ORIGINAL ARTICLE |
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Year : 2014 | Volume
: 2
| Issue : 2 | Page : 39-44 |
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Prevalence and correlates of bacterial vaginosis among human immunodefficiency virus positive pregnant women at Aminu Kano Teaching Hospital, Kano, Nigeria
Halima Bello, Sule A Gaya, Zainab D Ahmed, Hadiza S Galadanci
Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital, Kano, Nigeria
Correspondence Address:
Hadiza S Galadanci Department of Obstetrics and Gynaecology, PMB 3452, Kano Nigeria
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DOI: 10.4103/2321-9157.159964
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Background: Bacterial vaginosis (BV) is one of the most prevalent causes of vaginal discharge or malodor and has been associated with several pregnancy complications including increased risk of mother to child transmission of human immunodeficiency virus (HIV) during pregnancy. Objective: To determine the prevalence of BV among HIV-positive pregnant women attending antenatal clinic at Aminu Kano Teaching Hospital (AKTH), Kano. Subjects and Methods: This is a descriptive cross-sectional study carried out on 242 HIV positive pregnant women as the study group and 242 HIV negative pregnant women as the control group. Following administration of the questionnaires, high vaginal swabs was collected and tested for PH, whiff test and microscopy to identify clue cells. The data were analyzed using Epi info version 3.5. Chi-square test was used to determine the strengths of association between exposure (HIV) and outcome (BV) variables in the study and controlled groups. Association was considered statistically significant at P < 0.05. Results: The mean ages for both groups were 28.4 (standard deviation [SD] ± 4.45) and 28.7 (SD ± 4.88) years for reactive and nonreactive groups respectively. The women's parity ranged from 0 to 7 and mean parity were 1.91 and 2.05 for the reactive and nonreactive groups respectively. The overall prevalence of BV among pregnant women attending ANC clinic at AKTH was 43.2%. The prevalence of BV among HIV-positive pregnant women (71.3%) is significantly higher than that of HIV-negative pregnant mothers (28.7%), P < 0.001. Conclusion: Pregnant HIV-positive women have a higher risk of developing BV compared with their HIV-negative counterpart. Active screening for BV among HIV-positive pregnant women is advised.
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