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Re: PREGNANCY: Bacterial Vaginitis in the first trimester

From: Pat Sonnenstuhl (anonymous@obgyn.net)
Fri, 28 Sep 2007 14:03:02 -0500 (CDT)


Ah, sorry, I misunderstood you. I thought you were three weeks from your due date. My comments would still stand, however, as BV has been associated with preterm birth and miscarriage. But, you can weight the decision with your OB provider, and see what they feel about it. As always a risk/benefit issue. Here are several articles to support my comments. I also have had clients who's membranes have released preterm, and frequently BV is the only organism that was identified.

http://www.bmj.com/cgi/content/full/319/7204/220

http://www.webmd.com/baby/news/20021205/genital-infection-linked-to-miscarriage http://findarticles.com/p/articles/mi_m3225/is_10_68/ai_110488899

>
>Thanks Pat. However, I am in the "critical" time now where meds should
>be avoided at all possible. I still have 3 weeks to go until I am in
>the 2nd trimester and safely can take class b medications. I am going
>to see how I feel over the weekend then make a phone call on Monday
>based on how I feel. Thanks for your advice and hopefully on of the
>dr.'s will post too.At Fri, 28 Sep 2007, Pat Sonnenstuhl wrote:
>>
>>I would recommend you do talk with our OB provider, and receive
>>treatment. The risks of a postpartum type, or even prenatal infection
>>to you and your baby outweighs whatever concerns you might have. If you
>>were treated early in pregnancy, that is the more critical time for
>>medications. My opinion is that you need to go into labor as healthy as
>>possible, and this includes vaginal infections or any type: yeast, BV,
>>Etc. BV commonly comes and goes, so your situation is common...
>>
>>At Fri, 28 Sep 2007, anon wrote:
>>>
>>>I was diagnosed and treated for bv at a little over 7 weeks pregnant. I
>>>now have 3 weeks to go until I am in the 2nd trimester. I have a strong
>>>feeling that my bv is back, but am nervous to go to the dr. as I don't
>>>want to treat with meds again during this critical time of development.
>>>Am I doing more harm than good waiting? What are safe treatments in the
>>>first trimester? I was on clindamycin intravaginal, but it caused
>>>extreme irritation. I am so frustrated with bv that I am having trouble
>>>just enjoying being pregnant. Thank you.
>>
>>--
>>Pat Sonnenstuhl, CNM, CHT
>>
>>Hypnosis for Healing and HypnoFertility Therapy
>>http://home.comcast.net/~prebirthhealth/hypnosisforhealing.htm
>>http://home.comcast.net/~prebirthhealth/birthcounseling.htm
>>

--
Pat Sonnenstuhl, CNM, CHT

Hypnosis for Healing and HypnoFertility Therapy http://home.comcast.net/~prebirthhealth/hypnosisforhealing.htm http://home.comcast.net/~prebirthhealth/birthcounseling.htm






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