THE ASSOCIATION OF BACTERIAL VAGINOSIS WITH ADVERSE PREGNANCY OUTCOMES
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 50
Abstract
BACKGROUND Bacterial Vaginosis (BV) is a vaginal disease in which lactobacilli-dominated vaginal flora is exchanged with an abundant complex flora dominated by strict and facultative anaerobic bacteria. It has been associated with significant obstetric complications such as preterm delivery, Premature Rupture of Membranes (PROM), chorioamnionitis and postpartum endometritis. The aim of the study is to assess the prevalence of BV and evaluate its correlation with adverse pregnancy outcomes. MATERIALS AND METHODS An observational study was conducted in a tertiary care hospital from February 2015 to January 2017. Seven hundred and fifty antenatal patients admitted or attending antenatal outpatient department of a tertiary care hospital were included in the study. Appropriate clinical evaluation of BV was made and gram-stained vaginal smears were examined by application of Nugent’s criteria. Adverse pregnancy outcomes associated with BV was evaluated. RESULTS Among the 750 women evaluated, 542 (72.26%) women had normal vaginal microflora, 64 (8.53%) had intermediate flora and 144 (19.2%) had BV. The study of BV associated adverse pregnancy outcomes revealed 72% preterm cases, 90% of PROM and 100% of postpartum endometritis cases were associated with BV. CONCLUSION Bacterial vaginosis was significantly associated with preterm labour, PROM and postpartum endometritis. Therefore, the screening of antenatal cases for BV and maintaining a high index of suspicion for the obstetric complications is a must in antenatal BV cases.
Authors and Affiliations
Jalagadugula Venkata Narasimha Rao, Jalagadugula Chandini
Keywords
Related Articles
- EP ID EP220191
- DOI 10.18410/jebmh/2017/602
- Views 136
- Downloads 0
EFFECT ON BONE METABOLISM IN PATIENTS WITH TYPE 2 DIABETES MELLITUS OF ORAL HYPOGLYCAEMIC AGENTS
BACKGROUND This study evaluated the effect of treatment of many oral hypoglycaemic agents on bone metabolism in patients with type 2 diabetes mellitus and occurrence of osteoporosis. MATERIALS AND METHODS This cross-sect...
EPIDURAL STEROID REDUCES DISCOGENIC PAIN IN ACUTE FLARE UP OF DEGENERATIVE DISC DISEASE WITH MODIC CHANGES THAN CONSERVATIVE MANAGEMENT
BACKGROUND Epidural Steroid Injection for radicular pain is an Effective method of treatment. No conclusive evidence exists to compare the efficacy of Epidural steroid injections (ESI) and conservative Management in Acut...
DIAGNOSTIC APPROACH TO MYELOPROLIFERATIVE NEOPLASMS (MPNS)
BACKGROUND MPNs are caused by clonal proliferation of a pluripotent haematopoietic progenitor. They neoplasms are characterised by an excessive production of mature blood cells of myeloid lineage, which are independent a...
STUDY OF ANTIOXIDANT STATUS IN TYPE-II DIABETIC RETINOPATHY CASES
Diabetic Retinopathy is a progressive disorder. It is the most common cause of blindness in people aged 30-60 years. The retina has high content of polyunsaturated fatty acid and glucose oxidation relative to any other t...
MISSED WOODEN INTRA-ORBITAL FOREIGN BODY: A DIAGNOSTIC CHALLENGE
PRESENTATION OF CASE A forty-five-year-old male presented to the outpatient department with persistent swelling and a discharging wound in the left upper eyelid since the past one year. He had a history of an injury whil...