How to manage flu safely in the last trimester of pregnancy?

Hi,

Welcome to iCliniq.

Thank you for reaching out during this tough time. Having the flu at seven months pregnant with twins is understandably very concerning, especially with a high fever and ongoing symptoms.

Here is what you need to know:

The flu can increase the risk of complications such as preterm labor, low birth weight, and, rarely, birth defects, especially if high fever is prolonged. It is important to manage your fever and stay hydrated.

When to seek emergency care: You should go to the emergency room immediately if you experience:

1. Difficulty breathing or shortness of breath.

2. Chest pain or severe coughing.

3. Decreased or no fetal movements.

4. Persistent high fever that does not respond to Acetaminophen (Tylenol).

5. Signs of dehydration like dizziness, very little urine output, or confusion.

Important considerations regarding medications:

1. Acetaminophen (Tylenol) is generally safe in pregnancy to reduce fever and aches; keep trying to manage the fever with it.

2. Avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like Ibuprofen.

3. Your doctor may consider antiviral treatment (like Oseltamivir/Tamiflu), which is safe in pregnancy and can reduce flu severity if started early.

It is important to drink plenty of fluids, rest as much as possible, and monitor your symptoms closely.

Hospitalization may be necessary if dehydration worsens or if you develop respiratory symptoms or signs of preterm labor. It is better to err on the side of caution, given your twins and previous miscarriage history.

Do not wait if you feel you are getting worse or if fetal movements decrease. Early treatment and close monitoring improve outcomes for you and your babies.

Please contact your obstetrician or go to the emergency room right away if any worrying signs appear. Take care and stay safe.

Thank you