Prevalence and Risk Factors of Bacterial Vaginosis in a Cohort of Women Seeking Child Spacing Services in Nigeria
DOI:
https://doi.org/10.60787/njgp.v13i2.145Keywords:
Nigeria, fertility regulation, Bacterial vaginosisAbstract
Background: The sustenance of reproductive potential of patients seeking contraceptive options is essential. The risk of bacterial vaginosis is increased by the choice of contraceptive options, which may affect postcontraception fertility.
Objective: To determine the prevalence and risk factors of bacterial vaginosis in a cohort of women seeking child spacing services.
Materials and Methods: A cross-sectional prospective study of women seeking fertility regulation services was conducted in a tertiary health facility in Nigeria between March and September 2014. Interviews were conducted to collect data on sociodemographic characteristics, characteristics of vaginal discharge, and sexual practices engaged by these women. Bacterial vaginosis was diagnosed using the Amsel criteria. Odds ratios (ORs) with 95% confidence intervals (95% CIs) were calculated to assess the predisposing factors.
Results: One-hundred seventy-eight clients were recruited. Bacterial vaginosis was noted in 7.87% of these women. Patients had increased risk of bacterial vaginosis when they were of low socioeconomic class (OR 8.17; 95% CI 2.30–29.81), used vaginal drying agents (OR 9.70; 95% CI 2.35–46.15), had an early sexual debut (OR 9.56; 95% CI 2 54–38.92), a history of previous sexually transmitted infections (OR 21.39; 95% CI 4.99–105.30), and practiced vaginal douching (OR 19.23; 95% CI 3.82–130.43).
Conclusion: The prevalence of bacterial vaginosis in this cohort raises the need for a high index of clinical suspicion in patients seeking fertility regulation services in the presence of notable risk factors. Avoidance of contraceptive methods that may increase the risk of bacterial vaginosis and the need for treatment to maintain reproductive potentials is advised.
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References
Allsworth JE, Peipert JF. Prevalence of bacterial vaginosis: 2001-2004 National Health and Nutrition Examination Survey data. Obstet Gynecol
;109:114-20.
Klebanoff MA, Schwebke JR, Zhang J, Nansel TR, Yu KF, Andrews WW. Vulvovaginal symptoms in women with bacterial vaginosis. Obstet Gynecol 2004;104:267-72.
McGregor JA, French JI. Bacterial vaginosis in pregnancy. Obstet Gynaecol Surv 2000;55:1-5.
Hillier SL. Diagnostic microbiology of bacterial vaginosis. Am J Obstet Gynecol 1993;169 (2 Pt 2):455-9.
Kumar N, Behera B, Sagiri SS, Pal K, Ray SS, Roy S. Bacterial vaginosis: Etiology and modalities of treatment – A brief note. J Pharm Bioallied Sci 2011;3:496-503.
Deborah BN, George M. Bacterial vaginosis in pregnancy: Current findings and future Directions. Epidemiol Rev 2002;24:102‑8.
The Ten Teachers. Genital tract infection in gynaecology. In: Monga A, Dobbs S, editors. Gynaecology by Ten Teachers. 19th ed. Book Power;
p. 52-3.
David N, Fredick L, Fiedler BS. Molecular identification of bacterial associated with bacterial vaginosis. N Engl J Med 2005;353:1899-911.
Hill GB. The microbiology of bacterial vaginosis. Am J Obstet Gynecol 1993;169 (2 Pt 2):450-4.
Sherrard J, Donders G, White D, Jensen JS; European IUSTI. European (IUSTI/WHO) guideline on the management of vaginal discharge, 2011. Int J STD AIDS 2011;22:421-9.
Mbizuo ME, Musya EE, Stray-Pedersen BF, Chinenje Z, Hussein A. Bacterial vaginosis and intravaginal practices: Association with HIV. Cent Afr J Med 2004;50:41-6.
Brotman RM, Klebanoff MA, Nansel TR, Andrews WW, Schwebke JR, Zhang J, et al. A longitudinal study of vaginal douching and bacterial
vaginosis – A marginal structural modeling analysis. Am J Epidemiol 2008;168:188-96.
Eschenbach DA, Hillier S, Critchlow C, Stevens C, DeRouen T, Holmes KK. Diagnosis and clinical manifestations of bacterial vaginosis. Am J Obstet Gynecol 1988;158:819-28.
Mc Caffey M, Cottel E, Keane D. Bacterial vaginosis and infertility. Int J STD AIDS 1999;8:25-9.
Breton CF, Micheal GG. Other infectious conditions. In: James DK, Weiner CP, Steer PJ, Gonik B, editors. High Risk Pregnancy: Management Options. 3rd ed. Philadelphia: Elsevier; 2006. p. 689-90.
