Passing twisted trees, blackened homes and abandoned vehicles, the mother appears to clutch the hand of her child, perhaps fearful that another deadly barrage of Russian shells or rockets is seconds away.
Pseudoephedrine is a common decongestant, found in Mucinex products such as Mucinex D, that works by narrowing the blood vessels in the nasal passages. And it's also one ingredient the American College of Obstetrics and Gynecologists recommends against during the first trimester due to a small risk of birth defects in the abdominal wall.
If you've ever considered taking medicine while pregnant -- or you've had the TV on long enough to hear the commercial line "tell your doctor if you're pregnant or breastfeeding" -- you'll know there's a giant disclaimer that comes with taking anything during pregnancy. Despite the big caveat and lack of medical research on pregnant people, the US Centers for Disease Control and Prevention reports that nine in 10 women will take at least one medicine during pregnancy.
Born seemingly healthy, her mother Kerry became worried when at 13 months, her daughter stopped speaking, started wringing her hands and screaming constantly in pain. She is pictured using her computer
Lily was diagnosed with Rett syndrome - a cruel, life-limiting disease - following a year of tests.The condition, which affects the development of the brain, can cause severe physical and mental disability
During the first stage, from about the age of six to 18 months, a baby slows in development, loses interest in play, stops making eye contact, starts walking awkwardly and makes repetitive hand movements.
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Determining the risk of the other active ingredients found in Mucinex is a little trickier. Dextromethorphan is a cough suppressant that works by interfering with the "cough" signal in your brain. Guaifenesin works by loosening the mucus in your chest. There are some reports of a small risk of neural tube defects linked to guaifenesin, but the evidence is inconclusive. It's listed in a report by the American Academy of Family Physicians as "might be unsafe during first trimester." In the same report, dextromethorphan is listed as "appears to be safe in pregnancy," but as is true for many drugs and ingredients, there isn't enough evidence to say conclusively either way.
For Dr. Gloria Bachmann, an OB-GYN and the director of the Women's Health Institute at Rutgers University, the rule to follow is the same one she advises all pregnant people stick to, no matter the health concern or question: check with your doctor (or midwife, practitioner or other care provider). This is important not only before you consume a new medication, according to Bachmann, but also to make sure you don't write off a more serious illness as a common cold, allergies or even a mild case of COVID-19.
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As Dr. Robyn Horsager-Boehrer wrote in a post for UT Southwestern Medical Center, avoid medication formulated for multiple symptoms during pregnancy, as they can contain unnecessary amounts of acetaminophen. Also, she writes, natural cough remedies like a spoonful of honey can be just as effective (or more effective) than medication.
'My family was in the bomb shelter of High School No 2. Three days ago a shell shattered some of the windows. A woman was wounded in her hip. She laid all night on the first floor asking for someone to give her poison so that she would not feel the pain.'
Shelling has hampered efforts to rescue hundreds of civilians, including women and children, who are believed trapped in the bombed ruins of the Drama Theatre, destroyed by a Russian air strike on Wednesday despite the word 'Children' being clearly written on the square outside to alert pilots.
Officials say 2,500 have perished since Russian forces poured across the Ukrainian border on February 24. About 35,000 people are believed to have escaped in recent days, many on foot and under Russian fire, but 300,000 remain.
Is Mucinex safe during pregnancy? There are a few different kinds of Mucinex (Mucinex, Mucinex D and Mucinex DM, for example) but some of the most common popular products contain guaifenesin, pseudoephedrine and dextromethorphan.
Bottom line: Ask your health care provider before taking Mucinex or any cough medicine during pregnancy, so the two of you can weigh the severity of your symptoms with the potential risks (if any) of medication.
As Russia's defence ministry said its forces were 'tightening the noose' around the city, a woman called Svitlana gave a harrowing account of her flight from the city - and the horrors faced by those who have chosen, or been forced, to stay.