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Pregnant mothers have lower immunity than non-pregnant mothers, so colds are very common in pregnant women. According to the severity of the cold during pregnancy, the corresponding ** choice is given. For mild colds, they can generally get better by drinking plenty of hot water, getting enough rest, and eating more vitamin-containing fruits and vegetablesFor severe colds, such as fever over 38, severe cough, yellow sputum, etc., indicating signs of infection, response medication should be given**. 
Basic principles of medication during pregnancy
1. There must be clear indications for medication, avoid unnecessary medication, and choose drugs that have been proven harmless to the fetus under the guidance of a physician or pharmacist.
2. When the new drug is equally effective with the old drug, the old drug should be used, because the clinical application time of the new drug is short. There is a lack of reliable evidence for fetal safety.
3. The dosage during pregnancy should be appropriate, and the effective small dose should be used as much as possible, and the medication time should be as short as possible.
4. Weigh the pros and cons of pregnant mothers, fetal babies, and the impact of diseases. The most important thing is to protect the pregnant mother, and when it is determined that medication is needed, it must be used, and it cannot be resisted, so as not to lose a big one due to a small one.
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If you have a cold, how to choose medicine during pregnancy?
(a).Cause**
1.Common cold.
Generally, it will be cured after 5 to 7 days, and antiviral drugs are not recommended.
2.Epidemic risk can lead to serious adverse maternal and infant consequences.
For patients who initially present with severe disease or whose condition begins to worsen, early initiation of oseltamivir** is recommended. This recommendation applies to all patients, including pregnant women and infants. Antiviral** should be started as early as possible when influenza is confirmed or suspected in pregnant women, and the recommended antiviral** dose is the same**.
3.Rational use of antimicrobials.
Antimicrobial drugs are generally not required for viral infection, and antimicrobial drugs can only be used when bacterial infection is indicated. Antimicrobials should not be used for preventive purposes to avoid drug resistance and control drug abuse. During pregnancy, it is advisable to choose antibacterial drugs with original FDA classification B, -lactam antibacterial drugs such as cefuroxime and ceprofene, which are relatively safe for pregnant women, fetuses, and infants, and are one of the most commonly used antibiotics during pregnancyClindamycin is indicated for penicillin-allergic patients;Azithromycin is the main force of Mycoplasma pneumoniae, chlamydia, and Legionella infections. 
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(b).Symptomatic**
1.Fever reducers.
Antipyretics are generally not recommended for low-grade fever, and high-grade fever (385) Antipyretic analgesics can be used. Acetaminophen can be used throughout pregnancy, but not for long periods of time;Ibuprofen should not be used.
2.Cough suppressants.
Among the antitussive Western medicines, such as codeine and dextromethorphan, the FDA classification is C, and it is generally avoided during pregnancy.
3.Expectorants.
Acetylcysteine is a mucolytic agent, which is a class B drug and is relatively safe to use during pregnancy. Ambroxol should be used with caution during pregnancy, especially during the first 3 months of pregnancy, because the FDA has not yet been classified.
4.Anti-infectives.
Penicillins such as ampicillin, cephalosporins such as cefuroxime and cefixime, and macrolides such as azithromycin are all relatively safe anti-infective drugs during pregnancy, but they need to be used under the guidance of physicians and pharmacists, and should not be used too much to avoid the emergence of drug resistance.
Department: Department of Pharmacy.
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Article**: Anhui Provincial Maternal and Child Health Hospital.
Anhui Provincial Maternal and Child Health Hospital.
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