Burned my pregnant belly. Sunburn during pregnancy. Emergency care and treatment

Everyone knows how much an expectant mother should take care of herself and the fetus she is carrying. From the moment of pregnancy, her health belongs not only to her. But anything can happen. As a result of an accident, being in an interesting position, you can get burned.

The reasons for this situation are usually:

carelessness of the expectant mother in the kitchen and at home,
improper storage of chemicals and flammable substances,
accidents due to circumstances beyond the control of the pregnant woman.

It should be taken into account that during pregnancy a pregnant woman may have impaired coordination of movements, which is also often the cause of burn injuries.

Symptoms

The manifestations of burns are determined by their severity. There are 4 degrees of burn injuries, each of which has its own symptoms.

1st degree are mild burns. The lesion is characterized by external damage to the skin due to short-term or low-intensity exposure. The symptoms of such burns are not particularly pronounced. These are painful sensations, the appearance of hyperemia, swelling and a sign of burning. Damaged skin peels off.
Grade 2 - more intense symptoms. With such damage, the epidermis completely dies, amniotic fluid accumulates under it, which causes the formation of blisters. The skin becomes swollen and red, and the pain is felt more intensely.
3rd degree - the basal layer of the burn is preserved, the skin tissue and part of the subcutaneous layer die. Dry or wet necrosis forms. Severe pain syndrome.
4th degree - in this case, not only the surface of the skin and the subcutaneous layer are affected, but also the deep layers, muscles, ligaments, bones, structures.

Signs of burns in a pregnant woman may be accompanied by a general feeling of poor health caused by the stress of the accident and the pain of the injury.

The area of skin damage is of great importance in the clinical picture and existing symptoms.

Diagnosis of burns during pregnancy

To make an accurate diagnosis of a “burn” in a pregnant woman, it is enough for a specialist to listen to the patient and examine her. Usually, from the words of the patient and taking into account a visual examination of the damaged area, one or another type of burn is diagnosed.

To determine the area of damage from burns, the rule of palm and “nines” is often used.

As part of the diagnosis, the doctor monitors the condition of the victim. A blood and urine test is required, an electrocardiogram is performed, and in case of severe burns, special attention is paid to how the fetus feels in the womb. His heartbeat is listened to, and if necessary, ultrasound and other examinations are performed.

Complications

Complications of burn injuries in pregnant women are determined by the severity of the injuries and the area of the burned surface. Miscarriages occur mainly in the first trimester, and occur due to the addition of secondary infections and sepsis.

Burn consequences in expectant mothers can, in addition, manifest themselves in the form of venous thrombosis.

Death and coma can result from extensive burns that damage a significant area of the skin surface.

Treatment

What can you do

If an accident occurs and a pregnant woman suffers a burn, the main thing is not to panic and remain calm.

For a thermal burn, which is the most common of all available, the burned area is placed under running cool water.

In case of a chemical burn using water, you need to be careful. There are chemicals that, when combined with water, can cause even more harm.

In case of severe burns, you should urgently call an ambulance.

Under no circumstances should you treat the burned surface with oil; the skin must breathe. Actions in which you are not sure should be avoided. After all, the expectant mother is responsible not only for her health, but also for the life of the fetus she is carrying.

What does a doctor do

Treatment of burns today is carried out using both conservative and surgical methods.

The therapy performed is determined by the severity and area of the burn, the condition of the pregnant woman, and the duration of her pregnancy. When treated by a doctor, the following are used:

painkillers,
local drugs,
antibiotics.

To quickly heal a burn wound, a sterile biological dressing is used.

Third- and fourth-degree burns require surgical intervention to prevent sepsis. When it comes to a victim who is pregnant, the doctor makes a decision that is appropriate for each specific situation, taking into account the existing pregnancy.

In the process of performing resuscitation measures, intensive infusion therapy becomes especially relevant. This is due to the physiological increase in the capacity of the vascular bed during pregnancy. In addition, it is necessary to prevent the occurrence of hypoxia, especially in expectant mothers with burns of the respiratory tract.

Prevention

The expectant mother needs to be more careful to prevent burns. Care must be taken:

at home,
outside, in the sun,
at work.

She needs to remember that treatment of any injury during pregnancy is complicated, since most medications can harm the baby in the womb.

As you know, a pregnant woman is obliged to special attention and be thrifty about your own health, since any health problems of the expectant mother will affect the health and development of the child. But there are situations that the expectant mother simply cannot control. And if a burn occurs during this period, it should be treated by avoiding analgesics and antibiotics, and also avoiding narcotic drugs used for pain relief in case of a second, third or fourth degree burn.

