FREQUENCY OF BACTERIAL VAGINOSIS AMONG PREGNANT WOMEN WITH VAGINAL DISCHARGE
Abstract
Objective: To study the frequency of bacterial vaginosis (BV) in pregnant women with pathological vaginal discharge.Material and Methods: This descriptive & cross sectional study was carried out at department of obstetrics and gynaecology Fauji Foundation Hospital Rawalpindi from 20th Feb 2008 till 20th August 2008. In this study 208 symptomatic pregnant women with pathological vaginal discharge were screened for bacterial vaginosis by Amsel’s criteria. The data was collected from 20th Feb 2008 till 20th August 2008 at the gynaecology outpatient department Fauji Foundation Hospital Rawalpindi. Patients were selected through non probability convenient sampling.Pregnant females at any trimester of any parity with complaint of vaginal discharge accompany lower abdominal pain, pruritis, dysuria were included. All non pregnant females were excluded from the study. Patients relevant data was entered on a proforma.
Results: The mean age of the patients was 32.32±5.3 years. The mean gestational age was 195.25±59.27 days. Bacterial Vaginosis diagnosed on the basis of 3 out of 4 Amsel clinical criteria was present in 38.5% patients. Out of these patients 91.25% had homogenous milk like discharge, 95% had a positive whiff test, 91% had clue cells and 93.75% had a pH > 4.5.Conclusion: Bacterial vaginosis when diagnosed using the three of Amsel`s four clinical criteria is a frequent cause of vaginal discharge among pregnant women.Â
Keywords: Bacterial vaginosis, pregnancy, clinical diagnosis, Amsel’s criteria.
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