course of pregnancy, especially in the early stages, and the development of the fetus. As you know, the first time after the egg was fertilized, most of the body systems of the unborn child are laid. Fever during pregnancy during the first trimester can lead to malformations.

The area of ​​the eyes, mouth, limbs is especially at risk. If the temperature is above 38 ° C for 24 hours, the development of the child's brain and skeleton is impaired. In the early stages, such phenomena often lead to fetal death.

High temperature during pregnancy leads to the fact that protein synthesis is disrupted, there may be a decrease in the quality of blood supply to the placenta.

In the later stages, this condition leads to premature birth, and in the early stages, the risk of miscarriage increases.

Action plan

Noticing that the thermometer reads more than 37.5 ° C, you should consult a doctor. Only in this case will it be determined which infection caused this condition. You cannot self-medicate.

If the temperature rises too quickly in the early stages, vomiting and pain in the kidney area is observed, the woman should call an ambulance and clearly describe the symptoms.

During pregnancy, taking any medications should be supervised by a doctor. The gestation period is the time when aspirin and drugs based on it are strictly prohibited. In the early stages, these medications can cause miscarriage, at later stages - bleeding, untimely or slow opening of the uterus. Aspirin, as shown by recent studies, causes fetal malformations, a decrease in the quality of the blood and, accordingly, an increase in the risk of bleeding.

If the mercury column approaches 38 ° C, doctors advise you to take half a tablet of a drug containing paracetamol and call an ambulance immediately.

The appointment must be one-time, and it is imperative to notify the doctor about it. Long-term use of paracetamol leads to bleeding.

Temperature on the eve of childbirth

As the time of childbirth approaches, the woman begins to mark more and more "bells" of the expected event. Temperature before childbirth is one of them. The woman has chills, fever.

If such phenomena are the norm, then when should the expectant mother start worrying?

Possible reasons

An increase in body temperature to 37 ° C during the time when the body begins to prepare for childbirth is not a matter of concern. However, leaving it unattended is also not recommended. Sometimes this phenomenon indicates that a virus has entered the body. Approximately 15-20% of pregnant women note a rise in temperature by 0.5-1 degrees.

An elevated temperature during late pregnancy can have several reasons:

  • The use of drugs of the group of anesthetics. These medicines are used, for example, by dentists. The duration of anesthesia is up to six hours, and during this period there may be a slight increase in temperature indicators.
  • Presence of infection: in this case, temperature fluctuations from the norm indicate that an infection has entered the body. Pregnant women are highly susceptible to them.
  • Exacerbation of chronic diseases.

  • Infection of amniotic fluid, placenta. In this case, the temperature indicates infection. The situation is extremely dangerous, since it threatens not only the child, but also the mother. Infection can cause premature birth. For a newborn, infection of the habitat in the womb becomes the cause of the development of increased sensitivity to various kinds of diseases. If the temperature before childbirth rises precisely because of an infection in the amniotic fluid, then the woman should strictly follow all the doctor's recommendations.

Psychological moment

On the eve of childbirth, many women are worried, worried. Gynecologists note that nervousness can cause fever. It is known that stress even in a healthy person triggers a complex chemical process, as a result of which elements are released into the blood, forcing the body to respond to this phenomenon by raising the temperature.

If the temperature is low

During pregnancy, you can observe not only an increase, but also a decrease in temperature below 36.6 ° C.

The condition when the thermometer reads below this figure is called hypothermia. It is recommended that the pregnant woman record the indicators for several days, and if they do not change, consult a doctor. In the early stages, it will be easier to diagnose the disease and prescribe adequate therapy.

It should be remembered that a decrease in temperature in itself does not have a negative effect on the course of pregnancy, while the diseases that caused this condition pose an immediate threat to the health of the mother and child.

Causes of hypothermia include:

  • Weakened immunity (which is normal for pregnancy).
  • Poor quality of food, insufficient volume - in the early stages, this condition is accompanied by toxicosis.
  • Disruption of the thyroid gland.
  • Fluctuations in sugar levels.
  • Excessive mental, physical exertion.

From the very first days of conception in a woman's body, the process of restructuring begins. But expectant mothers are wary of any changes and almost every uncharacteristic feature is referred to as pathology.

The list of concerns includes body temperature indicators. Any increase or decrease in body temperature leads to panic in women.

What is the normal body temperature during pregnancy?

Often, an increase in body temperature (up to 37.2 degrees) is observed in the first months of pregnancy. In some cases, such indicators can hold throughout the entire nine months of bearing a baby. Doctors do not attribute this phenomenon to pathology, but explain such deviations from the norm by a natural physiological process that occurs during pregnancy.

An increase in temperature indicators can be affected by two main reasons:

  1. Active production of progesterone, which acts on the center of thermoregulation.
  2. During pregnancy, all women have a weakened immune system and immunosuppression occurs. Thus, the fetus is protected from unwanted rejection.

