Bakterielle Vaginose in der Schwangerschaft: Was Sie wissen müssen

Was ist bakterielle Vaginosis?

Bacterial vaginosis is the most common vaginal infection in women between the ages of 15 to 44. It's common among pregnant women, possibly because of the hormonal changes that take place.

Our bodies contain an array of good Bakterien that help keep us healthy. The vagina is colonised by bacteria called lactobacilli which help to keep everything in check and prevent harmful germs (pathogens) from getting inside.

Sometimes, however, the balance of these bacteria can change - and bacteria other than lactobacilli can overgrow in the vagina, causing symptoms such as unusual discharge. This is called bakterieller Vaginose or BV.

Dr Krishna Vakharia, a GP, says: “Bacterial vaginosis doesn't usually cause problems during pregnancy, but there is a link between BV and some pregnancy complications.”

Research shows that bacterial vaginosis can lead to Frühgeburt and birth if left untreated. It has also been linked to low birthweight, a problem associated with an increased risk of infant mortality, developmental problems in childhood, and poorer health in later life. Therefore, it's important to get checked out and treated if you notice any changes to your vagina during Schwangerschaft.

Was sind die Symptome einer bakteriellen Vaginosis?

Often, there are no symptoms of BV. Einige Frauen bemerken möglicherweise eine Veränderung der normalen Sekrete aus der Vagina.

"This discharge will usually be white or grey, thin or watery and have a strong, unpleasant fishy smell. You may also have itching, burning, or irritation in the vaginal area," says Vakharia.

It can be challenging to differentiate between normal changes in vaginal discharge during pregnancy and bacterial vaginosis. When you’re pregnant, it’s normal to have more discharge than you normally would. This helps to prevent any infections from travelling up the vagina and into the womb, protecting the baby. However, there are some key differences.

"Normal pregnancy Ausfluss is usually thin, white, and odourless or has a mild, slightly sweet smell. It should not be accompanied by itching, burning, or unusual discomfort," says Vakharia.

Was tun, wenn Sie glauben, während der Schwangerschaft bakterielle Vaginose zu haben

If you think you have BV you should make an appointment with your doctor. Make sure you tell your doctor or nurse if you are pregnant, think you might be pregnant, or are des Stillens.

More often than not, doctors will diagnose and treat based on the symptoms. Rarely, if the diagnosis is not clear, the doctor may carry out an examination to check your vagina and use a swab to collect a sample to test. This only takes a couple of minutes and may be slightly uncomfortable, but isn’t normally painful. Sometimes, a diagnosis can be made straight away using a piece of paper that changes colour depending on the pH - alkaline/acid balance - of your vagina.

Behandlung der bakteriellen Vaginosis

Bacterial vaginosis is treated with Antibiotika. Eine antibiotische Creme oder Gel zur Anwendung in der Vagina kann anstelle von antibiotischen Tabletten zum Einnehmen verabreicht werden.