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Epidemiologic Reviews 24:102-108 (2002)
© 2002 by the Johns Hopkins Bloomberg School of Public Health

Bacterial Vaginosis in Pregnancy: Current Findings and Future Directions

Deborah B. Nelson1 and George Macones1,2

1 Center for Clinical Epidemiology and Biostatistics, Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, PA. 2 Department of Maternal and Fetal Medicine, University of Pennsylvania Health System, Philadelphia, PA.

Received for publication June 6, 2002; accepted for publication November 19, 2002.

Abbreviation: BV, bacterial vaginosis.

The first 150 words of the full text of this article appear below.


   INTRODUCTION
 
Bacterial vaginosis (BV) is an extremely prevalent vaginal condition and the number one cause of vaginitis among both pregnant and nonpregnant women (1). Although it is not a reportable disease, current studies have found the prevalence of BV among nonpregnant women to range from 15 percent to 30 percent; up to 50 percent of pregnant women have been found to have BV (2–5). However, the majority of cases of BV are asymptomatic and remain unreported and untreated (3, 6). Previously considered a benign condition, BV has been related to many gynecologic conditions and complications of pregnancy including pelvic inflammatory disease, posthysterectomy vaginal cuff cellulitis, endometritis, amniotic fluid infection, preterm delivery, preterm labor, premature rupture of the membranes, and, possibly, spontaneous abortion (7–12). The role of asymptomatic, compared with symptomatic, BV in both gynecologic and pregnancy-related conditions has . . . [Full Text of this Article]


   BACKGROUND
 

   DIAGNOSIS
 

   TREATMENT
 

   EPIDEMIOLOGY: RISK FACTORS
 

   EPIDEMIOLOGY: ADVERSE PREGNANCY OUTCOMES
 

   CONCLUSION
 

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