Managing Influenza A During Pregnancy: Risks and Recovery Tips

In the fifth month of pregnancy, I contracted influenza A from my child at home?

My child was infected with influenza A on Saturday, and I unknowingly came into contact with his saliva, which led to my own infection.
However, I have some questions: Since I am currently five months pregnant, I am hesitant to take too many medications.
I only started taking some when I began to develop a slight fever, as I am concerned about the potential effects on my unborn child, even though I have informed my doctor about my pregnancy.
I would like to know if I can still be contagious if I do not have a fever but continue to experience a runny nose and cough.
How can I determine when my influenza A infection is completely resolved? Additionally, will I still be able to transmit the virus to other children who have previously had influenza A but have recently stopped having a fever?

Min, 20~29 year old female. Ask Date: 2022/09/06

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, you should be able to take medication.
Influenza can be managed like any other common symptoms, and unless there are complications, there is no need to worry too much.
Wishing you good health.

Reply Date: 2022/09/06

More Info

Managing influenza A during pregnancy requires careful consideration of both maternal and fetal health. Influenza, particularly during pregnancy, can pose risks, including severe illness and complications. Here’s a comprehensive overview of the situation you described, along with some recovery tips.

Risks of Influenza A During Pregnancy
Pregnant women are at a higher risk for severe illness from influenza due to changes in the immune system, heart, and lungs. The physiological changes that occur during pregnancy can make it more difficult for the body to cope with the virus. Complications can include pneumonia, hospitalization, and in severe cases, even death. Additionally, there is a risk of preterm labor and low birth weight in infants born to mothers who experience severe influenza.

Medication Concerns
You mentioned being cautious about taking medication during your pregnancy. This is a valid concern, as many medications can affect fetal development. However, certain antiviral medications, such as oseltamivir (Tamiflu), are considered safe and effective for treating influenza in pregnant women. It’s crucial to consult with your healthcare provider about the best course of action if you suspect you have influenza. They can provide guidance on the safety and appropriateness of antiviral medications based on your specific situation.

Symptoms and Infectiousness
Regarding your symptoms, influenza can present with a variety of signs, including fever, cough, sore throat, runny or stuffy nose, body aches, headaches, chills, and fatigue. If you are experiencing a persistent cough and runny nose without a fever, you may still be contagious. Generally, individuals with influenza are most contagious in the first three to four days after their illness begins, but they can continue to spread the virus for up to a week after symptoms appear.

Recovery Tips
1. Rest and Hydration: Ensure you get plenty of rest and stay hydrated. Fluids help thin mucus and keep your throat moist, which can alleviate some symptoms.

2. Nutrition: Eating a balanced diet rich in fruits and vegetables can support your immune system. Foods high in vitamin C, such as oranges and strawberries, can be particularly beneficial.

3. Monitor Symptoms: Keep track of your symptoms. If you experience worsening symptoms, such as difficulty breathing, chest pain, or high fever, seek medical attention immediately.

4. Consult Your Doctor: Since you are pregnant, it’s essential to keep your healthcare provider informed about your condition. They can monitor your health and the health of your baby, and adjust treatment as necessary.

5. Avoid Contact: To prevent spreading the virus, avoid close contact with others, especially those who are at higher risk for severe illness, such as young children and the elderly.

Conclusion
In summary, managing influenza A during pregnancy requires a careful balance of treating the illness while minimizing risks to the fetus. If you suspect you have influenza, consult your healthcare provider for appropriate antiviral treatment and guidance on managing your symptoms. Remember that while it’s essential to be cautious with medications during pregnancy, effective treatment can help you recover more quickly and reduce the risk of complications. Always prioritize open communication with your healthcare provider to ensure both your health and the health of your baby are safeguarded.

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