Assessment Of Vaginal Infections In Pregnant Women

Abstract

Background: Vaginitis is inflammation of the vagina. Vulvovaginitis, is an inflammation of the vagina and vulva. Infection can result
in discharge, itching and pain. The present study was conducted to assess vaginal infections in pregnant women.
Materials & Methods: 76 pregnant women reporting to Obstetric & Gynaecology department for vaginal infection. A detailed obstetric
examination was carried out as well. Per speculum examination was carried out and the vaginal mucosa was inspected for the presence
of erythema, lesions, and discharge. Vaginal and cervical swabs samples were obtained and sent to microbiology laboratory.
Results: There were 10 in first trimester, 26 in second and 40 in third trimester. The difference was significant (P< 0.05). Clue cells in
wet mount was positive in 8 and negative in 68, Nugent’s score >7 was positive in 12 and negative in 64. Amsel’s criteria was positive
in 14 and negative in 62. The difference was significant (P< 0.05). Gram’s stain was positive in 5 and negative in 71 and culture was
positive in 11 and negative in 65. The difference was significant (P< 0.05).
Conclusion: Bacterial vaginosis was seen in 14 and candidiasis in 11 cases. Diagnosis of vaginal infections was done using both clinical
and microbiological methods.