BACTERIAL INFECTIONS AND PREGNANCY

Dr. Claude Allouche, Gynecologist
Ahuza Clinic, Raanana
Tel: 058 726 02 64

Bacterial infections such as urinary infections, vaginitis, listeriosis, and syphilis can have serious consequences during pregnancy and for the baby’s health if not detected and treated promptly.

A] Urinary Infections Infections bactériennes et grossesse engl

Urinary infections (cystitis) are common during pregnancy due to the pressure exerted by the baby and urinary stasis.

Symptoms:

  • Lower abdominal pain
  • Frequent urge to urinate
  • Burning sensation when urinating
  • Sometimes no symptoms at all

Screening and Treatment:

  • Monthly test starting in the 4th month using a urine strip
  • Cytobacteriological urine examination (ECBU) if necessary
  • Antibiotic treatment, often fosfomycin, pivmecillinam, or amoxicillin

A follow-up test after treatment is essential to prevent recurrence.

B] Vaginal Infections or Vaginitis

Possible Causes:

  • Fungi (Candida Albicans yeast infection)
  • Parasites, bacteria (E. Coli, Chlamydia, Group B Streptococcus), or viruses

Bacterial Vaginitis:

  • Diagnosed by vaginal swab
  • Antibiotic treatment to prevent transmission to the baby during childbirth

Group B Streptococcus:

  • Systematic screening between the 35th and 38th week of pregnancy
  • Risks of infection for both mother and baby if untreated

C] Listeriosis

Origin: Bacteria found in contaminated foods (dairy products, cold cuts, raw fish).

Risks:

  • Infection of the fetus through the placenta
  • Miscarriage, preterm birth, or neonatal infection (e.g., meningitis)

Prevention:

  • Strict kitchen hygiene
  • Avoid high-risk foods (raw milk cheeses, cold cuts, smoked fish, etc.)

D] Syphilis

Transmission: Through the placenta from mother to fetus.

  • High risk of transmission if untreated early syphilis (70%).

Consequences:

  • Intrauterine death, premature birth, or severe birth defects in the baby.

Regular screening during pregnancy is essential to avoid these complications.

Want to learn more? Visit my website: Dr. Claude Allouche - Gynecologist
Source: Ameli.fr