Right Decisions
Antimicrobial prescribing: NHS Lothian
Specialty guidelines
Obstetrics and gynaecology
Obstetrics
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Genital infections in pregnancy and breast feeding
Trichomonas in pregnancy and breastfeeding

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Trichomonas in pregnancy and breastfeeding

Antimicrobial prescribing: NHS Lothian

NHS Lothian

If discharge is frothy, yellow and offensive with vulval itch or soreness and dysuria, consider trichomoniasis.

Antimicrobial Recommendation

Metronidazole 400mg every 12 hours orally for 7 days

Notes

Treat sexual partner(s) simultaneously. And advise patients to avoid sexual intercourse for at least 7 days and until they and their partner(s) have completed treatment and follow-up.
In all cases, obtain a sexual history and test for other STI. DISCUSS with staff at the Chalmers Centre if you need help with contact tracing or if you are concerned that the woman is at ongoing risk of HIV, syphilis or hepatitis B/C
Meta-analyses have concluded that there is no evidence of teratogenicity from the use of metronidazole during the first trimester of pregnancy. Metronidazole can be used in all stages of pregnancy and during breast feeding, although the taste of breast milk may be affected.