Increased body temperature during pregnancy

Unfortunately, women during pregnancy are not immune from various diseases and pathologies, therefore, they can signal any health problems and threaten the unborn child.

If a woman's thermometer shows no higher than 37.2 degrees in position, and there are no other symptoms, then an increase in temperature does not pose a danger to the expectant mother and her baby. But with a significant increase in the pregnant woman, it is necessary to visit a doctor and undergo a clinical examination in order to find out the cause of such indicators. Do not forget that an increased temperature for several days can significantly harm the course of pregnancy and negatively affect the development of the fetus.

The following factors can provoke such a process:

  • increased uterine tone, which can lead to abortion;
  • placental lesion, as a result of which pathological disorders in the development of the fetus may occur;
  • dysfunction of the cardiovascular system caused by intoxication of the female body;
  • development of fetal malformations (especially in the first trimester).

In any case, when a temperature symptom appears, a woman needs to seek qualified medical help in order to establish the cause of the increase in body temperature. The most common are:

  1. Flu, . The temperature can reach 39 degrees. In addition, there are accompanying symptoms: body aches, weakness, runny nose, pain in the eye area.
  2. Diseases of the respiratory system, in particular laryngitis, bronchitis, tracheitis, pneumonia. In addition to an increase in temperature, the patient has a cough of varying degrees (dry, wet) and sore throat.
  3. Thyrotoxicosis. Disease associated with dysfunction of the thyroid gland. The main symptoms of pathology are increased appetite (but at the same time, a sharp loss of body weight), irritability (even tearfulness), increased body temperature (up to 38 degrees).
  4. Problems with the urinary system(kidney disease, bladder inflammation). The main signs of the pathological process are pain in the lower abdomen and lower back, impaired urination, and increased body temperature.

This list lists the most common causes of an increase in temperature readings, but there can be many more. However, if the expectant mother has more than 37.5 degrees on the thermometer, then an urgent need to take measures to stabilize the condition. To do this, you can use folk remedies:

  • drinking plenty of fluids (warm lemon tea, cranberry drink, herbal teas);
  • wet rubdown;
  • vinegar body rub (a tablespoon of vinegar, three tablespoons of water).

If such methods do not bring down the temperature, then drug therapy is needed. However, do not forget that taking pharmaceutical drugs can only be carried out after medical approval, because most of the antipyretic medicines have contraindications.

Low body temperature during pregnancy

The pathological process is also signaled by a temperature below 36.6 degrees. With hypothermia, the thermometer may show 36.0. If during pregnancy a woman has such a condition for several days, then it is necessary to urgently consult a doctor, since such indicators indicate the presence of certain problems.

The drop in temperature itself does not have a negative effect on the course of pregnancy. But the diseases that caused such a symptom can significantly harm a pregnant woman and her baby.

The reasons for decreased thermoregulation can be:

  • decreased immunity, which often happens during pregnancy;
  • malnutrition, especially in the first trimester, when a woman has to deal with toxicosis;
  • anemia or decreased hemoglobin;
  • hypothyroidism, caused by dysfunction of the thyroid gland (drowsiness, weakness, swelling, low body temperature - the main signs of the disease);
  • past infectious diseases(flu, ARVI);
  • hypoglycemia or low blood sugar caused by unbalanced diet or diabetes mellitus;
  • chronic fatigue, provoked by physical or mental stress.

How should the temperature be measured?

Of course, all of the above reasons for changing temperature indicators negatively affect the well-being of both mom and her child. Therefore, if any health problems appear, a woman needs to measure her temperature. The following recommendations will help to do this correctly:

  1. It is not recommended to drink hot drinks before the procedure. Also, you cannot take measurements immediately after physical exertion.
  2. You need to measure the temperature in a calm state.
  3. If you use an electronic device for measurement, then the procedure should be carried out for about five minutes, if with mercury - no more than 10 minutes.

If the indicators of the measuring device do not correspond to the norm, then do not hesitate to visit a doctor. The specialist will conduct a competent examination and prescribe treatment if necessary.

The period of pregnancy is a time of boundless happiness and ... endless experiences. Every change that happens to the body of a future mother is first questioned: “Is everything all right? Is this how it should be? " An important indicator - body temperature - can go down and up in comparison with the usual 36.6 on a thermometer. When a temperature jump is a variant of the norm, and when it is a manifestation of pathology, we will consider in the article.

What are the indicators on the thermometer are the norm during pregnancy

Body temperature affects the state of absolutely all living things on Earth. Complex organisms, to which we belong, are able to regulate temperature and maintain it at the same level. In addition, it carries a protective function, rising to fight viruses and bacteria.

In order for all the systems of our body to function smoothly, it is necessary to maintain the temperature at an optimal level of 36.6 ° C. The thermoregulatory center is located in the hypothalamus. In the human body, special substances may be present - pyrogens, which contribute to an increase in temperature. Pyrogens are of endogenous (internal) and exogenous (external) character. The hormone progesterone, which is produced from the very beginning of pregnancy and ensures its normal course, is also an endogenous pyrogen. Therefore, in an early period, an increase in temperature is the norm, since it is due to the physiological processes of the body.

