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International Journal of Medical Sciences And Clinical Research

Peer Reviewed | Open Access | E-ISSN: 2771-2265
Published Article

Bacterial Vaginosis in Patients with Threatened Midtrimester Miscarriage

Bacterial Vaginosis in Patients with Threatened Midtrimester Miscarriage

Authors

  • Ayat Abbas Saad
    M.B.Ch.B. Babylon Health Directorate, Babylon Governorate- Iraq
  • Prof. Dr. Nadia AL-Hilli
    M.B.Ch.B / F.I.C.O.G Consultant in Obstetrics and Gynecology, College Of Medicine _University of Babylon

DOI:

https://doi.org/10.37547/ijmscr/Volume06Issue06-12

Keywords:

Bacterial Vaginosis Threatened Miscarriage Second Trimester Pregnancy

Abstract

Background: Miscarriage when afetus or embryo dies in the uterus during pregnancy .threatend miscarriage is one of the types of miscarriage that is associated with high potential for pregnancy loss. Bacterial vaginosis (BV) in pregnancy is a risk factor for various types of complications in pregnancy, including premature rupture of membranes, Second trimester miscarriage and Post C/S endometritis

Aim of the Study: Is to determine the relationship between bacterial vaginosis infection and second trimester threatened miscarriage.

Method: Case-control study  involved 200 pregnant women in the second trimester of pregnancy, their gestational age ranged from(13-24 weeks) , 100 of them  presented with lower abdominal pain and history of vaginal bleeding,by examination closed cervical os with ultrasound finding of normal viable fetus, diagnosed as threatened miscarriage (study group) . The other 100 women were healthy pregnant women (control group ). History taken, General & abdominal examination was done followed by vaginal examination. Diagnosis of bacterial vaginosis depen on Amsel criteria.

Results: The result indicated that 61% of patients with mid trimester threatened miscarriage have bacterial vaginosis according to Amsels’ criteria. The most presenting symptoms in patients are vaginal discharge and abdominal pain. The most specific criterion is the whiff test, while the most sensitive one was the homogenous vaginal discharge, 94.8% & 96.7%, respectively. Lastly Threatened mid trimester miscarriage group, positive diagnosis by Amsel’s criteria showed total 61 (61% ) while control group showed 1%

Conclusions: Bacterial vaginosis consist about 61 % of patients with second trimester threatened miscarriage .. Multiparous women are more prone for bacterial vaginosis infection than primigravida .The most common symptoms that indicates bacterial vaginosis infection in pregnant females are abdominal pain and vaginal discharge respectively. Clue cells and homogenous vaginal discharge are more prevalent than vaginal PH and Whiff test.

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