The Bacterial Vaginosis among Pregnant Women in Jatinangor

Abstract

Background: Bacterial vaginosis (BV) is polymicrobial that causes superficial vaginitis due to a shift in vaginal flora. In pregnant women, BV can result in a significant risk of some serious consequences. The objective of this study was to identify the BV prevalence and to explore the characteristics and personal hygiene practices among pregnant women. Methods: This study was conducted in Desa Cipacing, Jatinangor, using the cross-sectional descriptive method, including pregnant women. The BV was detected by Gram-stained vaginal smears using Nugent Score. Furthermore, other microorganisms such as trichomoniasis and candidiasis were detected by direct microscopic observation. The questionnaire was distributed, consisting of details of personal hygiene practices. Results: In total, 17.9% of 52 pregnant women included were diagnosed with BV and 14.3% with mixed infection. Pregnant women with BV were predominantly aged younger than 25 years (61.1%), nullipara (50%) and in a second-trimester pregnancy (50%). Conclusions: Bacterial vaginosis (BV) is common among young pregnant women, predominantly in their first pregnancy. It is related to personal hygiene practices, indicating the need for targeted interventions of healthcare education among these young pregnant women to reduce the BV prevalence.

Prevalence of bacterial vaginosis and aerobic vaginitis and their associated risk factors among pregnant women from northern Ethiopia: A cross-sectional study

“…To evaluate the presence of clue cells (epithelial cells with hazy borders due to the attendance of bacteria) for BV, parabasal cells (sign of severe epithelial inflammation), better distinction between toxic and normal leukocytes, and recognition of lactobacillary grades for AV, the wet mount was prepared from vaginal discharge on the slide examined by the high power (400x) of the microscope [9,30].…”

“…It is well known that unfavorable outcomes of early pregnancy including premature rupture of membranes (PROM), chorioamnionitis, preterm delivery, spontaneous abortion, and low birth weight can be exacerbated by BV during pregnancy [8][9][10]. Likewise, AV without diagnosis or treatment, can cause perinatal complications such as preterm birth, PROM, and fetal infections in pregnant women [11][12][13][14].…”

Untitled

“…Angka kejadian BV pada ibu hamil di Asia cukup tinggi di antaranya sebesar 13,6% di Jepang, sebesar 15,9% di Thailand, dan sebesar 18% di Indonesia. [3][4][5] Tingginya prevalensi BV pada ibu hamil sebagai akibat adanya pergeseran pola keanekaragaman mikrobiota vagina pada ibu hamil. Perubahan fisiologis yang terjadi selama kehamilan dapat mengganggu keseimbangan ekosistem dan membuat wanita rentan terhadap mikrobiota yang berpotensi patogen termasuk saat kehamilan.…”