Incidence and risk factors of bacterial vaginosis among pregnant women: A prospective study in Maanshan city, Anhui Province, China

Journal of Obstetrics and Gynaecology Research - Tập 41 Số 8 - Trang 1214-1222 - 2015
Xiu‐De Li1, Fei Tong1, Xiujun Zhang1, Wencheng Pan2, Meng Chen2, Chengcheng Wang1, Xiang Li1, Guopeng Gao3, Liang Sun1, Ye‐Huan Sun1
1Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, People’s Republic of China
2Department of Obstetrics and Gynaecology, Maternal and Child Health Care Hospital of Maanshan, Maanshan, Anhui, People's Republic of China.
3Anhui No. 2 Province People's Hospital Hefei Anhui People's Republic of China

Tóm tắt

AbstractAimThe aim of this study was to identify the incidence and risk factors of bacterial vaginosis among pregnant women.Material and MethodsProspective data from a cohort of 668 pregnant women were used to identify potential risk factors for bacterial vaginosis during pregnancy by Cox proportional hazards regression.ResultsA total of 204 incident cases of bacterial vaginosis were diagnosed in 274.8 woman‐years of follow‐up. The bacterial vaginosis incidence rate was 0.74 per 1 woman‐year and median prevalence during follow‐up was 15.6%. In the adjusted model, changing underwear nearly everyday, miscarriage history, urinary tract infection during follow‐up, husbands' education level, and concurrent trichomoniasis and candidiasis remained significantly associated with bacterial vaginosis (adjusted hazard ratio and 95% confidence interval were 1.87 [1.26–2.77]; 2.96 [1.96–4.47]; 2.41 [1.05–5.49]; 0.50 [0.32–0.77]; 1.82 [1.02–3.25]; 1.88 [1.30–2.70], respectively).ConclusionBacterial vaginosis during pregnancy can be affected by many factors, and some are indirectly acting factors. Further prospective studies that include a larger sample size and more information on the development of bacterial vaginosis are needed.

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