In pregnant women up to 12 weeks, a subfebrile temperature is observed, which normally reaches 37.5 ° C.

Subfebrile temperature ranges from 37.1-38 ° C.

To correctly determine your temperature regime, you need to take measurements twice - in the morning and in the evening. Based on these indicators, you can monitor the dynamics of temperature.

A sudden one-time rise in temperature is a reason to see a doctor!

There are three main ways to measure it:

1. Familiar to all of us from childhood - in the armpit. Measurements can be carried out with a mercury thermometer (about 7 minutes) and an electronic thermometer (about 2 minutes). The norm is up to 37 ° C inclusive.

2. Oral - in the mouth. Measured primarily with an electronic thermometer. The norm for early pregnancy is 37.2 ° C.
An electronic thermometer must be placed under the tongue

3. Rectal - in the rectum. For ease of introduction, the tip of the thermometer is lubricated with petroleum jelly. Measurement time - no more than 3 minutes. The norm for early pregnancy is 37.1–37.5 ° C.

Video: rectal temperature is normal and during pregnancy

With the development of technology, convenient non-contact thermometers have appeared, but it is difficult to vouch for their 100% reliability.
Non-contact thermometers (pyrometers) are a convenient and safe alternative to the usual mercury

Regular measurements of basal temperature (in the mouth, vagina, rectum in a calm state, better - immediately after a night's sleep) should be carried out up to 20 weeks for women who have had previous miscarriages, frozen pregnancies. If an increase in the mark on the thermometer to 37.5 ° C indicates the onset of pregnancy, then a decrease of 0.8-1 ° C indicates a decrease in progesterone and, therefore, a possible threat to the development of the baby.
Another natural cause of an early fever is physiological immunosuppression. This phenomenon means that both types of immunity (cellular and humoral - antibodies in the blood) are suppressed in a pregnant woman. This is necessary so that the mother's body does not reject the embryo, which is 50% alien genetically for a woman. This pregnancy rate is the reason that women in a position are more prone to colds.

The temperature in the first trimester is also explained by ordinary overheating due to warm clothes or hot weather, so the expectant mother should often ventilate the rooms and walk in the air.

The second trimester of pregnancy (13-24 weeks) is the most pleasant and relaxing time. The tummy is still small, the gait is light, the toxicosis recedes. However, progesterone continues to be actively produced, therefore, an increase in body temperature up to 37 ° C (in some cases - up to 37.5 ° C) may still be observed. Subfebrile temperature, flowing without concomitant symptoms, is normal at this time.

In the third trimester, a woman's body prepares for the upcoming birth. Progesterone is not produced in the same amounts as in earlier periods, therefore, a body temperature of 36.6 - 37 ° C is considered normal. It may slightly exceed the 37 ° C mark, but it is better not to allow it to rise to 38 ° C in order to avoid overloading the cardiovascular system.

In addition, hyperthermia - an increase in body temperature - can be observed with increased physical exertion, prolonged walking, and nervous stress.

Thus, during the entire pregnancy, an increase in temperature to subfebrile levels is permissible against the background of normal general well-being. If an increase in body temperature is a variant of the norm, then its decrease (hypothermia) should be alarming. Therefore, be sure to seek help from a gynecologist or therapist if you suspect a disease!

When a rise in temperature is a sign of illness

Thermoregulation, like other functional systems of the body, undergoes significant changes with the onset of pregnancy. How to distinguish a natural rise in temperature from pathological symptoms of diseases and start treatment in a timely manner?

Hyperthermia in pregnant women can be explained by the following factors:

  1. Individual characteristics of a woman's body.
  2. Infectious diseases.
  3. Other reasons.

Individual characteristics of a pregnant woman

As noted above, during normal pregnancy, the temperature may rise slightly. This is due to hormonal changes in the whole organism and changes in thermoregulation processes. Often, expectant mothers feel an internal heat, but at the same time they feel absolutely normal.

The author of these lines has repeatedly seen girls near the antenatal clinic in the cold season, who were dressed in light jackets or fearlessly flung open their outerwear. This phenomenon, however, did not affect me. No wonder, because each of us is unique and has its own characteristics.

Distinctive features of this condition are:

  • temperature rise to 37.5 ° C;
  • hyperthermia lasts for a long time, sometimes until the birth itself;
  • general health is good;
  • no concomitant symptoms.

Nevertheless, if an elevated temperature of a pregnant woman is detected, it is necessary to consult a doctor: after the diagnosis is made, it is possible to speak with confidence either about a variant of the norm, or about a latent disease.

Infectious diseases

Due to physiological immunosuppression and increased stress on the body, pregnant women are especially susceptible to various infectious diseases.

