Update: October 2018
There are only a small number of women who can proudly
say you never had colpitis, even during
of pregnancy. But what is the hallmark of this
diseases, so that it is very often seen in expectant mothers,
and it seems that it is impossible to get rid of him. The main thing is not to fall into
panic, and strictly observe all medical recommendations and bring
course of treatment to the end.
What is a colpit?
About colpitis, or vaginitis, they say when the mucous membrane
the vagina is infected by pathogens, in
resulting in an inflammatory process. Discharge from
vagina, which are in large quantities
pathogenic microbes and their metabolic products, annoying
external genital organs, resulting in vulvitis (i.e.
Colpit during pregnancy occurs in a large percentage
expectant mothers, according to some, reaching 70 – 80%. It is characteristic that
the disease can develop at any stage of pregnancy, but especially
dangerous occurrence of vaginitis in the third (often before childbirth)
Depending on the microbial agents that caused the development
diseases, colpitis is subdivided into specific and
non-specific. Nonspecific vaginitis is said when
the pathogenic flora was the etiological factor of the disease,
that is, those microorganisms that are normally in small quantities
are part of the vaginal microbiocenosis and for the time being lead
peacefully (see the causes of thrush in women). If the colpit
caused by pathological microorganisms (trichomonas, chlamydia,
gonokokki and others), the diagnosis of specific vagitis is made at
What does it come from?
Pregnancy is one of the conditions that predisposes to
the occurrence of colpitis. This predisposition is due
First, during the gestation period, the body experiences
immunosuppression, that is, its defenses are suppressed (nature
protects the fetus from rejection by its mother’s body). Secondly, in
gestational period changes during pregnancy, as a result of which
changing and the environment in the vagina, instead of acidic, it becomes
alkaline that acts as a starting point for growth and development
conditionally pathogenic or pathogenic flora. But to risk factors
developmental diseases during pregnancy include and
- early onset of sexual activity;
- promiscuity, even in the past;
- antibiotic treatment;
- cramped underwear;
- linen made of synthetic materials;
- nutritional errors;
- allergic reactions (to personal care products);
- mechanical and / or chemical damage to the vaginal mucosa
(for example, when syringing);
- neglect of intimate hygiene rules;
- chronic endocrine pathology.
How is vaginitis manifested
Symptoms of colpitis during pregnancy is almost the same
from that of women in the “non-pregnant” state. Pathogomic
a sign of illness are discharge.
- In the acute phase of the selection process is very pronounced (which
somewhat different from their number in other) women, their volume
so large that they invariably fall into large and small
labia, causing their irritation and maceration.
- In case of neglect of the process and non-compliance with intimate hygiene
secretions irritate the skin of the inner thighs and
- The skin becomes bright red and itchy.
- When viewed in the mirrors, there is intense hyperemia
vaginal mucosa and edema. On the walls of the vagina visible clusters
off-white, yellow or greenish.
- Discharge, depending on the nature of the causative agent
also vary in color (from white to greenish) and have
Withмер из практики: На прием пришла
pervirutal (earlier postponed appearance) in the last terms about
36 – 38 weeks with huge eyes of horror and complaints that,
she seems to be leaking water. When asked when it started
leakage and why she did not immediately call an ambulance, a woman
replied: “It began 3 days ago, I didn’t think about water at first,
so, a little more was the discharge. And yesterday, before going to bed she was frightened
and decided to come to the antenatal clinic. ” After inspecting on the couch,
measuring the belly, listening to the fetal heartbeat examined a woman
on the armchair. One glance was enough to make a diagnosis.
Kolpita, took the necessary smear and checked the cervical canal on
the subject of the integrity of the fetal bladder. The treatment was prescribed later.
by results of analyzes.
Also, colpitis is characterized by intense itching and burning, as
in the vagina, and in the area of the external genital organs.
A distinctive feature of the described discomfort is strengthening
him while walking, while exercising and
the slightest error in the diet.
In some cases or in the absence of appropriate treatment.
secretions are so “malicious” that as a result of irritation
cervical mucosa the process from cervicitis quickly turns into
erosion, which is manifested by bloody discharge. Blood
discharge usually have a contact character and occur after
direct touch of the cervix (after intercourse or douching).
A distinctive feature of vaginitis in pregnant women is
the occurrence of aching or pulling pain in the lower abdomen, which is associated with
irritation of the vagina and cervix.
Withмер из практики: В женскую консультацию
28 weeks arrived at the appointed time – the most that
there is a threatened deadline for interruption. Complaints of nagging pains below
abdomen and small, recurrent bleeding. With
examination of the uterus in the normal tonus, does not respond to palpation (that is, do not
shrinking and “not getting stone”, as under the threat). With осмотре шейки
uterus erosion is visualized, and cervical palpation is determined
its density sufficient and corresponding to the gestation period,
the cervical canal is closed. I was confused by the selection (with unpleasant
scent and yellowish color). I sent the woman to the office on
preservation, not forgetting to specify in the diagnosis of colpitis.
Very often, again due to the restructuring of the body.
развивается кольпит дрожжевой (кандидозный) при of pregnancy.
It manifests itself with abundant secretions that are viscous.
milky texture or resemble crumbs crumbs (see symptoms
thrush in women). Often smell is added to the secretions
sour dough. It is characteristic that дискомфорт в виде зуда и жжения в
areas of the vulva and vagina clearly marked. Often the fungus affects and
the urethra, which is manifested in the rapid and painful
urination (see urethritis in women: symptoms, treatment). If not
start treatment in a timely manner, the infection may rise higher with
involvement of the bladder and even the kidneys.
