Clumpy white discharge pregnancy
Vaginal Discharge During Pregnancy | Types and Symptoms
By Ashley Parker, MD, Obstetrician and Gynecologist—Virtua Ob/Gyn - Voorhees
During pregnancy, you may notice changes in your vaginal discharge. Even before pregnancy, vaginal discharge can vary from day-to-day or week-to-week. This is because of hormonal changes that take place during the menstrual cycle.
When you’re pregnant, those hormonal changes are even more significant. This can lead to some normal variations in vaginal discharge. However, you shouldn’t ignore certain types of vaginal discharge, especially during pregnancy.
If you’re pregnant, here’s what you need to know about vaginal discharge color changes that may require treatment.
White or off-white
White or off-white, thin, mostly odorless discharge during pregnancy is called leukorrhea. Leukorrhea happens for several reasons, including:
- The high estrogen levels women experience during pregnancy
- The cervix creating more mucus to protect the pregnancy
- An increased blood flow to the vaginal walls
Nearly every pregnant woman experiences this but it’s not dangerous or bad – just annoying. You can use a panty liner or pad if it’s bothersome. Avoid tampons and douching, as they can introduce harmful bacteria into the vagina. Washing with warm water is sufficient.
Clumpy and white or off-white
If you experience thick or clumpy discharge, it may be because yeast is present. About 1 in 4 women have vaginal yeast overgrowth during pregnancy.
Yeast or a yeast infection won’t hurt the baby, so there’s no need to hit the panic button. You’ll want to talk to your ob/gyn or midwife, however, if you experience burning or itching and need relief. Most prescription and over-the-counter remedies are safe during pregnancy, but it’s best to ask about what’s best for you.
Yellow or green
If you experience darker yellow or green discharge that has a strong, unpleasant odor that’s accompanied by burning or itching, call your doctor or midwife. These are signs of two common vaginal infections: bacterial vaginosis (the overgrowth of common bacteria that causes vaginal inflammation) or trichomoniasis (a sexually transmitted infection caused by the parasite trichomonas vaginalis).
These symptoms alsomay be a sign of other sexually transmitted infections, such as gonorrhea or chlamydia. These infections may increase the risk for premature rupture of the membranes and early delivery. They also can cause infection in your baby’s eyes or lungs if present during delivery. Therefore, it's important to seek treatment promptly from your provider. These infections are treated easily with prescription medications that are safe to take during pregnancy.
Brown or red
Generally, red or brown bloody discharge isn’t considered “normal” during pregnancy and is a reason to call your doctor or midwife. At the same time, many things can cause bloody discharge that aren’t related to a pregnancy complication. Before you panic, talk to your health care provider and describe the situation. He or she will help you determine the appropriate next steps.
Watery and clear or light yellow
If you experience a gush or continuous trickle of watery and clear or light yellow fluid during pregnancy, it may be either urine or amniotic fluid.
It’s common to experience incontinence (the involuntary loss of urine) during pregnancy, especially in later stages when your growing baby is pressing on your bladder. However, it can be challenging to know whether you’re leaking urine or amniotic fluid. When in doubt, call your ob/gyn.
If you’re ever unsure about a symptom, always call your provider instead of worrying that something is wrong.
Have you signed up for childbirth class?Virtua Health is offering both live maternity support and breastfeeding classes via Zoom meeting, as well as online, interactive courses, including childbirth preparation, baby basics, breathing and relaxation, and more. See all of the available classes.
Updated January 14, 2022
What’s Normal and What’s Not
When you become pregnant, you of course expect your body to change—but you probably never considered how pregnancy would affect your vaginal discharge. Surprise!
Even immediately after conception, the consistency, color and odor of your pregnancy discharge is likely to change due to hormone fluctuation. And if you’re not up to speed on those changes, things can sometimes look strange or feel pretty wet down there. Right off the bat, you may find yourself with questions about your early pregnancy discharge—like, should my discharge look that color? Is this smell normal? And when should I be concerned?
Knowing what to expect is important, which is why we’ve talked to experts to get the lowdown on what’s normal vaginal discharge during pregnancy, what your vaginal discharge color might mean (and trust us, there’s a rainbow of possible discharge colors) and when you should call your doctor. Follow our guide to find out everything you need to know about pregnancy discharge.
In this article:
What is leukorrhea?
