孕期得了阴道炎，该怎么办？
健康
育儿
2024-12-22 20:49
浙江
阴道菌群也有自我调节作用，如果白带只是较平时稍有改变，外阴没有瘙痒疼痛，这种情况不需要治疗，通过自身平时的生活调整都会好转。
注意每天清洗外阴、保持会阴清洁干燥、勤换内裤，先观察 3 天。
如果经过 3 天的日常护理清洁依然没有好转，白带异常加重或者瘙痒疼痛，或者白带没有恢复正常，建议及时就医检查白带常规。
必要的话，医生也可能会开具一些药物治疗，比如克霉唑阴道片、甲硝唑等。考虑到对胎儿的影响，所有药物需要在医生的指导下使用，孕妈妈不要自己用药。
[1]National guideline for the management of vulvovaginal candidiasis. Clinical Effectiveness Group (Association of Genitourinary Medicine and the Medical Society for the Study of Venereal Diseases). Sex Transm Infect 1999; 75 Suppl 1:S19.[2]Klebanoff MA, Hauth JC, MacPherson CA, et al. Time course of the regression of asymptomatic bacterial vaginosis in pregnancy with and without treatment. Am J Obstet Gynecol 2004; 190:363.[3]Michael Postelnick, BPharm，Yeast Infections in Pregnancy: Recommended Treatments.medscape. 2016 July 29.[4]Pasternak B, Wintzell V, Furu K, et al. Oral Fluconazole in Pregnancy and Risk of Stillbirth and Neonatal Death. JAMA 2018; 319:2333.[5]American Academy of Pediatrics Committee on Drugs. Transfer of drugs and other chemicals into human milk. Pediatrics 2001; 108:776.[6]Riggs MA, Klebanoff MA. Treatment of vaginal infections to prevent preterm birth: a meta-analysis. Clin Obstet Gynecol 2004; 47:796.[7]Joesoef MR, Hillier SL, Wiknjosastro G, et al. Intravaginal clindamycin treatment for bacterial vaginosis: effects on preterm delivery and low birth weight. Am J Obstet Gynecol 1995; 173:1527.[8]Caro-Patón T, Carvajal A, Martin de Diego I, et al. Is metronidazole teratogenic? A meta-analysis. Br J Clin Pharmacol 1997; 44:179.
