Author: obstetrician and gynecologist Wang Yuling
Yesterday, a prospective mother said on Weibo that she had skin eczema after pregnancy and itching of the skin.Finally, I couldn’t help it, a doctor prescribed hormone ointments.After applying for the first time, I could sleep well immediately.
When the expectant mothers are unwell, when they think that taking medicine may hurt their children, they endure and carry.
Today, let’s talk about whether pregnant women should be treated with vaginitis. How to treat it?
I have recently contacted several pregnant women suffering from vaginitis, either refusing to be treated by myself, or doctors who dare not take medicine.Let the pregnant mother endure and endure it after delivery.
During pregnancy, we must not only think of the effect of drugs on the fetus, but also the disease itself will have an impact on the fetus.
Vaginitis is a small problem, but it may have the baby’s life.
1. Bacterial vaginal disease and premature birth
Bacterial vaginal disease is the most common vaginal inflammatory disease.It is a variety of bacteria and vaginal inflammatory diseases caused by Gardner -based bacteria. Generally, the disease is usually mild, and there is no manifestation of local inflammation such as redness, swelling, heat, pain, etc.EssenceThe main manifestation is that the vaginal secretion has a fishy smell.
This kind of vaginal infection disease that cannot be inflammated has a great impact on pregnancy.These pathogenic bacteria can enter the uterine cavity through the cervical mouth, causing choric membrane amnioxyitis, and infection with the fetus through choric membrane and fetal membrane.There are already research surfaces. The amniotic cavity where the fetus is located is not absolutely sterile, and the fetus has established a flora in the palace.However, if the bacterial vaginal disease is severe, it will cause premature breakthrough, premature birth, late abortion, neonatal pneumonia, and so on.
The premature birth occurs too early. For example, about 27-29 weeks, the survival rate of the fetus is very low.
Last year, I was diagnosed with a pregnant woman. At 26 weeks of pregnancy, I had contracted to the hospital because of her contractions.The vaginal secretions were pus. At that time, the doctor considers the cause of contraction and the infection. It is recommended to treat it with antibiotics. However, the family members are resolutely disagreed with antibiotics and only need to use drugs that suppress contractions for tires.It is also firmly rejected any vaginal medicine.Two days after the fetal protection, the symptoms of fever occurred, the contraction intensified, the palace mouth was expanded, the fetal protection was unsuccessful, and the fetus was aborted. Because it was only 26 weeks, the fetus had no breathing after birth.
After childbirth, the placenta was sent to the pathogenic examination, which confirmed that there were serious infections in the palace.
After the pregnant woman started to fever, she agreed to use antibiotics, but it was too late.
Second, mold vaginal disease and neonatal goose sores
Moomal vaginitis is the second common vaginal inflammation during pregnancy.
Moomal vaginitis should be called fakecellular yeast yeast vaginitis.It is a fungal infection.This is really inflammation, and severe vulva swelling, burning, and itching are restless.There are also some symptoms, but there will be mold in the leucorrhea.
Symptoms are serious and naturally treated, otherwise it is too unhappy.
The symptoms should be treated, otherwise the baby will be infected with fungi and infected when the baby is delivered. The most common is mucosal infection in the oral cavity, called goose ulcers.
Newborn and infants suffer from goose, pain in the mouth, affecting feeding.
Third, gonococcus, chlamydia infection and child blindness
Gonococcal infection and chlamydia infection are strictly speaking of cervical infections, cervic tubeitis, not vaginitis.
Gonococcus and chlamydia are common pathogens for women’s pelvic infections.The pathogens in the cervix cause endometritis and fallopianitis in the cervix.These two pathogens during pregnancy will cause choric membrane amnioticitis, leading to abortion and premature birth.
In addition to causing premature and miscarriage, newborns will also be infected with pathogens during childbirth.The most common infection is gonococcus eye eyes and neochemoid ophthalmitis.In the past when antibiotics were deficient, this was the main reason for infants and young children.
Although the infant blindness caused by infection has been significantly reduced due to extensive antibiotics, it is very important to have a significant reduction in infants and young children.
What are the differences between infection and non -pregnancy infection during pregnancy?
The treatment of bacterial vaginal disease, trichomonas vaginitis
The treatment of bacterial vaginal disease is the same as non -pregnancy. You can use metronidazole tablets to take oral or oralzole foaming tablets or suppository vaginal medicine.Some people say that metronidazole cannot be used for medicine and can not take orally?Our country’s instructions for metronidazole have always written that pregnant women are banned with caution, scaring doctors and patients to dare not take medicine.A few days ago, I prescribed metronidazole tablets for a pregnant woman with trichomonas vaginitis. The pharmacy also called me to verify it. I was afraid that I would prescribe the wrong medicine.In fact, metronidazole is a type B drug in the classification of FDA pregnant women. It is safe. Among patients with trichomoniac vaginitis, metronidazole must be taken orally. It is also treated during pregnancy.But bacterial vaginal disease is recommended for 7 -day therapy, every 400mg, three times a day, 7 days.More slightly can use vaginal medication.
Mold vaginitis
Mooblastitis during pregnancy is often recurrence and is difficult to cure.Mooblastitis during pregnancy is regarded as complex fungal vaginitis with complexity.Non -stages of mildew vaginitis with complexity is recommended oral antin bacterial drugs.But oral antibacterial drugs are disabled during pregnancy.Other antifungal drugs for vaginal vagina are very safe drugs such as nitrate nitrate, clutamazole, and pyromycin.So it is not a drug to choose from.
Chlamydia infection
The chlamydia is generally sensitive to antibiotics and tetracycline antibiotics of large cycloids.Large cycloids, this name is relatively sparse, but you must be familiar with Akithromycin and erythromycin, tetracyclines include polyxin and tetracycline.Both types of antibiotics during non -pregnancy can be selected, but only large -ring lactathyls can be used during pregnancy.It is best to choose the drug with the average pathogenic training and drug sensitivity test. Generally, oral Aditicillin 1g doneliness is recommended.
Gonococcus infection
Gonococcal infection is also the gonorrhea we often call.Similar to the chlamydia infection, it is a sexually transmitted disease.It is sensitive to many types of antibiotics, but it is possible to be resistant to many drugs for a person.Choose the medicine according to bacterial culture.The most important thing is to choose safely in sensitive antibiotics. Tetracyclines, galcopromycin, caonomycin, and Posphoricide are not safe and cannot be applied to the fetus and cannot be applied.
summary:
Pregnant women suffer from infectious diseases with any vagina and cervix should be treated in time, otherwise they are uncomfortable and dangerous.
The difference between treatment and non -pregnancy is to consider the safety of drugs suitable for pregnant women and fetuses.
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