Nifedipine or atosiban in women at risk of preterm labor

Composition and effect of the drug

The drug includes the main active ingredient - nifedipine and auxiliary components. Among them are polysorbate, talc, gelatin, wheat starch, lactose monohydrate and others.

Nifedipine belongs to the group of calcium antagonists. The drug has a direct effect on blood vessels, which makes it possible to expand their walls, relieve spasm of smooth muscles, and lower blood pressure. After the active component of the drug enters the blood, the direct transmembrane movement of calcium through the smooth muscles is inhibited, affecting the myometrium (the muscular layer of the uterus). The important thing is that the level of calcium in the blood remains unchanged, that is, there is no deficiency.

Nifedipine during pregnancy is used for false contractions and increased uterine tone. After entering the body, Nifedipine is absorbed by the digestive system and joins plasma proteins. The maximum therapeutic effect occurs when the active substance of the drug is absorbed by 60–98%. On average, the product begins to work in 20–30 minutes, and its duration of action is up to 8 hours. It is important to note that Nifedipine does not affect blood parameters such as lipid levels, glucose and uric acid.

Second trimester - needs increase

By about 14-15 weeks, the woman’s well-being returns to normal - toxicosis goes away, physical and emotional activity increases. The baby begins to produce blood cells, strengthens bone tissue, the pituitary gland begins to work, the first hair and nails appear, bone mineralization progresses, and muscles begin to contract. To meet the increased needs of the child, the mother needs to eat more. At the same time, it is not the caloric intake that needs to be increased, but the amount of nutrients. At this time, both organisms need vitamin D, calcium, and iron.

Mandatory foods in the diet:

• to provide calcium - cheese, cottage cheese, milk, almonds, sesame seeds; • sources of vitamin D - fatty fish, cod liver, eggs, butter, flaxseed, olive oil; • for the prevention of iron deficiency - beef and pork liver, cocoa, beans, cabbage, apples, blueberries, greens (spinach, parsley, mint). In the second trimester, it is important to control the amount of table salt and fluid you drink. This will help avoid surges in blood pressure and cardiac overload. Recommended values: calories - 2800-3000, proteins - 120 g, fats - 85 g, carbohydrates - 400 g.

For what purpose is it used during pregnancy?

Why is the medicine prescribed to pregnant women? Nifedipine has a vasodilating effect on blood vessels. The drug is widely used in cardiological practice to normalize blood pressure and combat other symptoms of cardiovascular pathologies.

Despite the fact that the instructions for use contain contraindications such as pregnancy and lactation, doctors still prescribe the medicine in the second and third trimester among women suffering from pathologies of the heart and blood vessels. In addition, the medication is prescribed for uterine tone. Nifedipine helps reduce the threat of miscarriage, since its active components have a relaxing effect on the entire body, including the reproductive organ.

Only a doctor makes a decision on prescribing Nifedipine during pregnancy

Nifedipine is prescribed to women to lower blood pressure. During the period of bearing a baby, many patients report unstable blood pressure. To prevent complications and control the situation, doctors often use Nifedipine. During such a delicate period, even minor manifestations of cardiac dysfunction cannot be ignored. Often, heart and vascular diseases cause premature birth and even death of mother and child.

Pregnancy and blood pressure

Blood pressure and pregnancy

Pregnancy is a period when the female body uses all its potential, all its reserves, to provide everything necessary for the full bearing of a child.
Blood pressure is one of the main parameters of the intensity of blood flow in the body. During the period of bearing a baby, a woman’s body is faced with the need to provide oxygen and nutrition not only to itself, but also to the unborn child. Changes in blood pressure during pregnancy become an indicator of disturbances in the functioning of the body that threaten the health of the woman and child, and can also complicate the course of childbirth.

When is blood pressure measured?

At every appointment with an obstetrician-gynecologist or therapist in the antenatal clinic, the expectant mother's blood pressure must be measured. But visits to the doctor's office should not be limited. It is necessary to measure this indicator yourself in the morning and evening; in order for the results to be compared, they must be written down daily in a special notebook. Particular attention to their blood pressure should be paid to those women who have previously had pregnancy toxicosis, miscarriages, or missed pregnancies. Women with hypertension, excess body weight, neurocircular and vegetative-vascular dystonia, kidney, heart, and vascular diseases should be specially registered and have their blood pressure measured as often as recommended by the doctor.

