Exercise during 2nd trimester pregnancy

2nd Trimester Pregnancy Exercises

About Barbara Diggs

Barbara Diggs is a freelance writer living in France. A former corporate lawyer, she has been writing professionally since 2006. She has been published in numerous print and online magazines, specializing in travel, parenting, history and law. Diggs is a graduate of Wesleyan University and Stanford Law School.

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The second trimester is an ideal time to exercise. Your morning sickness has probably vanished, your belly is not yet ungainly, and you have that famous second-trimester energy boost. If you were exercising in the first trimester, you probably can continue the same routines, although you should avoid exercises that require you to lie on your back for long periods. If you’re just starting an exercise routine, go slowly and talk to your doctor first.

Benefits of Exercise During Pregnancy

Exercise has multiple benefits for pregnant women. It can help you maintain a healthy weight, ease pregnancy-related discomforts, elevate your mood, increase your energy and even help prepare your body for labor. According to the American Diabetes Association, exercise might help you avoid developing gestational diabetes.

Low-Impact Exercises

Low-impact exercises are suitable for most pregnant women. These exercises do not put stress on the joints and ligaments, which are already taxed during pregnancy. Low-impact exercises include yoga, swimming, water aerobics and walking. Cycling is also a low-impact exercise; however, unless you’re already a regular cyclist, you should not start this activity during the second trimester. Your center of gravity begins to shift during this trimester as your belly grows, which makes it difficult to maintain balance. That puts you at risk for falling off the bike. The American Pregnancy Association recommends stationary cycling over regular biking during pregnancy.

Kegel Exercises

If you haven’t been doing Kegel exercises throughout your first trimester, you should definitely begin doing them in the second trimester. Kegel exercises are movements that help tone and strengthen the pelvic floor and vaginal muscles. This exercise becomes particularly important in the second and third trimesters as your baby is putting increasing pressure on your pelvic floor. The increased pressure can weaken those muscles and raise your risk of developing urinary incontinence later in pregnancy and postpartum. To perform Kegel exercises, squeeze the pelvic floor muscles, hold the contraction for up to 10 seconds, and then slowly release. Repeat the exercise 10 times in a row, several times daily. You pelvic floor muscles are those you would use to stop the flow of urine.

Exercises to Avoid

Starting with the second trimester, you must be careful to avoid exercises and activities that increase your risk of falling or hitting your stomach. Even a mild blow to the stomach could cause a serious consequence to your pregnancy. You should avoid activities such as contact sports, downhill skiing, horseback riding and rock-climbing until your pregnancy is over, even if you are accustomed to those activities.


Pregnant women must take particular care to avoid overheating while exercising because that can cause grave harm to the baby. To diminish the risk of overheating, never exercise outside in hot, sunny weather, and stay well hydrated as you exercise. Drink 1 cup of water per 20 minutes of exercise. The University of Michigan recommends pregnant women who exercise drink about 10 cups of water a day. You should also listen to your body while exercising. If you are feeling unusually fatigued, dizzy or nauseated, or if you are experiencing cramps, vaginal bleeding or the loss of any other fluid, stop exercising immediately. If your symptoms continue after you have cooled down, call your doctor.

Authorized antibiotics during pregnancy (2nd trimester): need for admission, consequences

Today, a variety of antibiotics is simply amazing, there are drugs narrow and wide profile, which helps doctors save lives. But this is one side of the coin. One can not deny the fact that many pharmacies sell these drugs without prescriptions. At the same time, people save time and money on a visit to a doctor, and, according to instructions, select a medicine and start taking it. Of course, in a number of cases the condition is facilitated, but this does not mean that the cause is eliminated. Perhaps you just muffled the disease, and soon it will come back again, and the same drug will most probably not bring the desired effect.

Antibiotics for expectant mothers

However, today we will not talk about the benefits and harm of antimicrobials in general. Our task is a bit narrower and at the same time more difficult. We want to know whether it is possible to take antibiotics during pregnancy (2nd trimester). This topic will never lose its relevance, since a woman who carries a baby is much more vulnerable to the risk of developing a disease, because the immune system is greatly weakened.

Among the huge list of existing antibiotics to date, there are enough funds allowed for use, since their effect on the body is not harmful to the child. However, there are those whose reception can lead to the most unfortunate consequences. Therefore, without consulting a doctor, it is impossible to select antibiotics during pregnancy. The 2nd trimester is the period when the placenta is already put into operation, which protects the baby from a number of viruses and bacteria, as well as drugs that can not overcome this barrier. In addition, all vital organs are already formed, which means that the probability of congenital anomalies is minimized.

