provides a comprehensive look
at the who, what, when and how of Bacterial vaginosis
< b>Bacterial vaginosis: A vaginal condition characterized by an abnormal
vaginal discharge due to an overgrowth of normal bacteria in the vagina. Women with
bacterial vaginosis have less of the normal vaginal bacteria called lactobacilli.
Symptoms are the vaginal discharge and sometimes a fishy odor. A sign under the
microscope is an unusual vaginal cell called a clue cell. A metanalysis of 18 separate
studies involving over 20,000 women demonstrated that bacterial vaginosis predisposes
to preterm pregnancy and the earlier a vaginal infection occurs in pregnancy, the
greater is the risk of a preterm delivery. The metanalysis also revealed that bacterial
vaginosis increases the risk of a spontaneous abortion nearly 10-fold. Bacterial
vaginosis also can lead to infection of the amniotic fluid and of the uterus after
delivery. Therefore, screening and treatment for bacterial vaginosis during pregnancy
may be done. Treatment options for bacterial vaginosis include vaginal gels and
oral antibiotics. The antibiotic treatment is the same in pregnancy as in non-pregnant
women.
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