Association of bacterial vaginosis with preterm labour
Javed Ali, S.I Borah, D. Barkataki, Nungdila Imsong
Objective: To study association of preterm labour with bacterial vaginosis and to analyze maternal and fetal complications associated with bacterial vaginosis. Materials and Methods: This was a cross sectional study of 100 pregnant women with preterm labour. Each woman after relevant history, investigations and examinations were studied for the presence of bacterial vaginosis (BV) based on Amsel's criteria and followed up for birth weight of the neonates, neonatal admission in neonatal intensive care unit (NICU), neonatal complications and postpartum complications. Results: The percentage of patients in preterm labour group who fulfilled 3 out of 4 Amsel's criteria was 28%. In preterm labour with bacterial vaginosis, 89.28% of neonates had low birth weight. Percentage of neonates requiring NICU admission, postpartum complications (postpartum hemorrhage and puerperal pyrexia) in preterm labour with bacterial vaginosis were 64.28%, 35.71% respectively. Neonatal complications like sepsis and respiratory distress syndrome (RDS) were significantly more in neonates born to BV positive mothers in preterm labour (p=0.432). Conclusion: The association of bacterial vaginosis with preterm labour is quite frequent and it can be suggested that all symptomatic cases and those having risk factors for preterm labour should be screened for bacterial vaginosis.