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Ureaplasma during pregnancy


Ureaplasma during pregnancy

Ureaplasma during pregnancy

The concept of "conditionally pathogenic" microflora misleads many who are faced with the diagnosis of ureaplasmosis . It seems that the microorganism, which is a constant companion of a lifetime for a person, cannot harm him, and the Ureaplasma bacterium is indeed part of the normal bacterial background of the human intestine that accompanies it from birth to death. Even on reputable medical portals, you can find tips not to pay attention to such a diagnosis, taking it for granted and not taking steps to eliminate it.

The danger of ureaplasma is not in its presence in the body, but in its excessive reproduction, exceeding the normal level. Such an imbalance can occur in the event of a weakened immune system, in which the body is not able to maintain an optimal balance of aggressive and safe bacteria.

Pregnancy is precisely the period when the immune system is impaired and the pathogenic microflora gains the possibility of uncontrolled spread. The severity of the situation is aggravated by the responsibility of the patient, not only for his body, but also for the condition of the unborn baby. That is why timely diagnosis and taking measures to normalize the intestinal microflora, and in particular the control of the concentration of bacteria in the ureaplasma.

And yet, the main route of infection is the sexual transmission of infection. It is not for nothing that this disease is referred to as sexually transmitted infections.

The danger of ureaplasmosis during pregnancy

Inflammatory processes of the urogenital system, which include ureaplasmosis, affect the genitals and urinary canals, interfering with their normal functioning. Uncontrolled reproduction of bacteria leads to the recapture of large areas of habitat, rising through the channels above. Thus, the walls of the vagina and the cervical mucosa are affected.

The defeat of bacteria ureaplasma changes the structure of tissues, which adversely affects the ability to bear children. Both bacteria and products of the inflammatory process caused by them have a negative effect. Inflamed and decaying tissues are the optimal medium for the reproduction of a number of aggressive bacteria, so ureaplasmosis can cause a number of concurrent diseases.

Ureaplasmosis is a common cause of infertility and miscarriages in the early stages. This happens due to the weakening of the external pharynx, which is not able to withstand significant pressure after the thinning of tissues by the inflammatory process. The result of such activity of bacteria is the inability to become pregnant, an ectopic pregnancy or miscarriage, if fertilization did occur.

The threat of miscarriage due to ureaplasmosis is solved by performing an operation to close the cervix, but, like any operation, these actions are not completely safe for the child. The harm to the fetus is obvious, but these measures are often an absolutely necessary measure for the preservation of pregnancy.

In addition to the danger of abortion when ureaplasmosis is not treated, there are a number of disorders that can occur when a mother is born from a mother with the following diagnosis:

  • inadequate development of internal organs, in particular the lungs and kidneys;
  • violations of the formation of the nervous system of the baby;
  • intrauterine infection of the fetus, complicating the first years of a child’s life, whose body is not yet able to localize the problem.

To underestimate the danger of the consequences of ureaplasmosis is not worth it, since the list of diseases provoked by them is quite extensive:

  • diseases of any organ of the digestive system;
  • pyelonephritis and a number of other disorders of the kidneys and liver;
  • impotence, as well as female and male infertility;
  • destruction of immunity.

Ureaplasmosis transferred to the newborn will leave a predisposition to these diseases from birth. The future mother is responsible not only for her health, but also for the condition of her child. That is why it is impossible to leave the course of the disease without attention. If an increased number of ureaplasma bacteria is detected during the analysis, the necessary additional examination must be carried out and the treatment program prescribed by the doctor must be carried out.

Symptoms of ureaplasma during pregnancy

The organism of the future mother undergoes many changes, this complicates the definition of many diseases associated with lesions of the urogenital system. At the same time, it is possible to isolate some signs of ureaplasmosis in the acute form, that is, which has passed from a state of normal concentration of this type of bacteria to an increased one:

  • burning, itching, discomfort in the area of ​​the external genital organs with an increase in these sensations when urinating, taking a hot bath or warming before bedtime;
  • a change in vaginal discharge, a hazy shade and a sour smell;
  • pulling and spasmodic pains in the lower abdomen when bacteria penetrate up the walls of the vagina into the fallopian tubes;
  • intimate intimacy.

With the defeat of the bladder a pregnant woman may be disturbed by the symptoms of cystitis: painful and frequent urination.

Often, pregnant women, considering these signs as part of the gestation process, turn to the doctor too late, not wanting to look hysterical alarmists or start, even worse, self-treatment, trying to get rid of thrush, cystitis or angina. Doctors warn that these very thoughts are the most common cause of neglect of the disease, which is easily applied to treatment at an early stage and is capable of causing irreversible harm to the body during late treatment.

