How gonorrhea manifests itself in pregnancy

For the successful fight against gonorrhea during pregnancy, close communication of urologists and dermatovenerologists with obstetricians and gynecologists is extremely important. For this purpose, pregnant women are examined, as well as women suffering from chronic inflammatory diseases of the genital organs and infertility.

In detecting gonorrhea in women's clinics, the predominance of the acute form of the disease is noted, while chronic gonorrhea is much less common. At the same time, the low detectability of the chronic form of the disease is probably due to the inadequate work of obstetrician-gynecologists in the field.

Reduction of the total number of gonorrhea is closely related to the general activation of preventive work of gynecologists and obstetricians with women suffering from inflammatory diseases( acute and chronic) of the genitourinary sphere.

So, with sufficiently effective work of women's consultations in the diagnosis of gonorrhea, the percentage of patients diagnosed reaches 40% of the total number of patients with a newly diagnosed and recorded diagnosis.

Factors predisposing to the disease

In 10% of inflammatory diseases of the genitourinary system the cause is gonococcus. A thorough examination and method of provocation should be performed by women who have the following pathologies:

• frequent exacerbations of inflammation of the uterine appendages;
• acute and chronic bartholinitis;
• infertility;
• disorders of the menstrual cycle;
• inflammatory conditions caused by Trichomonas.

In conditions of maternity homes, women who do not have exchange cards must necessarily be examined for gonorrhea. It is noted that urogenital trichomoniasis is diagnosed in almost 80% of women who have had gonorrhea. A common and preferred method of detecting gonorrhea is considered to be screening tests.

An important aspect of gonorrhea prevention is a qualitative clinical and laboratory examination of women. Inattention to the diagnosis may lead to medical diagnostic errors.

For example, patients with a torpid or chronic form of the disease turn to gynecologists without even knowing about the disease. In this case, doctors prescribe symptomatic therapy, not taking into account gonorrhea, excluding the laboratory method of examination. So, with the detected leukocytosis in smears, obstetricians-gynecologists use antiseptic therapy, although the patients require careful medical examination.

Thus, in women with inflammatory diseases of the genital organs by the method of culture, it was possible to detect gonococci twice more often than with bacterioscopy. Pregnant women managed to detect the causative agent of gonorrhea three times more often.

The interrelation of specialists is important!

There should be a close connection between venereologists and obstetricians - gynecologists. Maternity homes and women's clinics should timely transmit information to the dermatovenerologic dispensaries about women who have been and are coming to be treated for them.

Patients with diseases suspected of gonorrhea are referred for further examination to the dermatological and venereal clinics, where they and their partners must undergo mandatory examination and treatment of gonorrhea and trichomoniasis. Important work patronage apparatus of medical institutions to attract, medical examination and examination of the population.

Detection of gonorrhea in pregnant women in women's consultations is of great importance, because it depends not only on the health of the woman herself, but also on the future child.

The role of health education work of medical personnel with women in labor in maternity homes, with pregnant women - in women's consultations, is extremely important for the prevention of gonorrhea.

Therefore, when registering for a woman's consultation, a pregnant woman should take a smear on gonococci from the cervix, urethra, rectum. If there are complaints about the presence of vaginal discharge, then you need to re-take smears, especially in women who are not married.

Detection of gonorrhea in pregnant women

If a pregnant woman has gonorrhea, then she should be hospitalized without fail, otherwise the consequences of gonorrhea during pregnancy can be serious for the woman herself and for the unborn child. In these cases, it is not recommended to prescribe local procedures that can cause uterine contractions. Smear on gonorrhea in pregnant women from the cervix is ​​not taken, it can only be taken from freely flowing discharge.

About pregnant women who have gonorrhea, should be reported to maternity hospitals, women's clinics and dermatological and venereal clinics, to monitor them before and after delivery, as well as the condition of the newborn baby.

Preventing the onset of illness in newborns

To prevent the onset of gonorrhea in newborns in maternity hospitals, the following method is used:

A 30% solution of sulfacyl-sodium is instilled immediately after birth in the eyes of a newborn, repeating the procedure after two hours.

Gonococcal ophthalmia is a very serious complication of gonorrhea, it can manifest itself in the form of an acute illness on the 2nd - 5th day of a child's life. This disease can lead to complete blindness, therefore it is extremely important to diagnose gonorrhea in pregnant women as soon as possible, to conduct her clinical examination, and to prescribe a treatment.

Signs and treatment of the disease

Symptoms of gonorrhea during pregnancy are:

• Unusual discharge( abundant, foamy, yellow or green).
• Pain in the lower abdomen.
• Painful urination.
• Bleeding.

Treatment of gonorrhea during pregnancy should be comprehensive, including anti-inflammatory drugs, detoxification therapy, angioprotectors, hepatoprotectors, vitamin therapy and specific therapy aimed at destroying the causative agent of the disease.

Specific activities

The use of antibiotics for the treatment of gonorrhea in pregnancy should be carried out with extreme caution and care, identifying the degree of risk to the fetus. To date, the harmful effect of antibacterial therapy on the health of the unborn child is not fully understood, nor is there reliable data on the safety of antibiotic effects on fetal development.

The gonovaccine in this case can also be dangerous for the course of pregnancy, increasing the likelihood of a miscarriage. Instead of gonovaccine, some experts suggest using autohemotherapy, considering this method to be sufficiently effective and safe in comparison with antibiotics and gonovaccine.

In any case, the pregnant woman who is diagnosed with "gonorrhea" should be hospitalized in a special ward of the hospital. The attending physician should determine the method of treatment, weighing all the risk factors and assessing the situation as a whole.

The use of antibiotics, gonovaccines in the treatment of gonorrhea in pregnant women should be carried out in case of emergency, only under medical supervision in a hospital!

Also, the use of vitamin therapy( vitamins B, C) is shown. The intake of vitamins can be prescribed by the doctors inside, and it is also necessary to eat foods rich in these and other vitamins.

Drugs "Trental", "Curantil", "Actovegin" are aimed at maintaining the placenta, also should be included in the treatment of a remedy to prevent the emergence of candidiasis, which can be caused by the use of antibiotics. It is necessary to exclude sex.