Hyperthermia in diseases has distinctive features:

  1. With acute respiratory illness or flu, the temperature can rise up to 39 ° C. Concomitant symptoms: headache, general weakness, joint aches, burning eyes, sore throat, runny nose, cough.
  2. Diseases of the respiratory system (bronchitis, pneumonia, laryngitis, pharyngitis), in addition to hyperthermia, are accompanied by:
    • general weakness;
    • headache;
    • sore throat;
    • severe cough;
    • violations of the voice up to its loss;
    • redness and swelling of the mucous membranes of the nasopharynx;
    • purulent plaque in the pharynx area;
    • muscle pain.
  3. Endocrine disorders are accompanied by weight loss against a background of increased appetite, emotional instability and an increase in body temperature up to 38 ° C.
  4. Nausea, vomiting, stool disorders in combination with hyperthermia indicate intestinal infections. It is necessary to distinguish the manifestations of toxicosis in the early stages of pregnancy from intestinal disorders, this requires a doctor's consultation.
  5. Diseases of the kidneys and urinary system (pyelonephritis, cystitis) often occur or worsen in the process of carrying a baby. In the later stages, when the uterus greatly enlarges and presses on the internal organs, including the ureters, a favorable environment is created for the reproduction of harmful microorganisms. The symptoms of these diseases are peculiar:
    • pulling pain in the lower back, as well as strong in the sides;
    • frequent and painful urination;
    • the appearance of impurities in the urine and a change in its color;
    • urinalysis shows an elevated white blood cell count.
  6. Pregnant women who did not have chickenpox, rubella, measles, mumps (mumps) or were not properly vaccinated during childhood can become infected with childhood infectious diseases. In addition to temperature, they are accompanied by a fever, general weakness, and a rash on the body. Rubella and chickenpox - in contrast to measles and mumps - in the mother in the early stages are very dangerous for the unborn baby!

Other causes of hyperthermia

There are a number of reasons that can cause a fever in a pregnant woman:

  • allergic reactions;
  • ectopic pregnancy;
  • exacerbation of systemic diseases - rheumatism, lupus erythematosus;
  • acute surgical conditions such as appendicitis.

How to deal with hyperthermia at different stages of pregnancy: medicines and folk remedies

It is not recommended to take medications during pregnancy. It is important to carefully weigh the potential benefits and harms of the drug for the mother and fetus. It is preferable to use local dosage forms (ointments, gels, suppositories), but if you cannot avoid taking pills, use the minimum effective dose and not combine several drugs.

You should try to avoid taking medications in the first trimester of pregnancy!

You can also bring down the high temperature with the help of folk remedies and physical methods of influence.

Before considering the main methods of dealing with hyperthermia, it is necessary to note the general rules of behavior of a pregnant woman with an increase in temperature:

1. If the temperature does not exceed 37.5, you do not need to take any action. Depending on the time of year and the location of the pregnant woman, it is better to sit in the shade, remove excess clothing, if there are no other warning symptoms.

2. If the temperature stays within 38 ° C - remember that this is a protective reaction of the body that helps fight pathogens. Therefore, it is sufficient to remove excess clothing or wipe off with warm water (about 37–38 ° C). However, there are several nuances here:

  • in the first and second trimesters, such a temperature is not knocked down, in the third, they try to avoid the 38 ° C mark in order to avoid overloading the cardiovascular system;
  • for pregnant women with chronic diseases of the kidneys, endocrine and cardiovascular systems, bring down the temperature from 37.5 ° C, so as not to provoke exacerbations.

3. At a temperature of 38 ° C, without consulting a doctor, you can take 1 tablet of paracetamol or put a suppository Viferon, approved for pregnant women, and be sure to consult a doctor who will prescribe further treatment.

4. If the temperature has risen against the background of a sore throat, it must be knocked down, since a high degree of intoxication of both the mother and the baby is possible.

Attention! Pregnant women are prohibitedtake aspirin andtake antibiotics on your own.
During pregnancy, the range of drugs that can be taken narrows sharply.

Folk remedies for high fever

As stated above, the first step is to try to lower your fever without medication. Traditional medicine comes to the rescue in such cases. Remember that these recommendations are for informational purposes only and are not a direct guide to action!

1. The first remedy that is recommended for lowering the temperature is an abundant warm drink. However, this method is not suitable for later periods, when the risk of puffiness and gestosis increases, as well as for diseases of the kidneys and urinary system.

2. Warm herbal teas (linden) with raspberries, rosehip infusion - for patients with pyelonephritis, fruit drinks and jelly are suitable for an abundant drink. Kissel is especially good for severe sore throat, it envelops the mucous membrane and makes it easier to swallow. Cranberry juice perfectly lowers the temperature and increases immunity, however, there are contraindications:

  • it should not be used by women with high acidity of the stomach in the later stages;
  • with existing diseases of the gastrointestinal tract;
  • in the early stages, uncontrolled consumption of cranberry juice, which has a high content of vitamin C, can provoke uterine tone.

