Bakposv of the cervical canal during pregnancy

Prevention of various infectious pathologies during pregnancy is a very important task. Any infections that occur during this particular period of a woman’s life can lead to a threat to the life of her baby. One of the studies that allow such prophylaxis to be carried out is bacposa from the cervical canal.

Maintaining the health of the cervical canal is very important during pregnancy. This organ is a kind of communication between the uterus, where the baby develops, and the outside world.

Pathogenic microbes, of which there are so many in the surrounding world, can enter the cervical canal and lead to the development of inflammation in it. The inflammatory process spreads quite quickly, which can lead to quite dangerous pathologies for a baby developing in the mother’s tummy.

The integrity of the mucous membranes of the cervical canal is very important. Any injuries or cracks can facilitate the penetration of germs. Chronic vaginitis, cervical erosion and other diseases of the genital organs can be a real threat to infect the baby during its intrauterine development.

The dimensions of the cervical canal in pregnant women are somewhat different. This is largely due to altered hormones. The length of this body during pregnancy is 3.5-4 cm.

A kind of border of the uterus from the outside world is the pharynx. According to the degree of his closeness, doctors determine readiness for childbirth. During almost all pregnancy, it should be closed. The condition of the pharynx tonus is a very important indicator of women's health. If he is well enough closed, then the woman can become pregnant.

In this area, a woman forms a specific education, which is formed only in the period of carrying a baby. It is called a mucus plug. Her discharge and the expiration of the amniotic fluid are signs of an early birth.

Doctors can assess the state of the cervical canal by extended medical examination. For this they use special medical instruments and mirrors.

During the examination, the doctor may take the biomaterial for bacpossev. This study is very informative in identifying various infections that may have appeared in the cervical canal.

After collecting the biomaterial, it is poisoned for research in the laboratory. The obtained cells will be “sown” by laboratory technicians on nutrient media. This will reveal the possible growth of microbes present in the biomaterial.

Bacteriological research not only allows to identify the growth of pathogenic microflora, but also to determine the sensitivity of microbes to the effects of various antibacterial drugs. This helps doctors prescribe a more effective treatment and select the appropriate treatment tactics.

During the study, it is also possible to determine the concentration of beneficial microorganisms that can live in the cervical canal.In this case, the concentration of bifidobacteria and lactobacilli is estimated.

It is important to note that absolutely everyone is not assigned to this study. When you first contact the antenatal clinic because of pregnancy, the gynecologist will take a vaginal smear from a woman.

If the number of leukocytes in it is increased, then in this case the doctor will additionally take a biomaterial from the cervical canal to conduct bacposev.

Some mothers fear the purpose of this study. They are frightened by the very method of performing this analysis. In order to obtain a biomaterial for research, the doctor uses a special probe. It is inserted into the cervical canal, usually to a depth of 1.5 cm.

The future mother is afraid of the possibility of spontaneous miscarriage or injury to the baby during the collection of biomaterial. Such fear is in vain. The baby is much higher than the place where the doctor takes the biomaterial. The risk of injury or miscarriage after such a fence is negligible.

Before carrying out the procedure should conduct the necessary training. It includes compliance with several recommendations:

• on the eve of the biomaterial sampling, expectant mothers are not allowed to douche;
• in consultation with the gynecologist, antibacterial agents should be excluded a few days before the procedure;
• sexual intercourse is contraindicated the day before the study;
• between a transvaginal ultrasound and the collection of biomaterial should take at least 3-5 days;
• a few hours before the procedure should not be flushed (especially with the use of special means for intimate hygiene).

Normal analysis indicators include only the presence of beneficial microflora. It consists of bifidobacteria and lactobacilli. They can be present in the analysis in any concentrations.

A normal result allows for the presence of a small amount of E. coli. But its concentration should not exceed 10 * 2 degrees of colonies. There should be no fungal flora in the normal backdoor from the cervical canal.

The appearance of Staphylococcus aureus, Klebsiella, enterococci, streptococci in the analysis is an indication for the mandatory prescription of treatment. In this case, doctors also determine the cause that caused these pathogens to appear in the cervical canal.

If the level of these microbes in the analysis is increased, then this will not only be a threat to the development of pathologies of the female genital organs, but it can also lead to the development of pneumonia or other diseases of internal organs in an infected woman.

The severity of the resulting violations may be different. If more than 100 pathogenic microbial colonies are found in the analysis, this is a clinical sign of an active acute inflammatory process. A variety of reasons can lead to the development of this pathological condition - from a banal violation of personal hygiene rules to dangerous sexually transmitted infections.

Doctors distinguish several degrees of "purity" of the cervix and cervical canal, respectively. The most optimal is the first. It is characterized by the fact that there is no active growth of pathogenic microbes on solid nutrient media.

Second degree of purity implies the emergence of such colonies. They can be found on solid nutrient media. This degree is characterized by the appearance of bacterial colonies of less than 10 units (CFU).

Third degree more unfavorable.In this case, doctors detect from 10 to hundreds of CFU in the biomaterial under study. Obtaining such a result is a significant reason to monitor a woman further for the development of inflammatory diseases of the female genital organs.

The most unfavorable is the fourth degree. It is at this stage that doctors are talking about the presence of an acute inflammatory process, which requires the appointment of therapy. In this case, the colonial growth of pathogenic bacteria exceeds 100 CFU.

Bakposev usually confirms that the woman has an infection in the genitals. In order to cure her, the doctor will prescribe an expectant mother antibacterial drugs. The choice of medication is carried out individually.

This necessarily takes into account the weight of the patient, her age, gestational age, the sensitivity of microbes to the effects of antibiotics (based on the result of bakposev), as well as the presence of associated diseases of internal organs.

When choosing antibacterial drugs, doctors prefer agents that are quite effective against pathogenic microflora, but are not able to adversely affect the fetus.

Quite often, antibiotics in the form of candles are chosen. Such local treatment allows to achieve a good therapeutic result, but does not lead to the development of systemic undesirable side effects.

To learn how to prepare for the examination by a gynecologist, see the following video.