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妊娠期细菌性阴道病:一家三级保健医院的患病率及结局。

Bacterial vaginosis in pregnancy: prevalence and outcomes in a tertiary care hospital.

机构信息

Department of Laboratory Medicine, Dr. Sulaiman Al Habib Medical Group, Olaya Riyadh, Saudi Arabia.

Department of Obstetrics and Gynecology, Dr. Sulaiman Al Habib Medical Group, Olaya, Riyadh, Saudi Arabia.

出版信息

Afr J Reprod Health. 2021 Feb;25(1):49-55. doi: 10.29063/ajrh2021/v25i1.6.

Abstract

Bacterial Vaginosis (BV) has recently emerged as a global health issue especially in pregnant women because of its adverse outcomes. Various studies have shown the impact of BV on both mother and baby as well as overall reproductive health of women. The study intended to assess the prevalence of BV in pregnant women visiting our hospital and estimate the risk of associated complications. A retrospective study was done on pregnant women who underwent vaginal swab for BV during the period January 2018- July 2019. BV was diagnosed by Nugent score and obstetric details until delivery were noted for pregnancy outcomes. Out of 217 women included in the study, 44 were diagnosed as positive for BV. Variables were compared between BV positive and negative groups by Chi square and t- test and risk ratios calculated for adverse pregnancy outcomes. Statistical analysis was done using SPSS 20.0 version. Prevalence of BV was found to be 20.3%. BV was significantly associated with preterm labour, premature rupture of membranes, preterm delivery, miscarriage, birth asphyxia, low birth weight, and neonatal intensive care unit admission. The study substantiated the evidence from previous studies that pregnant women with BV are at much higher risk for adverse maternal and fetal outcomes. Early Screening and awareness amongst women may help to prevent this.

摘要

细菌性阴道病(BV)最近成为一个全球性的健康问题,尤其是在孕妇中,因为它会带来不良后果。许多研究表明,BV 对母亲和婴儿以及女性的整体生殖健康都有影响。本研究旨在评估我院就诊孕妇中 BV 的患病率,并估计相关并发症的风险。对 2018 年 1 月至 2019 年 7 月期间进行阴道拭子检查以诊断 BV 的孕妇进行了回顾性研究。采用 Nugent 评分诊断 BV,并记录产科详细信息,直至分娩以评估妊娠结局。在纳入研究的 217 名妇女中,有 44 名被诊断为 BV 阳性。通过卡方检验和 t 检验比较 BV 阳性和阴性组之间的变量,并计算不良妊娠结局的风险比。使用 SPSS 20.0 版本进行统计分析。研究发现,BV 的患病率为 20.3%。BV 与早产、胎膜早破、早产、流产、新生儿窒息、低出生体重和新生儿重症监护病房入院显著相关。本研究证实了以往研究的证据,即患有 BV 的孕妇发生不良母婴结局的风险更高。早期筛查和提高女性的认识可能有助于预防这种情况。

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