Confirmation of the diagnosis of “colpitis”
For the diagnosis of vaginitis in pregnant women in addition to collecting complaints
and history is performed routine examination of the cervix and vagina in
mirrors. With этом налицо все признаки воспалительного
- swelling of mucous membranes
- phenomena of cervicitis or cervical erosion
- abundant discharge of unusual color in the form of individual clusters
on mucous and having an unpleasant smell
Of course, the diagnosis must be confirmed by laboratory.
- microscopy of vaginal and cervical smears (increased
leukocyte count, pathological or
conditionally pathogenic flora: trichomonads, fungi and others);
- screening for sexually transmitted infections (virus
herpes, chlamydia, ureaplasma, human papillomavirus and
- cultural (bacteriological) smear test – seeding
vaginal white on nutrient media (for identification
pathogen and determine its sensitivity to
- colposcopy if necessary;
- Ultrasound of the uterus and fetus (to confirm the presence / absence of threat
interruption, intrauterine growth retardation,
We treat colpitis
Treatment of colpitis during pregnancy should be carried out in
mandatory, no matter how long was established
diagnosis. Therapy of the disease first begins with
purpose of the diet (ban on the use of sharp, sour, salty,
spicy dishes and sweet) and the prohibition of sexual life. Whenever possible
it is necessary to identify and eliminate the cause of vaginitis
(refusal to wear tight linen or use hygienic
How to treat colpitis during pregnancy, the doctor decides on the basis of
test results. Undoubtedly, crucial
antibacterial drugs. Treatment is usually local, and
consists in the appointment of suppositories, creams and ointments
- Тержинан (250-300 руб. 6 шт, 350-400 руб 10
шт.), Гексикон (10 шт. 200-300 руб)- препаратами
choices for the treatment of colpitis during gestation are
candles terzhinan and hexicon. They are introduced one by one before bedtime
for 7 – 14 days.
- Бетадин (300-370 руб)- возможно использование
betadine suppositories, but only up to 12 weeks, since iodine,
part of the candles in later terms may affect
the functioning of the thyroid gland of the fetus.
- Полижинакс (300-400 руб) об этом препарате нет
consensus of doctors, pregnancy instructions
is contraindicated for use, but allowed
use of candles immediately before childbirth (for 1 – 2
- Клион-Д 10 шт 250 руб. (metronidazole and
миконазол), Нео-Пенотран форте (7 шт 900 руб),
Метромикон Нео (14 шт 300-360 руб), Мератин-Комби
– in the case of Trichomonas colpitis, Klion-D and D
Meratin-Combi (1 vaginally once a day for 10,
maximum 14 days).
- Пимафуцин — если диагностируется кольпит,
caused by fungi, antifungal suppositories are prescribed:
Pimafutsin (3 pieces. 300 rub), Clotrimazole (in 2 and 3 trimesters),
Nystatin (low efficiency) and an old remedy – Sodium
tetraborate (borax) in glycerin 20 rub. (see all candles from thrush and
how to treat it properly).
In addition to etiotropic treatment, sit baths are prescribed.
decoctions of medicinal herbs and vaginal lavage. Douching
contribute to the mechanical washing out of germs from the vagina, but with
pregnancy most doctors do not recommend it because it
may not be safe (be especially careful, either
refuse this procedure altogether) see the truth about douching –
harm and benefit. Douching prescribed for a period not exceeding 4 days
But the bath, irrigation of the external genitals warm
decoction is safe, they relieve irritation, stop inflammation.
From herbs use chamomile, calendula, St. John’s wort,
coltsfoot, mint and others. Baths are appointed by the course of up to two
The dangers of colpitis during pregnancy
Why is it so important to identify and treat vaginitis in the period
gestation? Because it causes discomfort and discomfort
Not only the future mother, but also dangerous for the baby. So the consequences
Kolpita during pregnancy:
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- Preparation for anesthesia for caesarean section
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- Discharge in early pregnancy
- Low hemoglobin during pregnancy
- Folk diuretics
- Edwards syndrome in the baby
- Angelman syndrome
- Down syndrome
- First signs of pregnancy
- Ascending infection
The causative agents of the disease tend to “conquer peaks”,
especially during pregnancy, that is to infect higher
anatomical structures (uterus and cervix with development
endometritis, cervicitis and erosion).
- Infection of amniotic fluid and placenta
If the infection spreads to the amniotic bladder, the placenta and
water, then chorioamnionite develops, which threatens the child with a delay
development and infection.
- Placental insufficiency
The defeat of the placenta with colpitis leads to the development of failure
in the fetus-placenta-mother system, therefore the baby will
receive less nutrients and oxygen, and this
dangerous development of fetal malnutrition.
- Intrauterine infection of the fetus
Risk of fetus birth with intrauterine infection increases
(pyoderma, pneumonia and other diseases).
- Breaks in labor
Edematous and infiltrated perineal tissues are easily exposed.
breaks even during the normal flow of the period;
The risk of premature labor, miscarriages and frozen
- Purulent septic postpartum processes
With вагините в послеродовом периоде увеличивается частота
inflammatory diseases (suppuration of the seams of the perineum,
development of endometritis and possibly sepsis).