What is normal vaginal discharge during pregnancy?
What your vaginal discharge color means during pregnancy
Vaginal discharge color chart
How to deal with pregnancy discharge
When to call the doctor
What Is Leukorrhea?
Before we dive into the different types (and colors) of pregnancy discharge you may experience, let’s first address leukorrhea. Leukorrhea is the medical term for the normal discharge you can expect to see in the early stages of your pregnancy. You might see white-ish clear, mild-smelling vaginal discharge, which can be evident within the first weeks of conception, says Nicolle S. Underwood, MD, an obstetrician at Pacific Women’s Healthcare Associates in Irvine, California. In this phase of your pregnancy, your body is experiencing higher levels of estrogen that increase blood flow to your pelvis, which in turn triggers the mucous membranes to ramp up production, leading to more discharge than you may be used to. That white pregnancy discharge can take some women by surprise, rest assured, it’s totally normal vaginal discharge during pregnancy.
What is the purpose of leukorrhea?
While it may seem like a nuisance at times, leukorrhea actually serves several purposes during the course of your pregnancy. This early pregnancy discharge helps protect your birth canal from infection and helps maintain a healthy level of bacteria. Leukorrhea also helps flush out dead cells from the vagina.
What Is Normal Vaginal Discharge During Pregnancy?
We’ve established that your discharge will likely change when you’re expecting—so what does pregnancy discharge look like? You will likely see what we just referred to as leukorrhea.
Also, don’t be alarmed; there also tends to be more discharge during pregnancy due to the extra hormones circulating, such as estrogen and progesterone. Estrogen can thin out your pregnancy discharge, while progesterone thickens it, explains Kimberly Langdon, MD, an obstetrician and medical advisor for digital health company Medzino. Plus, the glands of the endocervix (the opening to the uterus) produce more mucus during pregnancy (which, fun fact, results in the mucus plug).
On top of all that, as pregnancy progresses, your full uterus can get in the way of your bladder completely emptying, making it possible for small urine leaks as well, which can add to the feeling of wetness down there. You also may find that your pregnancy discharge smells different than usual, which is also due to—you guessed it—hormonal fluctuations. Is this normal? Yes!
Your discharge may get thicker and stickier during late pregnancy, and it’s not uncommon to see mucus (which may be clear or red-tinged) during the last few weeks of your pregnancy. This is your mucus plug—aka the clump of mucus that helps keep the opening of the cervix closed. You can lose parts or all of your mucus plug, typically after 37 weeks. It can be a sign that labor is on its way, but it’s by no means a guarantee. If you lose it before 37 weeks, give your doctor a call, as it can be a potential sign of preterm labor.
What Your Vaginal Discharge Color Means During Pregnancy
What if your pregnancy discharge color isn’t white or clear? It doesn’t mean anything is wrong. For example, you may also see some spotting in the week following conception. Called implantation bleeding, this is due to the fertilized egg attaching itself to the uterus. While slight spotting throughout pregnancy—think: a few specks of blood on your underwear or a streak when you wipe—isn’t atypical, it’s something an obstetrician would want to discuss and monitor, says Underwood, so let your doctor know if you see any blood.
Here’s a full rundown of the vaginal discharge colors that may make an appearance in your underwear during pregnancy:
Clear vaginal discharge
More commonly referred to as leukorrhea, this early pregnancy discharge is made of cervical and vaginal secretions and is normal. It can show up almost immediately after conception and may continue throughout the pregnancy.
Clear, stringy, mucusy vaginal discharge
During late pregnancy, this discharge is likely part of the mucus plug. This may come out all at once (think: a tablespoon of a jelly-like substance) or may come out in bits and pieces during the last weeks of pregnancy.
Cream-colored vaginal discharge
Leukorrhea can also have a whitish hue (like the color of skim milk). If the white vaginal discharge is clumpy and accompanied by itching or burning, however, you may have a yeast infection. Yeast infections are common during pregnancy due to hormonal shifts and a changing pH in the vagina. It’s a good idea to check in with your doctor before treating yourself; while your doctor may suggest an over-the-counter treatment, it’s important to rule out any other issues.
Tan vaginal discharge
Vaginal discharge color resembling the hue of creamy coffee could also signify a yeast infection. The discharge may also be clumpy and have an unusual odor, Underwood says.
