Symptoms and treatment of ureaplasma during pregnancy
Pregnancy is a great time, but unfortunately it can be overshadowed by health problems. For example, ureaplasmas can be found in the body of a young mother. Are these pathogenic microorganisms dangerous? And what to do to destroy them?
What it is?
Ureaplasma is small bacteria that occupy an intermediate state between unicellular microorganisms and viruses, they are membrane parasites that enter the human body sexually. Ureaplasmas are part of the conditionally pathogenic microflora, that is, they may be present in the body and are found in more than 70% of the population, and more often in women.
But under the condition of the normal functioning of the immune system, the bacteria do not multiply and do not manifest themselves, and with a decrease in immunity, they begin to be active and cause symptoms of an unpleasant and sometimes dangerous disease - ureaplasmosis.
Causes of ureaplasmosis during pregnancy
Primary infection occurs after the ingress of ureplazma into the body during unprotected sexual contact, that is, the disease is transmitted sexually. But most often the transmission is carried out before pregnancy, although until a certain point the disease does not make itself felt and remains unnoticed.
But why ureaplasmosis often develops during gestation? The fact is that pregnancy is a serious burden on the body of the future mother, as well as great stress. Significant changes associated with this state, can trigger a decrease in immunity, and it, in turn, will lead to the reproduction of ureaplasmas and increase their activity.
Symptoms of ureaplasmosis depend on the number of ureaplasmas, as well as on which part of the organism they live in. But the insidiousness of such a disease lies in the fact that it can proceed almost imperceptibly, while causing harm to the health of the pregnant woman, as well as the unborn child.
The most common symptom of ureaplasmosis is mucous discharge, and in most cases colorless or whitish.But also itching can be seen in the vagina or urethra, unpleasant or mild pain in the lower abdomen.
More obvious signs are rare, and the most common in most cases go unnoticed or are regarded as normal. For example, discharge during pregnancy is possible and permissible, and discomfort can be regarded as the tone of the uterus or the natural stretching of its walls.
What tests should be passed to the expectant mother to find out the diagnosis? Since ureaplasma is in the organs of the genitourinary system, it is logical that to detect it should take smears from the vagina, cervical canal, as well as the urethra. Next, the doctor will choose a diagnostic method: bacteriological research and PCR (polymerase chain reaction) are most often used.
Decoding results by a doctor. Normal values do not exceed 10 * 4 CFU / ml. Indicators that go beyond the permissible limits indicate ureaplasmosis and require further treatment.
How to treat ureaplasmosis? Therapy will depend on the severity of symptoms and the health of the expectant mother.So, if the permissible norms are exceeded significantly, the disease has pronounced signs and can adversely affect the course of pregnancy, treatment should be started immediately.
If ureaplasma during pregnancy is present in the body in small quantities and does not cause unpleasant symptoms and does not pose a threat to the mother and child, then therapy is postponed for the second trimester of pregnancy and usually started after the 20th week. At this time, all the important organs of the fetus are already formed, and the prescribed drugs will not have a negative impact on development.
Treatment may include the following areas:
- Since ureaplasma is a bacterium, the first and most basic stage of therapy will be the use of antibiotics. The doctor must prescribe a drug that is effective against pathogens, as well as approved for use during pregnancy. Moreover, antibiotic therapy must undergo both partners, and during this period all sexual contacts are excluded.
- Antibiotics can destroy not only pathogenic, but also beneficial microorganisms. For the restoration of microflora, probiotics are recommended, both for ingestion and for local use in the form of suppositories or solutions for douching.
- To strengthen immunity, a specialist can recommend immunomodulators of natural origin.
- If ureaplasmosis has a negative effect on the course of pregnancy, then drugs to improve blood circulation will be prescribed to restore normal blood supply to the placenta and fetus.
Important: any means can be prescribed only by the attending physician after the examination!
Is ureaplasmosis dangerous during pregnancy? Sometimes it can cause harm to the health of the expectant mother and fetus, so it is necessary to constantly monitor the doctor.
- If the infection occurred before pregnancy, the inflammatory process localized in the fallopian tubes may prevent the fertilized egg from moving through it. And if it gets stuck, then the pregnancy will be ectopic.
- Miscarriage. If microorganisms penetrate into the uterine cavity and change the structure of its membranes, this can lead to rejection of the ovum due to its unreliable fixation.
- Freezing pregnancy. If ureaplasmas penetrate the membranes, they can lead to infection of the embryo and to the cessation of its development.
- Intrauterine infection often causes pathology of fetal development.
- Placental insufficiency - impaired blood supply to the placenta, which leads to fetal hypoxia and inadequate supply of nutrients to it.
- Infection of the child during childbirth. It will seriously undermine his immunity.
- Postpartum complications related to women. To them it is possible to carry, first of all, endometritis, which is characterized by a serious inflammation of the inner membranes of the uterus.
How to avoid problems?
Prevention of ureaplasmosis is a timely diagnosis. So, to assess the state of health should be at the planning stage of pregnancy. It is necessary to pass the corresponding analyzes to detect these conditionally pathogenic microorganisms. Further aggravation can be avoided by observing the following rules:
- Monitor your health to strengthen the immune system. Balanced and fully eat, more often go out in the open air, avoid contact with sick people.
- To maintain normal microflora, follow the rules of personal hygiene: take a shower and wash yourself regularly, preferably using specialized soft means for intimate care.
- In due time hand over all analyzes appointed by the doctor.
- If you are not sure of your partner, avoid sexual contact with him or use barrier contraceptives.
It remains for all expectant mothers to wish to monitor their health.
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