What is a gardnerella? Signs of Gardnerella
Gardnerella are called a conditionally pathogenic microorganism. This means that it is in the body of absolutely all (even healthy) women, only does not always manifest itself. If the immunity is strong, then the gardnerella is present in the microflora of the vagina in scant amounts. And they do not allow the gardnerelle to "grow" in geometric progression of the lactobacillus, which suppress infection. Nevertheless, in the case of a sharp decrease in lactobacilli (and there may be many reasons for this), conditionally pathogenic microorganisms begin to multiply, creating not only inconveniences for the pregnant woman, but also a certain danger for her organism. According to statistics, gardnerellez during pregnancy is manifested in 20-25% of women.
In time to suspect the dysbacteriosis of the vagina (it is provoked by a large amount of gardnerella), it is necessary to know what are symptoms of gardnerellez. First of all, these are strong secretions. The nature of the discharge is periodic. They have a white, greenish or grayish color, as well as a strong smell, similar to the smell of spoiled fish. Not always, but often, the expectant mother experiences itching in the perineum. In case the pregnant woman does not exclude sexual contacts, unpleasant pain sensations are possible. And with all this, the mucosa will be "calm", no inflammation will be observed.
Causes of developing gardnerelleza in pregnancy
Like the whole conditionally pathogenic flora of the human body, the gardnerella becomes pathogenic in the event that the defenses of the body weaken. For the period of pregnancy, a decrease in immunity is a common occurrence, because the load during this period is colossal. Especially the hormonal system suffers, which, naturally, affects the microflora of the vagina.
Taking antibiotics during pregnancy can also cause gardnerellosis. And, no matter how strange it may sound, douching also acts as provocateurs of reproduction of these microorganisms. In addition, future mothers should avoid hypothermia, Because this too can provoke the development of the disease. Well, and still there is gardnerellez in those women who, in order to avoid premature opening of the cervix, a special pessary was installed. It is established for istrmico-cervical insufficiency, when the cervix is ??untenable and is about to open, although it is still far from birth.
What is dangerous gardnerella during pregnancy?
If you take the necessary measures in time, then nothing terrible. According to experts, gardnerella during pregnancy does not create a special danger for the baby. Moreover, it does not provoke miscarriages (but this is important for manifestations in the early stages!). These microorganisms do not pass through the placenta, and after birth all symptoms disappear.
But if you do not take any measures and do not treat the gardnerella during pregnancy, you can regret it in the future. After all, it's still an infection. It can provoke premature separation of amniotic fluid and increase the likelihood of a baby being born before the term. Also, in women with advanced stage of gardnerellez, the birth of children with low body weight is noted. Moreover, without adequate treatment of the gardnerella during pregnancy, it can provoke a disease of the organs of the reproductive and genitourinary systems. After delivery, untreated gardnerellez can cause endometritis (when the endometrium grows beyond the uterine cavity).
How to treat gardnerella during pregnancy?
Treatment of gardnerella during pregnancy involves several stages. First, the future mother is prescribed a prescription of antimicrobials. They eliminate the pathogenic microflora. Then the doctor prescribes procedures that normalize the vaginal environment and promote the restoration of sour-milk bacteria. In addition, the woman "put" on a special sour-milk diet.
In the first trimester of pregnancy, that is, up to 13 weeks, for the treatment of gardnerella during pregnancy, only vaginal suppositories can be used. Local treatment with their help does not have a strong influence on the emerging and developing fetus. Already in the second half of pregnancy, if it is justified, the doctor can prescribe the drugs of systemic action that are used inside. In the third trimester of pregnancy, gardnerella is treated with local drugs that contain clindamycin. If the signs of inflammation are not eliminated a month before the birth, it is possible to conduct special preparation for childbirth. Antibiotics during treatment gardnerelly during pregnancy do not use.
During pregnancy, it is important for the doctor not so much to destroy the gardnerella, how much to reduce their number and eliminate the inflammatory process.
Prophylaxis of gardnerella during pregnancy
To protect yourself from the unpleasant manifestations of this disease, you need to timely pass all the tests prescribed by your doctor. A smear on the microflora of the vagina is quite informative and can give a signal in time that urgent actions are needed. Last but not least, it is necessary to strengthen immunity. Full sleep, rest, quality food, moderate exercise, hardening - all this not only improves health, but also ensures that no conditionally pathogenic microflora will go to the rank of pathogenic. Do not forget about the reception of vitamin complexes for pregnant women, they contain many necessary vitamins and trace elements, which also contribute to the activation of the protective forces of your body.
Take care and be healthy! Let nothing spoil the expectation of the birth of your baby!