Wednesday, March 4, 2015

Study group discussion: Differentials of discharge in a pregnant woman

Differentials of 28 week primi presenting with white discharge?

You wanna see for pooling of fluid in the fornices and check for pH.
It could be premature rupture of membranes. It could be stress incontinence. It could also be a normal excessive discharge.

Could it be infection?

Yep, it could be.

Depends on the quantity of discharge.

Um okay..

I had a case on this in my final year university exam
The entire viva went on it!

Mine was normal physiological discharge with oligohydramnios.


  1. A KOH test to rule out candida, endocervical swab can be done to rule out cervicitis (Chlamydia or gonorrhoea) , pH or wet mount rule out vaginosis


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