There are several degrees of burns. This burn can only cause redness and burning. Blisters will appear on the burned skin. At the burn site, the skin falls off in pieces. In this case, if the burn covers one third of the body, the patient often dies.

When a burn occurs during pregnancy, treatment should be provided using folk remedies. The burn area can be lubricated with bean oil. You can also treat the burn area with a whole egg, lubricating it every half hour. Finely grated beets can be tied to the burn site. Soda is poured onto the burned area, slightly moistened with water. The pain will most quickly be relieved by glycerin, which is recommended to lubricate the burn site. You can also put sauerkraut on the burn site, which is replaced quite often.

When blisters occur during a burn during pregnancy, as well as more severe situations, for example, the skin at the burn site begins to peel off, you should immediately consult a doctor. In case of burns of this kind, folk remedies will not help. In this case, the patient will be hospitalized.

In a hospital or hospital emergency room, medical care consists of pain relief, then treatment of the burned surface and dressing. The patient is then prepared for transport to the hospital.

Drugs and methods of pain relief will differ in the severity of the lesion. Pain relief is provided with ketorolac, ketoprofen, antipyretics and analgesics. In case of more extensive and deep burns, narcotic analgesics - omnopon, morphine, promedol - will be added to the painkillers.

Then the wound is treated, when the epidermis is carefully peeled off, then the blisters are removed, and the burned skin is covered with an antiseptic bandage. For second to fourth degree burns, tetanus prophylaxis is needed if the wound is contaminated.

A burn that occurs during pregnancy always causes, in addition to painful symptoms, strong concern for the child. Regardless of the cause and type of damage, as a rule, the most protruding and unprotected part, the rounded tummy, is injured. However, in any case, you should consult a doctor. In this situation, it is not recommended to self-medicate.

Causes of damage

Factors that cause burns during pregnancy may include the following:

Carelessness in the kitchen, at work;
Improper storage of chemicals;
Impaired coordination of movements;
Accident.

Symptoms of injury

When a thermal or chemical burn occurs during pregnancy, the following signs are observed:

Pain;
Itching, burning;
Blisters with fluid;
Dryness, peeling;
Redness and swelling.

Important! The expectant mother should not fear for the baby, even if there is a burn to the abdomen during pregnancy. In such a situation, the fetus is not damaged; it is protected by a layer of skin, fat, amniotic fluid, uterus

The only thing that matters to the expectant mother- this is to stop being nervous, using approved anti-burn medications to eliminate the pain.

If a woman has a sunburn during pregnancy, it is most often accompanied by chills, weakness, and dizziness. Excessive exposure to the sun may cause loss of consciousness.

Emergency care and treatment

Depending on the nature and prerequisites that caused the damage, first aid may differ slightly:

If an injury occurs, sit down or take a horizontal position. To prevent dehydration, drink 1-2 glasses of water. Do not rub skin with symptoms of itching and burning, and carefully remove clothing and jewelry;
Cool the injured area with a compress or place it under running cool water. Compresses or cold towels can be used for several hours until painful symptoms subside;
If bubbles with liquid appear, consult a doctor; take any medications with extreme caution;
The most acceptable options for treating burns during pregnancy are the drugs “Panthenol”, “Bepanten”, “Sudocrem”. The composition should be applied in a thin layer, lightly rubbing in, the course of therapy should be carried out 3-5 times a day;
To prevent intoxication and other negative consequences of a abdominal burn during pregnancy for a child, you need to drink as much liquid as possible, for example, compote, fruit juice, mineral water. Hot drinks should be avoided;
You should not use antipyretics unless absolutely necessary;
If you have a fever, take tablets based on ibuprofen and paracetamol, which are safe for the health of mother and baby.

The course of self-medication in case of a burn of the abdomen during pregnancy cannot be longer than 3-4 days; in the absence of positive dynamics or worsening symptoms, you should immediately contact a therapist.

When to see a doctor?

There are situations in which pregnant women do not need to do the treatment themselves and need to urgently seek qualified help:

Strong headache;
Loss of consciousness;
Large area of injury;
blisters;
Increased body temperature;
Dehydration;
Severe pain syndrome;
Rare fetal movements;
Hypertonicity of the uterus;
Bloody discharge from the vagina;
Nagging pain in the lower abdomen.

Important! A burn during pregnancy can be treated at home only at 1st degree of severity, when the integrity of the skin is not compromised. If open wounds or blisters form, be sure to consult a doctor for a quality diagnosis and the prescription of adequate drug therapy.