Hourly blood pressure measurement in high-risk pregnant women is called 24-hour monitoring. It is done three times during the entire period of pregnancy. The first time - at the very beginning of pregnancy, to identify a woman’s tendency to hypertension, the second time - at 24-28 weeks of pregnancy, to identify a predisposition to gestosis or late toxicosis of pregnant women, the third time - before childbirth, to determine the degree of risk for the woman and the fetus , and also resolve the issue of the method of obstetrics.

If problems with blood pressure are detected in a pregnant woman, then it is necessary to visit a cardiologist and a therapist who can advise what needs to be done to solve the problem of blood pressure during pregnancy.

Types of tonometers

There are two types of tonometers (device for measuring blood pressure) - mechanical and electronic.

• Doctors use a mechanical tonometer. It gives the most accurate results. You can learn to use a mechanical tonometer at home. However, measuring your own blood pressure is very difficult, so if you want to use this type of blood pressure monitor, you will need an assistant.
• An electronic tonometer is easier to use. Simply put the cuff on your arm and press the button. The device itself will do the rest, and all you have to do is read the results on the electronic display. The electronic tonometer shows blood pressure and pulse, memorizing the indicators. There are blood pressure monitors whose cuff can be worn on the shoulder, on the wrist, and even on the finger. The most suitable device for home use is one whose cuff is placed on the shoulder. Wrist or finger devices can be used to measure blood pressure at work or while traveling.

Correct blood pressure measurement

You should not immediately panic because of high or low blood pressure during pregnancy; you need to make sure that the measurement is correct.

There are several important rules for correctly determining blood pressure:

• Before measuring, sit down and rest for a couple of minutes, think about something pleasant. Stress is one of the factors that causes short-term increases in blood pressure.
• Place the cuff on your bare arm or thin cloth. It must be selected according to size.
• Measure the pressure on both arms.
• Never round the numbers you get and write them down exactly.
• It is not recommended to determine blood pressure immediately after a meal or after physical activity.

Blood pressure during pregnancy: norm and deviations

Blood pressure is the force of blood flow on the wall of blood vessels. It is measured in millimeters of mercury (mmHg) and written as two numbers separated by a slash.

The first number shows the pressure value at the moment of maximum contraction of the heart (systolic blood pressure), and the second - at the moment of its complete relaxation (diastolic blood pressure). If blood pressure is normal, we can safely say that the mother’s cardiovascular system is doing its job, which means that all organs receive a sufficient amount of oxygen and nutrients brought by the blood flow.

Outside of pregnancy, blood pressure is considered normal in the range from 100/60 to 130/80 mmHg. Art. During pregnancy, the pressure may differ slightly from the original: if it is 10% lower or higher than usual, then such changes are still within normal limits. If the pressure is 15–20% or more lower or higher than usual, then we are dealing with arterial hypotension (low blood pressure) or arterial hypertension (high blood pressure). It is advisable for a woman to know her normal pressure level, which was before pregnancy, so that the doctor can draw the right conclusions.

1.1 What is the danger of changes in blood pressure

During pregnancy, nutrients and oxygen are constantly supplied to the fetus through the vascular network of the placenta, and waste products are constantly supplied back to the mother.

Such an exchange is possible only at an optimal level of pressure. A change in blood pressure in either direction can have adverse consequences.

With low blood pressure, transportation worsens and the amount of substances the child needs decreases, which can lead to fetal growth retardation syndrome. A significant increase in blood pressure can cause damage to microvessels, foci of hemorrhage are formed, which can lead to placental abruption. This is why it is so important to control your blood pressure during pregnancy and maintain it at an optimal level.

Normal blood pressure during pregnancy

The norms of blood pressure accepted in general medicine range from 100/60 to 120/80 mmHg. But during pregnancy, these indicators may change somewhat. Usually in the early stages (the entire 1st trimester and up to 20 weeks), these numbers decrease slightly, which is associated with changes in the hormonal levels of the whole body and the restructuring of metabolic processes.

Later, as the fetus grows and more intense blood flow forms to nourish it, the pressure may increase relative to “non-pregnant” indicators. Because of this, the average norm for expectant mothers lies in a wider range - from 105/60 to 139/89 mmHg.