For everyone else, it is a storehouse of vitamins and just a delicious drink. I want to give my own version of the preparation of cranberry juice, which I regularly prepare, including to reduce the temperature. His recipe is very simple: rinse 300 g of berries, cover with a wooden (this is important!) Crush. Transfer the crushed berries to cheesecloth and squeeze the juice into a glass container, which must be placed in the refrigerator. Put the resulting cake in a saucepan and pour 1 liter of water. Bring this mixture to a boil, then strain it into a bowl. We also add 6 tbsp. l. sugar - the amount of sugar can be changed to your liking, stir the sugar until dissolved. Let the broth cool, then add fresh cranberry juice from the refrigerator and the delicious fruit drink is ready!
A drink made from this sour berry is a delicious helper in the fight against colds.

3. You can not wrap yourself in warm clothes in a feverish state, just as you can not wipe yourself with cold water to reduce the temperature. The water should be close to body temperature so that there is no spasm due to a sharp drop. Do not wipe with water, vinegar or alcohol - substances can penetrate through the skin into the mother's blood!

4. Hot baths are contraindicated at any time, since they cause the tone of the uterus, the risk of premature birth. In later stages, hot baths can cause swelling by causing blood to flow in the veins.
Hot foot baths are effective for colds, but are contraindicated for pregnant women!

5. You can make cool rubdowns with water + lemon juice or water + apple cider vinegar in a 2: 1 ratio.

6. Cool compresses on the forehead from fresh cabbage leaves help well.

Folk remedies rely more on herbal medicine. Herbal medicine is good for its naturalness, but there are herbs that are contraindicated for pregnant women: curly parsley, wild strawberries, calendula, St. John's wort, sage and even chamomile have abortive properties. But on the Internet you can often find that infusions of these herbs are recommended for drinking against hyperthermia. Pregnancy is not a time to experiment, so be extremely careful when choosing traditional medicine to lower your fever, and be sure to consult your doctor!

Video: is chamomile possible for pregnant women

Drug therapy

If folk remedies do not help, the temperature does not drop within three days - it's time to seek help from medicines.

  • The most effective and familiar way is to take antipyretic drugs. Permitted drugs for pregnant women at any time are paracetamol-based drugs: tablets, syrups, suppositories, drops, powders.

Photo gallery: different dosage forms containing paracetamol

The active substance of suppositories is absorbed in the rectum for a longer time, but has a longer effect. Antipyretic agent, which has been proven over the years, which is in every home. The well-known syrup based on paracetamol Syrup is a convenient form for taking

The maximum permissible daily dose is 4 g. Uncontrolled and prolonged use of the drug has a negative effect on the liver, kidneys, and may cause bleeding.

Attention! Paracetamol is most effective for viral infections (ARVI), so if it does not bring down the temperature, then a serious bacterial infection or complication is likely. In this case, an urgent need to consult a doctor!

Video: is it possible to drink paracetamol during pregnancy

  • Ibuprofen-based drugs (Ibuprofen, Ibuprom, Imet, Nurofen) are prescribed in the third trimester if there is an intolerance to other antipyretic and anti-inflammatory drugs.
  • The popular homeopathic rectal suppositories Viburcol should be used as directed by a doctor.
  • Aspirin and Analgin, according to recent studies, are prohibited for use by pregnant women.

If, while taking medications, there are any side effects, pulling pains in the lower abdomen - a pregnant woman needs to urgently seek help from a doctor!

Other ways to deal with fever

In exceptional cases, a high temperature can be overcome only with the help of surgical intervention - if it is caused by an acute surgical pathology:

  • appendicitis;
  • cholecystitis - inflammation of the gallbladder;
  • intestinal obstruction - squeezing of the intestine by the growing uterus (hernia, tumor);
  • pancreatitis - inflammation of the pancreas.

These conditions are accompanied by subfebrile indicators and require careful differential diagnosis. If the operation is not urgent, it is postponed until the second trimester, and best of all - the postpartum period.

Physiotherapy procedures that can be prescribed for pregnant women include:

  • compresses;
  • wraps and wipes;
  • applying pieces of ice through the tissue to the exit sites of large vessels - the forehead, axillary and popliteal cavities, groin;
  • a cool enema is not a pleasant procedure, therefore it is used when other methods do not work; warm water (35–36 ° C) with salt - 0.5 tsp is used. per 100 ml of water.

Such procedures are contraindicated in the so-called white fever (cold hyperthermia) - when the limbs turn white and become cold in combination with chills.

Video: how to cope with fever during pregnancy

Why high fever is dangerous during pregnancy

If the temperature rises in the subfebrile range or rises once as a result of overheating, it does not harm the unborn baby. This is true only for those cases when the possibility of various pathologies is excluded.

