Page 334 - Critical Maternity & Newborn Health Nursing

It is also called moniliasis or yeast infection.

C/P: The woman with (VVC) often complains of thick, curdy vaginal discharge,

severe itching, dysuria, and dyspareunia. A male sexual partner may experience a

rash or excoriation of the skin of the penis, and possibly puritus. The male may be

symptomatic and the female asymptomatic. On physical examination, the woman’s

labia may be swollen and excoriated if puritus has been severe. A speculum

examination usually reveals thick, white, tenacious, cottage cheese-like patches

adhering to the vaginal mucosa.

TTT: The nurse can recommend gentle bathing of the vulva with a weak sodium
bicarbonate solution to relieve the woman’s experience of discomfort because of

purities. The nurse also can discuss with the woman the factors that contribute to
the development of VVC and suggests ways to prevent recurrences, such as

wearing cotton underwear, and avoiding douching and vaginal powders or sprays
that may irritate the vulva. Women taking antibiotics should be advised about the

possibility of developing VVC and encouraged to seek treatment early if symptoms

develop.

Fig.,( 38 ) Candidiasis infection of the vagina adopted from

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