Allergy and pregnancy - what is there to consider?

Even allergy sufferers get pregnant - if you believe a Danish investigation, even faster than other women. It is possible that the typical changes in the immune system cause a fertilized egg to more easily enter the uterus. If the pregnancy has occurred, the questions come. Can I still take my medication? What do I do if I get an asthma attack? Do I have to stop the hyposensitization now? Basically, even in pregnancy you should treat allergies. However, some special features must be considered. The best advice in this regard are pregnant allergic women in an allergologically trained specialist.

No allergy skin tests in pregnancy

Pregnant women who previously had hay fever, know the typical symptoms: sudden sneezing attacks, runny nose, itchy eyes. "If the symptoms occur at the same time as usual, for example during pollen, it is usually clear that they are caused by the allergy, " explains Professor. Schultze-Werninghaus, President of the German Society of Allergology and Clinical Immunology (DGAKI).

However, when the signs of the disease are present for the first time, the doctor must make a diagnosis by accurately asking the symptoms and the place and time of their appearance. Often additional blood tests are needed. The usual skin tests are prohibited during pregnancy because of the - albeit minimal - risk of allergic shock.

Nasal sprays with cortisone or cromolyn sodium

For the treatment of hay fever during pregnancy are nasal sprays that contain some cortisone. So far there is no evidence that they harm the child. The same applies to nasal sprays with the active ingredient cromoglicic acid, which are less effective.

Even so-called antihistamines pregnant women are prescribed relatively frequently. The manufacturers of these preparations usually advise against an application, since there are too few investigations. The risks of antihistamines are unclear, according to the allergist Schultze-Werninghaus. Some older compounds have harmed unborn life in animal studies, and newer preparations in particular have little experience of use in pregnancy. In individual cases, the doctor should choose the drugs whose safety is most reliably documented. It is particularly critical to check whether any medicines are required.

Aside from medicines, the recommendation for pregnant women suffering from allergies as well as for all other allergic persons is to avoid the allergy triggers. For this purpose, for example, during the pollen season, the windows should remain closed and the hair washed before going to bed. However, it is virtually impossible to completely avoid allergy triggers such as pollen or the excretions of the house dust mite. Schultze-Werninghaus: "That's why even with pregnant women medication is often unavoidable."

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