Complivit® “Mama” for pregnant and nursing women

Complivit Trimester 1 (Trimester tab.p/o No. 30)

A country

Russia
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Compound

Vitamin A, vitamin E, vitamin B1, vitamin B2, vitamin B6, vitamin C, nicotinamide, folic acid, calcium pantothenate, vitamin B12, vitamin D3, rutoside, thioctic acid, lutein, iron, manganese, copper, zinc, magnesium, calcium , selenium, iodine.

pharmachologic effect

The pharmacological effect is determined by the composition of the active substances.

Indications for use

Prevention of deficiency of vitamins and minerals included in the drug: during preparation for pregnancy (preconception); during the first trimester of pregnancy (from the last menstrual period before conception to the 13th week of pregnancy).

Mode of application

Orally, 1 tablet per day

Interaction

The drug contains iron and calcium, and therefore delays the absorption of antibiotics from the group of tetracyclines and fluoroquinolone derivatives in the intestine. With the simultaneous use of ascorbic acid and short-acting sulfonamide drugs, the risk of developing crystalluria increases. Antacids containing aluminum, magnesium, calcium, and cholestyramine reduce iron absorption. With the simultaneous use of diuretics from the thiazides group, the likelihood of developing hypercalcemia increases.

Side effect

Allergic reactions, nausea, vomiting. For nausea, it is recommended to take the drug in the afternoon.

Contraindications

Hypersensitivity, children under 14 years of age, hypervitaminosis A, hypervitaminosis D, increased levels of calcium and iron in the body, urolithiasis, B12-deficiency anemia, sucrase/isolmaltase deficiency, fructose intolerance, glucose-galactose malabsorption.

Overdose

Symptoms: increased side effects. Treatment: temporarily stopping the drug, gastric lavage, taking activated charcoal, symptomatic treatment.

special instructions

The simultaneous use of other multivitamin complexes is not recommended to avoid overdose. In the 1st trimester of pregnancy, the daily dose of retinol should not exceed 5000 IU. It is possible that urine may turn bright yellow, which is completely harmless and is explained by the presence of riboflavin in the drug.

When is the first screening done?

Screening has diagnostic value in identifying a number of pathologies. A complete ultrasound with measurements of fetal parameters is performed from 11 to 14 weeks of pregnancy. During this time period, the embryo turns into a fetus. At this stage, the body and internal organs of the unborn child are quite well formed, and the presence of gross malformations can be excluded. As a rule, the study consists of two stages: ultrasound and biochemical blood test. The combination of scan results with laboratory blood values ​​gives the obstetrician-gynecologist a more detailed picture of the first screening.

How is the screening examination carried out?

Screening is an absolutely safe procedure for the fetus and the expectant mother, no matter how it is carried out. In the 1st trimester of pregnancy, ultrasound is performed using both transvaginal and transabdominal methods. During a transvaginal scan, you will need to remove your lower clothing, including underwear. When examining with an external sensor through the abdominal wall, it is enough to lift the blouse or shirt. The patient lies on her back and the doctor begins to perform an ultrasound scan. At this stage of pregnancy, this position will not cause discomfort. For convenience, you can bend your knees. When using an intravaginal sensor, a condom is used.

Decoding the research results

Only an obstetrician-gynecologist can interpret the results of the first ultrasound.
The attending physician can perform both functions at once. In most specialized clinics, gynecologists perform ultrasound examinations of pregnancy themselves. This is very convenient for patients: they receive detailed comments from their doctor immediately after screening. You should not demand detailed examination details from an ultrasound specialist. The doctor will indicate any deviations from the norm directly during the ultrasound. All other questions can be asked at an appointment with a gynecologist. TVP or collar space thickness

TVP is one of the parameters that an obstetrician-gynecologist focuses on when assessing the risk of a chromosomal abnormality in the fetus. This name refers to the space located between the inner surface of the skin and the soft tissues covering the cervical spine. Along with other indicators, this is the most important marker of the risk of chromosomal abnormalities in the unborn child. It is advisable to measure TVP data on ultrasound only in the first trimester, up to 13 weeks. Then, after the 14th week of pregnancy, the fluid in the cervical fold resolves.

Using a special table of normative TVP values, the doctor will determine the norm or deviation of this indicator.

KTP or coccygeal-parietal size

Measuring CTE allows the doctor to determine the duration of pregnancy in the 1st trimester, with an accuracy of +\-4-5 days. Like TVP, it is measured only up to the 14th week of the 1st trimester and is assessed using special normative tables. After this period, the ultrasound sensor can no longer cover the length of the fetus. In the following scans, the doctor evaluates the child's growth based on the length of body parts.

BDP or biparietal size

The biparietal size is recorded by a specialist at each of the routine ultrasound examinations of pregnancy. There is a table by which the doctor checks the indicators of BDP during screenings. When measuring all indicators of fetal growth, the estimated weight of the fetus is calculated, and these indicators determine the choice of delivery method (vaginal or operative delivery).

