Abstract

Bacterial vaginosis (BV) is the most common cause of vaginal discharge in women of child bearing age. About half of these women are asymptomatic. Adverse outcomes are consistently associated with bacterial vaginosis in pregnancy and in the puerperium. This study, which was done to look at the prevalence, involved recruiting 230 participants, and screening them for BV using the Amsel’s criteria. It is hoped that identification and treatment of these women will help prevent some of the sequela associated with BV. Restoration of the vaginal microflora by treating identified cases of BV will also help reduce the transmission of HIV and herpes simplex virus (HSV) as BV propagates their replication and vaginal shedding. Two hundred and thirty women in the age range 16 - 40 years were screened for BV. All the participants douched, soap and water being predominantly used. 55 women (23.9%) had BV based on Amsel’s criteria. Women with only one sexual consort had the highest incidence of BV (51.9%).

Highlights

  • Bacterial vaginosis is the most common cause of vaginal discharge in women of childbearing age [1] [2] [3] [4]

  • Restoration of the vaginal microflora by treating identified cases of Bacterial vaginosis (BV) will help reduce the transmission of HIV and herpes simplex virus (HSV) as BV propagates their replication and vaginal shedding

  • Prematurity as a result of bacterial vaginosis infection can be prevented if pregnant women infected with bacterial vaginosis are identified and treated

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Summary

Introduction

Bacterial vaginosis is the most common cause of vaginal discharge in women of childbearing age [1] [2] [3] [4]. Observational studies have consistently shown that an association exists between bacterial vaginosis and adverse pregnancy outcome [2]. These include preterm delivery [2] [6] [7], preterm premature rupture of membranes, postpartum endometritis [8]. Long standing or untreated bacterial vaginosis may lead to more serious sequelae, such as endometritis, and salpingitis [10]

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