At any time, a fever of 38 ° C is considered dangerous. A particular danger is posed by such indicators that have arisen in infectious diseases, since harmful microorganisms adversely affect the fetus, causing miscarriages or premature birth, congenital malformations, and death.

Main risks:

  1. Hyperthermia negatively affects the development of the placenta, causing its premature detachment with all the ensuing consequences.
  2. High indicators on the thermometer disrupt the protein metabolism in the woman's body, which has a direct impact on the development of all systems of the baby, contributes to the occurrence of congenital malformations.
  3. Intoxication of a woman's body caused by high temperature entails a disorder in the functioning of the cardiovascular system of the mother and the fetus.
  4. The nervous system, facial skeleton, and intellectual inclinations developing in a child are at particular risk.

 Hyperthermia is dangerous for both the mother and her unborn baby.

Prevention of hyperthermia

The list of the effects of high temperatures is impressive. However, by adhering to simple preventive measures, you can maximally protect both of you (or maybe three, four?) From hyperthermia:

  1. Avoid public places where people gather. Visit the clinic and antenatal clinic only if necessary, if the distance allows - on foot.
  2. If during the height of seasonal illness you are forced to be among people, try to rinse your nasal passages with a mild salt solution when you come home. And when going outside, apply a small amount of oxolinic ointment into each nasal opening. From personal experience, I note that the oxolinka helped me in an interesting position. Doctors are divided over this remedy: some consider it absolutely useless, a kind of placebo effect, others recommend using it before every exit from home. The early periods of my second pregnancy were at the end of winter - the beginning of spring, the most rampant infectious diseases. A small amount of ointment for myself and the eldest son before the walk - and we did not know any diseases!
  3. Regular ventilation and wet cleaning of the room.
  4. Thorough hand hygiene.
  5. Compliance with the rules of behavior if a patient appears in the house: separate dishes, a towel, limiting contacts, wearing a medical mask, which the patient needs to change regularly.

Decrease in body temperature during pregnancy

Not all expectant mothers have a rise in temperature, some note a decrease in their temperature. Hypothermia - a decrease in body temperature - can have different causes.


Any fluctuations in body temperature are a reason to be examined by a specialist. During pregnancy, these changes take on special significance. A high temperature may indicate the development of infectious diseases, a low temperature may indicate complications of gestation. Regular measurement of body temperature will allow you to notice changes in time and take the necessary measures to eliminate the problem.

Norm and pathology

Normal values ​​of human body temperature are in the range from 35.8 to 36.9 ° C. Exceeding these values ​​is called hyperthermia, lowering - hypothermia. During the day, a healthy person has fluctuations in body temperature. If this phenomenon is not accompanied by a deterioration in the general condition or clear signs of the disease, you should not worry. An adequately working thermoregulation system will soon return the temperature to normal without additional medication.

Body temperature is measured in the armpit or rectum. Rectal (basal) temperature is the main indicator used to detect ovulation and early pregnancy.

Physiological causes of hyperthermia:

  • physical activity;
  • food intake;
  • prolonged stay in a warm microclimate;
  • hot season (but not overheating!);
  • afternoon (afternoon and evening).

In women, there is an increase in body temperature during ovulation (by 0.6-0.9 ° C), as well as in the first trimester of pregnancy. While waiting for the baby, the body temperature must meet the following criteria:

  • The thermometer mark does not exceed 37.4 ° С.
  • The increase in body temperature lasts only up to 14-16 weeks.
  • The high temperature is not accompanied by a deterioration in the general condition of the woman. There are no signs of ARVI, abdominal pain and other obvious symptoms of the disease.

An increase in body temperature above 37.4 ° C in the first trimester is a reason to consult a doctor.

Physiological causes of hypothermia:

  • morning and night time;
  • low physical activity;
  • starvation;
  • being in a cool room (but not hypothermia!).

A decrease in body temperature below 35.8 ° C is a reason for examination by a specialist.

Dangerous symptoms

There are situations in which you cannot do without the help of a doctor:

  • catarrhal symptoms: runny nose, cough, sneezing, watery eyes, nasal congestion;
  • earache;
  • pain in the abdomen, lower back, groin, perineum;
  • joint pain;
  • Strong headache;
  • hypersensitivity to stimuli (light, sound, touch);
  • nausea and vomiting;
  • skin rash.

The appearance of these symptoms against the background of a high body temperature indicates the occurrence of serious diseases. A low temperature combined with such signs should also be a reason for a visit to the doctor.

Pathological changes in temperature

In the early stages of pregnancy, hyperthermia is noted in such conditions:

Pathology of pregnancy

The threat of spontaneous miscarriage or regressing pregnancy are the most common complications of the early stages. In the first case, we are talking about an increased tone of the uterus and a high risk of detachment of the ovum. In this case, the embryo can be alive, and in certain cases, such a pregnancy can be saved. In the second case, there is no chance of a successful outcome. The embryo dies, but the uterus does not contract and there is no miscarriage.

