Aspirin® during pregnancy

introduction

During pregnancy, the hormonal changes lead to increased headaches and pain in the limbs. As a result, the pain reliever most commonly used in Germany is often used: Aspirin®. Particular attention should be paid to the correct intake and the correct dosage, especially during pregnancy. The active ingredient in aspirin acetylsalicylic acid (ASA) has a dose-dependent effect on blood thinning (low dose) or pain reliever (high dose). Especially at the end of pregnancy and childbirth, the blood-thinning effect of aspirin could pose a risk for the child and mother. Therefore you should avoid taking Aspirin® during the last trimester of pregnancy.

Indication in pregnancy

Basically, if possible, you should stop taking Medication during pregnancy be waived. In some cases, you can use herbal products (e.g. for headaches / body aches), which are usually a smaller side effect profile have to be advisable.

In a low dosage (100mg) is used Aspirin® to prophylaxis and if one is suspected pre-eclampsia used. In the course of pregnancy, high blood pressure and an increased excretion of protein. At the same time, among other things, the placenta less blood supply.

Read more on this topic at: Pregnancy hypertension

The danger fetal complications With Stunted growth and premature release of the placenta. Without treatment with Aspirin® is a transition into a Eclampsia (Characteristic, among other things, maternal seizures are possible) with a poor prognosis for mother and child. Through low-dose therapy with Aspirin® (so-called low-dose treatment) the risk is significantly reduced.

It is also a low-dose treatment with Aspirin® also for prevention in the case of repeated Spontaneous abortions indexed.

Active ingredient

The active ingredient of Aspirin® is the Acetylsalicylic acid (ASA). It works depending on the dosage blood thinning (low dose) or pain reliever (high dose). It unfolds its effect by inhibiting various types Enzymesthat exist in both the mother's body and the Babies occurrence. These enzymes play a role in the production of Prostaglandins a role that, among other things, at the Emergence of pain, of the Blood clotting and the emergence of Labor pains involved.

Effect on the baby

After absorption, the active substance enters the blood circulation the mother unhindered over the placenta (Placenta) in the child's blood. The consequences of a blood-thinning effect in the baby's body are still being investigated in studies.

Side effects for the baby

The side effects of taking aspirin during pregnancy The development of the baby depends on the dose and when you take the drug.

In the first two thirds the pregnancy are according to studies no evidence of developmental disorders when taking aspirin. Individual risks (Kidney malformations, Undescended testicles, increased risk of spontaneous abortions) could not be confirmed in studies. For security reasons, a Ingestion during this time anyway not recommendable.

in the last third pregnancy may involve taking Aspirin® serious effects on pregnancy and childbirth. For this reason, an intake of Aspirin® During this time prohibited. By inhibiting the synthesis of prostaglandins, the Labor prolonged. This effect used to be at Tokolyses (early onset of labor) exploited. In addition, at Aspirin®-Take with one increased blood loss to expect the mother during childbirth. This is due to the blood-thinning effect of the active ingredient. At the same time there is the risk of a Undersupply of the child with blood. In addition, taking Aspirin® also to a constriction or a premature closure of the ductus arteriosus (Botalli) to lead. As a result, severe blood pressure derailments in the lung area are to be feared. Lastly, the ingestion at very high doses can also lead to an increased occurrence of blood-thinning Cerebral hemorrhage lead to the child.

Botallus duct

Of the Ductus Botalli provides a link between the two in the mother's womb during the child's development Pulmonary arteries and the fetal blood circulation The lack of breathing during development bypasses blood flow to the lungs. Usually this passage closes a few days after the birth.

By taking Aspirin® is from the 28th week of pregnancy narrowing or premature closure of the passage is possible. The following are severely increased blood pressure in the area of ​​the pulmonary circulation to be feared. At the same time, the supply of blood to other tissues can be restricted, which can Development impaired.

If aspirin therapy cannot be suspended during pregnancy, that is regular controll of the corridor with Ultrasonic and a Doppler device indicated during the last trimester of pregnancy.

Does Aspirin® increase the risk of a miscarriage?

The taking of Aspirin® Has no consequences at the risk of a Miscarriage. On the contrary, it often becomes Aspirin® used low doses to that To reduce the risk of recurring spontaneous abortions. The mechanism and effectiveness are still being investigated.

