The frequency of your baby's movements (often a useful clue to his or her wellbeing).The presence or absence of pain (continual, cramping, contractions and so on).The quantity (just a smear, a teaspoon, a tablespoon, or soaking through pads and clothing).The color of the blood (dark or bright red).However, occasionally, vaginal bleeding may indicate a serious problem - a threatened miscarriage, a low-lying placenta or a polyp in the cervix - so it is always best to get advice from a doctor. Many women lose a small amount of blood at some point in their pregnancy and, often, this is of little significance. If you have bleeding from your vagina, put on a sanitary pad and observe its amount. This can be easily treated with antibiotics, either orally or inserted into the vagina. 4. It is common in pregnancy and has been found to be associated with a higher risk of preterm delivery and rupture of the membranes. Bacterial vaginosis, caused by the overgrowth of these bacteria, can cause abnormal vaginal odor and discharge. This is a type of bacteria that is usually found in the vagina but is kept under control by the presence of other types of harmless bacteria that produce chemicals to keep the vagina slightly acidic. Gardnerella infection (bacterial vaginosis) If it is present, you will require intravenous antibiotics during labour to reduce the risk of infection in the baby. The swab is then sent to the laboratory to see if this particular bacteria is present. Testing involves inserting a cotton swab into the vagina. Third trimester you may be tested for GBS. Group B streptococcus is a type of bacteria found in the vagina and rectum in about 30–40% of women (read the article on Pregnancy Complications). It may recur throughout pregnancy but usually has no long standing effects on the pregnancy. Fortunately, it does not cause the baby any harm and can be easily treated by vaginal pessaries and cream. Because of the hormonal changes, pregnant women often get thrush, especially during the third trimester of pregnancy. Having vaginal thrush can cause extreme itch and clumps of white discharge. It does not harm the baby during pregnancy or childbirth. This is a common and frequently distressing fungal infection for many women during pregnancy. Vaginal candidiasis (moniliasis or thrush) Common Vaginal Infections in Pregnancy 1. Avoid excessive vaginal douches and scented hygiene wipes - as they may cause irritation and may upset the delicate acid/alkali balance of the vagina. Proper hygiene and, if necessary, the use of panty liners should keep you feeling fresh. Most vaginal infections can be effectively treated during pregnancy. The result of this should be known within one week. Your doctor may take a vaginal swab to check for an infection such as Candidiasis, Group B streptococcus (GBS) or Gardnerella. Your doctor if you think things may not be quite right. However, be aware of changes to your discharge, and highlight this to Remind yourself that this discharge plays a part in protecting your uterus from infection ascending up the vagina. What Can I Do About It?Īn increase in vaginal discharge is a normal part of pregnancy. Some women have shows off-and-on for several days before the actual labour. Having a show does not necessarily mean that labour is about to start, but it is a reasonable indication that the cervix is beginning to ripen or to prepare for labour. When you are about to go into labour, your discharge may contain streaks of thick mucus and a little fresh blood, as the cervical mucus plug is dislodged from the cervix. Signs of infection include thick, curd-like or greenish discharge, a nasty smell, itchy and soreness, low abdominal pain or pain during sex. It may have a distinctive odour, but not an unpleasant smell. Normal vaginal discharge is clear, white or creamy, and fairly runny. This is quite normal and is caused by a combination of factors - increased blood supply, softening of the cervix and vaginal walls, and later, stimulation from the baby’s head, as he or she presses against the cervix ready for labour . Most women would notice an increase in vaginal discharge during pregnancy .