Prevalence of Bacterial Vaginitis in Women with Recurrent Abortion in Comparison with Normal Pregnant Women

Abstract

Across-sectional study was done on a total of 80 deep vaginal swabs (40 women with recurrent abortion
and 40 pregnant women as control group) were collected from the September 2019 to the end of November
2019 from inpatients and outpatients women attended to Kirkuk general hospital to evaluate the prevalence
of vaginitis due to bacterial causes and its relation with abortion in pregnant women. vaginal swabs
were inoculated in bacterial media whose were prepared and sterilized according to the manufacturer’s
instruction. The prepared media were used for isolation, determination of the viable count, identification
and susceptibility testing these media were carried out after being solidified. Swabs was inoculated onto
MacConkey, nutrient and blood agars. Then the inoculated plates were incubated at 37°C for 24 hr. The
included 40 women with recurrent miscarriage with age range (20-44 years), the study showed that 12 of
40 were within the age group 30-39 years and 12 were below 30 years with mean age (31.6 years) and their
husbands mean age (35.43 years) and 65% of cases were rural. There was 60% of cases were with history of
3 miscarriage and 18.75% were 4 miscarriage. The study also revealed that majority of cases were parity 3-6.
The study also indicated that majority of cases have history of miscarriage in the 1st trimester in pregnancy.
The study demonstrated that 55% of women with recurrent abortion have positive HVS culture comparing
with 48% of pregnant women (control group). The study showed that 77.27% of women had aborted in the
1st trimester of pregnancy and the lowest rate of abortion 3% was in the 3rd trimester. The study revealed that
highest rate of isolated bacteria from the HVS culture of aborted women was Gardenellavaginalis (36.36%),
E. coli (27.27%) S. aureus (22.73%) and the higher rates of isolated bacteria from pregnant women were
50%% for E coli.