What is the choice based on?

First of all, you need to assess the mother’s condition, the term, identify the causative agents of the disease, pick up drugs that can help in this case, and, finally, do not forget about the risk for the child. Only after weighing all these factors, you can choose the safest antibiotics in pregnancy. The 2nd trimester is more favorable in this respect, as it gives doctors more room for choosing the drugs. Until 12 weeks, almost all drugs were banned, so if there is no urgent need, doctors are trying to hold out until this time, and then have to start taking the treatment.

Usually, each antibiotic acts on a certain group of microbes. Traditionally, doctors divide them into three large groups:

  • Natural – “Penicillin” and its derivatives.
  • Semisynthetic (“Amoxicillin”, “Cefazolin”).
  • Synthetic (sulfonamides).

In order to select effective antibiotics in pregnancy (2 trimester), it is extremely important to have a complete picture of the causative agent of the disease. Having checked up its sensitivity to this or that drug, it is possible to offer the optimum scheme or plan of treatment. And only if this is impossible or the situation requires immediate intervention, an antibiotic of a wide spectrum of action is prescribed.

Dosage for the expectant mother

We did not in vain decide to stop at this moment. Very often, taking antibiotics during pregnancy scares women, and despite the appointment of a doctor, they reduce the dose so as not to harm the baby. In fact, the dosage for a future mother is no different from the usual. It is designed to suppress as much as possible the reproduction of microbes. Reducing the dose can lead to the fact that they have time to adapt and treatment will not give the desired effect. Therefore, do not experiment with your health and act strictly on the advice of a specialist.

Antibiotics for prevention

Another common belief is that broad-spectrum antimicrobials (or prescribed to someone from the family) can be taken in case of any ailment to prevent a worsening of the situation. In fact, the question of whether it is possible to drink antibiotics during pregnancy is much more difficult. The answer to it is something like this: not all and not always. Such an appointment should be fully and fully justified and expedient. Therefore, tests are first submitted, and only then the doctor decides on the basis of this.

When is antimicrobial therapy ineffective?

As we have already understood, this group of drugs is prescribed for one purpose, namely, to destroy the microbes that have entered the organism and prevent their further reproduction. Even so, even young specialists sometimes doubt how to correctly answer the question whether it is possible to drink antibiotics during pregnancy. You can, but only if you are sure that the symptoms are not caused by viruses.

Antibiotics will not help a pregnant woman in the following cases:

  • With the flu, acute respiratory-viral infections. They are caused by viruses, against which even the most advanced antibiotic is powerless. However, it can sometimes be difficult to determine what caused such symptoms as a runny nose and cough. Therefore, the practical experience of the doctor is important here.
  • At an elevated temperature, antimicrobials will not have antipyretic or analgesic effect. Therefore, they must necessarily be combined with other medicines.
  • In inflammatory processes, since the antibiotic does not have an anti-inflammatory effect.
  • Most often when you cough, there is no point in prescribing this group. Only in rare cases, when it is caused by the activity of microorganisms, can antimicrobial agents help.
  • There is another group of diseases in which antibiotics are ineffective during pregnancy (2 trimester). When poisoning, when the only symptom is an intestinal disorder, there is absolutely no need to use such serious drugs. It is enough to drink a lot of water (with “Regidron”), to maintain a sparing diet and, perhaps, to take a course of probiotics.

Popular “Metronidazole”

This drug is now in many people in first aid kits, because it is relatively cheap and has a wide range of actions, that is, it helps with many diseases. However, for the future mother there should be only two guidelines – this is a possible benefit for oneself and harm for the child. And only by comparing these two indicators, you can accurately say whether the drug is suitable for you.

Let’s now say a few words about “Metronidazole” itself. Instructions for use (price, reviews of the drug are very attractive) emphasizes that in the first trimester the drug is strictly prohibited. In case the woman took it alone, abortion can be recommended. Despite the fact that the drug is very effective in fighting bacteria, it penetrates the placental barrier to the fetus, which can lead to developmental pathologies.

In the second trimester appointment is possible, but with great caution. Again, only the doctor should determine that you can take Metronidazole. Instructions for use (price, reviews, of course, stimulate the desire to use this drug and restore health, it costs only 25 rubles.) Tells us that a single dosage can help cope with a variety of diseases, but a high concentration of active substance in the blood can lead to its falling into the fruit, which can affect the development. And at usual doses within 7 days the risk of premature birth increases.

