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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant, Fever During The Day. Tested Positive For Salmonella. Side Effects On Foetus?

Hello Doctor, My wife is 1.5 month pregnancy and she got little fever , so that we went to test as described by doctor, The test results shown positive of salmonella . Now a days sometimes in a day only she is having fever. Can you advise me that this fever will affect to the upcoming baby?? and If we take treatment it will affect to the new born? Thanks
Thu, 1 Nov 2012
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OBGYN 's  Response
Hello, I would be happy to help.

You need to treat the salmonella as prescribed by your doctor. Review with them whether the medications that they are using are safe in pregnancy (I am assuming that they know she is pregnant). With regard to fever, a low-grade fever will not harm the baby. High fevers can be more of an issue. If she is able to take pills, she can use Tylenol during pregnancy to keep her fever down. She should not take Ibuprofen, just Tylenol.

I hope this helps.
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OBGYN Dr. Dr. Asra Ishtiaq Ahmed's  Response
Hello there.

Now that your wife's blood test shows salmonella infection, it means she is having typhoid.
Typhoid infection by itself is not teratogenic (damaging to baby). Its effects on pregnancy are because of high grade fever associated with typhoid. All high grade fevers are uterine stimulant and fetotoxic. These effects can precipitate preterm labour(premature delivery) and intra-uterine death (death of baby in uterus).
So the main aim is to bring down temperature in fever. You should keep a record of her temperature. Whenever she is febrile ( temperature more than 37degrees) you should bring it down with the help of tepid sponging and antipyretics. Paracetamol is safe in pregnancy to bring down temperature.
The definitive managemnt of typhoid involves use of antibiotics. The safest antibiotic for treating typhoid in pregnancy is a cephalosporin eg ceftriaxone.
Ciprofloxacin should be avoided as its not safe in pregnancy.
Other supportive measures you should take are:
1. Drinking plenty of fluids. This helps prevent the dehydration that results from a prolonged fever and diarrhea.
2. Eating a healthy diet. Nonbulky, high-calorie meals can help replace the nutrients you lose when you're sick.
3. Since she is in her first trimester, she has to continue taking folic acid tablet daily which is a must in every pregnancy.
4. Ultrasound should be done once she recovers from the typhoid to ensure baby's well being.

All the best.
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Pregnant, Fever During The Day. Tested Positive For Salmonella. Side Effects On Foetus?

Hello, I would be happy to help. You need to treat the salmonella as prescribed by your doctor. Review with them whether the medications that they are using are safe in pregnancy (I am assuming that they know she is pregnant). With regard to fever, a low-grade fever will not harm the baby. High fevers can be more of an issue. If she is able to take pills, she can use Tylenol during pregnancy to keep her fever down. She should not take Ibuprofen, just Tylenol. I hope this helps.