Djogic Larisa Mesic, Cehic Ermin, Hodzic Harun, Babic Armina, Sljivo Belma
Department of Gynecology and Obstetrics, University of Zenica, Faculty of Medicine, Zenica, Bosnia and Herzegovina.
Department of Surgery, University of Zenica, Faculty of Medicine, Zenica, Bosnia and Herzegovina.
Med Arch. 2025;79(3):194-198. doi: 10.5455/medarh.2025.79.194-198.
In women of reproductive age, bacterial vaginosis (BV) is a common infection of the reproductive system. The existence of BV among pregnant women has momentously attracted the attention of both clinicians and the scientific community due to its potential link with adverse clinical outcomes during pregnancy.
The aim of this study was to examine the incidence of bacterial infections in pregnancy and their impact on the outcome of childbirth.
We conducted this study in one year in pregnant women at the Department of Gynecology and Obstetrics at the General Hospital Tešanj. In the study included N = 295 pregnant women. Of the total number, pregnant women are divided into two groups, working group N = 55 (pregnant women diagnosed with bacterial vaginosis), control group N = 240 (pregnant women without bacterial vaginosis).
In the observed one-year period, there were a total of N=295 pregnant women, of which N=55 (19%) who had bacterial vaginosis and N=240 (81%) without bacterial vaginosis. Pregnant women reported that the majority had two sexual partners, with a statistical difference between the groups (p=0.001), and the majority were in the second trimester of pregnancy during the study, with a statistically significant difference between pregnant women with and without bacterial vaginosis (p=0.0001). Of the symptoms reported by pregnant women, vulvar pruritus was the most dominant, with a statistically significant difference between groups (p=0.001). Dysuria, dyspareunia, and lower abdominal pain were the less common symptoms reported by pregnant women in both groups, but without a statistically significant difference (p>0.05). In the group of pregnant women with bacterial vaginosis, as many as 29 babies were premature, and in the group without bacterial vaginosis only 6, with a statistically significant difference between pregnant women (p=0.0001).
In our one-year study, the prevalence of bacterial infections was found in 19% of pregnant women, and had an impact on the occurrence of preterm birth with a statistically significant difference compared to pregnant women without bacterial vaginosis, and lower birth weight.
在育龄女性中，细菌性阴道病（BV）是生殖系统常见的感染。孕妇中BV的存在因其与妊娠期间不良临床结局的潜在关联，已引起临床医生和科学界的高度关注。
本研究旨在调查孕期细菌感染的发生率及其对分娩结局的影响。
我们在泰沙尼综合医院妇产科对孕妇进行了为期一年的研究。该研究纳入了N = 295名孕妇。在总数中，孕妇被分为两组，工作组N = 55名（被诊断为细菌性阴道病的孕妇），对照组N = 240名（无细菌性阴道病的孕妇）。
在观察的一年期间，共有N = 295名孕妇，其中N = 55名（19%）患有细菌性阴道病，N = 240名（81%）无细菌性阴道病。孕妇报告称，大多数人有两个性伴侣，两组之间存在统计学差异（p = 0.001），并且在研究期间大多数人处于妊娠中期，有细菌性阴道病和无细菌性阴道病的孕妇之间存在统计学显著差异（p = 0.0001）。在孕妇报告的症状中，外阴瘙痒最为突出，两组之间存在统计学差异（p = 0.001）。尿痛、性交困难和下腹痛是两组孕妇报告的较不常见症状，但无统计学显著差异（p>0.05）。在患有细菌性阴道病的孕妇组中，多达29名婴儿早产，而在无细菌性阴道病的组中只有6名，孕妇之间存在统计学显著差异（p = 0.0001）。
在我们为期一年的研究中，19%的孕妇中发现了细菌感染，与无细菌性阴道病的孕妇相比，其对早产的发生有影响，且差异具有统计学意义，同时出生体重较低。
