Cough during pregnancy: how to bring the phlegm and than to treat

How to treat cough during pregnancy?

Protective effect of compensatory mechanisms during gestation weakens, the body of the expectant mother often exposed to aggressive exogenous and endogenous factors. The most common pathologies, the defeat of the upper respiratory tract, which is unpleasant and dangerous symptom is cough.

Before an audiologist and the mother should spend a gentle but effective therapy pharmaceuticals. This article proposed variation, what and how to bring the phlegm in pregnancy is to normalize the patient’s condition, not to harm the growing organism.

The origin of wet cough

The result of the contraction of the bronchial muscles due to excitation of respiratory tract receptors are created the forced exhalations through the mouth. The action of involuntary reflexes aimed at removing adventitious agents, foreign bodies from tracheobronchial tree, alveoli, preventing the formation of the natural obstacles of the communication of the nasal cavity with the outside world.

Most often, the cough is accompanied by ENT-diseases of viral or bacterial etiology, occurs in irritation of mucous epithelium by toxic substances or antigens. The nature of the forced exhalations determines the localization of pathological agents.

Non-productive cough is formed by the stimulation of cough receptors in the respiratory tract. Cough appears in the background of inflammation of the bodies responsible for respiratory function.

A productive cough enables the body to cope with the infection, relieve the lungs from pathological secretions and purulent content.

Involuntary forced exhalation through the mouth create unfavourable conditions for the development of the fetus, discomfort and discomfort to the expectant mother. When you cough, the act increases the tone of the bronchial musculature, there is an active contraction of the abdominal muscles, which contributes to the development of hypertonicity of the uterus.

This condition is dangerous detachment of the placenta, spontaneous abortion in the 1st trimester and early labor in the later stages of gestation.

Nuance! Cough prevents the transport of oxygen and nutrients to the embryo, which increases the likelihood of fetal hypoxia.

How to treat cough with phlegm during pregnancy

The therapeutic scheme of the mother is based on complex events. The choice of pharmaceutical preparations for the relief of ENT pathologies determines the period of gestation. A valid list is expanded in the second trimester.

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Recommended to limit intake of medicines 1 through week 13 of pregnancy, when there is a bookmark of organs and systems, the formation of the placental barrier.

The drugs market is represented by two groups of drugs that affect the bronchial secretion: mucolytics — decrease viscosity of the pathological secretions, expectorant – facilitates removal of thickened mucus from the projections of the tracheobronchial tree.


To get rid of phlegm will help tools with a Central activity that block the cough center in the medulla without disturbing the function of the nervous structures located in different parts of the CNS.

Make a choice in favor of natural drugs of plant origin. Active components reduce the swelling and spasm of the respiratory tract, to treat bouts of forced exhalations through the mouth.

For reference! The best option for the mother to be a medicine liquid consistency (syrup). They provide soothing, gentle action, enveloping the inner shell.

The main line of pharmaceutical products represented by the following list:

  • «Bromhexine»;
  • «Ambroxol»;
  • «Mukaltin»;
  • «Chymotrypsin»;
  • «Sinupret»;
  • «Remens».

The drugs are aimed at increasing the production of liquid bronchial secretions, increased its discharge, the change in the biological properties of sputum.

Part medications also has antitussive action, anti-inflammatory and bronhorasshiryayuschimi activity. Prescribe a short course of 5-7 days, pediatric dosage, since the 2 and 3 trimester of pregnancy.

In the early stages of gestation allowed the syrup with plantain «Dr. Theiss» and tablet «Bronchipret», provided that, when the intended benefits from their reception dominates over the potential threat to the health of patient and fetus.

In the case of development of side effects from the gastrointestinal tract, Central nervous system, allergic reactions, you need to restrict contact with the product, seek medical assistance for the replacement medication.

How to cure dry cough in pregnancy can be found here.

Sekretomotornym funds

Indications for their appointment supports the activation of the cough center. Mechanism of action this group is divided into drugs reservatives and reflex type.

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Drugs etiology the first show local irritating effect through the mucosa of the bronchi, increase the production of secretion, liquefy and facilitate the evacuation of sputum. Secretory and antimicrobial active aromatic carbohydrates and terpene in the composition fenhelevoe, anise, and eucalyptus oil.

They can be taken internally or used for inhalation. To restore the drainage function of the doctors recommend iodine-containing contrast media: potassium iodide, sodium bicarbonate.

Haphazard use is hazardous to the development of nasal congestion, watery eyes, hives, angioedema. Be wary appoint patients with a history of present thyroid disease.

Examples of reflex-stimulating expectoration are the drugs of plant origin, where in the core list of substances included the following components:

  • licorice root, marshmallow, fennel, anise, thyme;
  • alkaloids;
  • ivy extract, Icelandic moss.

The presence of biological stimulants vitamin complexes accelerates the process of mucosa regeneration. Active compounds via the parasympathetic nervous system affect the dynamic generation of the ciliated epithelium of bronchial muscle contraction.

Tip! Sekretomotornym means it is forbidden to combine with diuretics and laxatives drugs.

Rate and dosage determined by the attending physician on the basis of physiological characteristics and course of pathologies of the upper respiratory tract. Most often, a therapeutic regimen of the mother include the following medications:

  • «Mucosolvan»;
  • «Ambrobene»;
  • «Ambroxol»;
  • «Geelix»;
  • «Dr. Mom»;
  • «Efferalgan»;
  • «Destain».

Contraindications to the drug suspension is 1 trimester of pregnancy. However, in severe attacks of coughing are allowed to use under the strict supervision of an otolaryngologist.

Rinsing the oral cavity

The advantage of this procedure is safety for the health of the unborn child at high therapeutic action. The main purpose of the event is the mechanical cleansing of accumulated mucus, the resorption of infiltrates in inflammation, accelerating cell metabolism, regeneration of soft tissues.

Local treatment with a drug solution creates unfavorable conditions for growth and reproduction of pathogenic microflora.

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Hold events every 1-2 hours. The main components use salt and soda. 1 Cup of room temperature water add: 1 tsp ingredients and 2-3 drops of iodine.

Tip! To prepare antiseptic solutions preferably directly before each treatment in order to preserve the concentration of nutrients.

Sanitation of the oral cavity with antiseptics requires specialist advice. Abuse rinsing may trigger swelling of the gland, mucosa of the larynx, which is extremely undesirable for a woman in an interesting position.

Antibiotic therapy

The formation of phlegm during pregnancy because lesions of the upper respiratory tract by viruses or bacteria requires antibiotics broad spectrum of action. Antibacterial drugs permitted from 7 months of pregnancy.

In cases of urgent need for relief of inflammation, neutralize the action of toxic substances, evacuation of phlegm prescribe the following tools:

  • «Augmentin»;
  • «Amoxiclav»;
  • «Roxithromycin»;
  • «Ampix».

Before choosing pharmaceutical remedies doctor determines the susceptibility of pathogenic strains to the active ingredients.


Productive cough during pregnancy requires an early start of conservative treatment. On the 2nd and 3rd trimester allowed mucolytic, secretolytic and sekretomotornym drugs short course with the minimum dosage, in the absence of contraindications.

In the early stages of gestation the medication is prescribed in cases where the benefits they receive is greater than the threat to life of mother and child.