Treatment for pyelonephritis

The most common pathology in pregnancy. And most often up to the 12th week the state of the genitourinary system is relatively normal, but as the baby grows, the burden on the kidneys increases. If the results of urine tests show that the situation is already getting out of control, then urgent measures must be taken. Treatment of infection during pregnancy most often goes in two directions. The nephrologist tells the woman about the drinking regimen (sometimes this restriction, but in most cases dispenses with it), recommends to drink the fruit drinks from cranberries and cowberries, as well as the broths of medicinal herbs.

However, these are only ancillary tools that will prevent a deterioration of the situation in the future. In the meantime, it is extremely important to conduct antimicrobial therapy. The permitted antibiotics in pregnancy (2nd trimester) are “Ampicillin”, “Methicillin”, “Kanamycin”, preparations of the cephalosporin group.

Problem number 2 – cystitis

Also a popular ailment among expectant mothers. And he is also quite dangerous. Inflammation inside the bladder is also dangerous because the process is easily able to go to the uterus. This greatly complicates the course of pregnancy, and can also harm the fetus. As a rule, the choice of doctors in this case is rather narrow. Assigns “Amoxiclav” or “Monural”. Most often, the choice falls on the second because of the wide range of action and effectiveness of this tool.

An extremely serious complication, which it is desirable not to admit. A common cold against a background of reduced immunity causes an exacerbation of chronic respiratory diseases. What should a woman do? At the first signs of malaise, you should immediately consult a doctor. If there are precursors of the development of angina, then the treatment must begin immediately and necessarily under the supervision of a doctor. The consequences of negligence in this case can be the most serious. Intoxication of the body and high temperature can lead to fetal hypoxia or miscarriage.

What are the recommended antibiotics for angina during pregnancy (2nd trimester)? In most cases, these are topical drugs that are used directly in the inflammatory focus. This “Grammidine”, “Bioparox” and a number of other sprays, which are allowed from the 13th week. In addition, it is recommended to gargle with a solution of “furacilin”, salt and soda at least once in 60 minutes. And of course, to comply with bed rest.

If the patient has entered a serious condition

If at the time of going to the doctor a woman already has a fever and a serious inflammation of the throat, then rinses can not be avoided. At a period of 13 weeks or more, the list of approved drugs is already large enough, and the doctor will choose from what. What antibiotics are allowed?

  • Penicillin series – based on the results of studies, these drugs do not affect the quality and development of the child. This group includes “Ampicillin”, “Oxacillin”, “Amoxicillin”, etc.
  • Cephalosporins are modern drugs that easily defeat microbes that are resistant to penicillins. They penetrate the placental barrier, but do not have a toxic effect on the baby. This should include funds “Ceftriaxone”, “Suprax”, “Cefazolin”.
  • Macrolide series – “Erythromycin”, “Sumamed” and other analogues. The use is permissible at the discretion of the doctor in certain cases.
  • “Gentamicin” – only in the most difficult cases the doctor can choose this drug. Dosage is selected strictly individually.

Prohibited antibiotics in pregnancy

On the one hand, this information may seem superfluous. And so it is clear that self-medication is unacceptable, and therefore, follow the recommendations of a specialist, he knows exactly what you can not use. However, for general information, we will list the medicines that need to be removed from the medicine cabinet, if they are in your home:

  • The very first group is tetracyclines. They not only have a toxic effect on the embryo, but can also accumulate in the bony system of the baby.
  • The sulphanilamide series is Biseptol for all its visible safety, Oribact and many others.
  • Fluoroquinolone series – in fact, these drugs simply did not pass the research, so no one can say for sure whether they are dangerous to the fetus. This is “Ofloxacin” and “Ciprofloxacin”.
  • “Levomycetin” and its analogs may well provoke the development of some forms of anemia in the baby.
  • “Furadonin”, “Furazolidon” is in almost every medicine chest, but they are also capable of causing anemia in the fetus.
  • Influence of antibiotics on pregnancy

    Of course, it is best if the future mother does not get sick at all, then you will not have to find a compromise between the benefit for the mother and the risk for the baby. However, illnesses come when they are least expected, which means that it may happen that you will also need antibiotics during pregnancy. The consequences for the fetus can be minimized with the timely treatment of a woman and the competent appointment of a doctor.

    However, one can not say that antibiotics are good. In addition to the therapeutic effect, they also have a number of undesirable ones. All medicines have an effect on the liver and intestinal microflora, the immune system as a whole. All this can affect the overall health of women.

    In general, the effect of antibacterial therapy on the baby depends heavily on the timing of gestation. Until the 13th week, you should try to avoid taking any medications. Of course, if the question concerns life and death, then the choice is obvious. Later the fetus is protected by the placenta, which means that many drugs can not pass this barrier.

