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Expert Q&A:
Are yeast infections common during pregnancy?

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Elaine Zwelling
Answered by Elaine Zwelling R.N., Ph.D., L.C.C.E., F.A.C.C.E.
Elaine Zwelling, R.N., Ph.D., has been involved in maternal-newborn health care for 40 years. She has a bachelor's degree in nursing from Capital University and a master's degree in nursing and a Ph.D. in Family Relations and Human Development from Ohio State University. Dr. Zwelling brings to the Pampers Parenting Network her experience of helping expectant parents enjoy their pregnancy, plan and create a positive birth experience, and learn about parenting their newborn baby. She is certified by Lamaze International as a childbirth educator, is a Fellow in the American College of Childbirth Educators, and has taught childbirth classes for 25 years. Dr. Zwelling was the director and faculty for the Lamaze International Childbirth Educator Certification Program of Florida; in that role she prepared many nurses to become childbirth educators.

Dr. Zwelling was a Professor of Maternal-Newborn Nursing for 23 years at both Capital University and Ohio State University in Columbus, Ohio. At these institutions she taught undergraduate and graduate students and conducted research. For eight years she was a Senior Consultant with Phillips &; Fenwick, a women's health consulting firm in Santa Cruz, California, specializing in helping hospitals implement family-centered maternity care. Currently Dr. Zwelling is a Perinatal Nurse Consultant with the Hill-Rom Company. In this position, she provides comprehensive support and consultation to hospital maternity units to create quality care environments equipped with the appropriate equipment for labor and birth and provides clinical education for nursing staff.

Dr. Zwelling is the co-author of a maternal-newborn nursing textbook, Maternal-Newborn Nursing: Theory and Practice, and has published many professional journal articles related to maternal-newborn health care, family-centered maternity care, and childbirth education. Dr. Zwelling is a recognized speaker at professional conferences and teaches continuing education seminars for childbirth educators and perinatal nurses throughout the country.

Dr. Zwelling resides in Sarasota, Florida, and has a grown son, lovely daughter-in-law, and two grandchildren.

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Question


How common is it for a woman to develop a yeast infection during pregnancy?

Answer


Vaginal discharge is very common during pregnancy as a result of increased hormonal activity and pelvic pressure. Most women will notice a white, milky discharge that does not have a foul odor. This is called leukorrhea, and as the due date gets closer the discharge becomes more and more profuse. Although it may be bothersome, this type of discharge is a normal part of pregnancy and does not indicate an infection. However, if the discharge becomes yellowish or greenish, is thicker and has a cheesy appearance, develops a foul odor, or is accompanied by itching, burning, soreness, or redness, then it is a sign of an infection. Bacterial infections are usually treated with vaginal suppositories, creams, or ointments, inserted with an applicator. One specific type of infection is a yeast infection, which is more likely during pregnancy because the increased acidity of vaginal secretions during pregnancy favors the development of the monilia (yeast) bacteria. Yeast infections need to be treated with medication so you won't pass the infection to your baby during the birth. The baby would develop the yeast infection in the form of thrush in his mouth. This is not dangerous to the baby and is easily treated should it occur. Some women feel more comfortable wearing a light pad or panty liner during pregnancy because of the increased discharge. Don't use tampons, because they could introduce bacteria into the vagina. Keep the genital area clean and dry. Underwear with a cotton crotch is better for this purpose. Avoid tight clothing or pantyhose. Douching is not recommended unless prescribed by your care provider. Be sure you always wipe from front to back after using the bathroom so that you don't introduce bacteria into the vagina. It has also been found that including yogurt in your diet every day can reduce the incidence of vaginal infections.

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