Madden L, Grentzer JM, Secura GM, Allsworth JE, Peipert JF. Risk of bacterial vaginosis in users of the intrauterine device: A longitudinal
study. Sex Transm Dis 2012;39:217-22.
Van de Welgert JH, Vermijs MC, Turner AN, Morrison CS. Hormonal contraception may increase candidiasis: Implications for HIV transmission. AIDS 2013;27:2141-53.
Shoubnikova M, Hellberg D, Nilsson S, Ma’rdh PA. Contraceptive use in women with bacterial vaginosis. Contraception 1997;55:355-8.
Olusanya BO, Okpere E, Ezimokhai M. The importance of social class in voluntary fertility control in a developing country. West Afr J Med
;4:205-12.
Jekel JF, Katz DL, Elmore JG. Sample size, randomization and probability theory. In: Jekel JF, Katz DL, Elmore JG, editors.
Epidemiology, Biostatistics and Preventive Medicine. 2nd ed. Philadelphia: WB Saunders; 2001. p. 196-204.
Cauci S, Driussi S, De Santo D, Penacchioni P, Iannicelli T, Lanzafame P, et al. Prevalence of bacterial vaginosis and vaginal flora changes in
peri- and postmenopausal women. J Clin Microbiol 2002;40:2147-52.
Watcharotone W, Sirimai K, Kiriwat O, Nukoolkarn P, Watcharaprapapong O, Pibulmanee S, et al. Prevalence of bacterial vaginosis in Thai women attending the family planning clinic, Siriraj Hospital. J Med Assoc Thai 2004;87:1419-24.
Lassey AT, Newman MJ, Opintan JA. Vaginal flora of first time urban family planning attendants in Accra, Ghana. West Afr J Med 2005;24:219-22.
Bhalla P, Chawla R, Garg S, Singh MM, Raina U, Bhalla R, et al.Prevalence of bacterial vaginosis among women in Delhi, India. Indian J Med Res 2007;125:167-72.
Begum A, Nilufar S, Akther K, Rahman A, Khatun F, Rahman M. Prevalence of selected reproductive tract infections among pregnant women attending an urban maternal and childcare unit in Dhaka, Bangladesh. J Health Popul Nutr 2003;21:112-6.
Ali CM, Sikdar TK, Sultana N, Ahmed N, Hague AK, Kameal SM, et al. Pattern of sexually transmitted diseases (STDs) among patients attending out patient department of dermatology of Dhaka Medical College Hospital, Dhaka, Bangladesh. J Dhaka Med Coll 2010;19:7-10.
Pitts M, Magunje N, McMaster J. Students’ knowledge of the use of herbs and other agents as preparation for sexual intercourse. Health Care
Women Int 1994;15:91-9.
Schwebke JR, Desmond RA, Oh MK. Predictors of bacterial vaginosis in adolescent women who douche. Sex Transm Dis 2004;31:433-6.
Turner AN, Morrison CS, Munjoma MW, Moyo P, Chipato T, van de Wijgert JH. Vaginal practices of HIV-negative Zimbabwean women. Infect Dis Obstet Gynecol 2010;2010. pii: 387671.
Ferraz do Lago R, Simões JA, Bahamondes L, Camargo RP, Perrotti M, Monteiro I. Follow-up of users of intrauterine device with and without
bacterial vaginosis and other cervicovaginal infections. Contraception 2003;68:105-9.
Harikarnpukdee D, Sirimai K, Kiriwat O, Boriboonhirunsarn D. Prevalence of bacterial vaginosis among intrauterine device users in Thai women attending family planning clinic, Siriraj Hospital. J Med Assoc Thai 2004;87 Suppl 3:S8-11.
MascarenhasRE, MachadoMS, Costa e SilvaBF, PimentelRF, FerreiraTT, Leoni FM, et al. Prevalence and risk factors for bacterial vaginosis and
other vulvovaginitis in a population of sexually active adolescents from Salvador, Bahia, Brazil. Infect Dis Obstet Gynecol 2012;2012:378640.
Krashin JW, Koumans EH, Bradshaw-Sydnor AC, Braxton JR, Evan Secor W, Sawyer MK, et al. Trichomonas vaginalis prevalence,
incidence, risk factors and antibiotic-resistance in an adolescent population. Sex Transm Dis 2010;37:440-4.
Hay PE, Lamont RF, Taylor-Robinson D, Morgan DJ, Ison C, Pearson J. Abnormal bacterial colonisation of the genital tract and subsequent
preterm delivery and late miscarriage. BMJ 1994;308:295-8.
Jonsson M, Karlsson R, Rylander E, Gustavsson A, Wadell G. The associations between risk behaviour and reported history of sexually
transmitted diseases, among young women: A population-based study. Int J STD AIDS 1997;8:501-5.
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