Prevalence and associated factors of bacterial vaginosis among pregnant women in Hue, Vietnam

Anh TC Nguyen; Na TL Nguyen; Trang TQ Tran; Tuyen T Nguyen; Thu TA Hoang; Linh M Tran; Khoi Tuan Tran; Thanh DC Phan; Xuan T Nguyen; Tam M Le; An V Le; Andres Salumets; Reet Mändar

doi:10.3855/jidc.18949

Prevalence and associated factors of bacterial vaginosis among pregnant women in Hue, Vietnam

Authors

Anh TC Nguyen Department of Microbiology, Hue University of Medicine and Pharmacy, Hue University, 6 Ngo Quyen Street, Hue, Vietnam https://orcid.org/0000-0002-5921-1959
Na TL Nguyen Becamex International Hospital, Thuan An, Binh Duong, Vietnam https://orcid.org/0000-0002-6495-954X
Trang TQ Tran Hue University of Medicine and Pharmacy, Hue University, 06 Ngo Quyen Street, Hue, Vietnam
Tuyen T Nguyen Department of Microbiology, Hue University of Medicine and Pharmacy, Hue University, 6 Ngo Quyen Street, Hue, Vietnam https://orcid.org/0009-0006-7335-8769
Thu TA Hoang Hue University of Medicine and Pharmacy, Hue University, 06 Ngo Quyen Street, Hue, Vietnam https://orcid.org/0000-0003-1894-6622
Linh M Tran Department of Obstetrics and Gynecology, Vinmec Ha Long International Hospital, 10A Le Thanh Tong Street, Hong Gai Ward, Ha Long, Vietnam https://orcid.org/0000-0003-1987-8764
Khoi Tuan Tran Department of Infection Control, Hue University of Medicine and Pharmacy Hospital, Hue University of Medicine and Pharmacy, Hue University, 6 Ngo Quyen Street, Hue, Vietnam
Thanh DC Phan Obstetrics and Gynecology Center, Hue Central Hospital,16 Le Loi Street, Hue, Vietnam
Xuan T Nguyen Obstetrics and Gynecology Center, Hue Central Hospital,16 Le Loi Street, Hue, Vietnam
Tam M Le Department of OBGYN, Hue University of Medicine and Pharmacy, Hue University, 6 Ngo Quyen Street, Hue, Vietnam https://orcid.org/0000-0001-6225-3108
An V Le Department of Microbiology, Hue University of Medicine and Pharmacy, Hue University, 6 Ngo Quyen Street, Hue, Vietnam
Andres Salumets Institute of Clinical Medicine, Department of Obstetrics and Gynecology, University of Tartu, Tartu, 51014, Estonia https://orcid.org/0000-0002-1251-8160
Reet Mändar Department of Microbiology, Institute of Biomedicine and Translational Medicine, University of Tartu, Tartu, 50411, Estonia

DOI:

https://doi.org/10.3855/jidc.18949

Keywords:

vaginosis, pregnancy, outcome, yeast

Abstract

Introduction: Bacterial vaginosis (BV) is the most frequent vaginal infection affecting women of childbearing age worldwide. It is associated with significant adverse healthcare outcomes, especially during pregnancy. Although screening for BV could reduce potential pregnancy-related obstetric complications, there is no routine screening of pregnant women for BV in Vietnam. We aimed to identify the prevalence of BV among pregnant women and the associated factors in two tertiary hospitals in Hue, Vietnam.

Methodology: This cross-sectional descriptive study included 885 pregnant women in third trimester, who received routine antenatal care in the Hue Central Hospital and Hue University Hospital of Medicine and Pharmacy, Hue city, Thua Thien Hue province, Vietnam. Gram-stained vaginal smears were used for calculating the Nugent score and recording the fungal elements.

Results: In total, 435 (49.1%) women had a normal BV score, 352 (39.8%) had intermediate vaginal microbiota, and 98 (11.1%) had BV. Among the 98 women with BV, 71 (72.4%) also had fungal infection. There was a significant association of BV with discharge (p = 0.004) and abnormal cervix (p = 0.014). BV was significantly more frequent among the women who reported previous abortion or miscarriage (p = 0.007).

Conclusions: About a tenth of women in Thua Thien Hue province have BV in the third trimester of pregnancy being associated with previous adverse outcome. Discharge with fishy odour is still a characteristic feature among subtle clinical presentations of BV. Better awareness about this disease and routine test-and-treat management during pregnancy may improve pregnancy outcome.

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Published

2024-06-30

How to Cite

Nguyen AT, Nguyen NT, Tran TT, Nguyen TT, Hoang TT, Tran LM, Tran KT, Phan TD, Nguyen XT, Le TM, Le AV, Salumets A, Mändar R (2024) Prevalence and associated factors of bacterial vaginosis among pregnant women in Hue, Vietnam. J Infect Dev Ctries 18:925–931. doi: 10.3855/jidc.18949

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Issue

Vol. 18 No. 06: June 2024

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Original Articles

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Copyright (c) 2024 Anh Thi Chau Nguyen, Na Thi Le Nguyen, Trang Thi Quynh Tran , Tuyen Thi Nguyen, Thu Thi Anh Hoang, Linh Manh Tran, Khoi Tuan Tran, Thanh Do Quoc Phan, Xuan Thanh Nguyen, Tam Minh Le, An Van Le, Andres Salumets, Reet Mändar

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