    Instead of concluding

    As you can see, with proper use, antibiotics can be true friends during pregnancy (2 trimester). Consequences (reviews repeatedly emphasize that, after the course of treatment, women gave birth to healthy children on time) may be negative, but more often it happens in cases of self-treatment. A competent doctor will choose the safest means and adequate dosage and control the condition of the pregnant woman. In this case, treatment will be extremely beneficial.

    Prenatal fitness benefits for mom and baby

    What are the benefits of exercise during pregnancy?

    What changes occur in the body during pregnancy that can affect my exercise routine?

    The hormone called Relaxin is produced during pregnancy. This hormone causes your joints and ligaments to become relaxed. This is great for preparing your body to deliver your baby, but unfortunately makes your joints more at risk for injury due to increased mobility and flexibility. All the extra weight you gain in the front of your body shifts your center of gravity and stresses the joints and muscles in your lower back and pelvic region. This is why pregnant women are more susceptible to less stability and falling, increased back pain, and achy joints. This is also why it is important to follow an exercise routine, or have an instructor who is certified in prenatal exercise, that takes in to account these issues, especially in late pregnancy.

    What forms of exercise are safe during pregnancy?

    Certain sports are safe during pregnancy, even for beginners:

    • Walking
    • Swimming
    • Cycling
    • Lifting weights (powerlifting or heavy weights not recommended)
    • Aerobics
    • If you were physically active before you became pregnant, you often can keep running, or doing what you were doing, during pregnancy. Use common sense when choosing your activity. You may have to modify your routine.

    What forms of exercise should be avoided?

    ​Any activities that have a high risk of falling or abdominal trauma due to environment or just increased loss of balance should be avoided. Sports and activities like gymnastics, water or downhill skiing, horseback riding, racquet sports, and contact sports should be avoided or modified. Other activities, like scuba diving, that limit or change oxygen levels are also risky for baby as well and unsafe. If you have questions on your sport or activity of choice, ask your doctor.

    Certain positions and activities can be risky for you and your baby due to the changes pregnancy does to your body. Avoid activities like jumping, jarring or quick changes in direction. These activities can cause damage to your joints and tendons. Also, be aware of dehydration and overheating during exercise. Pregnancy can increase your risk of both.

    What are the warning signs that I should stop exercising?

    Stop exercising and call your health care provider if you have any of these symptoms:

    • Vaginal bleeding
    • Dizziness or feeling faint
    • Increased shortness of breath
    • Chest pain
    • Headache
    • Muscle weakness
    • Calf pain or swelling
    • Uterine contractions
    • Decreased fetal movement
    • Fluid leaking from the vagina

    How can I get back into exercising after the baby is born?

    Learn more about our recommendations for postpartum exercise.

    Lozenges Strepsils during pregnancy: 1st, 2nd and 3rd trimester

    Can I use lozenges Strepsils during pregnancy?

    Pregnancy is a wonderful period in every woman’s life. However, at this time, the expectant mom’s body most susceptible to the different nature of the infections. Therefore, many pregnant women are faced with SARS, tonsillitis and other colds that may be accompanied by severe pain in the throat.

    To get rid of this symptom can be difficult, especially if traditional methods of therapy to pregnant women in many cases prohibited. What should I do? Can lozenges Strepsils during pregnancy, and how it will affect the health of the unborn baby? We’ll talk about that next.

    Properties of the drug

    Strepsils is a combined drug, which belongs to the group antibacteriana funds. This medication is able to relieve the patient from pain in the throat due to the suppression of the inflammatory process of the oropharynx. These effects are achieved thanks to two active ingredients: dichlorobenzyl alcohol and amylmetacresol. Both of these substances have antimicrobial activity.

    They are able to destroy gram-positive and gram-negative bacteria. Resulting in suppressed growth and reproduction of pathogenic microorganisms.

    Is it allowed to take a pregnant?

    The pharmaceutical market is diverse. There are many types of this drug. Some of them are strictly forbidden for use during pregnancy (e.g. Strepsils Intensive).

    The rest is only allowed after consultation with the doctor. In the instruction it is specified that the company did not carry out clinical trials, so do not know how the drug can be safe in the period of carrying a child.

    However, practice shows that a sore throat this drug is the future mother is very good at helping and easily transported, without causing side effects and adverse effects on the fetus.

    What is included in Strepsils?

