Vaginitis in pregnancy: symptoms, treatment
Often when planning a pregnancy a woman is obliged to consider the state of his health. It is connected partly with the fact that the age of first birth is becoming every year more and more. Usually vaginitis in pregnancy – a problem faced by more than 30% of women. Pregnancy often causes exacerbation of existing chronic diseases due to a decrease in General immunity.
During the nine months of pregnancy, even a woman of absolute health can get sick. Changing the ratio of hormones in pregnant women leads to lowered immunity, against the background of what is disturbed and vaginal flora. The growth of pathogenic bacteria and fungi in the vagina causes of inflammation – vaginitis.
Vaginitis can be diagnosed by chance during inspection and not to disturb the mother. Proper and timely treatment of vaginitis during pregnancy is the key to the future health of the child. If, after the date of compulsory analyses of cultures, flora swab and PCR for chlamydia and gardinella you find that vaginitis triggered by sexually transmitted infections, Trichomonas, gonococci, chlamydia, etc., then this is called vaginitis specific and requires special treatment.
Often during pregnancy are diagnosed with trichomoniasis. This disease hard to be cured, often is chronic. The woman who once treated trichomoniasis, can not even think about the fact that the disease is still present in her hidden form. The release of hormones, weakening of the immune system during pregnancy contribute to the transfer of disease from chronic asymptomatic in the acute form.
Often this disease is mistaken for bacterial vaginosis, however the nature of the secretions of these diseases are different.
Trichomoniasis discharge has a yellow tinge, foamy, non-viscous consistency, freely emanate from the genitals. There is itching of the vagina regardless of the time of day, urination accompanied by burning sensation. Thus differential diagnosis is extremely important, adequately treated.
The appointment of medicines for the treatment of specific vaginitis must be carried out exclusively by the attending gynecologist after carefully carried out diagnostics. If you are planning a pregnancy, be sure to get tested for STIs. To properly treat these infections before pregnancy, not during it, because of the presence of such infections may affect the health of the newborn and outcome of pregnancy.
If non-specific vaginitis caused by Staphylococcus, Escherichia coli or yeast-like fungi Candida (candidiasis), then full recovery is enough for 6 days to put candles Terginan or Poliginaks at night to drink during the week Pimafucin tablets (1 tablet x 3P.d.). Selection of medicines should carry a doctor, because not all drugs are used during pregnancy. This is especially important when it comes to treating the early stages of pregnancy.
Nonspecific vaginitis is observed every third pregnant woman. The abundant reproduction of yeast-like fungus Candida albicans is due to a sharp decrease of immunity, lowering of the vaginal pH. Candidiasis vaginal discharge white, curd have consistence, sour smell. Itching of the vagina, increasing before bed, after bathing or after intimacy.
Nonspecific vaginitis requires prompt treatment, even if the patient is not too worried about normal for vaginitis symptoms, as the presence of inflammatory process in vagina, after a certain time can cause the following complications:
- various pathologies of pregnancy;
- premature birth;
- rupture of the cervix during childbirth;
- infection child infection at the time of promotion through the birth canal.
Bacterial vaginosis is characterized by lack of inflammation, presence of vaginal dysbiosis. The vaginal microflora is composed of lactobacilli (Doderlein sticks) is replaced by a polymicrobial Association of Gardiner and anaerobes. In the discharge of vagina no white blood cells, which indicates the absence of inflammation. Therefore, in this disease the term «vaginitis» have replaced the term «vaginosis». Discharge is vaginosis frothy, sticky, smell like rotten fish.
In modern medical practice, it is believed that treatment of bacterial vaginitis during pregnancy is not necessary.
It is assumed that the microflora of pregnant women under the influence of hormones to come into balance. The attending doctor must control the dynamics of the development of the disease, as bacterial vaginosis can cause the rupture of the membranes before the due date. This can happen due to the fact that the bacteria breeding in large quantities in bacterial vaginosis provoke an inflammatory process of the membranes, which are thinner, cracks, breaks.
Especially dangerous cracks, when amniotic fluid stem drops. The birth process begins in the time after the crack, when the infection has time to get inside the amniotic SAC and infect the baby. It is therefore very important to diagnose premature discharge of waters and to distinguish it from other secretions in pregnant women.
Fetal infection may also occur through intact membranes. It threatens the low weight of the fetus, the distress syndrome, sepsis.
In women with bacterial vaginosis infectious inflammatory complications after the birth of a child occur 6 times more often. Medical observation, accurate diagnosis, while treatment helps to significantly reduce the number of possible complications.