Dark brown vaginal discharge
Dark brown discharge during pregnancy could be dried blood leaving your body, Underwood explains. A few streaks when you wipe may be normal—especially if the brown is a jelly-like consistency, which could be part of your mucus plug—but more than a few streaks should be discussed with your doctor.
Green vaginal discharge
Green, foul-smelling pregnancy discharge could be a sign of an infection like chlamydia or trichomoniasis, Langdon says. This may be accompanied by itching or burning.
Yellow vaginal discharge
Yellow discharge during pregnancy could also be a sign of an infection. Keep in mind, an occasional splotch of yellowish discharge on a panty liner or underwear could simply be dried urine and is nothing to worry about.
Gray vaginal discharge
Thin, fishy smelling, gray vaginal discharge could signify an infection like bacterial vaginosis (BV), which requires treatment from a doctor, Langdon says.
Pink vaginal discharge
Pink or pink-streaked discharge signifies blood. It doesn’t necessarily indicate anything is wrong, but it’s a good idea to discuss with your doctor right away to determine the cause of the spotting.
Red vaginal discharge
While heavy bleeding or discharge containing clots may be a sign of miscarriage, smaller amounts of blood—more than a few specks or streaks—also warrant medical attention. Any persistent spotting or heavier bleeding in early pregnancy should be evaluated by your doctor with an exam and an ultrasound. “Bleeding in the first trimester does not mean that you’ll inevitably have a miscarriage,” Langdon says. Instead, it could be a sign of an infection or could indicate an issue like placenta previa, where the placenta lies over the cervix. This isn’t an emergency, but it does require monitoring.
Vaginal Discharge Color Chart
Image: Lindsey Balbierz
How to Deal With Pregnancy Discharge
There’s really no way to reduce discharge during pregnancy—but you wouldn’t want to, anyway. It’s your body’s natural way of expelling bacteria that could harm both you and baby. The best way to deal with pregnancy discharge is to keep the area dry and clean.
Wearing cotton underwear and a pantyliner or changing underwear once a day can keep you feeling fresh and can also make it easier to monitor anything amiss. If you have heavy discharge, you can always use a pad for extra protection. However, steer clear of tampons and douches, Underwood warns, as putting anything in the vagina during pregnancy could increase your risk of infection. You also don’t need to use any wipes; remember, your vagina naturally cleans itself. Plus, wipes can also potentially change the pH levels in your genital tract and lead to infection.
When to Call the Doctor
If you’re ever nervous about your vaginal discharge during pregnancy, don’t hesitate to call your doctor, who’ll want to hear if anything is unusual for you, especially if the discharge is accompanied by pain, itching or burning. “We talk about this all day, so if you have any questions, we want to know,” Underwood says.
If you begin experiencing any of the following signs or symptoms related to your pregnancy discharge, contact your doctor:
- Burning
- Itching
- Pain
- Foul odor
- Swelling
- Discharge with blood (while it’s not uncommon to see some blood in your discharge, if your discharge is bloody and watery, call your doctor)
- Discharge that is green, yellow or grey
- Discharge that is frothy or watery
Note that intercourse can change the consistency of your vaginal discharge during pregnancy. Keeping track of when those changes happen—for example, seeing a few streaks of pink discharge after having sex—can help you monitor your pregnancy discharge and give your doctor a heads up about any concerning patterns you may notice.
During later pregnancy, if you’re experiencing significant dampness, it could potentially signal an amniotic rupture that needs immediate attention. Since amniotic fluid is clear and odorless, it can be hard to discern from typical pregnancy discharge. One way to assess: Put on a new pair of underpants or a new pantyliner for an hour. If you’re noticeably damp or wet after an hour, Underwood says, it may be a good idea to call your doctor.
You’re going to notice a lot of changes in your body during the course of your pregnancy, and some of those may show up in your discharge. While leukorrhea is totally normal, it’s important to keep an eye on your discharge as it can tell you a lot about what your body is going through—maybe you notice signs of your mucus plug, which means baby is on the way, or perhaps you discover symptoms of an infection. The more you familiarize yourself with what’s happening below, the more in tune you will be with your body and baby.
About the experts:
Nicolle S. Underwood, MD, is an obstetrician at Pacific Women’s Healthcare Associates in Irvine, California. She earned her medical degree from Sidney Kimmel Medical College at Thomas Jefferson University.
