What is the recommended treatment for vaginal candidiasis during pregnancy?

The recommended treatment for vaginal candidiasis during pregnancy is the use of vaginal cream or suppository. This approach is preferred because topical antifungal agents are considered safe during pregnancy and are effective in treating the infection. They can directly target the affected area while minimizing systemic absorption, which is crucial for the safety of both the mother and the developing fetus.

Using intravaginal formulations such as clotrimazole or miconazole has shown effectiveness and carries a lower risk of potential side effects compared to systemic treatments. During pregnancy, it's important to limit the use of oral medications and injections, especially when safer alternatives are available that focus on localized treatment.

Delaying treatment until after pregnancy is generally not advisable, as vaginal candidiasis can lead to discomfort and complications. Thus, the consensus in obstetric care is to utilize safe, effective local therapies during pregnancy.