Significant deviations from this range to a greater extent are called pregnancy hypertension, and to a lesser extent - hypotension.

Low blood pressure during pregnancy or hypotension

In the first months of pregnancy, the hormonal background of the expectant mother undergoes significant changes, works under heavy load, creating a favorable background for the development of the child, and these changes are often accompanied by a decrease in blood pressure and hypotension.

1.1.1 Possible causes of hypotension

Sometimes it is impossible to determine the cause that provoked the appearance of such a disorder, but the following may play a role in its development:

• Hormonal changes;
• NCD of hypotonic type;
• Infectious diseases;
• Liver pathology;
• Taking certain medications;
• Peculiarities of a woman's emotionality.

Hypotension in pregnant women is often not perceived as a serious threat to the health and course of pregnancy. However, it can represent a serious pathogenic factor that provokes various pregnancy disorders:

1. Abortion
2. Fetal growth restriction
3. Oxygen starvation of the baby
4. Weakness of labor
5. Possible bleeding after placenta separation
6. Relaxation of the uterus after childbirth and repeated bleeding

1.1.2 Main symptoms of hypotension:

1. Nausea, vomiting
2. Headache
3. Tinnitus
4. Dyspnea
5. Dizziness
6. Increased fatigue
7. Drowsiness
8. Pale skin
9. Increased sweating
10. Loss of consciousness

1.1.3 How to increase blood pressure or what to do with low blood pressure

As a rule, women with low blood pressure are not hospitalized unless there is a risk to the child. Expectant mothers are observed by an obstetrician-gynecologist, a therapist and, if necessary, a cardiologist. Most often, the pressure normalizes in the third trimester.

Pregnant women should adhere to the following recommendations:

• Get at least 8 hours of sleep (9–10 hours is optimal) and rest during the day if possible.
• Spend more time outdoors (at least 2 hours a day).
• You should take food in small portions, but throughout the day.
• Moderate physical activity is recommended - do gymnastics for pregnant women; If possible, swim.
• Water procedures are useful - showers, douches, contrast foot baths, as well as massage; Physiotherapy (electric sleep, salt-pine and mineral baths) and acupuncture are successfully used for treatment.
• If necessary, doctors can prescribe drug therapy: usually pregnant women are prescribed herbal preparations that increase the tone of the autonomic nervous system, for example, eleutherococcus extracts, radiols, tinctures of lemongrass, aralia, zamanikha in combination with sedatives (valerian, motherwort), as well as caffeine-based medications .

If a pregnant woman loses consciousness due to a sharp drop in pressure, first of all she must be laid horizontally on her side and call an ambulance. Then open the door or window, unfasten the collar, and let the ammonia smell. You can massage the area between the nose and lip or work on the tips of your fingers.

High blood pressure during pregnancy or hypertension

Arterial hypertension is a disease characterized by a persistent increase in blood pressure. Changes that occur in the body during pregnancy predispose to the development of hypertension and therefore pregnant women are at higher risk of developing hypertension than the general population. Arterial hypertension is a risk factor for various pregnancy complications and ranks second in the list of causes of maternal mortality. At the same time, the diagnosis and treatment of arterial hypertension in pregnant women requires a special approach.

If before pregnancy you noted that your blood pressure was higher than normal, took pills, and visited the appropriate doctors, be prepared that this problem will pop up now. Moreover, most likely it will manifest itself with greater force.

Remember: the situation is completely different now, you don’t need to take the same pills as before pregnancy.

Forms of arterial hypertension during pregnancy

Arterial hypertension of pregnancy is an increase in blood pressure during pregnancy. It is regarded as a persistent increase in systolic blood pressure above 140 mmHg. and diastolic blood pressure above 90 mmHg. in women with normal blood pressure before pregnancy. Women with such elevated blood pressure require close medical supervision.

There are several types of arterial hypertension during pregnancy:

• Chronic hypertension is characterized by the presence of high blood pressure before pregnancy and its persistence after pregnancy.
• Arterial hypertension of pregnancy is a persistent increase in blood pressure that develops after the 20th week of pregnancy, which disappears at the end of pregnancy.
• Preeclampsia/eclampsia is a severe disorder of the cardiovascular system and kidneys during pregnancy, which includes: hypertension and impaired renal function.

