Bacterial Vaginosis and Its Relation to Caesarean Wound Infection | ||||
| The Egyptian Journal of Fertility and Sterility | ||||
| Volume 29, Issue 3 - Serial Number 11106352, May 2025, Page 24-35 PDF (309.37 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/egyfs.2025.431332 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Abd El Rahman Mohamed Saleh1; Mohamed Abd El Hameed Abd El Hafeez2; Rehab Mohamed Abd El Rahman2; Karim Yahia Mohamed Jaffer  3; Mohamed Mohamed Abdelmawgood Elders1
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| 1Lecturer of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University | ||||
| 2Professor of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University | ||||
| 3Master degree, Resident of Obstetrics and Gynecology Faculty of Medicine, Ain Shams University | ||||
| Abstract | ||||
| Background: Postoperative infections frequently occur as consequences of obstetric & gynecologic surgeries. The pathogenesis of following-cesarean endometritis and following-surgery cuff cellulitis includes the upward dis-semination of potentially harmful bacteria present in the vagina. BV is related to elevated vaginal levels of specific facultative and anaerobic bacteria. BV is a potential risk factor for infections following surgery in gynecology and obstetrics. Objectives: to assess the correlation between bacterial vaginosis & cesarean infection of the wound. Methods: This prospective cohort investigation has been carried out at the Obstetrics & Gynecology department of Ain Shams University Maternity Hospital, from Octo-ber 2023 to June 2024. The investigation included a total of 230 pregnant females who were scheduled for elective Caesarean Section & met the specified criteria for exclu-sion & inclusion. The incidence of infection in the cae-sarean wound was significantly greater in the group with bacterial vaginosis. Results: Statistically insignificant variances were ob-served among the study groups in terms of body mass index, age, previous cesarean section, parity, & fetal ges-tational age. The scoring of wounds in the Southampton group was significantly elevated in the bacterial vagino-sis group. The occurrence of Grade zero was significantly lower in the bacterial vaginosis group, however Grades IV and V were significantly greater in the bacterial vagi-nosis group. The incidence of infection of deep cesarean wound was slightly higher in the BV group, but this dif-ference was statistically insignificant. Conclusion: Most females with bacterial vaginosis are asymptomatic & are at a greater probability of adverse infectious complications because of cesarean delivery. The identification of bacterial vaginosis (BV) is rapid, un-complicated, & cost-effective. BV is a significant issue of public health that is frequent among pregnant females & is related to surgery site infections. Performing bacterial vaginosis screening on women before undergoing a cesar-ean section can help to further decrease the occurrence of infections following surgery in a manner that is both safe and economical. | ||||
| Keywords | ||||
| Caesarean Wound Infection; Bac-terial Vaginosis | ||||
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