To observe the adverse maternal and fetal outcomes of abnormal vaginal discharge during pregnancy. This observational study was undertaken form January 2024 to January 2025 period in the Department of Obstetrics and Gynaecology at Sree Moogambika Medical College, Kanyakumari. Women’s mean age was 27.4 (±4.7) years and most were 28-35 weeks pregnant (n = 14, 34%) and primigravida (n = 17, 41%). Thirty Eight women (89%) presented with vaginal discharge while four women (11%) reported no vaginal discharge. Of those with vaginal discharge, 27 women (69.7%) had vaginal infections: bacterial vaginosis (n = 10, 39.6%), vaginal candidiasis (n = 8, 32.1%) and vaginal trichomoniasis (n = 7, 28.3%). Pathological vaginal discharge (PVD) was associated with vaginal irritation (n = 15, p<0.0001), vaginal pain (n = 25, p<0.0001), fever (n = 6, p = 0.015), uterine contractions (n = 16, p<0.0001), premature membrane rupture (n = 15, p<0.0001), abortion (n = 6, p = 0.009), pre-term delivery (n = 12, p<0.0001) and post-partum endometritis (n = 9, p=0.0006). PVD was associated with neonatal outcomes i.e. low birth weight (n = 12, p<0.0001), low Apgar score at birth (n = 12, p = 0.0001), neonatal respiratory distress syndrome (n = 11, p = 0.0002), neonatal intensive care (n = 10, p = 0.002) and early neonatal death (n = 8, p = 0.003). Pathological Vaginal Discharge (PVD) during pregnancy is associated with adverse maternal and perinatal outcomes.
Rema V. Nair and M. Karthika Harini. Abnormal Discharge in Vagina During Pregnancy and its Maternal and Perinatal Outcomes.
DOI: https://doi.org/10.36478/makrjms.2024.12.982.987
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.12.982.987