The impact of bacterial vaginosis on reproductive losses and septic complications

Abstract

Introduction. Bacterial vaginosis (BV), according to the Cochrane Library, is the reason of infectious complications and abortions at 31.8%.Purpose. Assessment of the impact of BV on perinatal results (reproductive losses and septic complications). Materials and Methods. The research was carried out retrospectively – there were studied 445 histories of disease of pregnant women with the miscarriage threat at 13-28 weeks of pregnancy (cervix <2 cm USG). Cases of BV were identified. There were excluded other reasons of complications. Results. The BV part out of 445 cases of miscarriage threat is 26.1±2.08% (CI95%: 22.02- 30.18). Reproductive losses made up 30.2±4.26% (CI95%: 21.85 – 38.55), from which 29.3% - abortion, 0.9% - neonatal death. The index of septic complications -13.2% (CI95%: 7.71 ~ 18.69): 5.3% - chorioamnionitis, 2.6% - endometritis postpartum, 2.6% - newborn`s omphalitis, 2.6% - early neonatal sepsis. Conclusions. BV has a great impact on reproductive losses and septic complications in our country. The BV treatment is the preventive measures from those complications.