FREQUENCY OF BACTERIAL VAGINOSIS AMONG WOMEN PRESENTING WITH PRETERM LABOUR
DOI:
https://doi.org/10.69656/pjp.v20i3.1704Keywords:
Preterm labor, Bacterial Vaginosis, FrequencyAbstract
Background: Preterm delivery is of major medical, economic, and social importance worldwide. The incidence is between 5–10% in most developed countries. Both short-term and long-term issues may arise from preterm delivery. Preterm delivery is the cause of almost 85% of long-term disabilities in healthy babies and 75% of new-born deaths. This study aimed to determine the frequency of bacterial vaginosis among women presenting with preterm labour. Methods: This cross-sectional descriptive study was conducted in Department of Obstetrics & Gynaecology, Women Medical College, Abbottabad, and Women & Children Hospital Abbottabad from Jun to Dec 2023. A total of 174 women with preterm labour were included in the study. All women were examined as per Amsel’s clinical diagnostic based on four factors, i.e., Thin grey homogeneous vaginal discharge, fishy smell on Amine test, clue cells of >20% on microscopy, and vaginal pH>4.5. Results: Age limit 15–45 years with mean age of 27.471±3.77 years, mean gestational age 29.546±3.45 weeks, mean parity 1.396±1.45 and mean Gravida was 2.396±1. Bacterial vaginosis was seen in 11.5% patients. Conclusion: There is a correlation between premature labour and bacterial vaginosis. It requires attention to lower morbidity and mortality.
Pak J Physiol 2024;20(3):59–61, DOI: https://doi.org/10.69656/pjp.v20i3.1704
Downloads
References
Crump C. Preterm birth and mortality in adulthood: a systematic review. J Perinatol 2020;40:833–43.
Romero R, Dey SK, Fisher SJ. Preterm labor: one syndrome, many causes. Science 2014;345:760–5.
Suleliffe AG, Derom C. Follow up of twins: health, behaviours, speech, language outcomes and implications for parents. Early Hum Dev 2013;82:379–86.
Al-Dabagh SA, Al-Taee WY. Risk factors for preterm birth in Iraq: a case control study. BMC Pregnancy Childbirth 2014;6:13.
Coswami K, Thornton S. The prevention treatment of preterm labor. In: Study J, (Ed). Progress in Obstetrics and Gynaecology. 17th ed. London: Elsevier; 2013.p. 217–30.
Islam A, Safdar A, Malik A. Bacterial Vaginosis. J Pak Med Assoc 2014;59:601–4.
Joesoef MR, Schmid GP. Bacterial Vaginosis. Clin Evid 2005;2005:1601.
Yudin MH, Money DM. Screening and management of bacterial Vaginosis in pregnancy. J Obstet Gynacol Can 2008;30(8):702–8.
Xu J, Holzman CB, Arvidson CG, Chang H, Geopfert AR. Midpregnancy vaginal fluid defensins, bacterial vaginosis and risk of preterm delivery. J Obstet Gynecol 2008;112:542–31.
Lim Kh, Brooks H, McDougal R, Burton J, Devenish C, De Sila T. Is there a correlation between bacterial vaginosis and preterm labor in women in Otago region of New Zealand. Aust NZ J Obstet Gynaecol 2010;50:226–9.
Najad VM Shafaie S. The association of bacterial vaginosis and preterm labor. J Pak Med Assoc 2008;58:104–6.
Ghazi A, Jabbar S, Saddiq NM. Preterm: Still a Challenge! Pak J Surg 2006;22:222–6.
Hancock RE, Haney EF, Gill EE. The immunology of host defence peptides: beyond antimicrobial activity. Nat Rev Immunol 2016;16:321–34.
Adelaiye SM, Shittu SO, Olayinka AT. Characterization of bacterial vaginosis among HIV-positive and HIV-negative pregnant women. Int J Biomed 2015;5(3):141–6.
Poon LC, Wright D, Rolnik DL, Singelaki A, Delgado JL, Tsokaki T, et al. Aspirin for evidence-based preeclampsia prevention trial: effect of aspirin in prevention of preterm preeclampsia in subgroups of women according to their characteristics and medical and obstetrical history. Am J Obstet Gynecol 2017;217:585e1–e5.
Ahmadi A, Farhadifar F, Rezaii M, Zandvakili, F, Seyedoshohadaei F, Zarei M, et al. Group B Streptococci and Trichomonas vaginalis infections in pregnant women and those with spontaneous abortion at Sanandaj, Iran. Iran J Microbiol 2018;10(6):166–70.
Ahmadi A, Ramazanzadeh R, Derakhshan S, Khodabandehloo M, Farhadifar F, Roshani D, et al. Prevalence of Listeria monocytogenes infection in women with spontaneous abortion, normal delivery, fertile and infertile. BMC Pregnancy Childbirth 2022;22:974.
Nouraddin AS, Alsakee HM. Prevalence of Trichomonas vaginalis infection among women in Erbil governorate, Northern Iraq: An epidemiological approach. Eur Sci J 2015;11(24):243–55.
Yadav K, Prakash S. Prevalence of vulvovaginal candidiasis in pregnancy. Glob J Med Med Sci 2016;4(1):108–16.
Coudray MS, Madhivanan P. Bacterial vaginosis—A brief synopsis of the literature. Eur J Obstet Gynecol Reprod Biol 2020;245:143–8.
Bretelle F, Rozenberg P, Pascal A, Favre R, Bohec C, Loundou A, et al. High atopium vaginae and Gardnerella vaginalis vaginal loads are associated with preterm birth. Clin Infec Dis 2015;60:860–7.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
Pakistan Journal of Physiology, Pak J Physiol, PJP is FREE for research and academic purposes. It can be freely downloaded and stored, printed, presented, projected, cited and quoted with full reference of, and acknowledgement to the author(s) and the PJP. The contents are published with an international CC-BY-ND-4.0 License.