In pregnant women, arterial hypertension occurs with a frequency of 4-8%, which is a very high figure, especially if we take into account the young age of most expectant mothers. During pregnancy, a woman’s body adapts to new operating conditions, which include ensuring the vital activity and development of the fetus. The following changes occur in the body of a pregnant woman regarding the cardiovascular system:

• An increase in the volume of circulating blood and the appearance of the placental circulatory system is necessary to ensure the nutrition and development of the child. In pregnant women, the volume of circulating blood increases by 25-30%, which, in addition to providing nutrition for the child, allows women to lose some blood during childbirth, without significant damage to health.
• Increased heart rate.
• An increase in intra-abdominal pressure, an increase in the diaphragm and a change in the position of the heart in the chest due to a significant increase in the size of the uterus.
• Gradual weight gain in a pregnant woman.

Possible other causes of high blood pressure

• Physical exercise
• Drinking strong tea or coffee
• Chronic stress, fatigue, lack of sleep, emotional stress
• Smoking, alcohol abuse
• Unbalanced diet, lack of vitamins and minerals
• Obesity, overweight
• Multiple pregnancy
• Weak physical activity
• Thyroid diseases
• Adrenal diseases
• Diabetes
• Head, brain and spinal cord injuries
• Encephalitis
• Myelitis
• Diseases of the heart and blood vessels
• Renal dysfunction
• Hereditary predisposition

Main symptoms of hypertension:

• Headache
• Nausea, vomiting
• Dizziness, weakness, powerlessness
• Redness of the skin of the hands and face
• Noise or ringing in the ears
• Deterioration of vision
• Edema
• Protein excretion in urine
• Convulsions

High blood pressure can cause complications such as retinal detachment or retinal hemorrhage, which can lead to partial or complete loss of vision.

If blood pressure begins to increase in the second or third trimester of pregnancy, then we are probably dealing with a serious complication of pregnancy - gestosis.

Preeclampsia is a special condition that occurs only during pregnancy and ends with its completion. Manifestations of gestosis are varied, but the classic symptoms are:

• arterial hypertension
• swelling
• proteinuria (protein in urine)

With gestosis, microcirculation is disrupted in all vital organs: blood supply to the brain deteriorates, kidney failure develops, the blood becomes viscous, and the resulting microthrombi disrupt the functioning of all organs and systems. Particularly dangerous is such damage to the blood vessels of the placenta and brain. The most severe manifestation of gestosis is eclampsia - convulsive seizures ending in cerebral coma.

But gestosis often begins with a pathological increase in body weight. Expectant mothers often wonder why the doctor pays so much attention to weight. Well, just think, I added a couple of extra pounds.

But such an increase is due to fluid retention in the body, or so-called hidden edema.

And if treatment is not started in time, all manifestations of gestosis will not take long to appear. If there was an increase in blood pressure before pregnancy, then its successful course is possible only with good preparation and the correct selection of medications that lower blood pressure. For uncomplicated hypertension and a slight increase in blood pressure, only non-drug measures are sufficient.

More about gestosis

Treatment and prevention of arterial hypertension during pregnancy

Treatment of arterial hypertension during pregnancy is a complex and responsible task. Therefore, the basis of any type of treatment should be close cooperation between patient and doctor.

In the treatment of arterial hypertension in pregnant women, as well as in the treatment of arterial hypertension, the following methods are used: non-drug treatment and drug treatment.

Non-drug treatment, that is, treatment without drugs, is the most acceptable method of treating hypertension during pregnancy, since many drugs used in the treatment of this disease can be dangerous to the fetus.

What to do with blood pressure, how to reduce blood pressure during pregnancy

Non-drug treatment and prevention of arterial hypertension includes:

1. Diet. The basic requirements for the diet of women suffering from hypertension are reducing the consumption of table salt, coffee, tea, and giving up bad habits. The permissible amount of salt per day for patients with hypertension is 5 grams, and the calculation must include not only the salt with which we season food, but also the salt contained in various food products.
2. Physical activity. Moderate physical activity has a beneficial effect on the general condition of the body, promotes fat burning, normalizes metabolism, improves blood supply to internal organs and the fetus, increases muscle tone and helps to establish the correct position of the fetus in the uterus. For the treatment and prevention of arterial hypertension during pregnancy, daily physical activity in the form of gymnastics (preferably with an instructor), walking in the fresh air, and swimming are recommended.
3. Maintaining normal body weight. The common expression that during pregnancy a woman “must eat for two” is not true. In fact, the “energy supplement” during pregnancy should not exceed 350 kcal. At the same time, maintaining a normal body weight during pregnancy is extremely important for maintaining the health of the pregnant woman herself and her child (obesity contributes to the development of hypertension and diabetes). The normal increase in body weight of a pregnant woman by the end of pregnancy should not exceed 12 kg.

