What is the recommended action for women experiencing bacterial vaginosis with a history of preterm labor?

For women experiencing bacterial vaginosis, especially those with a history of preterm labor, consulting a healthcare professional is the recommended action. This recommendation is based on the increased complexity and potential risks associated with bacterial vaginosis during pregnancy, particularly for women who have had previous instances of preterm labor. A healthcare professional can conduct a thorough assessment, provide a proper diagnosis, and determine the most appropriate treatment plan based on the individual's medical history and current condition. This might include safe prescription medications or more intensive management to prevent complications.

In contrast, continuing treatment without referral may overlook underlying issues or fail to address the specific needs of the pregnant individual. Using over-the-counter medication could be inadequate or unsafe during pregnancy, as not all medications are suitable for use in this population. Self-referring to a specialist without prior consultation could lead to a lack of coordinated care and potentially delay necessary treatment. Each of these alternatives lacks the tailored approach that a professional consultation can provide, particularly in cases with additional risk factors like a history of preterm labor.