By taking Aspirin® increase however Risk of developmental disorder of the baby and the risk of complications during childbirth (prolonged labor, blood loss).

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Contraindications

While taking Aspirin® during the first two thirds pregnancy for safety reasons not recommended is taken during the last third pregnancy prohibited.

In addition, should be known Hypersensitivity to acetylsalicylic acid (ASA) be waived. It can also be taken if there is an increased tendency to bleed (hemorrhagic diathesis) is due to the blood-thinning effect of the drug, one reason why it should not be taken. By metabolizing the drug into liver and kidney A disturbance of the function of these organs can preclude the use of the preparation.
There are further contraindications Heart failure and simultaneous treatment with Methotrexate or oral anticoagulants (Inhibition of blood clotting).

dosage

In a low dosage (100 mg) can Aspirin® during a pregnancy be used. It is used for treatment if one is suspected pre-eclampsia and for prevention of recurrent miscarriages. The one-time high dosage for Relief from pain (500 mg) during the first two thirds of pregnancy is possible without an increased risk for mother and child. On a regular Taking high doses or an intake of Aspirin® in the last trimester of pregnancy, however, should be waived in any case.

ASS 100

ASS 100 contains 100 mg of the active ingredient acetylsalicylic acid (ASS). Due to the low dosage, it only works in the blood vessels before it is completely metabolized and inactivated in the liver. It is therefore normally used to inhibit the tendency to clot.

During pregnancy, this low-dose Aspirin® can be administered in the context of preeclampsia or to prevent miscarriages. After consulting a doctor, it is also possible to continue blood-thinning therapy. To avoid possible complications in the last trimester of pregnancy and childbirth, this drug should be discontinued during this period.

Aspirin Complex

Aspirin® Complex contains 500 mg of the active ingredient acetylsalicylic acid (ASA) combined with pseudoephedrine. Due to the high dosage, it not only works in the blood vessels, but also after metabolism in the liver also throughout the body. It serves the Relief from pain, the Lowering of fever and the Swelling of the nasal mucosa in the context of colds.

More on this topic at: Aspirin Complex

On taking the high dose Aspirin® should waived during pregnancy become. Studies have so far not been able to demonstrate any harmlessness. The administration of Aspirin® Complex on the animal model has to be partly Developmental disorders with malformations guided. It is to be feared that this will affect pregnancy, birth and the development of the baby.

Alternatives

Basically is if possible on taking medication during pregnancy dispense. Especially with headaches and body aches as well as in the context of colds a gentle therapy is with Relaxation and one high drinking amount Partly sufficient over several days. You can also consult a doctor herbal and homeopathic remedies be evaded.

Is used to treat severe colds and infections Paracetamol the drug of choice during pregnancy. It works fever lowering and pain reliever. When taking it, possible side effects (including possible damage to the liver and kidneys) must be taken into account. It has not been proven to affect the baby's blood circulation.

Home remedies

Often it can occur during pregnancy herbal and homeopathic remedies be evaded. However, one should also take into account that these agents can also lead to side effects. The intake should therefore always be discussed with a doctor.

It is suitable for treating a cold vigorous inhalation, Salt nasal spray as well as a nasal ointment with Angelica extract. It is also possible to use a decongestant nasal spray infrequently if the nose is very congested.

They are usually suitable for treating headaches and body aches warmed cherry stone pillows and a warm bath. A massage (e.g. temple massage with diluted peppermint oil) and physiotherapy can also be helpful in selected cases. Some doctors will also do one acupuncture recommended.

More on this topic at: homeopathic medicines

Is aspirin allowed if you want to become pregnant?

It is possible to take aspirin if you wish to become pregnant. There is no proven effect on egg cell or sperm maturation. An influence on the implantation of the fertilized egg in the uterus with very high-dose long-term therapy with Aspirin® is still being discussed. The treatment with low-dose Aspirin® for better blood flow to the ovaries and better maturation of the egg cells is also controversial. There are conflicting studies and results.

Before taking aspirin if you wish to become pregnant you should always speak to your doctor. In individual cases, the targeted use of Aspirin® can be useful.