Pregnancy Discharge: Normal Changes vs. Warning Signs of Infection

Normal Pregnancy Discharge (Leukorrhea)

  • Early: Clear, thin, mild/sweet odor.
  • Later: Thicker, white/milky, increased volume.
  • Cause: Rising estrogen → increased cervical/vaginal secretions; protects against infection.
  • Amount: Increases progressively; panty liners often needed.

Abnormal Signs → See Provider

  • Yellow, green, or gray color.
  • Foul or fishy odor.
  • Itching, burning, irritation.
  • Blood-tinged (except light spotting).
  • Cottage cheese texture (yeast).
  • Watery gush (possible membrane rupture).

Common Infections in Pregnancy

  • Yeast (Candidiasis): Thick, white, itchy—very common in pregnancy.
  • Bacterial Vaginosis (BV): Thin, gray, fishy odor.
  • Trichomoniasis: Frothy, yellow-green.
  • Group B Strep (GBS): Screened at 36–37 weeks.

Hygiene Tips

  • Cotton underwear.
  • No douching.
  • Unscented products.
  • Report changes promptly.

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