Diagnosis of ureaplasmosis during pregnancy

The analysis for ureaplasmosis is included in the general course of examination of women who are registered at the antenatal clinic for pregnancy and who have previously had a premature birth, miscarriage, or difficulty conceiving. During pregnancy, tests can be prescribed at the request of the most observable. But at the moment when conception has already occurred, the actions of the doctor are limited to the possibility of harming the fetus, the use of many effective drugs is already contraindicated. Therefore, doctors do not get tired to recommend a planned pregnancy with a preliminary diagnosis and treatment of all infectious and inflammatory processes even before conception.

For an accurate diagnosis of the initial analysis is often not enough, as it shows only the presence of microorganisms in the mucous membranes, without reporting their type and concentration. To clarify these data apply more reliable methods of smear research. Also for pregnant women the method of detecting antibodies is not used, since this method is relevant only as a method for determining the recurrence of a disease that does not belong to a tolerable one-time, and, consequently, immunity is not developed to it.

The main methods for determining ureaplasmosis and the degree of its danger for a particular pregnant woman are:

  • polymer chain reaction (PCR) is the primary detection of the DNA of a pathogenic microorganism, which accurately confirms the diagnosis carried out within one working day and serves as the basis for referral for further examination. However, the method is not quantitative and is not suitable for monitoring the effectiveness of the treatment;
  • Sowing - growing microorganisms isolated from a smear on an optimal medium for their reproduction, showing the prospects for the development of the disease and giving material for the experimental selection of therapeutic agents.

The second method is essential for the preparation of an individual treatment program that is particularly relevant in the case of a pregnant patient. The grown culture is tested for resistance to various types of pharmaceuticals, which allows them to select the necessary and sufficient concentration without overloading the body. It takes such a survey a few days. In the future, the effectiveness of the prescribed therapy is determined by the same method.
Preparing a woman for an analysis to obtain the most accurate result:

  • for two or three days to exclude any sex;
  • In the same period, the use of intimate hygiene products and drugs of local action is prohibited;
  • it is forbidden to use tampons and clean the vaginal mucous membranes, in particular by douching;
  • On the day of the analysis, do not conduct intimate hygiene procedures at all.

These recommendations are aimed at minimal distortion of the bacterial flora of the vaginal mucosa in order to obtain reliable data on the results of research.

Ureaplasma treatment during pregnancy

Treatment of ureaplasmosis, like most viral and microbial diseases, is based on the use of antibiotics. In combination with them, other drugs are most often prescribed that contribute to the normalization of microflora after exposure to antimicrobial agents, and immunostimulants that strengthen the body as a whole. Therefore, one should not be surprised at the impressive list of those assigned from a “conditionally dangerous” disease.

It is important to keep in mind that the treatment of only one sexual partner without the treatment of the second will not give results, the exchange of bacteria and viruses will occur at the first unprotected sexual intercourse.
Antibiotic treatment can not be assigned immediately, but only when a specific threat to the fetus is detected. In addition, the use of antibiotics in the early stages is the most dangerous. In any case, the doctor conducts all actions taking into account the situation in a particular case, therefore, his recommendations should be carried out without question, even if the counselors from the outside share a completely different treatment regimen that showed itself well in another case. Most often, treatment begins after 22 weeks of pregnancy. The most popular antibiotic for pregnant women is erythromycin.

After completion of the course of treatment, a second analysis is performed to control the situation. Ureaplasmosis is not an indication for termination of a normal pregnancy, even delivery in the absence of other indications will be scheduled on time and in the natural mode.

Prevention of ureaplasmosis and other infections

  • prepare in advance for pregnancy - the examination and treatment of the infection should take place during the planning period of the pregnancy;
  • intimate hygiene measures and the use of personal hygiene items only;
  • avoid promiscuous sexual intercourse, use a condom in the absence of confidence in the health of your partner.

Traditional methods of treatment of ureaplasmosis during pregnancy

Folk methods repeat the recommendations of doctors on the complex effect on the problem of high levels of ureaplasma bacteria in the pregnant woman’s body. Most of the folk remedies are not aimed at destroying the bacteria, but at restoring immunity.

Herbal teas from boron uterus and goldenrod are actively used. As with other viral diseases, it is difficult to overestimate the effectiveness of onions and garlic. The banal tea with lemon and honey instead of sugar has a tonic effect. There are many recipes of this kind, but a prerequisite for testing them for yourself is a preliminary consultation with a doctor.

| January 1, 2015 | | 3,654 | Pregnancy diseases