Yeast Infection Medications During First Trimester

QUESTION

Dear Midwife,
I am currently 8 months pregnant. I was looking on the internet about treatment of yeast infections and have seen many articles that say medication should not be used in the first trimester. I am really worried.

When I was 6 weeks pregnant I my doctor prescribed a cream for me to use internally. Could this have hurt my baby? Would problems have shown up on my 5 month ultrasound? Was this safe since it was prescription? Thank you for your help.

ANSWER

Anti-fungal creams are usually Pregnancy Category B, and are used routinely for yeast infections during pregnancy. Not to worry!

-- Cynthia, CNM. PhD.

Cynthia Flynn

Cynthia Flynn, CNM. PhD, is the General Director of the Family Health and Birth Center which provides prenatal, birth, postnatal, gynecological and primary health care to underserved women and their families in Washington, D.C. Recently Cynthia served as Associate Professor of Nursing at Seattle University. There she not only taught, but remained in full scope clinical midwifery practice at Valley Medical Center where she cared for pregnant and birthing women, and practices well-woman gynecology, family planning, and treatment of sexually transmitted diseases.

Cynthia founded Columbia Women's Clinic and Birth Center, where she took care of pregnant women and infants up to two weeks of age and attended both birth center and hospital births. Before Cynthia earned her CNM, she worked as a registered nurse in labor and delivery and postpartum and is a certified Doula and Doula trainer.