Picture from: Bigstock
Breeding a baby is the mother’s happiness, but due to physical changes during pregnancy, vaginitis always loves at this time.
This common minor problem makes expectant mothers unable to worry, will the fetus be infected?Will medication affect the fetus?Can you still give birth?
1 Why is vaginitis bothering?
There are many microorganisms in a healthy vaginal environment. These microorganisms and vaginal tissue depend on each other and restrict each other to achieve dynamic balance and do not cause disease.
Figure self: giphy
During pregnancy, the estrogen and progesterone in women’s body increase, the synthesis of glycogen in vaginal vagina, increased the secretions, and the pH of vaginal vagina changes, making the dynamic balance of these flora difficult to maintain."Run out to make strange, the chance of infection with vaginitis is greatly improved.
The manifestation of vaginitis during pregnancy
· Vaginal (including vaginal port) itching;
· Burning or pain in the vagina;
· Increased secretion (leucorrhea), yellow, green, and gray;
· The secretion has a smell or other odors;
The leucorrhea of trichomonas vaginitis is thin purulent, "foam -like", and the vaginal vaginitis leucorrhea is bean residue -like or condensed.
At the same time, with the local discomfort of the vagina, itching or pain, it is even accompanied by some symptoms of frequent urination and urgency. When the vulva has a burning discomfort, you must be careful about infection.
2 Pregnancy will worry about problems during pregnancy
"Vaginitis is not a major problem, and you can’t take medicine for treatment during pregnancy."
This idea is a very serious error. During pregnancy, vaginitis must go to the hospital for examination and treatment in time.
Figure self: giphy
Vaginitis infection during pregnancy will occur in chorionic amniotic fluids, premature fetal membrane breakthroughs, premature contractions, premature birth, and prone to endometritis after birth, leading to bad pregnancy endings.
Early pregnancy (before 14 weeks):
Early pregnancy, vaginitis can affect embryo development, and even have some infections. In the sensitive period of teratogenic, it may directly lead to abortion, abnormal embryonic development, and malformations.
In the second trimester (14-28 weeks):
Vaginitis occurs in the second trimester, which can lead to chorionic amnioticitis, early contraction, and late abortion.
In the third trimester (after 28 weeks):
Vaginitis occurs in the third trimester, which can easily cause premature breakthroughs in the fetal membrane, endometritis, severe pelvic inflammatory inflammatory disease, sepsis, etc., abnormal fetal heart, neonatal suffocation, newborn infection, and pneumonia.
After production and production:
The probability of fetal distress and cesarean section will also increase. After production, it is prone to endometritis and pelvic inflammatory disease. During the process of giving birth, vulvar tears may also cause wounds to delay healing.
3 Vaginitis during pregnancy, how should it be treated?
After discovery is discomfort, you should go to the hospital for examination, diagnosis and treatment immediately. Most of the commonly used drugs for vaginitis at present, and most of them will have little impact on the fetus in clinical use.
Figure self: giphy
01. Bacterial vaginitis
Antibiotic drugs are used. The common drugs of vaginitis, tinidazole, dentinol, and clinamycin, can be used for the whole body, or local vaginal drugs.
Although metronidazole can be used through the placenta, not found that the application of metronidazole during pregnancy will increase the risk of fetal malformations or body cell mutations.Patients with metronidazole can avoid breastfeeding within 12-24 hours after taking the medicine. Those who take nipinopanazole are taken to avoid breastfeeding within 3 days after taking the medicine.
However, the safety of dentinidazole in the application of pregnancy has not been determined, and applications should be avoided.
02. Vaginal vaginal fake silk yeast disease
Treatment of vulvar vaginal fake silk yeast disease, generally uses anoidazole suppository.
During pregnancy, it is mainly used for local medication and a small dose long course of treatment.There is no need for conventional treatment of sexual partners. Those with balanitis need to be checked and treated with fake silk yeast to prevent duplicate infection of women.
03. Toxy vaginitis
At present, the only drug that can effectively treat trichomonal infection is nitridimidazole drugs. Trichomonas vaginitis often occurs in other parts of combined infection. It is not recommended for local drugs.Sexual partners need to be treated at the same time.
04. Faced with vaginitis, consolidating treatment is more important
75%of women around the world have occurred at least once in their lives, and 40 ~ 45%of women have 2 or more attacks.In addition to the medication during the seizure, it is also necessary to obey the doctor for consolidation treatment.
05. Special care during pregnancy
Because the pregnant woman itself during pregnancy is more likely to repeat vaginitis, the treatment and consolidation of vaginitis during pregnancy will be used to enhance local disease resistance and prevent recurrence.
4 days of normal care is more important
For women who are prepared and conceived:
At any time, a regular life, reasonable diet, appropriate exercise, and maintaining a healthy mentality, improving the body’s ability to resist disease is the best way to ensure the health of mothers and children at any time.
Before preparing for pregnancy, check the vaginal environment and find that vaginitis must be treated and then conceived.After pregnancy, the vaginal condition can be used regularly to avoid and prevent the occurrence of vaginitis during pregnancy.
Picture from: UNSPLASH
For women in daily life, doing some small life details may prevent the occurrence of vaginal diseases.
· Protect the vaginal acidic environment and reduce unnecessary vaginal rinse;
· The material of the underwear should be used as pure cotton, breathable, and should not be too tight;
· Select the right sanitary napkin during menstruation, pay attention to the hygiene of menstruation, and create a relatively clean and stable perineum environment;
· Vaginitis, you must seek medical treatment regularly and instruction.
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Professional content guidance in this article
Song Xiaojuan
Obstetrician, gynecologist, attending physician
Tianjin Hoju Hospital
Dr. Song Xiaojuan, a bachelor’s degree in medical degree from Hebei Medical University.Before joining the Tianjin Human Mu Family Hospital, Dr. Song successively worked in well -known domestic three hospitals and high -end private women and children’s hospitals for more than ten years. He has a solid theoretical knowledge and rich clinical experience of obstetrics and gynecology.In emergency, it is proficient in the full set of processes and work of the patient management of the patients in the hospital. It can independently complete various family planning surgery and outpatient gynecological surgery, and be familiar with the method of observation of production and difficulty.
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