Infection in pregnancy

We discuss some common infections that you may be more susceptible to in pregnancy, including urine and kidney infections, sexually transmitted infections, and colds and flu.

The immune system can be less effective in pregnancy, possibly to prevent women rejecting their babies. This may make women more susceptible to infection including urine and gum infections, infectious diseases, cold and flu, sepsis and sexually transmitted infections. If in doubt about pregnancy symptoms or infections, always consult your midwife or GP.

Urine infections

Urine infections are more common in pregnancy because tissue relaxation may prevent your bladder from completely emptying, and the urine left behind can become infected. You may also be more susceptible to cystitis (an infection of the bladder that makes passing urine painful, often with a burning sensation). Sometimes infections can back-track to the kidneys, causing pain and nausea.

Gum infections

You may get a gum infection (gingivitis) when you are pregnant, as the gums tend to swell during pregnancy so that brushing your teeth causes bleeding more readily. Use a soft brush, and speak to your dentist if you are concerned.

Infectious diseases

Some infections can cause problems with the development of the baby, particularly in early pregnancy. These include German Measles (rubella) and chickenpox.

If you are worried about exposure to German Measles or chickenpox, discuss your immunity with your midwife. If you have any symptoms of chickenpox, seek medical help immediately, as you may need an antiviral drug. 

Colds and flu

Flu can be serious in pregnancy and pregnant women are advised to have the seasonal flu vaccine. If you have a cold or flu, get plenty of rest and fluids. Lower your temperature with cold flannels, and with paracetamol, as long as you do not exceed the stated dose over 24 hours.

Some cold and flu preparations contain other drugs, so check with the pharmacist that they are sutiable for use in pregnancy. 

Sepsis

Sepsis is an illness that can develop in some pregnant women, as well as in women who have recently had a baby or babies. Sepsis that occurs during pregnancy is called maternal sepsis. Sometimes called blood poisoning, sepsis is the body’s inflammatory response to infection, but it can overload the body’s ability to cope.

With sepsis, the immune system goes into overdrive, and the chemicals it releases into the blood to combat infection trigger widespread inflammation. This inflammation leads to the formation of small blood clots and leaky blood vessels that block the flow of blood to the vital organs. In the most severe cases (septic shock), blood pressure falls to dangerously low levels, multiple organs fail, and the patient can die. Symptoms of sepsis include fever, rapid breathing, and a fast heart rate. Sepsis, which often progresses rapidly, can be treated in its early stages with antibiotics alone.

Diagnosing sepsis in a pregnant woman or one who has recently given birth can be challenging. Pregnancy and delivery causes many changes in the body, including a faster heart beat, changes in blood pressure, and faster breathing. Usually, these are signs that may alert a healthcare professional that there may be something wrong, such as an infection. Also, many women get chills and sweat heavily after giving birth. They may also have pain, or feel dizzy or light headed.

Women who are pregnant or have recently given birth need to be aware that if they are not getting better after being prescribed antibiotics, for example if they continue to have high fevers, extreme shivering or pain, they should get further advice from their doctor or midwife urgently.

Sexually transmitted infections

Sexually transmitted infections may include HIV, Hepatitis B and C and genital herpes. Sexually transmitted infections can affect the health of you and your baby but may have no symptoms. If there is a chance you might be infected you should see your doctor or midwife. Alternatively, you could visit the nearest genito-urinary medicine (GUM) clinic or sexual health clinic (where your confidentiality is guaranteed).

Further information

NCT's helpline offers practical and emotional support in all areas of pregnancy, birth and early parenthood: 0300 330 0700. We also offer antenatal courses which are a great way to find out more about birth, labour and life with a new baby.

More information on infections in pregnancy, including sexually transmitted infections and blood poisoning can be found on NHS Choices. There is also an A-Z of common health problems which lists several common infections, and you can search for your nearest sexual health clinic.