الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 168 |  |  |
| | | from | 168 | | |
Abstract
Bacterial vaginosis is an imbalance of the normal vaginal flora
with an overgrowth of anaerobic bacteria and a lack of the normal
lactobacillary flora. Bacterial vaginosis during pregnancy has been
associated with poor perinatal outcome and, in particular, preterm birth
(PTB). Identification and treatment may reduce the risk of PTB and its
consequences (McDonald et al., 2007).
Vaginal symptoms such as abnormal discharge, unpleasant odor,
itching, and burning typically lead to a diagnosis of bacterial vaginosis
(BV), BV is the most common finding in women with vaginal symptoms,
affecting 22% to 50% of symptomatic women (ACOG, 2006).
Identifying the cause of vaginosis/vaginitis is essential for
selection of pathogen-specific therapy. Clinicians have traditionally
diagnosed vaginal infection using a combination of gynecologic
examination, vaginal pH, microscopic evaluation of Gram stain and/or
wet mount, and an amine odor test (Brown et al., 2004).
Pregnancy with bacterial vaginosis is a higher risk of preterm
delivery (Klebanoff et al., 2005). A significant association between
bacterial vaginosis and pregnancy outcome has documented (Brunella
Guerra., et al., 2006).
The present study was done in Obstetrics & Gynecology
department, Benha faculty of medicine, Benha university, Egypt-and in
Obstetrics & Gynecology department, Elmabara Hospital, Tanta-Egypt
The present study included 100 pregnant women, prior to 10 weeks of
gestation, with history of previous preterm delivery (25-37weeks ) with
the aim of investigating the relation between pregnancy outcome and
early detection of bacterial vaginosis (BV).
In the present study, the mean age of the studied case was 25
years. The prevalence of bacterial vaginosis was highest in age group
between 20-30 year’s old and lowest in age group <20 years old. The
result show no statistical significance (p>0.05).
The prevalence of BV was higher in patient had a history of
abortion than in women who did not report such history.
In the present study, the highest prevalence of bacterial vaginosis
+ve cases was in the group of female who had history of more than two
previous deliveries.
in the present study, the prevalence of BV in women who had
history of previous abortion (80%) 25cases from 30 cases was higher
than other women without history of previous abortion.
In the present study bacterial vaginasis is associated with
miscarriage in study group (13%).4 cases from 30 case
In the present study bacterial vaginosis is associated with
premature rupture of membrane in 6% of bacterial vaginosis +ve cases
and in 3% of bacterial vaginosis +ve cases
In the present study preterm labor occurred in 10/30 cases (33%)
of bacterial vaginosis +ve cases
In the present study bacterial vaginosis +ve caeses is associated
with increase in neonatal sepsis incidence rate 10 % than in bacterial
vaginosis –ve cases 5.7 %.
In the present study bacterial vaginosis +ve caeses is associated
with increase in neonatal Jaundice incidence rate 53% than in bacterial
vaginosis –ve cases 52%.
In the present study mean gestational age at birth in bacterial
vaginosis +ve cases was 36 weeks, and in bacterial vaginosis –ve cases
was 37 weeks
In the present study Mean birth weight at birth in bacterial
vaginosis +ve cases was2800 g, and in bacterial vaginosis –ve cases was
2850 g
In the present study Apgar score after 5minutes in bacterial
vaginosis +ve cases was 7, and in bacterial vaginosis –ve cases was 8.