ACUTE CYSTITIS, CANDIDIASIS

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• Acute cystitis
  
Cystitis is the most common complication during pregnancy. 2% of mothers suffer from cystitis or bladder infection. It is characterized by pain above the pubic bone (supra-pubic), painful urination (dysuria) and increased frequency of urination. There are no general symptoms such as fever or pain at the level of renal mass. Blood may appear in the urine (haematuria) and the urine culture test is positive with growth rates greater than 100,000 colonies / ml. The diagnosis can be performed on an outpatient basis with a strip test in the urine in case of the presence of nitrite and leukocytes.
     
The cases of acute cystitis occur mainly during the second trimester. Sometimes the cyst may increase irritability of uterine activity, although there is no scientific evidence that cystitis is associated with preterm delivery. In general, acute cystitis has no risk for foetal prognosis, because it is an infection localized on the urinary tract.
     
The treatment of cystitis is antibiotics: amoxicillin 500 mg / 8 hours, ampicillin 250 mg / 6 hours, cephalexin 250 mg / 6 hours or 3 g single dose of fosfomycin.

    

 
• Candidiasis

It is the appearance of fungi (the most common are "white") in the vagina. Among the most common fungi that cause infection are Candida albicans  from which the name candidiasis originates. This infection is accompanied by a heavy flow that looks like thick yogurt, itching, burning, and often pain and bleeding.
 

The pregnant woman usually reports pain during urination (dysuria) and when having sex (dyspareunia). This infection is more common during pregnancy because of hormonal changes, pregnant women with diabetes are more prone to get candidiasis.

It is treated with local antifungal drugs. The most recommended guidelines are: Clotrimazole 100 mg / day for seven days and miconazole 2% vaginal cream 5 g intra-vaginally per day for seven days.
      
During pregnancy, candidiasis is not a risk to the baby. However, during childbirth, if the channel is contaminated by fungi, your child may swallow it and have oral or oesophageal candidiasis. In other cases, infants may have fungal infections of the eyes.

 

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