Kimberly Langdon, MD, is an obstetrician and medical advisor for digital health company Medzino. She earned her medical degree from The Ohio State University College of Medicine in 1991.
Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.
Plus, more from The Bump:
The Best Maternity Underwear for Ultimate Comfort
14 Early Signs of Pregnancy
What You Need to Know About Sex During Pregnancy
why they appear in the early and late periods, in the 1st, 2nd and 3rd trimester, what to do at home
Expectant mothers are worried about any changes in the body. Noticing an unusual white discharge, some pregnant women begin to worry. "Komsomolskaya Pravda" together with obstetrician-gynecologist Susanna Grigoryan and obstetrician-gynecologist, ultrasound diagnostics doctor, candidate of medical sciences Daiva Pikauskaite understands in which cases white discharge is the norm, and in which they are dangerous for the woman and the fetus.
Characteristics of white discharge during pregnancy
White discharge is distinguished by the following characteristics.
Color | Available in clear, whitish or light colors. |
Odor | Should normally be absent, but slight sourness is acceptable. |
Structure | There must be no bloody inclusions, lumps, cheesy flakes. |
Consistency | May be slimy, thin, thick or viscous. |
Sensations | Discharge should not be accompanied by pain, burning, itching, swelling of the vaginal mucosa. |
Liquid consistency
Sometimes a thin white discharge seems so normal that it is difficult for a doctor to recognize signs of pathology in them. However, they can be one of the symptoms of an infectious-inflammatory disease. For example, a fishy smell may indicate a violation of the vaginal microflora, and blood streaks - about inflammation of the cervix or its erosion. Also, such discharge may occur due to an allergic reaction to intimate hygiene products or pads.
Cheesy consistency
Cheesey discharge usually indicates candidiasis. May be accompanied by a sour smell, burning and itching. Unpleasant symptoms are aggravated after sexual contact, water procedures and at night. During pregnancy, the disease worsens due to changes in hormonal levels. The danger of pathology for the expectant mother 一 the risk of losing a child. The appearance of symptoms of candidiasis before childbirth increases the risk of infection of the child at the time of his passage through the birth canal.
Creamy consistency
A whitish-transparent creamy discharge due to increased blood flow to the vagina. (1) Congested blood vessels cause temporary disturbances in the functioning of the bladder, ureters, and kidneys. The reproductive system reacts to changes with abundant secretions, similar to cream.
Photo: @mart-production, pexels.comMucus discharge
Mucous discharge that is not accompanied by an unpleasant odor, burning or itching is considered normal. This is the result of the formation of a mucous plug that prevents infections from entering the vagina. The mucous secretion may acquire a milky hue, contain dense clots. The formation of a cork is completed by about the 12th week of pregnancy, then the nature of the discharge changes.
Foamy discharge
A common cause of frothy discharge during pregnancy is trichomoniasis. Illness in the early stages can lead to miscarriage. Self-treatment is strictly contraindicated. Having found foamy discharge, you need to see a doctor as soon as possible and follow all the instructions.
Why white discharge occurs during early pregnancy
– Vaginal discharge without unpleasant symptoms is an absolute norm and is observed in most pregnant women, says obstetrician-gynecologist Daiva Pikauskaite. - From the first to the third trimester, their number increases.
However, there are also warning signs:
- discoloration to reddish or greenish;
- significant and abrupt increase in excretions;
- odor change;
- burning, itching or pain.
Any of these factors is a reason to see a doctor as soon as possible. (2)
1st trimester
Conceiving a child always affects a woman's body. Hormonal changes begin, often accompanied by light or white discharge. Also, the cause of secretion is the fixation of the embryo in the uterine cavity or the formation of a mucous plug that protects the embryo from infection.
Over time, the amount of discharge decreases. They become more viscous and transparent.
Why white discharge occurs during late pregnancy
White discharge is most often safe in late pregnancy.
- Slight, odorless discharge is considered normal. Usually they are transparent or slightly milky in color. The consistency is reminiscent of raw egg white, - says obstetrician-gynecologist Daiva Pikauskaite, - the secretions are mainly protective, preventing ascending infection of the fetus.
2nd trimester
In the 2nd trimester, a thin, white discharge is considered normal. (3) They help keep the vagina healthy. The main thing is that there should be no foreign inclusions and smell. Any deviation from the norm is a reason to contact a gynecologist.
