Does a cold during pregnancy have an impact on the fetus?

Patient's question:

I was 3 months and 10 days pregnant when I caught a cold and had a fever of 38.5 degrees. At that time, I went to the hospital for treatment, and my fever subsided within two days. My cough was very severe then. I don't know if this constitutes a high fever and whether it affects the fetus. Currently, all my prenatal check-ups are normal.
First follow-up question: I want to ask if the cough at that time affected the fetus at 3 months and 10 days. Did the fever affect the fetus? Now, my prenatal check-ups show everything is normal.

Doctor's answer:

For pregnant women with mild colds, it is advisable to drink more boiled water, get adequate rest, and stay warm. Oral medications such as Ganmao Qingre Chongji (Cold-Relieving Clearing Decoction) or Banlangen Chongji (Isatis Root Decoction) can be taken. Traditional Chinese Medicine (TCM) and herbal remedies are effective in controlling cold viruses while being non-toxic. Therefore, TCM's syndrome differentiation and herbal prescriptions are the best methods for treating colds in pregnant women. Pregnant women with colds should take herbal medications under the guidance of a doctor.
For more severe colds with high fever, in addition to general treatment, it is important to control body temperature as quickly as possible. Physical cooling methods, such as placing ice packs on the forehead or neck, can be used. Alternatively, medication-based cooling can be chosen. Never take Western medicines with significant side effects, such as Nalgin (metamizole). When selecting antipyretic and analgesic drugs, it is essential to avoid medications that have obvious adverse effects on pregnant women, fetuses, and newborns. For example, aspirin should be avoided, but under medical guidance, antipyretic and analgesic drugs like acetaminophen can be used.

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