At the initial stages of miscarriage (threatening, started or failed, that is, regressing pregnancy), there is a decrease in body temperature. It is difficult to track changes in the armpit, therefore, basal temperature measurement (in the rectum) is recommended. Normally, after the conception of a child, the rectal temperature rises to 37.1-37.4 ° C and remains within these limits until the end of the first trimester. This increase in temperature is associated with increased synthesis of progesterone and is considered completely normal during pregnancy.

With miscarriage, the production of hCG and progesterone decreases, and the body temperature tends to fall. Minor daily temperature fluctuations are not dangerous. If the mark on the thermometer drops below 36.9 ° C for up to 14 weeks, you should see a doctor. Such a symptom clearly indicates a serious problem and may be a sign of an imminent termination of pregnancy.

Associated symptoms:

  • decrease in the size of the mammary glands;
  • the disappearance of toxicosis (nausea, vomiting, salivation);
  • lower abdominal pain;
  • spotting from the vagina.

In the case of a regressing pregnancy, such symptoms appear gradually and are not always noticed by a woman on time. Lower abdominal pain and spotting appear only 2-4 weeks after the death of the embryo. A month after regression, there is a repeated increase in body temperature to 37.1 ° C and above. This indicates the breakdown of the ovum and the release of toxins into the blood. If the woman is not helped, endometritis, peritonitis and sepsis may develop. Bleeding with profuse blood loss is possible.

Correction of body temperature in these situations is not carried out. After eliminating the underlying pathology, the temperature will return to normal. If a miscarriage is suspected, an ultrasound scan of the pelvic organs is performed. If the heart of the embryo beats, conserving therapy (antispasmodics, hormonal support) is prescribed. In the case of the death of the embryo, curettage of the uterine cavity and vacuum aspiration of the ovum are indicated.

Ectopic pregnancy

This term means the location of the embryo outside the uterine cavity: in the fallopian tube, ovaries, abdominal cavity. Such a pregnancy is doomed: the development of the fetus is impossible outside the uterus. You can suspect a pathology by the following symptoms:

  • pain in the lower abdomen (usually on one side);
  • vaginal spotting.

A decrease in body temperature during ectopic pregnancy is noted in the event of a ruptured tube or tubal abortion and bleeding. Abundant blood loss leads not only to a decrease in temperature, but also to the appearance of other symptoms:

  • tension of the muscles of the abdominal wall;
  • pallor of the skin;
  • cold sweat;
  • dizziness;
  • loss of consciousness.

An increase in temperature when indicates the development of peritonitis or other infectious complications. In any of these situations, emergency assistance from a gynecologist is required. Treatment is only surgical. The ovum is removed, the tube is sutured or excised (with tubal pregnancy). Lack of timely assistance can be fatal.

Infectious diseases

Physiological decrease in immunity is noted from the early stages, which inevitably leads to the appearance of a variety of diseases. The expectant mother is at risk of developing ARVI, and even a slight hypothermia can lead to the appearance of such symptoms:

  • cough;
  • sore throat;
  • runny nose and nasal congestion;
  • lacrimation.

All these symptoms occur against a background of high body temperature, chills, and general weakness. The development of complications (otitis media, sinusitis, bronchitis and pneumonia) with the corresponding clinical picture is not excluded. The treatment regimen will depend on the identified disease. After recovery, the body temperature also returns to normal.

Diseases of the internal organs

Many pathological processes in the body are accompanied by an increase in body temperature. During pregnancy, the following diseases most often make themselves felt:

  • pathology of the urinary system (pyelonephritis, cystitis, urethritis);
  • diseases of the digestive tract (gastritis, colitis, cholecystitis);
  • arthritis (joint inflammation) of any origin;
  • inflammatory processes in the pelvic organs (endometritis, salpingo-oophoritis);
  • purulent skin diseases (boil, carbuncle).

All these pathological processes can occur at any stage of pregnancy, including in the first trimester. Treatment will depend on the form of the pathology and associated complications.

Endocrine diseases

An increase or decrease in body temperature occurs with diseases of the thyroid gland (hypothyroidism or hyperthyroidism), adrenal pathology. Similar changes occur when the center of thermoregulation in the brain is affected. The final diagnosis can be made only after a complete examination of the patient.

Temperature correction

Reducing high body temperature is a difficult issue for the first trimester. In the early stages, many drugs are banned, and non-drug methods of exposure come to the fore:

  1. Rubbing the skin with a damp cloth.
  2. Warm or slightly cool shower.
  3. Drinking diaphoretic drinks (tea with raspberries, lemon, honey).
  4. Plentiful warm drink (fruit drinks from berries, compotes from apples and dried fruits, warm mineral water without gas, green tea, ordinary drinking water).

It is allowed to reduce only the febrile temperature exceeding the 38.5 ° C mark. Many experts recommend not taking any measures until the body temperature exceeds 39.5 ° C. But for a pregnant woman, hypertension can be dangerous. A body temperature above 38.0 ° C, persisting for more than 3 days, significantly increases the risk of early miscarriage.

