However, not everything is so beautiful in pregnancy. Decreased immunity and hormonal failures make the future mother vulnerable to many diseases. For example, candidiasis, more commonly known as thrush, often attacks women in the position. An illness can disturb a pregnant woman even before delivery. And here there is a reasonable question: how to treat fungal disease, when the baby is about to appear?
Many doctors in this situation prescribe an antifungal drug Clotrimazole. How the drug works, and how to apply it before delivery, we'll talk a little later. And now let's remember what kind of a disease is a thrush, and the danger of its appearance in the last weeks of pregnancy.
Thrush before delivery: symptoms, causes, consequences
It can not be said that candidiasis is an extremely dangerous disease. However, leaving it without proper attention is not necessary, especially when it comes to the period of pregnancy.
Most women even before the "interesting" position has time to get acquainted with this pathology, so it is not difficult for them to recognize the first signs of fungal attack. Usually at the 38-39 week of bearing the baby the symptoms of thrush are very pronounced and have a rapid manifestation. The disease is characterized by:
- a strong and not passing itch in the intimate area;
- burning sensation;
- dryness, irritation and reddening of the mucous membranes of the genital organs;
- curdled discharge from the vagina;
- an acidic odor emanating from the intimate zone;
- pain, especially manifested in the process of urination.
As you can see, the manifestation of candidiasis during pregnancy and in the ordinary state is no different. True, at week 39, the woman has a vaginal "secretion" characteristic of the prenatal vaginal secretions, which greatly aggravates the course of the disease and brings a lot of physical and psychological discomfort to life. In addition, before birth, a characteristic symptom of candidiasis can be the formation of cracks and microscopic ulcers on the mucous membranes.
As for the causes of thrush before the birth, there may be several:
- a significant decrease in immunity;
- general hormone rearrangement;
- enhanced training of the female body for the forthcoming birth, which creates favorable conditions for the reproduction of fungal infection;
- change in taste preferences and malnutrition;
- non-compliance with the rules of intimate hygiene and the use of "aggressive" means;
- chronic pathologies;
- ingestion of various infectious agents;
- wearing a narrow and synthetic underwear;
- stress, emotional stress and overstrain, often disturbing women before giving birth;
- forced antibiotic therapy.
Thrush in the last weeks of pregnancy is not able to cause miscarriage, however, it is not worthwhile to start the problem, as this can provoke premature labor or cause the baby to become infected directly in the process of delivery. The latter is especially dangerous for an infant, because his immature immune system can not yet fully resist fungal infection.
In order to protect themselves and the child, the woman should hurry up to see a doctor at the appearance of the first alarming symptoms. Only a specialist will be able to select an effective and at the same time safe treatment before delivery.
How does Clotrimazole work?
To date, clotrimazole is on the list of commonly prescribed drugs for thrush. The main active ingredient of the drug is imidazole. It is this substance that has antibacterial, antifungal, antiprotozoal and trichomonacid action, which is aimed at the destruction and prevention of further development of pathogens. The antifungal drug is effective against fungal infection, gram-positive and gram-negative bacteria, which provides a fairly wide range of the drug and allows it to be used not only for thrush, but for many other diseases: vulvitis, trichomoniasis, mycosis, etc.
Antifungal medication is often prescribed at treatment of candidiasis during pregnancy, as well as immediately before the birth of the child for disinfection of the birth canal.
Clotrimazole before birth: dosage and method of administration
The drug is available in several pharmacological forms for topical use: tablets, vaginal suppositories, cream, ointment, solution. All available forms of Clotrimazole contain a different dosage of imidazole. The therapeutic effect depends on the degree of concentration of this substance. For example, at a low dosage, the development of a fungal infection stops, and at a high dosage the cells of pathogenic microorganisms are destroyed, which leads to their destruction.
Dosage and duration of therapy for pregnant women are prescribed exclusively by a doctor. Based on the clinical manifestations of fungal disease and individual characteristics of the body, the specialist determines the form of the drug and the duration of its use.
As a rule, in the treatment of thrush, joint use of ointment (or cream) and tablets (or suppositories) is prescribed. Therapy can be carried out in three main "scenarios":
- Use of the drug at 100 mg for 6 days.
- Three-day treatment with tablets (suppositories) of 200 mg.
- Single use of the drug 500 mg.
If we are talking about the sanation of the genital tract immediately before childbirth, then an antifungal drug with a dosage of 200 mg is applied once a day. However, depending on the individual characteristics of the female body, the dose of the drug may vary. Also, when treating, it is worth considering, the fact that pregnant women need to administer a vaginal drug WITHOUT APPLICATOR. With regard to cream and ointments Clotrimazole, they are used 2-3 times a day for the treatment of the upper genital organs.
Contraindications and side effects
Any treatment during the period of gestation should be carried out only with the permission of the doctor and under its strict control, as most drugs have contraindications. Clotrimazole is also among them.
The use of an antifungal drug is categorically prohibited for individual intolerance to its components. If you experience side effects (itching, burning in the genital area, swelling of the mucous membranes, pain in the lower abdomen), you should immediately consult a doctor to change the drug.
However, in most cases, with the dosage and all medical recommendations, such complications are extremely rare, and the disease can be eliminated in one course.