FLU AND UPPER RESPIRATORY INFECTION IN PREGNANCY

When the upper respiratory tract is mentioned, the nose, sinuses, pharynx and larynx are understood. Inflammation of these areas is also called upper respiratory infection. Upper respiratory tract; It is connected to the ear and lower respiratory tract and affects these areas in case of infection.
Theoretically, inflammations such as colds, flu, pharyngitis, sinusitis, laryngitis all fall under the upper respiratory tract infection. Names such as flu infection or rhinopharyngitis are also used in the same sense. However, in practice, sinusitis or some specific inflammations are excluded from this concept. Viruses are caused by upper respiratory infection, sometimes bacterial infections are added. When the upper respiratory tract infection is mentioned, common cold or flu is generally understood. Pharyngitis often accompanies these conditions.
The incidence of these microbes in nature increases in the autumn and winter months. The frequency of upper respiratory tract infection increases in these months with long stay in closed places (school, nursery, barracks, workplace etc.), not being well ventilated here, lowering the cold's body resistance, cigarette smoke, insufficient-unbalanced nutrition and some very unknown mechanisms. This situation, which is very disturbing even in normal times, causes more trouble during pregnancy and causes expectant mothers to worry about their babies.
Flu and colds mix very often, they are two very different situations. The causes and consequences differ. Both diseases occur with viruses, and the flu consists of 3 types of viruses called Influenza A, B, C, while the common cold is caused by more than two hundred viruses. While the common cold affects the nose, the flu affects the whole body.
Both diseases are transmitted from the air in the form of droplet infection. When the person carrying the virus sneezes, millions of viruses get into the air and enter the person's eyes, nose and mouth, causing an infection. The person who gets the virus has the most contamination around the first 2 days after that. In other words, the first time the symptoms are seen is the time when the contagiousness is the most. On the other hand, hands may also play a role in contamination. A sick person can get the disease after wiping his nose with his hand, for example, when he shakes hands with another, and the person he shakes his hand after scratches his eye.
Symptoms of a cold:
Runny nose, sneezing, cough, mild headache, mild fever, watery eyes, ear pain
Flu symptoms:
Muscle pain, dry cough, nasal congestion, difficulty in breathing, runny nose, fever, chills, severe headache, anorexia, weakness, fatigue
GROSS AND FLU VACCINE IN PREGNANCY:
Pregnancy alone does not pose a risk to catch upper respiratory tract infection. However, when a pregnant woman gets the infection, the chance of complications increases much more. When women of the same age group are compared, it is seen that those who are pregnant are admitted to hospital due to upper respiratory tract infection, compared to those who are not pregnant. Pregnancy causes changes in the circulatory and respiratory system, as well as the immune system of the person, causing them to be at higher risk of complications. On the other hand, a prospective mother suffering flu in the late stages of pregnancy has a good chance of passing the postnatal disease to her baby.
The flu vaccine is a safe vaccine that can be used during pregnancy and breastfeeding without live viruses. Women who are in the second or third trimester of pregnancy during the epidemic season are recommended to have a flu shot. In case of high risk conditions such as diabetes, asthma, hypertension, flu vaccine is recommended regardless of gestational age. In women without such high risk factors, the vaccine is recommended to be given at the end of the first trimester. However, antibodies that develop in the mother after vaccination will pass to some babies and protect her against flu in the first months of life.
Flu season generally covers November - April. The ideal period for vaccination is the time period between October and mid-November. It takes 1-2 weeks for antibody to be produced after vaccination and protection to begin. The protection of the flu vaccine varies between 70-90%.
Possible side effects of the flu vaccine include: local tenderness and swelling at the injection site, mild fever and weakness, rarely allergic reaction
Flu vaccine does not cause flu. Upper respiratory tract infections seen within the first 2 weeks after vaccination are completely random and have nothing to do with the vaccine.
On the other hand, since the egg is used while preparing the vaccine, flu vaccine is contraindicated and should not be done in those with egg allergy.
Treatment Unfortunately, there is no effective treatment for both diseases. No drugs or applications will shorten the duration of the disease. However, supportive treatments should be applied that can help overcome complaints in a milder and less discomfort manner.
Supportive treatment and what to do during the flu or cold are:
- Both diseases are diseases caused by viruses. Antibiotics are not effective on viruses, so antibiotics should not be used.
- During epidemic periods, it may be protective not to stay in closed places too long and to wash hands frequently.
- The best and most effective supportive therapy is rest. If possible, bed rest should be done.
- Keeping your head up while lying down (sleeping with 2 or more pillows) will reduce the discomfort of nasal discharge.
- Ensure that the environment in question is warm enough and well ventilated.
- Drying of air should be prevented and it should be provided to be moist.
- Adequate fluid intake is extremely important. Pregnant woman should take at least 10 glasses of fluid per day. The liquid taken should be water or juice.
- Pastille can be used to relieve sore throat.
- Salt water or ocean water etc. for nasal congestion. available.
- If there is pain in the sinus areas (on the cheekbones and on the eyes), compresses should be applied to reduce congestion.
- When complaints improve, normal activity should not be resumed immediately, rest should be continued for a while for full recovery.

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-URINARY TRACT INFECTIONS IN PREGNANCY
-DYSENTERY AND DIARRHEA IN PREGNANCY
-MUMPS IN PREGNANCY
-MEASLES IN PREGNANCY

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