Alternative medicine recipes

Treatment traditional methods It should be carried out only after consultation with a specialist, so as not to harm the baby and mother:

Sea buckthorn oil should be systematically applied to a burn during pregnancy to relieve redness, soreness, dryness and flaking;
Aloe leaf juice helps eliminate inflammation and effectively promotes healing;
Grate the beets and apply the pulp to the injured area as a compress for 2-3 hours, repeat 2 times a day;
To relieve pain, you can treat a burn on the abdomen during pregnancy with a glycerin solution.

Consequences for the baby

For small, shallow injuries, there will be no consequences for the child, especially if there is no infection of the skin.

With wounds in the 1st trimester, women often experience fetal rejection or miscarriage after injuries. This is due to the fact that he is still too weak and sensitive. Very often, the problem is caused not by the burn itself, but by infection and the subsequent inflammatory process.

A burn during pregnancy is a dangerous injury, especially if it covers a large area. This threatens the life of not only the child, but also the mother, so first aid and further treatment must be carried out under the supervision of a doctor.

Sunburn is an acute inflammatory reaction of the skin in response to exposure to ultraviolet radiation (natural or artificial). A burn occurs during prolonged exposure to the sun or solarium. What does this condition mean for the expectant mother and her baby?

Symptoms

Prolonged exposure to direct sunlight can lead to the following symptoms:

redness and swelling of the skin;
pain;
the appearance of blisters;
peeling, dry skin;
severe itching.

In severe cases, sunburn is accompanied by fever, chills, general weakness. A severe headache may occur. With prolonged exposure to the sun, loss of consciousness (sunstroke) is very likely.

During pregnancy, a woman's skin is very prone to the rapid development of burns. Problems arise even for those expectant mothers who, before conceiving a child, could be exposed to the sun for a long time without consequences. Blame it all on perestroika hormonal levels, as well as changes in the reactivity of the skin. At the same time, the likelihood of getting sunstroke and extensive skin burns increases.

First aid

It is quite rare to recognize a sunburn in time. Usually the problem is discovered an hour or two after prolonged exposure to the sun. If the first symptoms (itching, burning, pain) occur directly under the sun's rays, you need to find shade as soon as possible or even go indoors.

Reddened skin should not be rubbed. You should carefully remove clothing, being careful not to touch the affected area. A cool shower will help cool your skin. The water jet should be soft so as not to cause additional injury to the burnt skin. Instead of a shower, you can place a wet, cold towel on the burn area.

Cold compresses can be repeated for several days until signs of the burn completely disappear. Such treatment is allowed only in the initial stage of the process, with severe redness and swelling. If blisters appear, you should definitely consult a doctor.

Drug therapy is prescribed to pregnant women with great caution. Of all the known drugs, Panthenol cream has proven itself well. The product is approved for use at any stage of pregnancy.

“Panthenol” is applied in a thin layer to the affected area of the skin and lightly rubbed in. The cream can be used for minor skin damage due to a burn. The drug improves blood supply to tissues and accelerates regeneration. "Panthenol" can be applied to the skin 4-6 times a day until complete recovery.

For any sunburn, the expectant mother is advised to drink as much fluid as possible to relieve the symptoms of intoxication. Warm or chilled fruit drinks, compote, juice are best suited for this. mineral water. You should avoid hot drinks for a while.

In case of fever development due to sunburn, it is allowed to use paracetamol or ibuprofen based products. In I and III trimesters During pregnancy, antipyretics are used with great caution and only at body temperatures above 38 degrees. The course of self-treatment should not last more than 3 days. If heat body persists, you must consult a doctor.

Important aspects

Situations in which medical attention may be required immediately:

loss of consciousness, severe headache due to sunburn;
the appearance of extensive blisters on the skin;
large surface area of sunburn;
increased body temperature above 38.5 degrees;
signs of dehydration: extreme thirst, dry mouth, decreased urination;
deterioration of the fetus' condition (rare movements after 20 weeks);
signs of impending miscarriage (hypertonicity of the uterus, pain in the lower abdomen, bloody vaginal discharge).

What not to do if you have a sunburn:

Use products based on petroleum jelly (they aggravate the course of the disease and slow down the healing of the skin).
Wash your skin with soap and a washcloth.
Pop bubbles.
Apply antibacterial ointments and creams yourself.

Prevention

Pregnant women should not be in the sun for long periods of time. The most dangerous period The period from 11 to 17 hours of the day is considered. At this time, the risk of getting sunburn is extremely high. At this time, it is best to stay in the shade or use products that protect the skin from exposure to ultraviolet radiation (SPF at least 30). After swimming or shower sunscreen must be reapplied to the skin.