Prevalence of bacterial vaginosis in preterm and term labour: a one year study

Kiran, Chembetei Kavitha; Kandati, Jithendra; Ponugoti, Munilakshmi

doi:10.18203/2320-1770.ijrcog20172072

Cited by 3 publications

(3 citation statements)

References 13 publications

(13 reference statements)

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“…Similar results are also reported by Kiran et al, Bitew et al and Rose et al [7][8][9] Previous history of sexually transmitted infections was seen in 16% versus 4% in preterm and term labour group with p value of 0.0455. According to Gonclaves et al intrauterine infections are a major cause of preterm labor, with or without intact membranes and accounts for approximately 25% of cases.…”

Section: Resultssupporting

confidence: 89%

Study of prevalence of bacterial vaginosis in preterm and term labour patients

Shree

Kaur

Dhillon

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: Bacterial vaginosis (BV) is a clinical condition caused by replacement of the normal hydrogen peroxide producing Lactobacillus species with high concentrations of aerobic and anaerobic bacteria. Studies have shown that spontaneous abortion, preterm labour (PTL), premature birth, preterm premature rupture of membranes, amniotic fluid infection, and postpartum endometritis are increased because of infection with BV. In India, not many studies have been done to estimate the prevalence and association of BV with preterm labour, hence this study is being taken up to know the prevalence of BV in preterm and term labour patients and its relationship with preterm delivery, low birth weight of baby and puerperal sepsis.The objective of the present study was to observe the prevalence of bacterial vaginosis in women presenting with preterm and term labour, its impact on preterm and term delivery and to analyze the maternal and fetal complications associated with BV.Methods: An observational study involving 100 patients with preterm and term labour (50 patients in each group) was conducted at a BNMCCC, Government Medical College, Amritsar. Women fulfilling the Amsel’s criteria and/or a score of 7 or more on gram staining of vaginal smears (Nugent’s score) was considered to have bacterial vaginosis.Results: The proportion of patients, who fulfilled Amsel’s criteria and/or a Nugent’s score of 7 or more for the diagnosis of BV, was more in PTL group versus term labour group, and the difference was statistically significant. Prevalence of BV in preterm labour and term labour patients was 18(36%) versus 4(8%) respectively. In PTL group, 27.8% of low birth weight neonates were born to BV positive mothers versus 3.1% were born to BV negative mothers. Maternal postpartum complications observed were 33.3% with BV versus 6.25% without BV in PTL group.Conclusions: BV is major risk factor for PTL. Therefore, the testing and prompt treatment of BV may reduce the risk of PTL. This will also go a long way in the prevention of maternal morbidity and neonatal complications due to prematurity.

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Section: Resultssupporting

confidence: 89%

Study of prevalence of bacterial vaginosis in preterm and term labour patients

Shree

Kaur

Dhillon

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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show abstract

“…Bacteria vaginosis is a common problem occurring among pregnant women and studies have consistently shown BV to be a risk factor for adverse obstetric and gynecological outcomes such as pre-term labor and delivery [8, 15, 16], premature rupture of membranes, low birth weight [17], spontaneous abortion [18], postpartum infections such as endometritis [19] and caesarean section wound infections [20]. Since most cases remain asymptomatic early detection, especially among pregnant women is essential for timely treatment and prevention of related complications and poor pregnancy outcomes.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of bacterial vaginosis and associated risk factors in pregnant women receiving antenatal care at the Kumba Health District (KHD), Cameroon

Kamga

Ngunde

Akoachere

2019

BMC Pregnancy Childbirth

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Background Bacterial vaginosis (BV) is a common reproductive tract disorder in women of child bearing age, accounting for one third of vaginal infections. It is characterized by an increase in vaginal pH, decreased Lactobacilli, and overgrowth of facultative and anaerobic bacteria. Studies have consistently shown BV to be a risk factor for adverse obstetric and gynecological outcomes. BV is believed to play a critical role in the transmission of sexually transmitted infections. Its aetiology and risk factors are poorly understood. This study determined the prevalence and risk factors for BV among pregnant women in Kumba Health District (KHD) Cameroon to generate findings that could guide the design of interventions for prevention of infection and associated poor pregnancy outcomes. Methods A structured questionnaire was administered to 309 women seeking antenatal care (ANC) in three health facilities in KHD between May to July 2016, to capture data on demographic, gynecological and obstetric characteristics, and hygiene behavior. High vaginal swabs (HVS) collected from these women were gram stained, examined under a microscope and BV evaluated by Nugent scoring. Chi square (χ 2 ) test was used to determine the relationship between BV and factors investigated. Statistical significance was set at p < 0.05. Results The prevalence of BV was 26.2%. Nine point 1 % of participants had a mixed infection with Candida . BV was higher (29.5%) in participants from the rural area (χ 2 = 8.609. P = 0.014), those who did not use antibiotics (31.9%) prior to the study (χ 2 = 12.893, P = 0.002) and women with no history of a genital tract infection (χ 2 = 18.154, P = 0.001). There was a significant difference in prevalence with respect to gestation age (χ 2 = 13.959, P = 0.007) with the highest occurring in women in the second trimester (31.7%). Women who practiced douching (χ 2 = 23.935, P = 0.000) and those who did not wash pants with disinfectant (χ 2 = 7.253, P = 0.027) had a high prevalence. Conclusion BV could be a health concern among pregnant women in study area. BV prevalence was affected by some hygiene behaviors, socio-demographic and clinical factors. Screening and treatment of positive cases during antenatal visits to prevent adverse outcomes, as well as education of women on vaginal hygiene is highly recommended.

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“…The present study revealed significant association of BV with pregnancy (p = 0.013). BV is common problem in pregnant women and studies by Afolabi et al [48], Das et al [49], Kiran et al [50], Isik et al [51] showed BV to be a risk factor for adverse obstetric and gynaecological outcomes.…”

Section: Discussionmentioning

confidence: 99%