Candida albicans is the microscopic fungus which is responsible for thrush. While this organism ordinarily lives in the intestinal tract of men and women, nearly one out of three women have candida albicans present in their vagina. This can become a problem when its numbers outgrow the

During pregnancy, the vagina becomes rich in a form of glucose named ‘glycogen’, which feeds the growth of Candida albicans. It’s believed the higher levels of glycogen occurs due to increased oestrogen levels and reduced acidity in the vagina. This is why a pregnant woman is ten times more likely to get thrush than normal – instead of being a nice cosy home for thrush, the vagina is now a five star hotel!

Other things which can kill good pro-biotic bacteria include:

• Anti-biotics
• Birth Control Pills
• Steroidal/hormonal drugs
• Fluoride
• Chlorine
• Coffee/Tea/Carbonated Drinks
• Synthetic vitamins
• Radiation
• Stress
• Additives
• Pesticides
• Fertilisers

Increased cervical fluid production is common during pregnancy, you may notice thin, milky discharge which is a result of your body’s hormones doing their job. If you notice that the discharge becomes thick, white and creamy (like cottage cheese) and if you have itching in your vaginal area, you may have thrush. Some women notice a stinging or burning sensation on the labia during urination and others feel the same unpleasant sensations during sexual intercourse. If this is you, it is important to have this checked out by your carer, to ensure nothing else is going on.

For some women the only sign is the anal or perineal burning when urinating or showering.

There are many pro-biotic preparations on the market, usually in powder form found at your health food store or at the chemist. They store the pro-biotic ‘acidophilus’ in the fridge being a live bacteria – you will likely need to ask for it as it won’t be on the shelf. However the best pro-biotic product to take is Fast-Tract which you can read about HERE – it contains not only one or two strains of pro-biotics but thirteen different ones – a much better product by far! Fast-Tract is not fast-tracked in faecal matter like some other commercially made pro-biotic products. The bacteria are produced from fruit and vegetables and they have been able to acheive a massive 265 million CFU’s (colony forming units) per ml of liquid – and it doesn’t taste that bad at all! The level of colony forming units is significant because higher bacteria counts improve the ability of the colonies to establish themselves faster.

You only need to drink a small amount per day and it not only gives you the added benefits of helping with thrush, but many other health issues too. Many women I personally know who have taken Fast-Tract (or a related product called In-Liven which also contains other nutrients, but not so abundant in pro-biotics) have found their thrush to disappear after many months of nothing else working for them.

It makes good sense to load up your body with good bacteria to win the ‘battle of the bacteria.’ If you can keep taking the Fast-Tract or In-Liven on a regular basis to prevent it, rather than use creams as a bandaid fix, you’ll likely get a much better result. Prevention is always better than cure!

You can also cut back on the things listed above which kill pro-biotics.

Of course, if you think you have thrush, be sure to let your carer know. You may be prescribed a medication in the form of pessaries or creams which are safe to use during pregnancy – oral forms of medications are generally not recommended in pregnancy. Don’t buy any other medications unless you have spoken to your carer first as some are not safe to use.

Many care-givers won’t worry about a diagnois of thrush and are often dismissive, even with heavy growth of candida because it’s considered harmless – but it’s very uncomfortable if you are the person who has it. So you will need to be quite insistent if you want treatment prescribed.

Just because one type/brand of treatment doesn’t work e.g. Canasten, it doesn’t mean another like Nilstat won’t work. Try them all because they have slightly different constituents.

If you are in your first trimester, your carer will be least likely to want to prescribe you something for thrush. Here are some suggestions below if you cannot take any medication:

• Get onto Fast-Tract as soon as you can – this will help the actual problem of a bacterial inbalance and will get to work right away. The good bacteria will begin to grow and out-number the bad bacteria.

• Natural live yogurt contains a pro-biotic called acidophilus. However, the level of pro-biotics in yoghurt is quite low, so it can take a little more time to help, which can be frustrating especially if itching is a problem. You can eat the yoghurt as much as you like, some women swear by inserting some plain natural yoghurt into their vagina. You can soak a tampon in natural yoghurt, (differentiate just unsweetened from true natural yoghurt) and insert into the vagina for 2 hours, then change for new one.

• Avoid underwear that is tight or contains materials like lycra and other fabric which reduces air circulation – cotton is best. Avoid underwear wherever possible – not a good idea though if you are going to work and wearking a skirt! Around the home and overnight is a good start.

• Avoid tight jeans or trousers where possible – opt for skirts if you can.

• Candida albicans thrive in moist, warm environments so try to avoid long, hot baths.

• Good old Gentian Violet in an aqua or water Base is still extremely effective for vag thrush (just messy & ‘out there’ being bright purple) especially good for nipples & babies mouths as it is very liquid & soaks into all the crevices in the tissues which a gel like Daktarin cannot.

• Douching isn’t recommended in pregnancy even though it’s effective whilst non-pregnant

• Try avoiding yeast – lot of women swear that yeast in their diet increases the growth of candida. It’s often present in iron tonic supplements so check list of ingredients when taking these.

• High levels of sugar in diets seems to be a very common culprit, look to amending the diet primarily.

Not at all. If you have thrush when you go into labour, there is a small chance that your baby will catch it as he or she comes through the vagina. If a baby has thrush this is often seen as white patches in the baby’s mouth, but it isn’t serious and is easily treated.

If your baby does get thrush in the mouth, this may be passed back to you through breastfeeding and you can keep re-infecting each other, so it’s important that you treat the both of you at the same time. Fast Tract is safe for babies, you can give them 1ml.

If your baby has passed thrush onto you, you may experience sore, tender nipples and a ‘shooting’ pain while breastfeeding you baby. The shooting pains may also occur after feeding, and seem to radiate from the nipple right through to the back of the breast. It’s pain which can make the eyes water and it can create so much tension in mum prior to feeding that it makes for an unpleasant experience and you may have feelings of wanting to give up breastfeeding. So before you do this, make sure you seek the services of a qualified Lactation Consultant (ideally an IBCLC – International Board Certified Lactation Consultant), who can come to your home and help identify any problems and/or diagnose any possible thrush, getting you on the road to more pleasant feeding!

You can locate Lactation Consultants through the following organisations:

Australian Lactation Consultants Organisation

Network of Australian Lactation Colleges

National Board of Lactation Consultant Examiners

This article is written by Kelly Zantey and contains contributions made by Midwife, Brenda Manning (MIPP). It is copied with permission.