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**Managing Fever in Pregnancy: A Safe & Supportive Guide for Expecting Mothers**

 

Fever during pregnancy can be concerning, not just for the mother but also for the growing baby. While mild fevers are common and often harmless, it's important to monitor symptoms carefully, follow safe treatment options, and seek timely medical advice when needed. Here's a comprehensive guide on how to manage fever during pregnancy.

 

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### **Common Symptoms Associated with Fever in Pregnancy**

 

* Body temperature above 100.4°F (38°C)

* Chills or shivering

* Sweating

* Body aches and fatigue

* Headache

* Sore throat, cough, or nasal congestion (if due to infection)

* Gastrointestinal symptoms like nausea or diarrhea

 

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### **Recommended Blood Tests**

 

Your doctor may suggest the following investigations based on symptoms:

 

* **CBC (Complete Blood Count):** To check for infection

* **CRP/ESR:** Markers of inflammation

* **Urine Routine & Culture:** To rule out urinary tract infections

* **Widal Test/Typhidot:** If typhoid is suspected

* **Dengue NS1/IgM, Malaria Parasite/Antigen tests:** In endemic areas

* **Liver and Kidney Function Tests:** If fever is persistent or severe

* **COVID-19 Rapid Antigen or RT-PCR:** If respiratory symptoms are present

 

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### **Pregnancy-Safe Medications for Fever**

 

Always consult a doctor before starting any medication. However, commonly used and **safe options include**:

 

* **Paracetamol (Acetaminophen):**

 

  * **Dose:** 500 mg to 650 mg every 6–8 hours as needed

  * **Maximum dose:** 3,000 mg per day

  * **Safe in all trimesters**

  * Avoid self-medicating with **NSAIDs like ibuprofen or aspirin**, especially in the 3rd trimester.

 

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### **Supportive Treatment**

 

#### **1. Sponging to Reduce Fever**

 

* Use **lukewarm water sponging** (not cold water) to reduce temperature.

* Focus on areas like forehead, armpits, and groin.

* Avoid alcohol rubs or ice-cold water as they can cause chills.

 

#### **2. Diet Tips**

 

* Eat **light, easily digestible meals** like khichdi, soups, or plain rice with curd.

* Include **fruits high in Vitamin C** like oranges, guava, and lemon water.

* Avoid spicy, greasy, or raw street food.

* Small frequent meals are better than heavy meals.

 

#### **3. Hydration**

 

* **Drink plenty of fluids** to prevent dehydration:

 

  * Coconut water, ORS, homemade lemon water with salt and sugar

  * Clear soups, diluted fruit juices, and plain water

* Monitor for signs of dehydration: dry mouth, dark urine, dizziness

 

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### **When to Consult a Doctor Immediately**

 

Seek urgent care if you experience any of the following:

 

* **Bleeding or spotting**

* **Fainting or feeling excessively weak**

* **Seizures or altered mental state**

* **Persistent vomiting or inability to eat**

* **Severe headache, blurred vision**

* **Abdominal pain or reduced fetal movements**

* **High-grade fever not responding to medication**

 

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### **Monitoring Vital Signs at Home**

 

* **Blood Pressure (BP):** Use an automatic home BP monitor, especially if there's swelling or headache.

* **SpO₂ (Oxygen Saturation):** Use a fingertip pulse oximeter.

 

  * Normal SpO₂: **≥ 95%**

  * Seek medical attention if readings are persistently below 94%

 

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### **Conclusion**

 

Fever during pregnancy should never be ignored. While most cases are mild and manageable at home with rest, hydration, and paracetamol, close monitoring is essential. Remember, **your body is caring for two lives**, and any persistent or alarming symptoms warrant immediate medical evaluation.

 

Stay informed, stay hydrated.