Obstetric & Gynaecology Malaysia


Covid infection is not know to cause harm to baby's development except that high fever can trigger preterm birth. Its imperative that if your Covid symptoms are mild, to rest at home and drink more clean water.

People commonly use over the counter (OTC) medicines to treat fever, cough and cold, allergies, skin rashes or hives, diarrhea, constipation or heartburn

If fever, body temperature >37.6^C, pregnant women can take Paracetamol or Panadol 1000mg every 6 to 8 hours. Consider shower to help bring the body temperature down. Remember to drink more water for hydration.

If dry cough, a cough suppressant such as pholcodine or dextromethorphan 10mls 3 times a day is safe short term relief.

If cold, running nose or skin rashes, take sedative anti histamine like Chlorphenamine 4mg 3 times a day or Ceftirizine 10mg at night. Non sedative anti histamine is Loratidine 10mg on morning.

If sore throat, Strepsil lozenges every 2 hour or gargle with salt water.

If skin itchiness with redness, can use Ezzera non steroidal anti itch cream. If the itchiness still not resolved, can try apply sparingly mild steroid cream with anti fungal eg Candacort or Econazine ointment.

If diarrhoea, try to take Ultracarbon=charcoal tablets or Smecta sachet with each looses stool. To drink more water with ORS=Oral Rehydration Salt, or drink 100 Plus to prevent excessive loss of potassium salt.

If constipation, try Forlax sachet or syrup Duphalac=Lactulose 10mls 3 times a day

If vomiting can take Metoclopramide 10mg 3x a day.

If giddiness means likely not drinking enough water or too rapid change of position.  Please drink more water and lie down sideways and rest over it in dimmed room.

If body ache or back pain, apply Counter-pain(salicylic acid) gel to apply on tender area. Acetaminophen (Paracetamol) is safe to treat pain.

All medication above are safe if no allergy.  NSAIDs are a group of pain killer medicines that includes ibuprofen and naproxen. Taking NSAIDs in the last 3 months of pregnancy could harm your baby or cause problems during labour.

Important to let your doctor know about these symptoms as these could be symptoms of a serious problem in pregnancy.