    The main active components in all types of Strepsils are substances amylmetacresol and dichlorobenzyl alcohol. In various dosage forms of these substances are found in different quantities. Also there is a number of additional auxiliary components.

    The original (candy)

    Contain 0.6 mg of amylmetacresol, 1.2 mg dichlorobenzyl alcohol. Auxiliary components are levomenthol, peppermint oil and anise.

    This is a classic form of the drug. At the expense of their constituents softens the mucous membrane of the oropharynx, increased secretion of salivary glands, improving blood circulation, thereby accelerating the process of recovery.

    With a honey-lemon flavor

    Pills Strepsils with honey & lemon flavors contain the same amount of active ingredients.

    Subsidiary are honey, peppermint oil, lemon and tartaric acid. This kind of medicines can soften the mucous membranes of the oropharynx and enhance local immunity.

    Honey, which is part of, has a bactericidal effect.

    Strepsils Eucalyptus and Menthol

    Contain 2 milligrams dichlorobenzyl alcohol, 0.6 mg of amylmetacresol and 8 milligrams of levomenthol. Auxiliary ingredients: eucalyptus oil, Indigo Carmine, tartaric acid. These candies have a soothing and expectorant action. Also included in the substances capable of exerting a vasoconstrictor effect, causing, the drug helps to fight even with the cold.

    Contain in its composition of 1.2 mg dichlorobenzyl alcohol, 0.6 mg of amylmetacresol and 100 milligrams of vitamin C. This helps not only to get rid of a sore throat, but also enhance local immunity. Ascorbic acid is able to exert anti-allergic and anti-inflammatory action to reduce swelling of the mucous membranes, accelerate the healing process.

    Strepsils sugar-free

    In its composition, in addition to antiseptics, contains rosemary oil.

    Besides the tablets, no sugar, allowing you to take this drug, patients-diabetics and people who limit the amount of sugar in foods and medicines.

    The lozenges are allowed for children over six years.

    This drug, in comparison with all above-mentioned species, has nothing in common with them except the manufacturer. The structure of this drug is flurbiprofen. This substance is a nonsteroidal anti-inflammatory, which in Strepsils Intensive is the dosage of 8.75 milligrams.

    Due to its properties to reduce the inflammation, eliminate the pain symptoms and reduce the temperature, flurbiprofen effective against flu, bacterial infection, tonsillitis, pharyngitis, laryngitis.

    It is allowed to accept patients in the event of excessive tension on the vocal cords and under intense Smoking. However, the feature of this type is that it is strictly prohibited to take during pregnancy and children up to twelve years.

    Release form

    Spray, tablets, lozenges for sucking different shapes and colors with different flavors.

    Indications for use

    The drug is indicated for inflammation of the oropharynx (for fast relief of sore throat):

    • when pharyngitis;
    • for tonsillitis;
    • in stomatitis;
    • when periodontal disease;
    • in laryngitis.


    Instruction manual shows that the drug is forbidden to take ulcerative lesions of the stomach, allergies, bronchial asthma. Strepsils during pregnancy 1st trimester is also impossible to accept.

    Find out how to treat a cold during pregnancy.

    Darsonval is an effective tool for the treatment of rhinitis and sinusitis!

    Aloe during pregnancy — is it possible?

    Side effects

    In most cases, the drug Strepsils well tolerated. Side-effects it causes. However, in rare cases, may experience Allergy symptoms. Temporarily also can change taste perception.

    Can I use medicine in 2 and 3 trimesters of pregnancy?

    As practice shows, the Strepsils in the 2nd trimester of pregnancy can be prescribed by a doctor only in severe pain in the throat.

    As a rule, the period of 16-22 weeks. 3 trimestre is also not recommended to use candy.

    In the second trimester medication can be administered to the following scheme: one tablet two to three hours.

    The maximum number of lozenges per day should not exceed 8 tablets.

    Please note! Lozenges should dissolve evenly, sliding the tablet across the oral cavity. Because of this, reduces the risk of irritation.

    Tablets should be taken thirty minutes before meals or after it. The effect will be better if before taking the pill to drink a little warm water. Then the active substance will fall into the blood flow, through expanded blood vessels of the mouth. The duration of therapy with this drug is not more than 5 days!

    If during pregnancy the woman had allergic reactions that were not previously observed, drug use alone can not. You should always consult with a doctor. Perhaps the doctor will prescribe other medicines for the relief of sore throat.

    Strepsils is a highly effective tool that cannot be used at random. Its active components, when injected into the blood unable a considerable number to penetrate through the placental barrier. Based on this, we can conclude that the harm to the child when using drugs, are minimized.

    Sources of information:


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