MICROBIOLOGICAL STUDY OF BACTERIAL VAGINOSIS AMONG PREGNANT WOMEN IN AL-DIWANIYA CITY

Abstract

ABSTRACTThe study was designed in across-sectional pattern, on 335 pregnant women who attended thedepartment of obstetrics and gynaecology at Maternity and Child Teaching Hospital, and some privateclinics in AL-Diwaniya city. They were examined for bacterial vaginosis in the period from September2002 to the end of February 2003. The present study showed that 96(28.6%) women affected by bacterialvaginosis, 109(32.6%) women presented with abnormal vaginal discharge due to other causes and 130(38.8%) women without any signs and symptoms of vaginitis G.vaginalis were isolated from 89(93.7%),3(2.7%) and 45(34.6%)of the above mentioned groups respectively. The main age group of bacterialvaginosis occurrence was (25-35%) years, and was more common among pregnant women in the thirdtrimester of pregnancy (40.7%), where the economic status and parity of patient appeared to play no roleon the disease prevalence. It was found that the bacterial vaginosis plays an important and significantrole in the causation of preterm delivery (Odds ratio 2.9). It was found that Amsel's criteria are good andvalid screening tests in the early diagnosis than the cultural technique, because of their high sensitivityand specificity, which yielded (96%, 95%) respectively. Other microorganisms are mainly Candidaalbicans (11.9%), Staphylococcus aureus (7.4%), Staphylococcus saprophyticus (4.8%), Beta haemolyticstreptococcal (3.6%) and to a less prevalence rates for Neisseria gonorrhea (2.6%) and Trichomonasvaginalis (2.08%).