The Observer (Kampala)

Uganda: Doctor - See a Doctor to Ascertain Discharge During Pregnancy

Dear Doctor,

My wife has a constant discharge yet she is six months pregnant. What do you think is wrong with her?

Joab.

Dear Joab,

There are a number of reasons why women get discharges, but it is obviously a matter of concern. Since you did not describe the nature of the discharge, I will give you the possible case scenarios.

Discharge as a result of an infection:

If the discharge looks like spoilt milk, most likely it's Candida. If it is brownish and smelly, it most likely is bacterial vaginosis. Antibiotics and anti-fungal treatment can help with this.

Leakage of amniotic fluid or premature rapture of membranes

It can range from a small leak to gushes of fluid. At six months of pregnancy, it could mean your wife is experiencing preterm premature rapture of membranes (PPROM). This condition is serious and requires hospitalisation. There is a high likelihood that a premature baby will be born and steps to reduce infection or other dangers to mother and child need to be taken.

Urine leakage:

This is common among pregnant women especially those who have many children as a result of weakened pelvic muscles. It often happens when they cough, laugh or are rising up from a sitting position. Kegels exercises during pregnancy and after delivery may reduce it.

Please visit a doctor, specifically a gynaecologist so that tests can be done on that fluid to determine what it is. More tests and examination to determine the

underlying cause will be undertaken and a conclusive solution given.

For all your reproductive health queries , write to: SMS to 0788026929 or write doctor and SMS it to 8777

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