Std Etiology S/sx Effects to fetus

Candidiasis Candida Albicans - Yeast infection, thrush

Application of an over-the-counter anti
(Fungus) - Affects the skin, skin of the vagina, fungal cream

the penis and the mouth (Monistat) for 7 days

- Oral fluconazole (antifungal)

- Management:

- sitz bath

- not wearing underpants

Trichomonia Trichomonas vaginalis greenish, yellowish, frothy, - Metronidazole (anti-fungal) - Preterm labor

sis mucopurulent, and copi-

- Premature Rupture of Membranes
ous, malodorous discharge with foul (PROM) - Post-cesarean infection
odor

Bacterial Gardnerella vaginalis - gray and has a “fishy” or “musty”

Topical:
- pelvic inflammatory disease (PID)

Vaginosis - odor vaginal discharge

- metronidazole (Flagyl) - 0.75 percent - post hysterectomy vaginal cuff cellulitis

- Pruritus vaginal gel - Clyndamicin - 2 percent - Endometritis

vaginal cream
- Amniotic fluid infection

- Preterm delivery, preterm labor

Oral:
- Premature rupture of the membranes.
-metronidazole - 500 mg orally twice (PROM) - Spontaneous abortion

daily

Clindamycin 300 mg orally twice daily

(2006 canadian guidelines on sexually

transmitted in- fections)

Syphilis Treponema pallidum Primary stage: small, hard-based Diagnostic Procedure: VDRL (Venereal Spontaneous abortion

chancre or
Disease Research Laboratory) Test
• Still born infant

sore
• Premature labor

Secondary stage: skin rashes

Benzathine penicillin G (pregnancy)
• Congenital syphilis (enlarged liver &
loss of patches of hair Malaise
Procaine penicillin, intramuscular, 750 spleen, skin lesion, rashes, pneumonia,
Fever
mg daily for 10 days
hepatitis)
Latent stage: asymptomatic
Erythromycin 500 mg four times a day
Tertiary stage: gumma formation should be given for 14 days (allergy to
(rubbery mass of tissue) PenG)

Azithromycin 500 mg should be given

daily for 10 days (allergy to PenG)

Gonorrhea Neisseria gonorrhoeae yellow-green vaginal discharge Oral cefixime (Suprax)- 400 mg PO Severe eye infection (fetus) blindness
Ceftriaxone (Rocephin)- 125-250 mg IM Endocervitis

once Premature Rupture of Membrane (PROM

HIV/AIDS Diagnostic Procedure:

a. ELISA

b. Western blot analysis (for

confirmation)

acyclovir; Antiretroviral Therapy

Std Etiology S/sx Effects to fetus

Chlamydia Chlamydia vaginalis - heavy, gray white discharge

Tetracycline & Doxycycline (non-
- common clinical manifestation pregnant state)

include cervicitis,
- Amoxycillin (pregnant)

urethritis, vaginitis, and pelvic - Azytromycin (pregnant) —> 1 g orally

inflammatory dis-

ease PID