The Bacterial Vaginosis among Pregnant Women in Jatinangor

Aw Wan Yi; Sunarjati Sudigdoadi; Hadi Susiarno

doi:10.15850/amj.v6n4.1760

The Bacterial Vaginosis among Pregnant Women in Jatinangor

Aw Wan Yi, Sunarjati Sudigdoadi, Hadi Susiarno

Abstract

Background: Bacterial vaginosis (BV) is polymicrobial that causes superficial vaginitis due to a shift in vaginal flora. In pregnant women, BV can result in a significant risk of some serious consequences. The objective of this study was to identify the BV prevalence and to explore the characteristics and personal hygiene practices among pregnant women.

Methods: This study was conducted in Desa Cipacing, Jatinangor, using the cross-sectional descriptive method, including pregnant women. The BV was detected by Gram-stained vaginal smears using Nugent Score. Furthermore, other microorganisms such as trichomoniasis and candidiasis were detected by direct microscopic observation. The questionnaire was distributed, consisting of details of personal hygiene practices.

Results: In total, 17.9% of 52 pregnant women included were diagnosed with BV and 14.3% with mixed infection. Pregnant women with BV were predominantly aged younger than 25 years (61.1%), nullipara (50%) and in a second-trimester pregnancy (50%).

Conclusions: Bacterial vaginosis (BV) is common among young pregnant women, predominantly in their first pregnancy. It is related to personal hygiene practices, indicating the need for targeted interventions of healthcare education among these young pregnant women to reduce the BV prevalence.

Keywords

Bacterial vaginosis, personal hygiene, pregnancy, vaginal discharge

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References

ingh A, Walia I, Dhaliwal L, editors. Demedicalizing women’s health. New Delhi: Gyan Publishing House; 2010

Centers for Disease Control and Prevention. Bacterial vaginosis:CDC fact sheet. 2010[cited 2014 February 8]; Available from: http://www.cdc.gov/std/bv/stdfact-bacterial-vaginosis.htm.

Cunningham FG, Leveno KJ, Bloom SL, Hauth JC, Rouse D, Spong CY. Williams obstetrics. 23rd ed. New York City: McGraw-Hill; 2010. p. 813–4.

Donati L, Di Vico A, Nucci M, Quagliozzi L, Spagnuolo T, Labianca A, et al. Vaginal microbial flora and outcome of pregnancy. Arch Gynecol Obstet. 2010;281(4):589–600.

Kenyon C, Colebunders R, Crucitti T. The global epidemiology of bacterial vaginosis: a systematic review. Am J Obstet Gynecol. 2013;209(6):505–23.

Thinkhamrop J. Antibiotics for treating bacteria vaginosis in pregnancy: RHL commentary (last revised: 4 July 2007). The WHO Reproductive Health Library. Geneva: World Health Organization [cited 2014 February 8]; Available from: https://extranet.who.int/rhl/es/node/75891.

Soper DE. Genitourinary infections and sexually transmitted diseases. In: Berek JS, editor. Berek & Novak’s Gynecology. 14th ed. Philadephia: Lippincott Williams & Wilkins; 2007. p. 542–7.

Pusat Kesehatan Masyarakat (Puskesmas) Jatinangor. Hasil Cakupan Kesehatan Kecamatan Jatinangor 2013. Sumedang: Pusat Kesehatan Masyarakat (Puskesmas) Jatinangor; 2013

Ocviyanti D, Rosana Y, Olivia S, Darmawan F. Risk factors for bacterial vaginosis among Indonesian women. Med J Indones. 2010;19(2):130–5.

Ibrahim SM, Bukar M, Galadima G, Audu BM, Ibrahim HA. Prevalence of bacterial vaginosis in pregnant women in Maiduguri, North- Eastern Nigeria. Niger J Clin Pract. 2014;17(2):154–8.

Sevil S, Kevser O, Aleattin U, Dilek A, Tijen N. An evaluation of the relationship between genital hygiene practices and genital infection. Gynecol Obstet. 2013;3(6):1–5.

Madhivanan P, Krupp K, Chandrasekaran V, Karat C, Arun A, Cohen C, et al. Prevalence and correlates of bacterial vaginosis among young women of reproductive age in Mysore, India. Indian J Med Microbiol. 2008;26(2):132–7.

Shrestha S, Tuladhar N, Basnyat S, Acharya G, Shrestha P, Kumar P. Prevalence of vaginitis among pregnant women attending Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal. Nepal Med Coll J. 2011;13(4):293–6.

Koumans EH, Sternberg M, Bruce C, McQuillan G, Kendrick J, Sutton M, et al. The prevalence of bacterial vaginosis in the United States 2001-2004 associations with symptoms, sexual behaviors, and reproductive health. Sex Transm Dis. 2007;34(11):864–9.

Ajani G, Oduyebo O, Haruna M, Elikwu C. Nugent scores of pregnant women in a tertiary institution in Nigeria. Adv Microb. 2012;2(4):531–6.

Klebanoff MA, Nansel TR, Brotman RM, Zhang J, Yu KF, Schwebke JR, et al. Personal hygienic behaviors and bacterial vaginosis. Sex Transm Dis. 2010;37(2):94–9.

Runeman B, Rybo G, Forsgren-Brusk U, Larko O, Larsson P, Faergemann J. The vulvar skin microenvironment: impact of tight-fitting underwear on microclimate, pH and microflora. Acta Derm Venereol. 2005;85(2):118–22.

Fashemi B, Delaney ML, Onderdonk AB, Fichorova RN. Effects of feminine hygiene products on the vaginal mucosal biome. Microb Ecol Health Dis. 2013;24:1–6.

Brooks G, Carroll KC, Butel J, Morse S. Enteric Gram-Negative Rods (Enterobacteriaceae). In: Brooks G, Butel J, Carroll KC, Morse S, Mietzner T, editors. Jawetz Melnick & Adelbergs Medical Microbiology 25th ed. New York City: McGraw-Hill Medical; 2010. p. 217–8.

Moustafa MF, Makhlouf EM. Association between the hygiene practices for genital organs and sexual activity on urinary tract infection in pregnant women at women’s health center, at Assiut University Hospital. J Am Sci. 2012;8(9):512–22.

DOI: https://doi.org/10.15850/amj.v6n4.1760