Thrush in pregnancy: treatment implications

Is dental disease such as oral thrush in pregnancy are often, according to statistics 50% of women in the position can not avoid this inflammatory process. The reasons for this state a large number, but the treatment can not be tightened — the only way possible to ensure the full development of the child. The resulting wounds and sores on the mucous membrane of the mouth, discomfort, fever, dehydration — all consequences of insufficiently resistant immune system, but to deal with the problem is not so difficult.


Thrush in pregnancy appears mainly due to the failure of hormonal background of a changing body. A weakened immune system is vulnerable to infections of different nature — bacterial, viral, fungal. A detailed list of reasons:

  • Smoking;
  • Eating acidic foods;
  • Failure to comply with rules of hygiene;
  • Incorrect fixation of dental prostheses;
  • Allergies to food, personal hygiene products (e.g. toothpaste);
  • Some medications — antibiotics, drugs used in chemotherapy treatment of cancer;
  • Some chronic diseases: deficiency of number of vitamins, iron, behçet’s syndrome, leukaemia;
  • Viral infection, resulting in the development of herpes stomatitis;
  • The fungus manifests itself in the form of thrush, thrush;
  • The effects of stress that accompanies pregnancy toxemia.

Varieties of stomatitis

The damage of mucous membrane in the oral cavity, the defeat of the microflora of different infections occur at different circuits. There are two main varieties of the disease:

  1. Herpes. The symptoms are the following: small bubbles, which eventually burst, formed by erosion of the mucous membrane. Dry lips, swollen, enlarged lymph nodes, in advanced cases, you can expect fever, profuse discharge of saliva. The herpes virus is in the body, symptoms arise from reduction of the immune defense;
  2. Aphthous. A pregnant woman appears several ulcers, oval and round in shape, they are covered with bloom, causing pain. Accompanying symptoms — slight fever, bad smell from the mouth.


Thrush during pregnancy is expressed in a number of unpleasant symptoms, initially is the redness of the oral mucosa, accompanied by local tingling, burning. Then there are small ulcers and more visible erosion — visually it’s spot, accompanied by a white coating on the edge of a red border. Additional symptoms often are expressed in the following:

  • Increased sensitivity of the tongue, the discomfort and pain can cause difficulty when eating;
  • Unpleasant smell in the mouth;
  • Increased salivation;
  • Inflammation of the mucous membranes of the eyes, nose;
  • When behçet’s syndrome — inflammation of the genital organs, further damage to blood vessels, the appearance of ulcers;
  • When Stevens-Johnson syndrome — inflammation of the eyes, weakness, fever as an allergic reaction to drugs and infection;
  • In Crohn’s disease — abdominal pain, indigestion, blood in stool, diarrhea.

If a pregnant woman notice inflammation of the eyes and genitals, high temperature, bubbles of liquid on the skin, recurrent attacks of stomatitis, to postpone the trip to a specialist is impossible.

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Possible consequences

Thrush during pregnancy is manifested by reducing the protective functions of the organism, when there is a hormonal imbalance. In addition, each woman needs to take care of proper oral hygiene to the accumulation of bacteria are unable to cause harm and to cause disease. And, of course, need to eliminate completely Smoking — not only as a provoking factor for various types of stomatitis, but as just a source of danger to the health of the child.

If you do not seek help at the first sign of problems, you can get a number of negative effects. Infection spread outside the oral cavity that may cause inflammation of the lining of the genitals, dehydration, increased body temperature. If thrush in pregnancy to start and in a short time can not be cured, he is able to manifest itself in the newborn.

Diagnostic measures

Effective treatment of thrush in pregnant women starts with a full diagnosis, the doctor must figure out what type of infection triggered disease. This looks mouth of the patient, investigates health card, no additional tests do not exist, so the responsibility for the outcome of therapy depends on the ability of the doctor to identify signs of disease. Among the main indicators — the characteristic lesions of the oral mucosa, their specific location, in chronic forms they appear with some frequency.

Feature of sores that are not affected by the rest of the surface remains apparently perfectly healthy. But the rise in temperature and deterioration of health is observed only in the advanced form, during the initial appearance of these symptoms.

No less characteristic redness of the membranes, the subsequent itching and burning. All this together greatly complicates the process of eating, brings unpleasant experiences. Under favorable prognosis of the disease is 1-2 weeks, but can last for several months.

Therapeutic measures

To adequately protect the mother from adverse effects and to effectively «eliminate» the thrush in pregnancy all treatment should be complex — both local and General.
You need to remove the side effects (pain, swelling), to heal ulcers and sores and also boost the immune system, reduce temperature, weakness, to combat the negative effects of stress, vitamin deficiency. Painkillers are assigned exclusively to a specialist in the necessary dosages, for example, Hexetidine and Lidocaine.