Drug treatment of hypertension during pregnancy should be carried out under the supervision of a specialist and only using safe drugs.

1. With a single slight increase in blood pressure, treatment begins with the prescription of sedative natural drugs, for example: valerian, motherwort, novopassit and others. In combination with non-drug therapy, these measures are very effective.
2. If there is a constant increase in blood pressure, the following drugs can usually be prescribed, but only after the recommendation of a doctor. The main drug or “drug of choice,” the most effective and safe, is Methyldopa (Dopegit), which can be used during pregnancy from early stages of pregnancy.
3. A group of drugs that can be prescribed from the second trimester of pregnancy are calcium channel blockers: Verapamil, Nifedipine.
4. For persistent hypertension, beta-blockers can be prescribed from the 2nd-3rd trimester; this group of drugs does not have a teratogenic effect.

While taking medications, monitoring of the intrauterine condition of the fetus is necessary.

If the pressure suddenly increases and you feel unwell, urgent hospitalization is necessary. Only in a hospital is full control over the condition of the child and mother and full therapy possible.

The delivery plan and referral to the maternity hospital for pregnant women with high blood pressure are drawn up in advance. If problems arise that cannot be corrected, a caesarean section is performed.

Follow your doctor's advice.
He is a professional, he knows what is best for you and your child! Tags: pregnancy

Features of treatment in different trimesters

During pregnancy, Nifedipine should only be prescribed by a qualified specialist. Self-medication with the drug can provoke the most severe complications, especially in the early stages of pregnancy. Before using the drug, a woman is prescribed all the necessary tests that will help identify contraindications and prevent the negative effect of the drug on the body of the mother and fetus.

I trimester

Most doctors are of the opinion that Nifedipine is completely contraindicated in the first 12 weeks of pregnancy. It is during this period that the formation of the neural tube and the laying of the child’s organs occurs. The slightest failure can provoke severe consequences, fetal malformations. The risk of miscarriage with all the ensuing consequences for the mother is very high.

Important! In the first weeks of pregnancy, Nifedipine is used only in cases of extreme necessity, when there is a serious threat to the life and health of the mother.

II and III trimester

At this stage, the drug is used if there are certain indications for the mother. These include:

• hypertension;
• angina pectoris;
• conditions accompanied by increased uterine tone;
• risk of premature birth;
• late toxicosis.

Typically, the dose of the drug for a pregnant woman is up to 2 tablets throughout the day. Under no circumstances should you exceed the dose prescribed by your doctor. An overdose leads to the development of severe complications and miscarriage.

Types of suppositories for hemorrhoids and fissures

The drug Olestezin will anesthetize and relieve inflammation

In most cases, cracks appear immediately with the development of the first signs of hemorrhoidal cones. This is due to the fact that the skin becomes stretched when the knots fall out. When the cones bulge strongly, injury occurs, which leads to the formation of a crack.

During diagnosis, several types of cracks are identified. Some may occur due to stretching of the elastic tissues of the intestinal pipes or insufficient hygiene when diaper rash appears, others are triggered by the passage of hard feces, and still others appear due to anal sex.

To eliminate a specific symptom, specific rectal suppositories are recommended, which are divided into the following types:

• painkillers;
• anti-inflammatory;
• suppositories with hydrocortisone;
• suppositories with prednisolone;
• wound healing suppositories.

Hemo-Pro suppositories are a safe remedy for hemorrhoids

Anesthetic suppositories are recommended for use when severe itching, constant burning and severe pain occur. These drugs can eliminate unpleasant discomfort in a short period of time and maintain the effect for a long period.

The mechanism of action of the drug is based on a short-term blocking of nerve impulses and a decrease in the sensitivity of the upper layers of the epidermis. These drugs include drugs with lidocaine:

• Anestezol;
• Proctosan;
• Hemoproct.

