Obstetrics and Gynaecology Communications

Bacterial Vaginosis

Authors: 
Vatsla Dadhwal (Assistant Professor) Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India

Summary

  • Bacterial vaginosis (BV) is characterised by anaerobic bacterial overgrowth of the vaginal flora, but the exact aetiology and pathogenesis remain unclear.
  • BV is associated with complications during pregnancy including chorioamnionitis, premature rupture of the membranes (PROM), and preterm labour and delivery, as well as with post-hysterectomy vaginal cuff cellulitis.
  • Oral metronidazole remains the treatment of choice, although recurrences and relapses of infection are common.

Editor's Comment

BV is the most prevalent cause of vaginal infections in women of reproductive age. The demonstrated relationship between BV and complications of pregnancy such as chorioamnionitis, preterm labour and delivery, further emphasises the need for aggressive management of this disorder in all symptomatic women.

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