Strep Throat in Pregnancy: What You Need to Know

If you’re pregnant and suddenly develop a painful sore throat, fever, or swollen glands, it could be strep throat. The infection isn’t rare, but treating it the right way matters for both you and your baby. Below we break down the signs, safe medicines, and simple steps you can take at home.

Symptoms and When to Call the Doctor

Strep throat usually shows up fast. Look for a sudden sore throat that makes swallowing hurt, fever above 100°F (38°C), red spots on the roof of your mouth, and swollen neck glands. Some women also notice headache or fatigue. If you have any of these, especially with a fever, call your doctor right away.

Pregnancy can mask some signs because hormones already cause mild sore throats. That’s why it’s smart to get a rapid strep test if you suspect the infection. Early diagnosis stops the illness from spreading to other parts of your body and lowers the risk of complications for the baby.

Safe Treatment Options

The good news is that most antibiotics used for strep are safe during pregnancy. Penicillin and amoxicillin are first‑line choices—they’re effective and have a long record of safety for moms and newborns. Your doctor may also prescribe cephalexin if you’re allergic to penicillin.

Some older drugs, like certain macrolides, can be used but only when needed and under close supervision. Avoid any medication that isn’t prescribed; over‑the‑counter pain relievers such as ibuprofen should be skipped in favor of acetaminophen unless your doctor says otherwise.

While you’re on antibiotics, finish the entire prescription even if symptoms improve quickly. Stopping early can let bacteria survive and cause a repeat infection that’s harder to treat.

In addition to meds, boost recovery with plenty of fluids, warm teas, soft foods, and rest. A humidifier can ease throat irritation, and gargling with salt water (½ teaspoon in a glass of warm water) helps reduce swelling.

If you notice worsening fever, difficulty breathing, or a rash after starting antibiotics, seek medical help immediately—these could be signs of an allergic reaction.

Strep throat rarely harms the baby if treated promptly, but untreated infection can lead to more serious issues like rheumatic fever, which can affect the heart. That’s why timely care is key.

Remember, every pregnancy is unique. Keep your prenatal visits regular, and always discuss any new symptoms with your healthcare provider. With the right approach, strep throat becomes a manageable hiccup rather than a major worry.