轻微的阴道炎要注意日常清洁

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。

【资料图】

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。

症状严重建议就医检查

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。

参考文献

[ 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-Pat ó n T, Carvajal A, Martin de Diego I, et al. Is metronidazole teratogenic? A meta-analysis. Br J Clin Pharmacol 1997; 44:179.

本文专家

合作专家

马鞍山市妇幼保健院妇产科主治医师

审核专家

上海百佳妇产医院

妇产科主任医师

策划制作

监制：美丽

排版：菜菜

孕期为什么容易得阴道炎？

怎么预防孕期感染阴道炎？

更多宝宝健康问题，来丁香妈妈 App

孕育百科，一查就懂

长按下图识别二维码，即可前往 App 查询

标签：