Original Research Article
Year: 2019 | Month: July-September | Volume: 4 | Issue: 3 | Pages: 158-160
To Study the Pattern of Vaginal Infections among Women and Perinatal Outcome in Pregnant Women with Vaginal Infections Attending Obstetrics and Gynaecology Department in a Tertiary Care Hospital
Dr Rupa S Iyengar1, Dr Namita N Raut2
1Professor, Department of Obstetrics and Gynaecology, The Oxford Medical College, Hospital and Research Centre, Bangalore.
2Senior Resident, Department of Obstetrics and Gynaecology, The Oxford Medical College, Hospital and Research Centre, Bangalore.
ABSTRACT
Background: Vaginal infections are very common and treatable disease. Though itching, foul odour excessive vaginal discharges are common symptoms many a times they can be asymptomatic. Genital infections during perinatal period are a relatively common cause of morbidity, occurring in approximately one third of pregnant women. The objective of the study is to study pattern of vaginal infections in women, to study perinatal outcome in pregnant patients with vaginal infections and study response to treatment in non pregnant symptomatic patients
Method: This is a Prospective study conducted from January 2017 to June 2017 in a tertiary care hospital in which 100 non pregnant patients with pv discharge and 30 antenatal patients with vaginal infection were studied and there vaginal swab was taken for culture sensitivity and pattern of infection was studied along with pregnancy outcome like preterm labour, premature rupture of membranes, IUGR and symptomatic relief in non pregnant patients .
Result: Majority of age group was between 30-35 years that is 40%.30 (23.07%) were antenatal patients with infection and 100 were non pregnant. In pregnant women 16 (53.33%) had infection with Ecoli, (40%) 12 had candidiasis and 2 showed no growth. Only 1 woman(3.33%) had preterm labour and delivered at 34 weeks. 2(6.67%) had premature rupture of membranes at 36 weeks. All these women had come in second trimester with vaginal discharge and were treated. None had intrauterine growth retardation and chorioamnionitis. All antenatal patients had responded to treatment. In non pregnant women 20 % had Klebsiella infection, 40% had E coli, 10 had MRSE, 30% had candidiasis. 97% responded to treatment while 3% didn’t respond who responded after second line of antibiotics.
Conclusion: .Pregnant women are at high risk of vaginal infections especially in the second and third trimesters. Adequate investigation and prompt treatment will prevent adverse effects on mother, foetus and in non pregnant women future comorbidities are reduced.
Key words: vaginal infections, pv discharge, candidiasis