Paracetamol and ibuprofen are used to reduce fever with medication. Antipyretic drugs can be used no more than 3 days in a row and no more than every 4 hours. Do not exceed the dosage indicated in the instructions. If the body temperature persists for more than three days, you should consult a doctor.



No matter how much a woman loves herself, never in her life does she show so much attention and caution to her health as during pregnancy. For some of us, for the first time, we begin to take care of ourselves for the first time, only when we learn that a new life has arisen under our hearts. Any disease or disease, one way or another, affects the course of pregnancy and fetal development. The greatest danger is high temperature in (especially in 1-3 weeks from conception) and after 30 weeks of pregnancy, when the main organs of the baby are laid and when the placenta begins to age. This is why doctors warn: try not to get sick while you are carrying your baby.

But in fact, very few people manage to go this way without a hitch. The immunity of the expectant mother naturally decreases from the very beginning of pregnancy, and the woman is constantly worried not to catch the virus. As soon as the body temperature rises during pregnancy, she immediately panics and begins to diagnose herself.

Subfebrile temperature (36.8-37.5), which persists for a long period of time, causes the most worries. Indeed, the reason for this phenomenon is often unknown to the expectant mother.

Do not rush to sound the alarm. If you are only worried about the mark on the thermometer, then, most likely, the fever during pregnancy is your body's reaction to the development of the fetus.

"Hormonal warming"

Many women learn from this symptom that they are pregnant. A slight increase in body temperature can be accompanied by mild malaise, drowsiness, and even nasal congestion in early pregnancy. Often it seems to newly-made pregnant women that they are about to get sick, but the condition does not worsen. All these are the first signs of pregnancy that arise due to hormonal changes in the mother's body.

From the moment of conception, progesterone is intensively produced in the female body. It directly affects the thermoregulatory center of the brain. As a result, heat transfer decreases, due to which the body temperature rises slightly (heat simply does not leave it). First of all, these changes are noticed by women planning a pregnancy and measuring.

Subfebrile temperature during pregnancy most often lasts during the first trimester, then gradually decreases. But there are times when this period is somewhat delayed.

It's time to see a doctor

However, the fever during pregnancy is not always physiological in nature, that is, it is safe for the fetus and mother. Doctors say that a strong increase in it cannot be allowed, because not only your body is warming, but also the environment surrounding the child, which can lead to damage to his tissues or the development of defects in the central nervous system, as well as cause or. In addition, at high temperatures, a woman's blood vessels dilate - and blood pressure decreases, which leads to insufficient blood flow to the placenta.

If the mercury column of the thermometer has overcome the 38-degree mark, then it is time to take action.

First of all, it is necessary to find out what is the reason for such an increase in temperature. During pregnancy, most often "to blame" - and. But exacerbation of other diseases, including chronic ones, is also possible.

If, along with an increased body temperature, you experience pain, discomfort, severe malaise or clear signs of certain diseases, then you should consult a doctor immediately, without waiting for a significant increase in temperature.

Also, the temperature can rise when, which is very dangerous for a woman's health.

Some diseases can even run latently, without any characteristic symptoms. This is, in particular, tuberculosis. However, if you do not neglect routine examinations and hand over everything on time, then there is no reason for concern. But it is better for any suspicions or concerns to play it safe and go to the doctor.

How to bring down the temperature during pregnancy?

However, in the vast majority of cases, a fever during pregnancy is a sign of flu or. And the treatment used during this period should first be non-drug. This also applies to sore throat, and cough, and weakness, and temperature. As a last resort, you can drink Paracetamol in a children's dosage, after consulting your doctor about this. But Aspirin during pregnancy and preparations containing it should not be taken in any case.

An "extreme case" during pregnancy is considered to be an increase in temperature up to 38 degrees (and in recent weeks - up to 37.5) and higher, a rapid rise in temperature, persistent temperature retention at high levels, despite non-drug therapy, as well as during pregnancy.

But first you need to try to lower the temperature with folk remedies: first of all, with a plentiful warm drink. At the same time, keep in mind that it is not recommended to drink sour drinks and milk at high temperatures (viburnum, raspberries, lemons, etc. are useful only for colds without a rise in temperature or with a slight heat). The best choice would be linden teas, lemon balm.

You can undress and wipe yourself off with water at room temperature, if the procedure does not make you uncomfortable. In this case, you cannot use any vinegar or vodka, as well as making cold compresses on the forehead area - these manipulations can worsen your condition.

At elevated temperatures, it is not recommended to dress and wrap up too warmly so as not to impede heat transfer. Try to stay in bed, get more rest and maintain an optimal microclimate in your bedroom.

From now on, take care of increasing immunity, so as not to worry about diseases once again. Be healthy!

Specially for- Elena Kichak