Patient's question:
Detailed medical condition and consultation purpose: Currently 3 months pregnant, diagnosed with mycoplasma infection (pre-existing condition confirmed before pregnancy). Please advise if mycoplasma affects fetal development, what the effects are, and whether an induced abortion is necessary.Current general condition: Itching of the external genitalia, yellow discharge
History of previous diagnosis and treatment, as well as effectiveness: Previously diagnosed with mycoplasma, but not cured. First follow-up question:
Detailed medical condition and consultation purpose: Currently 3 months pregnant, diagnosed with mycoplasma infection (pre-existing condition confirmed before pregnancy). Please advise if mycoplasma affects fetal development
Doctor's answer:
Hello:After a woman becomes pregnant, the increase in progesterone inhibits cellular immunity, leading to a decline in the body's resistance and making it more susceptible to ureaplasma infection. Ureaplasma-induced perinatal infection has become a new challenge in modern obstetrics. Ureaplasma can be transmitted vertically through the placenta or spread from the lower genital tract of the pregnant woman upward, causing intrauterine infection. Both routes can lead to adverse outcomes such as miscarriage, preterm birth, intrauterine growth restriction, low birth weight, premature rupture of membranes, and even intrauterine fetal death.
During childbirth, the fetus is also easily infected as it passes through the birth canal. Common infections include neonatal conjunctivitis, followed by respiratory infections in newborns. Other infections include otitis media and pharyngitis.
Measures to prevent and reduce ureaplasma infection: Both partners should undergo ureaplasma testing before planning pregnancy. If infection is detected, pregnancy should be delayed until the infection is cured. Additionally, early pregnancy testing is recommended. If positive, prompt treatment should be initiated to avoid harm to the fetus. Unpregnant women can take medications such as () and erythromycin, while pregnant women are limited to erythromycin treatment. Ureaplasma is a sexually transmitted disease, so both partners must prioritize sexual hygiene and avoid unsafe sexual practices, which are crucial for preventing ureaplasma infection.