Asymptomatic Bacterial Vaginosis in Pregnancy and Missed Opportunities for Treatment: A Cross-Sectional Observational Study

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ID: 10340
2019
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Ranked #4 of 20 articles by views in infectious diseases in obstetrics and gynecology

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Abstract
Background. High rates of bacterial vaginosis (BV) have been described in nonpregnant South African women. Studies of BV in South African pregnant women are sparse. Diagnosis and prompt treatment of BV in pregnancy are expected to have a positive impact on pregnancy outcomes and HIV prevention. This study was undertaken to determine the prevalence of BV in pregnant women in a high HIV burden periurban setting in KwaZulu-Natal and explore how to enhance BV diagnosis in this setting where syndromic management of sexually transmitted diseases is the standard of care. Methods. In this cross-sectional study, consenting HIV uninfected pregnant women were examined for abnormal vaginal discharge; nurses determined the vaginal pH and collected a vaginal swab for Gram-stain and Nugent scoring. Findings. Among 750 HIV uninfected pregnant women, 280 (37.3%; 95%CI 33.9-40.9) tested positive for BV. Using a vaginal pH > 4.4, 65% of women with BV were correctly identified, while an abnormal vaginal discharge correctly identified a significantly lower proportion (52.9%) of women with BV
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nkosinathi2019asymptomaticinfectious Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Joyisa, Nkosinathi;Moodley, Dhayendre;Nkosi, Thandeka;Talakgale, Raesetja;Sebitloane, Motshedisi;Naidoo, Megeshnee;Karim, Quarraisha Abdool;Joyisa, Nkosinathi;Moodley, Dhayendre;Nkosi, Thandeka;Talakgale, Raesetja;Sebitloane, Motshedisi;Naidoo, Megeshnee;Karim, Quarraisha Abdool;
Journal infectious diseases in obstetrics and gynecology
Year 2019
DOI
10.1155/2019/7808179
URL
https://www.hindawi.com/journals/idog/2019/7808179/abs/
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