In summary, women with bacterial vaginosis during pregnancy should be aggressively evaluated and effectively treated. This is particularly true for women considered at high risk for pregnancy-related complications. Asymptomatic pregnant women with bacterial vaginosis may also benefit from therapy.
What happens if BV is left untreated during pregnancy?
BV that is not detected early or is left untreated increases the risk of premature birth and low birthweight. Some studies have also shown that BV is linked to miscarriage and premature rupture of the membranes.
Do you have to treat BV in pregnancy?
The CDC advises that all pregnant women with symptoms of bacterial vaginosis be screened and treated. The CDC also supports screening women who have had previous preterm labor. Screening for BV is left up to your healthcare provider to decide.
What can I take for BV while pregnant?
Your doctor may prescribe the following antibiotics: metronidazole, such as Flagyl and Metrogel-Vaginal, which can be taken orally. tinidazole, such as Tindamax, which is another type of oral medication. clindamycin, such as Cleocin and Clindesse, which is a topical medication that can be inserted into the vagina.
Can untreated BV cause miscarriage?
Bacterial vaginosis does not affect conception but is associated with an increased risk of miscarriage in the first trimester in women undergoing in vitro fertilisation, independent of other risk factors.
Can you give birth with BV?
Pregnant women with bacterial vaginosis (BV) are more likely to go into labor and give birth too early (preterm). Preterm infants may face a number of health challenges, including low birth weight and breathing problems.
Can having a bacterial infection affect pregnancy?
Bacterial infections can affect pregnant women from implantation of the fertilized ovum through the time of delivery and peripartum period. They may also affect the fetus and newborn. Many women with these infections are asymptomatic, necessitating both a high degree of clinical awareness and adequate screening.
Should both partners treat BV?
Male sex partners of women with BV do not need treatment. However, BV can spread between female sex partners.
Is metronidazole safe in second trimester?
Use of metronidazole, a common treatment for bacterial vaginosis and Trichomonas vaginalis, should be avoided during the second trimester of pregnancy in this population.
Can BV cause miscarriage?
If you develop bacterial vaginosis in pregnancy, there’s a small chance of complications, such as premature birth or miscarriage. But BV causes no problems in the majority of pregnancies. Speak to a GP or your midwife if you’re pregnant and your vaginal discharge changes.
How long can BV be left untreated?
Left untreated, BV can cause low–birth-weight babies (less than 5.5 pounds) and premature delivery. To treat BV, your health care provider may prescribe either oral antibiotics or topical antibiotics, which are inserted into the vagina. Unfortunately, despite treatment, BV can recur within three to 12 months.
Can BV cause stillbirth?
If BV is left untreated during pregnancy, it might cause preterm labor, premature birth, and lower birth weight babies.
Can you use BV suppositories while pregnant?
Vaginal treatment with suppositories and sulfa creams may provide relief of symptoms but are deemed insufficient to prevent complications during pregnancy.
Is metronidazole safe in first trimester of pregnancy?
Metronidazole is used to treat genitourinary infections and is one of the most commonly used drugs in pregnancy, but it is widely thought to be relatively contraindicated in the first trimester because of a possible increased risk for birth defects.
Can sperm cause BV?
Semen is alkaline and often women find they notice a fishy smell after having sex. This is because the vagina wants to be slightly acidic, but if it’s knocked out of balance by the alkaline semen, and it can trigger BV.