Photo: @amina-filkins, pexels.com3rd trimester
Toward the end of pregnancy, white discharge may indicate the following processes:
- the mucous plug begins to move;
- the head of the fetus is pressed closer to the exit from the birth canal, that is, to the cervix;
- amniotic fluid leakage (usually occurs later in pregnancy).
– In the event of unusual discharge and an increase in its amount, you should immediately consult a doctor. The specialist will assess the nature of the secretions and their volume in order to exclude leakage of amniotic fluid and the presence of infectious and inflammatory diseases, explains obstetrician-gynecologist Suzanna Grigoryan.
How to deal with white discharge during pregnancy at home
– If the discharge does not bother you, then nothing needs to be done about it, especially at home, says Daiva Pikauskaite. - It is only important to observe intimate hygiene, undergo examinations at the doctor on time and take the necessary tests. For any warning signs, it is recommended to consult a gynecologist.
Frequently asked questions and answers
White discharge is most often the norm during pregnancy. However, expectant mothers may be concerned. The most popular questions are answered by gynecologists Daiva Pikauskaite and Susanna Grigoryan.
What should you not do when you notice a white discharge?
If discharge bothers you, do not do the following:
● use medications on your own;
● Douching or sitz baths with medicinal herbs;
● use soap for intimate hygiene, it dries out the mucous membranes, their protective functions are impaired;
● Wear panty liners or synthetic underwear.
How to distinguish amniotic fluid from abundant discharge?
At the end of pregnancy, the amount of discharge increases. Often they become so plentiful that it seems to the expectant mother that her water is leaking. It is possible to distinguish amniotic fluid from secretions.
The discharge is thicker, leaving a dried stain or a characteristic white color on the laundry.
Amniotic fluid is water. It doesn't stretch and doesn't leave marks when it dries.
In case of doubt, it is best to consult a doctor, who will accurately determine the cause. Also, the pharmacy sells special tests that show whether there is water leakage.
Can I use the pool if I have white discharge?
If the discharge does not bother, the pregnant woman can swim in the pool, river, sea and any other body of water. In case of doubt, it is recommended to obtain a doctor's approval.
Sources
- Cervicitis in pregnant women / Sverdlova E.S. // 2010. URL: https://cyberleninka.ru/article/n/tservitsity-u-beremennyh
- Bacterial infections during pregnancy / Zheksembayeva G.K., Zhumadullaeva G.S., Kadirsizova G.K., Musaeva R.G. // 2011. URL: https://cyberleninka.ru/article/n/bakterialnye-infektsii-vo-vremya-beremennosti
- Pregnancy, childbirth, motherhood / Burmistrova E.A. // 2012.
Pregnancy discharge | What are the discharge during pregnancy? | Blog
In the absence of menstruation, girls usually suspect that conception has occurred. However, during pregnancy, the female body may continue to secrete a secret of a different color and character. We recommend that you keep a close eye on everything that happens so as not to miss the development of adverse events. We will talk about how to recognize problem situations during pregnancy in the article.
What secretions can occur during conception
Many women note that immediately after the delay and in the later stages, the nature of the secretion changes. It can be:
- With or without scent.
- Depending on the color - transparent, white, cream, yellow, greenish, bloody.
- According to the consistency - thick, liquid, cheesy.
- As a symptom for assessing the state of health - threatening, safe.
During ovulation, the egg is released from the ovary, its membrane is blown away, a small amount of fluid is released - so it becomes ready for fertilization. At this time, the thick mucus that fills the cervical canal of the cervix becomes less viscous. This makes it easier for the spermatozoa to penetrate and move further into the tubes for fertilization. At this time, you may notice an abundance of clear mucous secretion.
After the fusion of the egg with the spermatozoon, movement into the uterus begins, which must end with implantation in the inner layer. During penetration, its slight detachment may occur - this causes damage to the blood vessels that abundantly penetrate the muscular layer of the uterus. You may see light brown discharge, which is common during pregnancy. The color is due to the fact that the blood has time to clot.
Sometimes the discharge is brightly colored and some women mistake it for early menses. But in this case, a short duration is characteristic, a different shade (dark or scarlet), a slight mark on the linen.
