Rus Articles Journal

Travel and pregnancy of

the Solution of a question of whether the woman should travel to pregnancy time, depends on its state, ability to adapt to new conditions and from quality of medical care there where it is going to go.

according to the American board of obstetricians and gynecologists, travel are safest in the II trimester of pregnancy (between 18 - y and 24 - y week) when most rare there are spontaneous abortions and premature birth.

Some obstetricians do not recommend to leave more than on several honeycombs of kilometers from the house after 28 - y weeks of pregnancy. However anyway the choice remains for the woman, and she has the right to know what travel for it are admissible.

Distant trips are not recommended by

to the pregnant women having in the anamnesis spontaneous abortions, premature birth, istmiko - tservikalny insufficiency, a preeklampsiya, tromboembolichesky diseases, and also suffering serious somatic illnesses (diabetes, heart failure, heavy anemia). Besides, some areas are especially dangerous both to the pregnant woman, and to a fruit (highlands, the area with high prevalence of polyresistant causative agents of malaria). Also trips to areas, endemic on diseases at which immunization is required by live vaccines are contraindicated.

Malaria. At pregnant women malaria is followed by heavy complications and a high lethality. The share of the struck erythrocytes is very high, and hlorokhin often it is inefficient, especially at the first pregnancy. A malarial coma, massive gemoliz and a renal failure at pregnant women meet much more more often. In addition, the risk of spontaneous abortion, a still birth, premature birth and a transplacentary transmission of infection to a fruit is high.

Diarrhea of travelers. On a trip pregnant women have to care for quality of drinking water and products as the dehydration caused by a diarrhea leads to reduction of a placentary blood-groove especially. It is recommended to take only the drinks poured in banks and bottles, or boiled water, well-done meat and the pasteurized dairy products, not to take some drinks with ice and in advance made salads. These measures protect not only from diarrhea of travelers, but also from others dangerous to pregnant infections - listeriosis and toxoplasmosis. The main thing in treatment of a diarrhea - a regidratation. If necessary apply antidiareyny means (kaolin / pectin, loperamide). Many widespread antibiotics (for example, ftorkhinolona) during pregnancy are contraindicated. Use of ampicillin, separately or with clavulanic acid is admissible, but Escherichia coli and other causative agents of diarrhea of travelers often are steady against it. It is the best of all to appoint in a tsefalosporina of the third generation.

to

it is very difficult to Provide the correct artificial feeding on travel. It is the best of all if the woman traveling with the newborn nurses it. At a diarrhea at mother natural feeding is not interrupted, but she has to receive more liquid.

Air flights. If the pregnant woman is healthy, then flight by passenger plane is safe both for it, and for a fruit. Thanks to high affinity of fetalny hemoglobin to oxygen fruit blood oxygenation with that pressure which is created in inside of the plane significantly does not change. Also the increase of level of ionizing radiation registered at the height more than 10000 m is harmless. Each airline concerning flights of pregnant women has rules which better to know in advance. On internal airlines it is usually allowed to fly at pregnancy terms to 36 weeks, on international - to 32 weeks

of Travel to mountain areas. Does not know, short-term stay in highlands is how dangerous to pregnant women. Travel to mountains more than 4500 m high are accompanied by a set of other dangers, and, certainly, are contraindicated to pregnant women.