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Risk factors for bacterial vaginosis during pregnancy among African American women

2007; Elsevier BV; Volume: 197; Issue: 5 Linguagem: Inglês

10.1016/j.ajog.2007.03.085

1097-6868

Britton Trabert, Dawn P. Misra,

Reproductive Health and Contraception

Objective The objective of the study was to examine risk factors for bacterial vaginosis (BV) during pregnancy among African American women. Study Design As part of a study of preterm birth, African American women residing in Baltimore, MD, were recruited from prenatal care sites. Women enrolled prenatally (between 22 and 28 weeks’ gestation) were asked to provide a vaginal smear specimen for ascertainment of BV. Log-binomial analysis was utilized. Results Approximately one quarter of the women were identified with BV (110 of 438). After adjusting for several confounders, vaginal douching during pregnancy remained significantly associated with an increased likelihood of BV. In addition, greater frequency of intercourse during the first trimester of pregnancy was significantly associated with an increased likelihood of BV. None of the social or psychosocial factors examined were associated with BV. Conclusion Douching and sexual activity were associated with an increased risk of BV in the second trimester of pregnancy. The objective of the study was to examine risk factors for bacterial vaginosis (BV) during pregnancy among African American women. As part of a study of preterm birth, African American women residing in Baltimore, MD, were recruited from prenatal care sites. Women enrolled prenatally (between 22 and 28 weeks’ gestation) were asked to provide a vaginal smear specimen for ascertainment of BV. Log-binomial analysis was utilized. Approximately one quarter of the women were identified with BV (110 of 438). After adjusting for several confounders, vaginal douching during pregnancy remained significantly associated with an increased likelihood of BV. In addition, greater frequency of intercourse during the first trimester of pregnancy was significantly associated with an increased likelihood of BV. None of the social or psychosocial factors examined were associated with BV. Douching and sexual activity were associated with an increased risk of BV in the second trimester of pregnancy.