Answer: Bacterial vaginosis has been linked to cases of late miscarriage and occasionally preterm labour. The evidence is not strong but it is there. Antibiotics used to treat this are certainly safe to use in pregnancy and, on balance, I would urge you to go ahead and get it treated. Were you to lose this pregnancy after declining treatment, even if unrelated, you may find it difficult to forgive yourself. We have discussed this condition (bacterial vaginosis) here:
Augmentin use in pregnancy
Question: Do you think is ok to take augmentin at 11 weeks of pregnancy? R. (Nigeria)
Answer: Augmentin is a combination of a relatively common antibiotic Amoxicillin and Clavulanic acid. Its generic name is Co-amoxiclav. It is a broad spectrum antibiotic that is regarded to be safe. Latest advice is that you should exercise caution if using this in the third trimester. There are certainly no known concerns about its use at 11 weeks (first trimester) provided the user is not allergic to penicillin.
Question: I have been told that I cannot continue using the pill as I am now 36 and I smoke about 10-12 a day. I have been offered the coil but I’m not keen on this. Can I use the patch? N. (UK)
Answer: Seeing as you are in the UK, you may find that it will be quite difficult, if not impossible, to persuade your doctors to perform a termination on the basis of the fact that you only want one child. This is even before considering practical barriers that might be in your way. There are issues like the type of twins i.e. are they sharing a placenta or not, are they sharing the amniotic sac; what gestation they are; are you going to wait and see if both are healthy or not (which means a scan at 18-20 weeks and a late decision). This is a complex question that only a proper sit-down and detailed discussion with your doctor will allow you to make a considered decision.
Answer: The latent phase of labour rarely, if ever, last that long. In any case, if there were contractions suggesting possible labour at 35 weeks gestation, that should be regarded as threatened preterm labour rather than routine impending labour. That always needs to be verified by doctors and my firm view is that it is better to turn up at the hospital with a false scare than hold back because you are not sure. This is particularly important if you are still preterm. All in all, I think the contractions you have been experienced are more likely to be Braxton-Hicks than the start of labour. I might be wrong of-course and if you feel there is more to this, get yourself to the local maternity unit for an assessment. As for waters breaking, I would tend to think that is unlikely. When waters break at such a late stage of pregnancy, the gush tends to be rather dramatic leaving the mother in little doubt as to what has happened. There will also be continuing trickling after the initial gush.
Answer: I must admit to be rather concerned about what is going on with your wife. However, a crucial piece of information is missing. You didn’t say how far your wife is into this pregnancy. If she is in very early pregnancy, less than 7 weeks; this may be a miscarriage but there may even be a possibility of an ectopic pregnancy. I am assuming the instrument inserted in the vagina was a speculum. This may have been an attempt to see if there are signs of miscarriage such as an open cervix. The fact that the baby could not be seen on ultrasound scan is a real cause for concern but without that crucial piece of information (the gestation), I cannot give more specific advice.