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Video: Ureaplasma During Pregnancy: Symptoms And Treatment, What Is Dangerous
Ureaplasmas are conditionally pathogenic microorganisms, a small amount of which can be found in the body of a healthy woman without causing disease. Often, ureaplasma is exacerbated during pregnancy, since the body is under severe stress under the influence of hormonal changes. Ureaplasmosis carries a danger for the full development of the fetus, therefore it must be diagnosed even during pregnancy planning.
- 1 Symptomatology and diagnosis
- 2 Influence of pathology on pregnancy
- 3 Treatment
- 4 Medicines
- 5 Potential consequences
Symptoms and diagnostics
The first symptoms of pathology begin to appear a month after a woman is infected. Usually, the disease makes itself felt with a few mucous secretions. If a woman contracted ureaplasmosis before becoming pregnant, microorganisms make themselves felt during a decrease in immunity after conceiving a child. It is at this moment that the pathology begins to progress and actively develop.
In addition to these symptoms, the disease can be manifested by the presence of whitish discharge.
Ureaplasma parvum during pregnancy at the second stage of development, characterized by localization in the vagina, is distinguished by the following symptoms:
- colpitis development;
- an increase in the volume of whitish discharge;
- endometritis develops (with damage to the uterus);
- the appearance of painful sensations in the lower abdomen.
Diagnosis of ureaplasmosis in pregnant women is performed in the following ways:
- sampling of biomaterial from the genitals for the detection of DNA of the pathogen - PCR;
- urine analysis taken in the morning.
Both studies are usually done to help:
- determine the number of pathogenic microorganisms;
- to identify their resistance to drugs;
- prescribe the woman the most effective treatment.
Impact of pathology on pregnancy
Many patients, hearing such a diagnosis, ask themselves the question: how are ureaplasmosis and pregnancy interrelated? It is worth considering that this pathology can cause miscarriage, and many of them occur in the first trimester. The high-risk group includes expectant mothers who have become infected with microorganisms, directly expecting the birth of a child.
In the first trimester, a progressive disease contributes to the development of fetal malformation and, subsequently, miscarriage.
Another danger associated with ureaplasmosis during pregnancy is that this disease is treated exclusively with antibiotics that are harmful to the development of the baby in the womb. Taking antibiotics during this period can cause miscarriage or fetal malformation.
It is worth considering that ureaplasmosis does not in any way affect the possibility of conceiving a child, however, if a patient was diagnosed with ureaplasma when planning a pregnancy, a woman needs to undergo full treatment of this disease before conception. This is due to the fact that in such a situation, doctors will be able to prescribe stronger antibiotics to the patient, which will not bring severe harm to her health and will help to quickly cope with the disease.
If the patient was found to have ureaplasmosis during pregnancy, both partners need to be treated for this ailment. During therapy, active sex life without the use of a condom is prohibited. This is due to the fact that unprotected intercourse will contribute to the alternate infection of partners, which will lead to ineffective treatment.
Treatment of ureaplasmosis during pregnancy begins only from 20-22 weeks. This limitation is characterized by the negative effect of antibiotics at the beginning of pregnancy on fetal development. Week 20 makes it possible to use sparing antibiotics, since during this period the child will have internal organs, which will minimize the risk of developing pathologies. Immediate treatment is carried out only if there is a threat of miscarriage
In addition to antibiotic medications, patients are prescribed a long list of concomitant medications to help them cope with antibiotic exposure more easily. Usually, they are assigned:
- medicines that prevent the development of dysbiosis;
- vitamin complexes.
This is due to the fact that during antibiotic treatment, almost all the microflora of the body is destroyed, which significantly weakens the protective functions of the immune system, contributes to the development of dysbiosis, thrush.
It is worth considering that the complex of drugs for the treatment of ureaplasma during pregnancy is selected exclusively by the patient's attending physician based on the stage of the disease, the general well-being of the patient and the individual characteristics of the body, the duration of pregnancy.
Complex therapy may include the following drugs:
- antibiotics belonging to the macrolide group, for example, Rovamycin, Sumamed, Vilprafen, Erythromycin;
- Timalin or Taktivin are usually prescribed as immunomodulators;
- from probiotics, Bifidumbacterin or Lactusan are prescribed;
- a vitamin complex is selected for expectant mothers;
- in some cases, hepatoprotectors and antimycotic drugs are prescribed.
Antibiotics are selected exclusively by a gynecologist, taking into account:
- medical history;
- the presence of additional chronic pathologies;
- the presence of allergies;
- revealed sensitivity of pathogenic microorganisms to the action of drugs.
The average duration of treatment lasts 2–2.5 weeks, but more precise terms are set by the attending physician.
Most women who have been diagnosed with ureaplasmosis are interested in how dangerous this pathology is. Among the main consequences, the development of which can provoke this disease, are:
- inflammatory processes in the uterus and appendages;
- complication of the postpartum period;
- the risk of intrauterine infection of the child increases;
- in 50% of cases, during labor, babies are also infected with ureaplasmosis. In boys, microorganisms settle on the mucous membranes of the nose and mouth, and girls, in addition, may suffer from genital lesions;
- if a baby is infected, there is a risk of developing inflammation of the respiratory tract;
- these microorganisms loosen the cervix, which provokes a miscarriage.
The most dangerous complication for the mother is that ureaplasmas can contribute to the infection of the cervix, causing the development of endometritis, which is a severe purulent disease.