Abstract
Increased vaginal discharge in pregnant women in many instances is not pathological. Vulvovaginal infections like bacterial vaginosis (BV), candidiasis or trichomoniasis can result in abnormal vaginal discharge. Bacterial Vaginosis is diagnosed more frequently in women with established preterm labor (PTL) or delivery and with preterm rupture of membranes. Adverse pregnancy outcomes such as spontaneous abortion, PTL, premature delivery, preterm premature rupture of the membranes (PPROM), amniotic fluid infection, postpartum endometritis, and post-cesarean wound infections have been reported. We conducted this study to determine the prevalence of bacterial vaginosis in 246 pregnant women and its association with adverse perinatal outcomes. Prevalence of bacterial vaginosis in pregnant women attending the antenatal clinic was studied using Nugent’s scoring system. Perinatal outcomes were also assessed.The prevalence of bacterial vaginosis was maximum in the age group 21-25 years (46.43%), followed by 26-30 years (25%). The association of perinatal outcome and bacterial vaginosis among patients showed that PROM, LBW and IUGR infant had more bacterial vaginosis with a statistically significant association with bacterial vaginosis (P<0.05). Bacterial vaginosis is a major public health problem prevalent in pregnant women and associated with adverse perinatal outcomes. Research should continue to evaluate the risks and benefits of medications to the mother and fetus. More focus needs to be placed on the prevention of preterm labor and premature rupture of membranes rather than the treatment of preterm labor once it occurs.
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More From: Indian Journal of Obstetrics and Gynecology Research
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