Vaginal infections are the most common cause of premature births from the 24th week of pregnancy. You can walk up through the cervix and cervical canal into the amniotic sac and switch to amniotic fluid and baby. Most of these infections are caused by bacteria, fungi or chlamydia. Particularly at risk are women who have suffered miscarriages or premature births before.
Diagnosis of vaginal infection
The diagnosis "vaginal inflammation" often comes as a surprise to women, as warning symptoms and inflammatory symptoms do not always occur, such as itching, burning or increased discharge.
When it comes to a vaginal infection, there has always been a disturbance of the acid-base ratio in the vagina. In general, the pH of the vaginal milieu is so acidic that bacteria and germs are blocked. In pregnancy, however, the pH of the vagina may change due to the hormone change and then no longer exercise its barrier function. If dangerous germs in the vagina gain the upper hand, this can be determined by a changed pH.
Prevent vaginal inflammation
For the prevention of vaginal infections there are a number of possibilities:
On the one hand, when using the toilet, you should pay particular attention to the fact that, in principle, you have to clean it from the front to the back after you have had a bowel movement so that no germs get into the sheath. It can also make sense to use non-irritating wet wipes here. In addition, the genital area should be carefully spotted dry after urinating. The easily accessible wrinkles can then be cleaned with a soap-free lotion.
Single-use towels and hand towels are generally better because the frequently used toweling cloths irritate the skin mechanically too much and, moreover, poorly clean. In addition, they provide germs with an ideal breeding ground.
During pregnancy it comes naturally to increased discharge. But you should do without the use of tampons, because they dry out and thus can contribute to environmental disorders and irritation of the vaginal walls. Small, absorbent inserts protect the laundry and can remedy the increasingly damp and warm environment. For the normalization of the vaginal milieu, the completely harmless and for a long time feasible treatment of the vagina with vitamin C-Scheidungäpfchen recommended.
The use of tampons dipped in yoghurt is not advisable because the use of vitamin C suppositories causes the yoghurt bacteria only a temporary change in environment, as they die after a few days in the vagina.
An innovative protection against vaginal infections is provided by a vaccine, in which a vaccine is administered from inactivated germs of eight different strains of lactic acid bacteria. The inactive bacteria stimulate the production of antibodies in the vaginal secretions that fight the pathogens. For a successful 3-year protection, 3 vaccinations will be given every two weeks for the basic immunization. After a year then follows a booster vaccination.
Test glove for self-examination:
Since even with regular and consistent prenatal care usually only once a month, a vaginal examination is made, the investigation is worthwhile at home. In order to make it easier for pregnant women to examine and evaluate, an examination glove was developed with a test paper attached to the index finger. After contact with the vaginal fluid, the test strip indicates by its staining whether the pH is normal or has changed.
You should not be irritated by a single discoloration. A one-time slip is no cause for concern. The test paper also reacts to seminal fluid or urine. If the test result is outside the normal range, the measurement should be repeated several hours later. In case of persistent deviations, the doctor must be contacted. As a rule, 1-2 measurements per week are sufficient at home. In addition, the doctor should check the pH at the check-up.
Reimbursement of costs for vaginosis
The costs for the examination for Chlamydia are covered by the health insurance companies. A control smear on bacteria, on the other hand, is a private matter. Only in case of urgent suspicion of bacterial vaginosis take over the statutory health insurance costs. The costs for the biodegradable examination glove made of polyethylene must be taken over privately. They are around 25 EUR for 25 pieces.