Anesthesia suppositories have the same effect. The only difference between these suppositories is the fact that the latter begin to act with lightning speed. To obtain the effect, candles are used:

Features of application

How to take Nifedipine while pregnant? For high blood pressure and other conditions in pregnant women, Nifedipine is taken according to a regimen selected by a doctor on an individual basis. Typically, the treatment strategy is to take 1 – 2 tablets during the day. Sometimes the dose is increased depending on the clinical manifestations of the patient. The daily dose should not exceed 6 g of the product. The duration of therapy, depending on the diagnosis, ranges from a week to 1.5 months.

The drug is taken under the strict supervision of a doctor

If you take the pills for a longer period, you may become addicted to the medication. You cannot stop taking the drug on your own, even if there is no withdrawal syndrome. It is recommended to reduce the dose gradually during cessation of treatment.

Third trimester - diet correction

From the 27th week of pregnancy, the female body begins to prepare for childbirth, and the baby begins to be born. At this time, gastronomic fads give way to heartburn, constipation, shortness of breath, swelling, and rapid weight gain.

A properly composed menu will help you adjust your well-being in the 3rd trimester. What should be done:

• Reduce the amount of protein foods. A protein surplus leads to kidney dysfunction and the accumulation of uric acid. • Avoid heartburn triggers - sour foods, black coffee, fried foods. • Replace 50% of animal fats with vegetable oils. They contain essential polyunsaturated acids Omega-3 and Omega-6, which are not synthesized by the body, but are needed for the absorption of minerals and vitamins. • Limit salty foods. Salt is the cause of edema, unstable functioning of the kidneys, heart, and blood vessels. • Set a limit on sweets. Simple carbohydrates quickly turn into extra pounds, causing flatulence, dyspepsia, and skin problems. • Eat more vegetables, fruits, berries, greens. Natural sources of vitamins provide energy and strengthen the immune system - this will come in handy during childbirth. Standards for KBJU: calories - 2900-3100, proteins - 100 g, fats - 75 g, carbohydrates - 400 g.

Is Nifedipine dangerous during pregnancy?

The question of how negatively Nifedipine affects the fetus is quite controversial. Supporters of one point of view argue that the drug does not pose the slightest danger to the mother and fetus. Proof of this is many years of practice and some medical research. Other sources claim that no research has been conducted on this matter and the effect of the drug on the development of the fetus and the health of the woman during pregnancy can be very negative. Therefore, the use of the medicine during such a delicate period is strictly not recommended.

Information from third sources indicates that studies were nevertheless conducted and their results revealed that Nifedipine has the most negative effect on the fetus. Another point of view is that the medicine is dangerous only in the first stages of pregnancy, but in the second and third trimester the drug does not pose any threat.

It is quite difficult to understand such opposing opinions. Only a specialist can assess the benefits and risks of taking a drug in a particular case. The doctor is obliged to assess the condition of the pregnant woman and child and make a decision individually for each patient.

What should you not eat or drink?

There is no place for harmful foods in a properly composed diet for a pregnant woman. Throughout the perinatal period, the following are blacklisted:

• fast food; • flavored snacks; • hot sauces; • smoked meats; • products containing many preservatives; • alcohol.

The expectant mother is advised to limit the consumption of sausages, confectionery products, and sweet pastries. You also need to be careful with citrus fruits, strawberries, mushrooms, and coffee. It is advisable to exclude packaged juices, bottled tea, sweet cocktails, and soda from the grocery basket.

Dieting is difficult, but necessary. This will help minimize the harmful effects on the fetus, maintain pregnancy, improve well-being, avoid weight gain, and the development of gestational complications - preeclampsia, pyelonephritis, diabetes.

Contraindications of the drug

Even in the second and third trimester of pregnancy, Nifedipine cannot always be used. The medicine has a number of contraindications, which include:

• individual intolerance to the components included in the medication;
• age under 18 years;
• acute renal failure;
• severe liver pathologies;
• recent myocardial infarction;
• arterial hypotension;
• vascular collapse;
• congenital aortic stenosis;
• development of cardiogenic shock.

During treatment, all contraindications of the drug must be taken into account.

The use of any medications during pregnancy is considered undesirable. If the need to take drugs such as Nifedipine nevertheless arises, its contraindications should be taken into account.

