Is human metapneumovirus dangerous during pregnancy?

Question

Hi doctor,

I am 28 weeks pregnant and have been diagnosed with human metapneumovirus (HMPV) after experiencing severe coughing and breathlessness. My oxygen levels are currently within a normal range, but the persistent coughing is causing abdominal discomfort. I am managing my fever with Paracetamol.

I would like to know:

What medications are safe to take during pregnancy to help with my symptoms?
Could severe coughing have any impact on my baby?
At what point should I seek emergency medical attention? Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

At 28 weeks pregnant, human metapneumovirus (HMPV) infection can feel especially difficult, and the severe coughing and breathlessness can be exhausting. Since your oxygen levels are within a normal range, that is a reassuring sign, but monitoring for any worsening symptoms is important.

Safe medications during pregnancy:

Paracetamol (Acetaminophen) – Helps reduce fever and relieve body aches (which you are already taking).
Honey, warm saltwater gargles, and humidifiers – Can soothe throat irritation and reduce coughing.
Antihistamines such as Loratadine or Cetirizine – These can help if nasal congestion worsens.
Cough syrups containing Dextromethorphan (DM) – Can be used if needed, but avoid those with alcohol or strong decongestants such as Pseudoephedrine.
Inhalers such as Salbutamol (Albuterol) or Budesonide – May be considered if wheezing or breathlessness worsens, but these should be prescribed by your doctor.

Kindly consult your doctor and take medicines accordingly.

Effects of severe coughing on pregnancy:

Severe coughing is unlikely to directly harm your baby, but persistent coughing fits can strain your abdominal muscles and cause discomfort. Keep a close watch for any contractions, abdominal pain, or reduced fetal movements.

When to seek emergency medical attention:

Go to the emergency room (ER) immediately if you experience any of the following:

Persistent shortness of breath or chest pain – This could indicate respiratory distress.
A drop in oxygen levels below 94 percent – Low oxygen saturation (hypoxemia) can affect both you and your baby.
Contractions or severe abdominal pain that do not go away – Could be a sign of preterm labor.
High fever (above 102° Fahrenheit or 38.9° Celsius) that does not improve with paracetamol – May indicate a more serious infection.
Reduced fetal movements – A decrease in the baby’s usual activity could signal distress.

General advice:

Stay well-hydrated, rest as much as possible, and closely monitor your breathing and overall condition. If your symptoms worsen or you feel uneasy, do not hesitate to seek medical care.

I hope this helps.

Revert with the answer to assist further.

Thank you and take care.