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Pregnancy and Chlamydia

Pregnancy and Chlamydia

Question:

- Help! I am pregnant in 32 weeks. I did all the analysis. In chlamydia igg the result was negative, and in chlamydia igm uncertain (the test was repeated 2 times-blood test). Am I infected? I understood that this is damaging to the child. Lately, I have had some vaginal discharge and itching. What can I do? The doctor recommended nothing to me.

Answer:


If IgM is positive without the positivity of IgGs as well, this usually means the onset of a first infection with Chlamydia, especially if we also consider symptomatology.
During pregnancy, infection of the genital organs with chlamydia can have an adverse effect on the development of the pregnancy, especially on the newborn, which is also harmful in the postpartum period (after birth).
Thus Chlamydia infection can cause: interruption of pregnancy (abortion), premature birth, premature rupture of membranes.
But the main effect is on the newborn at the time of birth: in 20-50% of cases the fetus presents conjunctivitis in the first 2 months of life, in 10-20% of pneumonia cases even 3-4 months after birth.
It can also induce fetal otitis media (ear infection) or severe nasal obstruction or ophthalmia. In the postpartum period (after birth) Chlamydia can cause genital infections of various intensities in the mother, from febrile syndrome, endometritis (uterine infections), to pelvic or even peritonitis.
Transmission of the infection to the newborn is done during birth, through contact with the mother's genitals, infected with Chlamydia.
Transplacental (during pregnancy) and intrauterine transmission of this germ has not been proven.
Dr. Ciprian Pop-Began
- Obstetrics and Gynecology - Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu

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