Pregnancy outcome in women with bacterial vaginosis

Snehangshu Das, Namoijam Basanti, Ajitkumar Singh, Neiketouzo Kulnu
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Abstract

Background: Bacterial vaginosis is a condition characterized by alteration in the vaginal flora. It is a common occurrence during pregnancy and is one of the established risk factors for preterm delivery, premature rupture of membranes and chorioamnionitis. The objective of the study was to study the prevalence and effects of bacterial vaginosis during pregnancy. Methods: : The study was a hospital based prospective study conducted in the department of obstetrics and gynaecology, RIMS, Imphal from January to December, 2021. 250 women between 20-28 weeks of gestation underwent examination and testing for bacterial vaginosis and were followed up till delivery. Pregnancy outcomes like pre-term labour, premature rupture of membrane; fetal outcomes like birth-weight, APGAR score, NICU admission, or any other complications were noted. Results: Out of the 250 singleton pregnancies, 48 women (19.2%) were found to have bacterial vaginosis. Pregnancies associated with bacterial vaginosis had more chances of premature rupture of membranes, low birth weight babies. But, there was no significant association of the same to preterm labor and to the rate of NICU admission of the newborns. Conclusions: Vaginal infection during pregnancy should also be entertained seriously and treated well since bacterial vaginosis may directly or indirectly be related to preterm delivery and low birth weight babies.
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细菌性阴道病妇女的妊娠结局
背景介绍细菌性阴道病是一种以阴道菌群改变为特征的疾病。它是孕期的常见病,也是早产、胎膜早破和绒毛膜羊膜炎的既定风险因素之一。本研究的目的是研究孕期细菌性阴道病的发病率及其影响:该研究是一项基于医院的前瞻性研究,于 2021 年 1 月至 12 月在英帕尔的 RIMS 妇产科进行。250 名妊娠 20-28 周的妇女接受了细菌性阴道病的检查和化验,并随访至分娩。妊娠结局,如早产、胎膜早破;胎儿结局,如出生体重、APGAR 评分、入住新生儿重症监护室或任何其他并发症:结果:在 250 名单胎孕妇中,有 48 名(19.2%)发现患有细菌性阴道病。患有细菌性阴道病的孕妇更有可能出现胎膜早破和低出生体重儿。但是,细菌性阴道炎与早产和新生儿入住新生儿重症监护室的比率并无明显关联:结论:由于细菌性阴道炎可能直接或间接地与早产和低出生体重儿有关,因此孕期阴道感染也应得到重视和治疗。
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