Whitish In Pregnant Women.
Pregnant women often experience vaginal discharge. Hormonal changes that occur in pregnant women played a role here. Vaginal moist conditions, especially during the final months before delivery, will aggravate whitish especially those caused by fungal infection. Abnormal vaginal discharge due to infection progresses, other than to disrupt the mother’s health, also can affect the fetus. See explanation Dr. dr. Dwiana Ocviyanti, Sp.OG about vaginal discharge and pregnancy. Discover also how to cope with whitish at the time of pregnancy.
Whitish which in medical terms is called fluor albus or leucorrhoea a discharge from the vagina. Discharge can occur in any woman, regardless of age. Three-quarters of women in the world expected to experience a vaginal discharge at least once in his life. Pregnant women also often have vaginal discharge during pregnancy.
According to Drs. dr. Dwiana Ocviyanti, Sp.OG from the Department of Obstetrics and Gynecology, Faculty of medicine / RSCM Jakarta, a woman more prone to vaginal discharge during pregnancy because of hormonal changes during pregnancy in which one effect is to increase the amount of fluid production and decrease in vaginal acidity, and there were also changes in digestive conditions. All of these affect the increased risk of vaginal discharge, especially those caused by fungal infection.
Discharge can be normal (physiologic) and abnormal (pathological). Under normal circumstances, the liquid that comes out tends to clear or slightly yellow and thick like mucus and is not accompanied by odor or itching. However, if the fluid that comes out along with odor, itching, pain when urinating or color is greenish or mixed with blood, then this can be considered abnormal.
Whiteness is often regarded as common and trivial thing for women. In addition, a sense of shame when having vaginal discharge often make women reluctant to consult a doctor. In fact, abnormal vaginal discharge due to infection that continues to cause health problems. In pregnant women, other than to disrupt the mother’s health, also can affect the fetus.
Both women and pregnant women who experience abnormal vaginal discharge, clear Dr. Ovi, immediately went to the doctor so the doctor can examine them carefully to find out the cause of vaginal discharge and only then can provide appropriate treatment.
Cause of vaginal discharge
Cause of vaginal discharge can be classified in two major categories, namely physiological and pathological. In physiological conditions, vaginal discharge can occur during pregnancy, before and after menstruation, when he gets sexually stimulated, as much physical activity, all of which did not result in additional complaints such as odor, itching, and discoloration.
While the pathological whiteness is caused by infection with microorganisms such as viruses, bacteria, fungi, and single-celled parasite Trichomonas vaginalis. Can also be caused by irritation due to various reasons such as vaginal irritation due to cleaning agents, irritation during intercourse, use tampons, and contraceptive devices.
Infection with viruses, bacteria, and single-celled parasite is generally obtained during sexual activity. While the yeast infection Candida sp that normally exist in the gastrointestinal tract and vagina, can occur due to excessive growth due to various factors, one of which is the condition of pregnancy that cause the decrease of body immunity and also the vagina.
Generally the most common cause of vaginal discharge in pregnant women is a fungal infection Candida sp. Pregnant women can develop vaginal discharge early pregnancy until the final trimester before birth. But the whitish due to fungal infection, will be more severe occurred in the last months of pregnancy because it appeared at that time the most high humidity vagina.
According to Drs. Ovi, has not occurred during labor and intact membranes, where the fetus is still protected by the amniotic membrane and amniotic fluid is sterile, there is generally no direct effect of vaginal infections that cause vaginal discharge in the fetus. But if there is still an infection during labor, the impact of whiteness that occurs depends on the cause, where the baby will be the contact with the cause of vaginal discharge.
For example, Chlamydia infection can occur miscarriage to premature labor (preterm labor). Herpes simplex virus infection can cause inflammation in the baby’s brain (encephalitis). Fungal infections Candida sp can increase the risk of epilepsy (epilepsy). Infection with the HPV virus can cause the occurrence of laryngeal papilloma in infants that causes respiratory and digestive disorders baby to death. Neisserea gonorrhoeae bacterial infection can cause eye infections in babies until blindness occurs.
In the abnormal vaginal discharge caused by infection, of course ongoing infection and is dependent cause, can damage the health of pregnant women. For example in case of Chlamydia infection in pregnancy, fetal membrane rupture may occur before the time of delivery. This lead to the occurrence of infection in the fetus and also in the mother that can cause severe infection to death.
In a normal vaginal discharge is okay to have sex. But the condition is there is a problem especially when the problem is infection, then sexual intercourse should be avoided until the problem is completed.
Required on the part of couples therapy when the infection may have occurred also in the pair, in order to avoid ping-pong phenomenon. Called ping-pong phenomenon due to infection in women who are also on her male partner re-infecting the woman after she was cured by previous treatment.
Questioning of vaginal washing fluid, according to Dr. Ovi, vaginal washing liquid antiseptic that is strong or when performed vaginal washing fluid intake in large numbers into the vagina (douche) can damage the normal vaginal flora, causing fungi and bacteria grow easily. So to choose vaginal washing liquid, Dr. Ovi recommend choosing who has the acidity in accordance with the vagina and its use only to the exterior of the vagina.
According to Drs. Ovi, which is categorized in normal vaginal discharge does not need any special treatment, the important thing is to clean sex organs properly and regularly. Generally sufficient with a special soap and clean water and vagina to keep it dry underwear and clean at all times. While on an abnormal vaginal discharge in accordance with the cause, should immediately get medical treatment. Likewise, for the whiteness that occurs during pregnancy.
Handling or treatment for vaginal discharge in pregnant women depends on the cause of vaginal discharge itself. For example, a common cause of fungal infection Candida sp, the safest treatment in pregnant women is a local treatment with a type of cream or capsule that is inserted into the vagina.
In the most common bacterial infections cause preterm labor is taking drugs in the form of capsules or tablets are safe to eat pregnant women. In Neiserrea gonorrhoeae infection is injection or drugs taken in capsule form that is also safe for pregnant women.
Dr. Ovi advised for pregnant women suffering from vaginal discharge during pregnancy to immediately see a doctor to ascertain whether the discharge is still normal or not normal and requires treatment.
For the husband whose wife has vaginal discharge during pregnancy, Dr. Ovi suggested that the husband would be involved in the process of treatment. Husbands need to understand when doctors asked to change habits when the sexual relationship that may affect the cause of whiteness on the wife as the use of condoms or the use of a special gel that can help reduce irritation during sexual intercourse, or while not having sex.
The husband may also be asked doctors to take certain medications to avoid ping-pong phenomenon occurs when the wife is infected by bacteria or viruses or other microorganisms that can be transmitted during sexual intercourse.
According to Drs. Ovi, not all vaginal discharge can be prevented, especially if the cause is a sexually transmitted infection. However, the use of condoms during sexual intercourse to reduce the incidence of sexually transmitted infections especially those caused by bacteria and protozoa, so on that are often experienced abnormal vaginal discharge that tends to recur, in addition to appropriate therapy, the use of condoms can also help.