STUDY OF BACTERIAL VAGINOSIS IN PREGNANCY

Abstract

AIM Ÿ To screen and diagnose bacterial vaginosis during rst two trimesters of pregnancy. Ÿ To give early treatment for bacterial vaginosis during rst two trimesters of pregnancy and prevent obstetric complications. METHODS – Pregnant women tting in the inclusion criteria are recruited and explained about the procedure. Informed consent and ethics committee clearance is obtained. Vaginal smear is sent for microscopy. Vaginal pH is detected. Amine (shy) odour in wet mount examination is identied. AMSELS score and NUGENTS criterion are applied. Positive specimens are sent for antibiotic culture and sensitivity and treatment is initiated accordingly. Afollow up is kept for all patients diagnosed as bacterial vaginosis to see the outcome of their pregnancy. CONCLUSION - Prevalence of Bacterial vaginosis in my study is 29.2%. BV in pregnancy is common among low socioeconomic status, multigravida, and less educated females. It is associated with signicant risk of miscarriages, preterm labour and PROM. Universal screening of all pregnant women at booking visit may be recommended to initiate treatment with metronidazole / clindamycin in those women at risk for preterm delivery, symptomatic women and before surgical abortions.