Side effects

Considering reviews of the drug, it should be noted that Nifedipine is well tolerated by patients. Complications and side effects more often occur when the doctor’s recommendations for taking the drug are not followed, as well as when contraindications are not followed. Negative consequences during treatment with Nifedipine are noted from various systems. These may be the following symptoms:

• in some patients, taking the medication provokes a sharp drop in blood pressure, heart rhythm disturbances, and pain in the chest area;
• from the central nervous system such manifestations as headache, apathy, irritability, and fatigue are noted;
• from the digestive system, nausea, heartburn, vomiting, bowel dysfunction, flatulence may occur;
• manifestations such as itching, hyperemia, burning, and rashes in the form of small red pimples appear on the skin.

Important! If symptoms from this list are detected, you should immediately stop treatment and make an appointment with a doctor.

Difficult first trimester

The female body adapts to new conditions. Fatigue, drowsiness, and unstable mood are typical for a pregnant woman. There are problems with urination and bowel movements, acute reactions to tastes and smells. And at this time, the foundation of the baby’s health is laid. His nervous and circulatory systems are formed, and his heart begins to work intensively. Proper nutrition in the first trimester is a way to stabilize the mother’s condition and mitigate the risks of intrauterine anomalies.

Principles for creating a diet in the 1st trimester:

• Don't be greedy. Overeating increases the symptoms of toxicosis and provokes digestive failure. You need to eat in modest portions at intervals of 3-3.5 hours. • Take care of “building materials”. The basis for the formation of fetal cells is protein. From it the body receives 20 essential amino acids that it cannot produce on its own. The menu should include lean meat - turkey, chicken, veal. Twice a week you need to eat fish, alternating low-fat varieties (pollock, cod) with fatty ones (salmon, pink salmon, salmon). • “Agree” with the intestines. The problem for many women at the beginning of pregnancy is constipation. Fiber, which is found in raw vegetables, hard fruits, and bran, helps to cope with them. • Replenish supplies. During the formation of the nervous system, the baby squeezes iodine and B vitamins from the mother’s body. To prevent vitamin and mineral deficiency, shrimp, squid, seaweed and cauliflower, buckwheat porridge, eggs, and nuts should be introduced into the diet. • Do not experiment with drinks. It is recommended to drink water - still bottled or filtered. Adding freshly squeezed lemon juice will help calm nausea.

Daily caloric intake is 2500-2700. Nutrient distribution: proteins - 110 g, carbohydrates - 350 g, fats (vegetable + animal) - 75 g.

Patient reviews

Anna, Moscow “I had to deal with Nifedipine at the 28th week of pregnancy, when the uterus became toned and there was a serious threat of miscarriage. I had previously heard about the drug that it should not be prescribed to pregnant women, as there is no data on this matter. Taking the medicine was quite alarming, but everything worked out and the baby was carried to term. I would like to advise expectant mothers to listen to doctors and under no circumstances self-medicate.”

Yulia, Sergiev Posad “I took Nifedipine in the late stages of pregnancy, as I developed late toxicosis, my blood pressure increased greatly, and I felt terrible. The leading doctor prescribed me Nifedipine, 1 tablet per day. Despite many negative reviews, the medicine had no effect on my child’s health. The drug relieved my blood pressure perfectly, there were no side effects.”

Svetlana, Ufa “After starting treatment with Nifedipine, the condition initially returned to normal, the pressure stabilized, but after a few days the headache began to hurt severely and rashes appeared in the face and neck. At that time I was in my seventh month. The drug had to be replaced. The doctor suggested that the medicine was not suitable for me individually, even though a sensitivity test was carried out.”

Valeria, Khimki “I was prescribed this drug several times throughout my pregnancy in short courses to relieve uterine tone. I was very afraid to take it, but the doctor assured me that the medicine was safe, saying that it was a new method of treatment. I didn’t argue with the specialist; fortunately, no side effects arose, I gave birth to a healthy baby on time.”

How to insert a rectal suppository correctly

In order to insert a candle and it will give the desired effect, you need to prepare. Before installing the suppository, you should first empty your intestines.

The procedure can be carried out either naturally or by inducing a bowel movement using an enema. If this is not done, the candle will not be able to quickly dissolve and have a proper effect. This is due to the fact that irritation of the rectum occurs, provoking the urge to go to the toilet.

The next step is to take a shower or rinse your genitals with cool water, especially the inflamed area of ​​the anus.