Purulent stomatitis

This is a rather complicated form of the disease, with special care prescribed and administered antibiotics during the first trimester. It can be Amoxicillin, Erythromycin, Ofloxacin or Metronidazole, for use directly on the mucous prescribe zinc paste. As an additional care we recommend rinsing with Chlorhexidine solution.

Viral stomatitis

Stomatitis treatment in pregnancy virus type conducted with appropriate drugs, but to charge a dosage not only the specialist can specify a safe amount. Use Interferonov, Treboganova, Oxolinic, Bonafton ointment, spray «Tantum Verde».
The situation is complicated when the virus is added to the background exposure of bacterial flora. In the treatment of this use, Amoxicillin, in the early stages is preferable to use a solution of Chlorhexidine.

Fungal stomatitis

Thrush in pregnancy in this case is antifungals. To lock the symptoms and improve health at home, it is recommended to use soda rinse about every two hours. They are prepared in the following way — a teaspoon of baking soda, you need 200 ml of warm boiled water, the solution mixed and used immediately.

Allergic stomatitis

The essence of this therapy is to find a way of eliminating the allergen, this happens due to the special antihistamines. For rinsing assigned different antiseptic liquid, and means claritin or Allertec.

Bacterial stomatitis

For therapy of bacterial nature using the solution of Chlorhexidine digluconate, and other drugs based on it.

Folk remedies

As the thrush in pregnancy can health effects have a rather nasty, its therapy and prevention should be approached with caution. A variety of folk remedies are widely used, but before the beginning of the course it is necessary to consult with a specialist.

Infusions, decoctions and other recipes

Sage. Takes 10-15 grams of dry grass is added to Cup of boiling water, infused. After cooling, the resulting rinsing can be applied.
The oak bark. The infusion is prepared from 15 to 20 grams of bark and cups of boiling water, it requires at least one hour. Can be used with a small frequency — about every 2 hours.
Grenades. You need two tablespoons of the rind of this fruit that are filled with hot water (200 ml) and left so for about 20 minutes. The resulting solution should be diluted at a ratio of one to five.
Daisy. Tablespoon of dry substance is added to a glass of water all in the same proportions as soon as the broth is ready, you can start rinsing.
Calendula. Taken tablespoon of flowers, zaparivat, a quarter of an hour the remedy is ready.
The propolis. Bought the pharmacy propolis tincture, taken about 5 ml of the product is dissolved in 100 ml of warm water. Rinsing the mouth is recommended after every meal.
Potatoes. Grate a small amount of product, work the mixture, apply it to the affected area of the mucosa several times a day.
The aloe juice. A substance from plants grown at home by cutting a leaf and squeezing the pulp. It is applied to the desired areas, the other option is just to chew the aloe leaf.
The carrot juice. Normal juice is by using a juicer, it is applied as compresses and just as a drink in small portions.
Stomatofit. This tool is sold in a pharmacy, based on seven herbs. To make one Cup of rinse requires one capful of the medicine. Used Stomatofit after each meal, then for half an hour-hour nothing to drink or eat.


Equally effective for wound healing and various oils (rosehip, sea buckthorn) and propolis ointment, Fukortsin. To enhance immunity are assigned special vitamins, the main goal is to fill the shortage of vitamins C and B.

Special diet

As already mentioned, in order to avoid this disease it is necessary to provide a sufficient amount of vitamins entering the body daily. It is often noted the negative reaction of the pregnant woman to citrus, savory and sweet dishes, cereals.

With the defeat of the mucosa will also have to eat mashed food, not coarse in structure, to not further traumatize her. The main requirement is to exclude any «aggressive» food — too spicy, sweet, salty.

Not recommended protein food, especially meat, cook it without seasonings that are not very good. A good solution is to cook meat broth with the addition of a Bay leaf. But almost all dairy products can be used without fear of yogurt, kefir, sour cream, etc. Fat can be easily adjusted so as not to gain unwanted pounds.

From drinks it is better to use water, a decoction of rose hips, green, black tea. Do not drink coffee, milkshakes, sodas, citrus juices, alcohol, however.

Preventive measures

In addition, how to treat stomatitis necessary to know how to prevent disease, especially if you moved it in the past. So, the rules that will help:

  • Ensure proper hygiene of the oral cavity. This includes the use of antibacterial toothpastes, mouthwashes, flosses;
  • Watch the temperature of drinking water, cold causes cold sore oral mucosa;
  • Take vitamins prescribed by the attending physician;
  • Watch carefully for the quality of the products, buy them in the checked location;
  • Eat well washed fruit and vegetables is a potential source of various germs and bacteria;
  • Sleep the required number of hours;
  • Eat regularly hourly;
  • Equip yourself with necessary physical activity — walk in the fresh air every day.