With some features of the structure of the female genital organs (for example, with a bicornuate uterus), after implantation of the embryo in one part, rejection of the endometrium may begin in the other, as is usually the case with menstruation. This rarely happens.
Characteristics of discharge in case of threatened miscarriage
Spontaneous abortion is the rejection of an embryo in the early stages after conception. If at the first signs of pregnancy, you notice spotting, there is a high probability that a miscarriage begins.
Also, miscarriage symptoms include:
- pulling or pressing on the lower abdomen, sacrum, lower back;
- the muscles of the uterus are tense.
The woman may experience cramps. This continues all the time or intermittently. From the vagina there are scarlet or brown discharge during pregnancy, which was previously confirmed. Sometimes the period may be still small, and the first signs did not have time to appear.
After 22 weeks, this phenomenon is called preterm labor. The child in this case is still weak, the organs are not sufficiently developed, and there is little chance of survival.
The following factors increase the risk of miscarriage:
- various diseases;
- progesterone deficiency;
- nervous and physical strain;
- pathologies in the genitals;
- fetal developmental defects.
To confirm the diagnosis, the doctor prescribes an ultrasound scan. If it shows that the fetal heart rate is disturbed, the tone of the uterus is increased, its size differs from normal for this period, hospitalization will be recommended to maintain pregnancy.
What discharge during pregnancy is considered normal
This secretion does not pose a threat to health:
- transparent;
- whitish;
- yellowish;
- odor free;
- mucous;
- without itching, burning, redness of the genitals.
Clear fluid on underwear is a symptom of ovulation. During pregnancy, the activity of ongoing processes in the body increases, so the amount of secretion secreted may increase. However, a violation of the norm is the leakage of amniotic fluid. You can determine the problem with the help of special diagnostic tests that the doctor will prescribe if he has suspicions.
White color, small amount, homogeneous structure should also not cause concern. The increased volume of fluid in this case is associated with increased hormonal activity.
One of the variants of the norm is mucous discharge, which smells of slight sourness. If there is no pain, discomfort, there is nothing to worry about.
Yellow discharge, there are signs of pregnancy, there is no unpleasant odor - everything is in order. Some women had this color before conception, only they did not pay attention. Now there are more of them, therefore more noticeable.
Sometimes a woman observes that the laundry gets wet and there is a smell of urine. This may indicate incontinence due to the constant pressure of the growing uterus. In this case, it is recommended to go to the toilet more often, change underpants twice a day.
What discharge during pregnancy is considered a sign of infection?
White discharge during pregnancy with a cheesy texture is a symptom of thrush (candidiasis). In pregnant women, it is diagnosed quite often - the reason is a change in hormonal levels. The disease is accompanied by itching, redness of the vulva, a strong sour smell. Sometimes external manifestations are not detected, then treatment is not carried out.
Infection is indicated by pain, pain, skin irritation, ulcers, smell of rot or fish, gray or green color, frothy fluid, increased nervousness, large inguinal lymph nodes. The reason may lie in sexually transmitted infections. This includes syphilis, gonorrhea, trichomoniasis, chlamydia and others. They are dangerous because they cause premature birth and fetal developmental defects.
Which discharge during pregnancy should be paid special attention to and should I consult a doctor?
The following indicates that pregnancy is at risk:
- Severe pain in the perineum, bleeding, difficulty defecation, convulsions - these may be injuries to the vaginal mucosa.
- Nausea, profuse vomiting, swelling, headaches, cough, hypertension, bright red secretion are symptoms of hydatidiform mole (abnormal development of the embryo).
- A drop in blood pressure, pallor, weakness, sweating, pulling sensations, bleeding during pregnancy against the background of a lack of growth of hCG in the blood - this is how ectopic attachment manifests itself.
- Isolation of clots, sharp pain, vomiting, diarrhea may indicate a frozen fetus.
If you experience any of these symptoms, contact your doctor immediately.
It is also necessary to contact the clinic if you have been physically abused, had rough sex, had an accident, fell, hit. The likelihood that the situation will be resolved successfully is much higher if you do not delay the visit, listen to the symptoms and take good care of your health.
Remember that although pregnancy is a normal state of health for a woman's body, diagnosis and treatment are different due to the many restrictions on manipulations and medications during pregnancy. That is why diagnosis and treatment during pregnancy should take place only under the supervision of a doctor.