Role of Bacterial Vaginosis in threatened preterm and preterm labour, and its screening
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2016, Vol 3, Issue 2
Abstract
Background: 8-10% pregnancies end in preterm labour or threatened preterm labour which has maternal and foetal complications just due to infections such as bacterial vaginosis, which can be identified by simple tests like Amsel Criteria and treated at the earliest with appropriate antibiotics. Aim: To establish the role of bacterial vaginosis in preterm labour and threatened preterm labour based on Amsel criteria. Materials and Methods: 100 pregnant women with gestational age between 28 and 36 weeks, of which 50 women with symptoms of threatened preterm labour and preterm labour were kept as study group and another 50 pregnant women in the same gestational age without any symptoms of threatened preterm or preterm labour were kept as control group. Examination of vaginal discharge, vaginal pH, microscopy for clue cells and Whiff test, which are Amsel’s criteria, were done. Chi-square test was used to find out the association of variables and p value less than 0.05 was taken as statistically significant. Results: The women in study group had higher incidence of vaginal discharge than control group. All the bacterial vaginosis cases had vaginal pH >4.5. The negative predictive value of vaginal fluid pH > 4.5 in our study is 100%. In our study 27% cases in all groups were found to have whiff test positive. 20% had clue cells on microscope examination. All the Amsel’s criterion was statistically highly significant between the study and the control group. Conclusion: The strong correlation between presence of Bacterial Vaginosis and the incidence of threatened preterm and preterm labour is established. Amsel’s criteria are simple, inexpensive, easily reproducible method of diagnosing BV and can be used on a mass scale. By diagnosing and treating bacterial vaginosis in threatened preterm labour, preterm deliveries can be prevented to a certain extent, if not atleast in order to buy time for the inclusion of steroids which will decrease the perinatal morbidity and mortality by decreasing Respiratory Distress Syndrome and intraventricular haemorrhage.
Authors and Affiliations
Chithra Jayakrishnan, Rajalekshmi M, Nithya R, Vijay Narayanan S
Keywords
Related Articles
- EP ID EP241250
- DOI -
- Views 107
- Downloads 0
Comparison of single loading dose magnesium sulphate regimen with low dose magnesium sulphate regimen in the treatment of eclampsia
Introduction: Eclampsia contributes to maternal mortality in developing, underdeveloped world. Various drugs have been tried to treat eclampsia. Magnesium sulphate has become the drug of choice due to various advantages...
Uterus like ovarian mass in a young female clinically mimicking Carcinoma ovary
terus – like ovarian mass is a rare entity of uncertain histogenesis. A 30 year old female had a Left ovarian mass. Her preoperative serum CA 125 was 700U/ml. So a clinical diagnosis of Carcinoma ovary was made. We recei...
Diagnostic accuracy of MRI in Sonographically Indeterminate Adnexal lesions
Aims and Objectives: The purpose of this study is to assess the ability of MRI in diagnosis of Sonographically indeterminate adnexal lesions. To further characterize them in terms of content (solid, cystic, both soli...
Prevalence of anemia in pregnancy and its outcome in rural Tertiary Care Centre in India
Anemia in pregnancy is a major health problem in developing countries. Haemorrhage ranks first in the list of maternal mortality in developing countries. Materials and Methods: A prospective study on all anaemic pregnant...
Role of diagnostic hystero-laparoscopy in management of infertility
Background of the study: Globally the incidence of infertility is increasing. Infertility affects 10-15% of couple of reproductive age group. 12% of the female population of reproductive age were reported infertile in 20...