Heart rate or heart rate

The heart rate parameter gives the doctor the opportunity to assess the function of the fetal cardiovascular system. This indicator needs special monitoring, both at the first examination and throughout pregnancy. It indicates whether the contractile activity of the fetus's heart is normal. Ultrasound takes into account two of its criteria: frequency and rhythm of contractions.

What happens to the body during the 1st trimester of pregnancy

The 1st trimester is considered from the moment of conception to 12 weeks of pregnancy.

Direct fertilization of the egg occurs in the abdominal cavity. After fertilization, the egg is located in the abdominal cavity and is actively fragmented into smaller cells and becomes similar to a raspberry or mulberry, such an embryo is called a morula. It is then captured by the villi of the fallopian tubes and moves into the uterine cavity. On the 7th day, the embryo attaches to the wall of the uterus. The fertilized egg begins to form, consisting of amniotic fluid and the yolk sac, from which the embryo will form. At 7-8 weeks, a fertilized sac and placenta are formed from the fertilized egg. From 8 to 12 weeks the placenta is finally formed (later on it only develops), it becomes visible on ultrasound. At week 12, the embryo looks like a full-fledged child measuring about 9 cm, its limbs, head and main internal organs are formed.

Mother's changes. Ideally, a woman does not feel pregnancy at all. The only sign is an enlargement of the mammary glands, due to the development of glandular tissue under the influence of hormones. The belly practically does not increase.

During pregnancy, many women experience so-called “toxicosis” - nausea and/or vomiting. This is due to an increase in the level of estrogen (in particular progesterone) and hCG (chronic gonadotropin). Moreover, these symptoms can complicate the life of a pregnant woman not only in the morning, but at any time of the day. Sometimes nausea or vomiting may persist throughout pregnancy.

There is such a serious complication as excessive (uncontrollable) vomiting in pregnant women, which leads to dehydration of the mother, disruption of the body's electrolyte balance, disruption of the liver and kidneys and encephalopathy, requiring hospitalization and treatment in a hospital.

It is best to eat according to your appetite. Food should not cause negative reactions, eat in small portions, pay attention to what food provokes nausea and try not to eat it for a while, listen to your body, usually the woman herself feels what she would like to eat. Don't forget that food should not only be desirable and tasty, but also healthy. It would be ideal to eat according to the “Harvard Healthy Eating Plate” method, when ½ of the plate’s volume is occupied by vegetables, ¼ by proteins (including plant-based), ¼ by complex carbohydrates (grains, potatoes, cereals, etc.).

Your body will also begin to change. And the first thing you will feel will be engorgement and increased sensitivity of the mammary glands, the nipples will swell a little and increase in size. It is important to wear comfortable, comfortable underwear and clothing to minimize discomfort. Sometimes there is pain in the nipples; your gynecologist may recommend ointments for this case.

We all remember that a pregnant woman becomes more vulnerable, whiny and even sometimes capricious. This is also associated with an increase in estrogen levels and requires patience and understanding on the part of family and partners. A calm environment at home and, if possible, at work is important. You can use relaxation methods such as walking, listening to your favorite music, aromatherapy if there are no reactions to odors. Think about what could bring back balance and calm to you?

The main pregnancy hormone, progesterone, causes fluid retention in the body. At the same time, the growing uterus puts pressure on the bladder and a frequent urge to urinate appears. This is normal, it is important to plan your day so that you always have the opportunity to visit the toilet.

Progesterone also reduces the tone of blood vessels, which can lead to dizziness. You can minimize these unpleasant sensations by changing your body position smoothly; do not stand up or sit down abruptly. Another reason for frequent dizziness may be a decrease in the level of magnesium in the blood; your doctor will help you figure this out.

Pregnant women often have an increased need for sleep, which is explained by the same effect of hormones, as well as the need for additional rest for the body, because there is a lot of work to carry, give birth and then feed the baby.

Under the influence of progesterone, the smooth muscles of the entire body relax (uterus, intestines, blood vessels, bile ducts and pancreatic ducts, etc.), the work of internal organs slows down, which in turn leads to constipation and heartburn. In addition to medication correction (prescribed by a doctor), split meals in small portions, foods rich in fiber (our favorite vegetables), sufficient fluid intake, feasible physical activity (physical therapy, walking, swimming, yoga, Pilates, etc.) help.

Unfortunately, sometimes pregnancy is overshadowed by pathology; let's talk about the most common problems in the first trimester of pregnancy.

Indications and contraindications for screening

First trimester ultrasound is performed on a voluntary basis. However, obstetricians-gynecologists and the Ministry of Health recommend it to all pregnant women, without exception. Taking care of the health of the unborn child and her own is the patient’s primary task. Ultrasound screenings are among the most common examinations around the world. There are no contraindications to ultrasound, since the study is non-invasive and does not pose a danger to the mother and fetus.

There are several categories of pregnant women whose risks of chromosomal abnormalities are high:

• expectant mothers aged 35 years and older;
• patients who suffered from infectious diseases in the early stages;
• patients taking antibiotics and other drugs incompatible with the situation in the early stages;
• patients with a history of miscarriage;
• women who already have a child with a developmental disability in the family;
• pregnant women with a diagnosed risk of spontaneous abortion;
• patients who are closely related to the child's father.