Vaginal Yeast Infection in pregnancy
What is the danger of thrush in pregnancy for the fetus?
- Symptoms of yeast infection in pregnancy
- What is the danger of thrush in pregnancy?
- Specifics of yeast infection during pregnancy
- What to treat thrush in pregnancy?
- Folk Remedies
- How to avoid yeast infection in pregnancy?
According to World Health Organization statistics, 75% of women at least once in their lives face Candida vagina. Not uncommon thrush in pregnancy-it is a risk period when a chronic infection can worsen or appear new. Most often it begins to disturb with the approaching of the moment of childbirth. Are there ways to manage the fungus safely and effectively? What threatens the lack of treatment?
It is unlikely that there is at least one woman in the world who has not heard of the thrush or has not encountered it. This disease is so common that according to statistics, every third woman at least once in her life experienced it. There is a category of women for whom thrush becomes not curable, or up to a certain age. Some women may face thrush for the first time during pregnancy, when the body, due to reduced immunity, becomes more vulnerable.
Causes of yeast infection in pregnancy
Most often the cause of thrush in pregnant women become yeast-like fungi of the kind Candida albicans. But in 5% cases of candidiasis cause other fungi, which is a large number, but they are conditionally combined in the group Candida non-albicans. Their peculiarity is resistance to the drugs traditionally used in the treatment of candidiasis.
Candida non-albicans is more common in women who have additional pathologies that drastically reduce immunity. These can be:
- Diabetes mellitus;
- HIV infection;
- Oncology Pathology.
The fungi of the genus Candida are part of the normal vaginal microflora, but are there in minimal concentrations. They like the medium rich in glycogen, which serves as the main substrate for metabolism. But in the case of glucose deficiency, fungi can move to the processing of fatty acids, acetic and lactic acid.
Under normal conditions, the propagation of candidiasis is restrained by the immune system. But at its weakening fungi get an opportunity to multiply more actively. Usually they do not penetrate deeper into the epithelium of the vagina, which is the ideal medium. But with strong nominal remission candidiasis can overcome epithelial barrier, connective tissue and penetrate into the circulatory system.
The following factors contribute to the occurrence of candidiasis:
- Use of sanitary pads;
- Irrational nutrition;
- Change of sexual partner;
- Antibiotic treatment.
In non-pregnant women of reproductive age, the symptoms of thrush are pronounced, cause anxiety and discomfort. In pregnant women, the disease usually occurs sterto, but with frequent relapses.
Depending on the body, thrush can occur in several clinical forms:
- Carriage. Before pregnancy, this condition is treated as a norm, but only in the absence of symptoms. Thus the basic flora should be presented lactobacilli, signs of inflammation is not present. But such analysis on early terms should become an occasion for the increased attention.
- Candidozny Vulvivaginite. The disease is characterized by a pronounced clinical picture, the excess of the number of fungi in the smear, Lactobacillus-normal, the other flora is not diagnosed.
- Thrush and Bacterial vaginosis. The disease causes a combination of infections-fungus and pathogenic flora. This form is most often observed during pregnancy: the reduction of immunity promotes the reproduction of not only fungus.
Sometimes the thrush is combined with bacterial vaginosis. Microorganisms create a special film on the surface of the mucous membrane of the vagina, which protects them from the action of antibacterial agents.
According to the nature of the current distinguish three forms of thrush:
- Acute. The disease occurs once, the duration of the disease does not exceed two months.
- Chronic. On average, about four cases of exacerbation per year, despite treatment.
- Persistent. The woman is constantly worried about the symptoms of thrush, and the improvement is observed only after the use of antifungal drugs.
Symptoms of yeast infection in pregnancy
Prichninoj the occurrence or exacerbation of the disease is a special fungus kind of candida. To be exact, the disease is caused not so much by a fungus, but by its superfluous quantity.
If a woman has a white color (usually in the consistency they are curd, with lumps), which have a sour smell and are accompanied by itching, then 90% that the doctor will diagnose "thrush". Why not 100%? Because similar symptoms have some other infectious diseases requiring a completely different approach and regimens of treatment. That's why it's so important to properly diagnose.
What is the danger of thrush in pregnancy?
It is believed that thrush in pregnancy does not harm the unborn child and his mother. Even if this statement is true, it does not mean that there is no need to treat the ailment. It is also necessary to know that thrush is a fungal infection and if it is not treated it can become difficult to heal or chronic. This disease, besides appreciable discomfort, complicates the course of pregnancy and can negatively affect the process of childbirth. Thus, thrush can cause erosion of the uterus, which provokes the loss of elasticity of the vagina. In this regard, the risk of internal and external mucous membranes in childbirth is significantly increased.
Thrush in pregnancy can be transmitted to the baby: the lack of proper treatment increases the risk of infection of the fetus or newborn. For example, a mother may infect a newborn, causing the thrush to spawn the baby's mouth, this may cause problems with further feeding. If the thrush will pass from mother to the newborn baby, already in the second week after childbirth doctors, usually diagnose at the newborn so-called Candida Stomitis.
One of the worst outcomes that a thrush can cause in pregnancy is fetal death: a tragic outcome is possible if vital organs and fetal systems are affected by infection. That is why the treatment of thrush in pregnancy is extremely necessary, and you can not ignore the problem.
