Patient's question:
I am currently 35 weeks and 2 days pregnant. The hospital's ultrasound shows marginal placenta previa with a diagnosis of transverse fetal position. In the past few days, my leukorrhea has been somewhat abnormal—there isn’t much discharge, but it appears coffee-colored after drying, and occasionally, I seem to see blood streaks in my urine. I suspect it might be bleeding. Could this situation have a significant impact on the fetus, and is it necessary to be hospitalized? Additionally, I’d like to ask if my current sleeping position should still be on my left side? (I’ve been feeling lower back pain when sleeping, and the prenatal check-up results show the baby’s head on the left side of my abdomen.) I urgently await your reply.Doctor's answer:
Abnormal leukorrhea is generally caused by filtered viral infections of the cervix, vagina, and external genitalia. Trichomoniasis: This infection can lead to increased leukorrhea, accompanied by a foul odor, and may also cause itching in the genital area. Pathogen infection: Using contaminated hygiene products allows pathogens to enter the reproductive tract through the vaginal opening, resulting in infection and increased leukorrhea. Cervical erosion: Delivery-related lacerations, changes in sex hormones, or sexual activity can cause cervical inflammation, leading to cervical erosion and increased leukorrhea. Most cases of vaginitis can be cured, but some people are prone to recurrence. To prevent recurrent vaginitis, it is best to wear loose and breathable clothing, avoiding tight pants, jeans, and similar attire. Additionally, underwear should preferably be made of cotton and dried in the sun after washing. During menstruation, disposable sanitary pads should be used, with extra care taken to avoid bacterial infection. Sanitary facilities should be kept clean and should not be shared by multiple people to reduce the risk of infection. It is recommended to consume more foods that benefit the spleen, kidneys, clear heat, and promote diuresis, such as lotus seeds, jujubes, Chinese yam, coix seed, and winter melon seeds. Avoid spicy and irritating foods, drink less alcohol, and eat more fresh vegetables and fruits.