What can be used to remove lice during pregnancy? - briefly
«Врачебно одобренный перметрин 1 % считается безопасным при беременности, но его применение следует согласовать с акушером». «Дополнительные меры включают тщательное расчесывание влажными волосами, стирку постельных принадлежностей при 60 °C и нанесение вазелина для подавления вшей».
What can be used to remove lice during pregnancy? - in detail
Lice infestations during pregnancy require treatments that avoid systemic absorption and minimize fetal exposure.
Manual removal remains the most reliable method. Fine‑toothed lice combs, used on wet hair with a conditioner, can extract nymphs and adults. Comb should be passed from scalp to tip in sections, rinsed after each pass, and repeated daily for at least two weeks.
Topical agents approved for pregnant users include:
- Dimethicone‑based lotions (e.g., 4 % silicone oil). Forms a coating that suffocates insects without penetrating the skin. Apply to dry hair, leave for 8–10 hours, then wash thoroughly.
- Permethrin 1 % shampoo, applied once, followed by a repeat after 7–10 days. Limited systemic absorption makes it acceptable, though some clinicians prefer to reserve it for cases where mechanical removal fails.
Prescription options, reserved for resistant infestations, comprise:
- Malathion 0.5 % lotion, applied under medical supervision. Single application, with a repeat after 7 days if live lice persist.
- Benzyl alcohol 5 % lotion, applied to dry hair, left for 10 minutes, then rinsed. Not recommended after the third trimester due to limited safety data.
Natural or home‑based remedies lack robust evidence and may pose irritation risks. Essential oils (tea tree, lavender, neem) are not advised because of uncertain percutaneous absorption and potential allergenicity.
Environmental control is essential to prevent reinfestation:
- Wash bedding, clothing, and towels in hot water (≥ 60 °C) and dry on high heat.
- Seal non‑washable items in plastic bags for two weeks.
- Vacuum carpets and upholstered furniture, discarding vacuum bags promptly.
Avoid products containing organophosphates, carbamates, or high‑dose ivermectin, as safety in pregnancy has not been established.
Consultation with a healthcare professional ensures appropriate selection, correct application timing, and monitoring for adverse reactions.