Specifics of yeast infection during pregnancy
Pregnancy is a special condition, and the use of most medicines for the treatment of different diseases is not permissible. This applies to the thrush. Do not listen to advertising, which say that after a few days of using a drug, everything will return to normal, but the advertisement does not mention pregnancy. The first thing to do is to go to a doctor who will establish an accurate diagnosis and prescribe such treatment, which does not harm the pregnancy and the fetus.
What to treat thrush in pregnancy?
To start with the main and the simplest in the treatment-compliance with the rules of personal hygiene. With the onset of the disease, each woman seeks to alleviate suffering and without such a recommendation, after the water procedures there is a temporary relief: itching stops. But, unfortunately, after some time there is a reverse effect: itching intensifies.
Some hygienic actions are not enough, because of what it is very important to combine different methods of treatment.
We are what we eat. Usually the treatment during pregnancy includes a diet. For example, a woman should limit in her diet sweet, spicy and marinated dishes, spices that promote the multiplication of fungi and increase the acidity in the vagina. Whereas sour milk products on the contrary are useful. Fruit and vegetables will be more useful.
For the victory of thrush in the first stages it is enough to observe the rules of personal hygiene and diet.
In addition, during pregnancy, this treatment will be optimal and safe for the fetus, because you do not have to use drugs with side effects.
The pregnant woman should use hygienic pads. And also it is better to exclude physical loadings and stay in the sun, all it promotes sweating and leads to oprelostam and irritation of a skin. This applies to sexual life, it is recommended to stop at the time of treatment sexual contact.
There is an opinion that thrush-arises from stress, the recommendations above is also worth adding, it is to keep the peace of mind, it will not only help in treatment, but also generally useful for any woman, in no dependence on pregnancy.
In the treatment of thrush in pregnant women unacceptable use of drugs, with antifungal action.
Local treatment of vaginal candidiasis.
Local treatment is to introduce the vagina tablets, creams and candles. Among the many existing drugs are those that are designed to treat pregnant women because they are safe. Less effective, but completely safe for pregnant is Diflukan, which even in large doses does not have toxic effects on the fetus.
It is safe to treat the yeast infection with folk remedies. As an example-it is a washing of genitals with soda solution, broth from bark of an oak or calendula.
Describe a simple "folk" method of treatment.
Need 1 liter of water, add 1 tablespoon of baking soda and 1 tablespoon of salt. The resulting solution pour into a small bath and sit in it for 20 minutes. The procedure must be performed 1 time per day.
Useful products in the treatment of thrush onions and garlic, which are natural antiseptics and have anti-fungal properties. One of the recipes for the treatment of Thrush is based on this: one liter of boiling water is put 1 head of garlic and a tablespoon of chamomile flowers, and simmer for 5 minutes. The broth should be sprat once a day-before bedtime. This method is also safe in pregnancy.
In the absence of contraindications, it is possible to practice treatment with herbal remedies, but it is necessary to agree on the chosen "Herbal Therapy" with a doctor. One of the most useful in the thrush herb is nettle: the grass is poured into boiling water (20 g of nettle on 200 ml boiling) and boiled on low heat 5-10 minutes. The received broth can be taken as inside (on 1 glass 3 times a day), and to use for douching.
The treatment of thrush is done by both partners to avoid the relapse because it is easily sexually transmitted.
How to avoid yeast infection in pregnancy?
If a woman from personal experience knows what thrush is, then with the onset of pregnancy, she should be particularly attentive to this issue. First, it is necessary to plan the conception after the treatment of the yeast infection. Secondly, from time to time it is necessary to visit a gynecologist and to take appropriate tests. Thirdly, it is necessary to establish correct, rational nutrition, in fact the shortage of vitally necessary vitamins and microelements leads to exacerbation of any chronic diseases and, including, Thrush. Fourth, use a condom during intimacy. Fifthly, be wary of receiving a variety of medicines, as they, first of all antibiotics, can provoke aggravation of thrush. Sixth, it is not necessary to wear tight-fitting underwear made of synthetic fabrics, replace it with free cotton. And, finally, we remind that the groin area must be kept clean and dry. While observing these simple rules, you can forget about such insidious disease as thrush.
Safe ways to treat thrush in pregnancy
The possibilities of treatment of thrush in pregnancy are limited. It is necessary to consider and understand sensitivity of a fungus to preparations, but also risk of influence on a fetus. Yeast infection medications should not have tertogenic or toxic effects. To reduce the impact, use forms for local use. Treatment should lead to full recovery to reduce the risk of the transition of thrush into a chronic process.
What to treat thrush in pregnancy, can determine only doctor, relying on the result of diagnosis and history. The most commonly used medicines are the following groups:
- Polyenoral antibiotics;
- Derivatives of imdazole;
Clinical recommendations indicate the priority use in pregnant candles. They have fungicide effect and are not contraindicated for pregnant women in any term. The course of treatment at home lasts three to six days. One suppository is used per night.
Another drug from the group of derivatives imdazole is ketoconazole, on the basis of which are produced candles "Livarol". But their use is also limited to the second-third trimester. The duration of the course is seven days. But with chronic recurrent candidiasis duration can be changed to 14 days.
After childbirth, the doctor may decide on additional therapy.