Frequency of bacterial vaginosis in Babylon governorate and its association with intrauterine contraceptive device

Abstract EN

This study aimed to assess the frequency of bacterial vaginosis (BV) and its association with some risk factors like intrauterine contraceptive device (IUCD).

A total number of 111 patients with vaginal discharge were enrolled in this study in addition to control group (30 women).

Case and control groups were taken from Babylon Hospital and some out patients clinics between January and December 2009.

Only 46 out of 111 (41.44 %) patients had BV while it was only (10 %) in the control group with statistically significance ( P value < 0.05).

The most commonly affected age groups were (20-29 years) and (30-39 years) with the following percentages respectively(28.26 % ; 36.95 %).The leukocyte cells in gram staining of vaginal swabs showed that ( 84.79 % ) of BV have leukocyte cells less than 10 cells / HPF while only (15.21%) have leukocyte cells > 10/HPF (P value < 0.05).

Thirty three out of 46 (71.73% ) patients with BV had urinary tract infections (UTI) in comparison to (28.27 %) without UTI ( P value <0.05).

The study showed that BV had a high frequency rate (67.39 %) in pregnant women when compared to non-pregnant women (32.61 %).

Twenty out of 31 (64.51%) pregnant women have premature uterine contractions (PUC ) while only 11 out of 31 (35.49%) presented without PUC ( P value < 0.05).

Ten out of 15(66.66 %) non pregnant women patients were used IUCD in comparison to only 5 out of 15 (33.34 %) patients with BV.

PCR detection of16S rRNA gene for Gardnerella vaginalis (G.

vaginalis) reveal insignificant change in frequency of G.

vaginalis in patients with BV (45.65 %) in comparison to control group (36.6 %) ( P value > 0.05).

As the BV is treatable medical disorder and it's frequently ignored as the symptoms are frequently irrelevant but the clinical consequences could be vital, it can be concluded that medical screening for BV is mandatory specially in antenatal care of pregnancy in Primary Health Care Centers and women using IUCD to avoid future complications