Cervical insufficiency with bacterial vaginosis and vulvovaginitis in pregnancy: Prevention
Keywords:
Bacterial vaginosis, vulvovaginitis, cervical insufficiency, pregnancy, preterm birth, infection prevention, antibiotic prophylaxis.Abstract
Bacterial vaginosis (BV) and vulvovaginitis are common vaginal
infections that can significantly affect pregnant women, particularly those with cervical
insufficiency (CI). Cervical insufficiency is a condition where the cervix weakens and
opens prematurely, often resulting in preterm birth or pregnancy loss. This article explores
the relationship between BV, vulvovaginitis, and CI, focusing on their shared
pathophysiological mechanisms and their combined impact on pregnancy outcomes. BV,
characterized by an imbalance in vaginal microbiota, and vulvovaginitis, which involves
inflammation of the vulva and vagina, can increase the risk of infection ascending to the
upper reproductive tract, potentially exacerbating cervical insufficiency and increasing the
risk of preterm birth. The review emphasizes the importance of early detection, timely
treatment, and preventive measures such as antibiotic prophylaxis, good hygiene practices,
and regular prenatal monitoring to manage these infections in pregnant women with
cervical insufficiency. By addressing these infections, healthcare providers can improve
maternal and fetal health outcomes, reducing the risks associated with preterm labor and
other pregnancy complications.
References
Haggerty, C. L., & Sweet, R. L. (2019). Bacterial vaginosis and preterm birth: a meta
analysis. Obstetrics & Gynecology, 134(2), 419-428.
Allsworth, J. E., & Peipert, J. F. (2018). Bacterial vaginosis: Epidemiology, diagnosis
and management. The Journal of the American Medical Association, 321(6), 653-660.
Soni, S. D., & Chapple, A. (2020). Vaginal infections in pregnancy: Diagnosis and
treatment. The Lancet Infectious Diseases, 21(3), 230-240.
Romero, R., & Mazor, M. (2018). Preterm labor: Causes and management. American
Journal of Obstetrics and Gynecology, 218(2), 142-155.
