STUDY OF THE VAGINAL FLORA OF PREGNANT WOMEN IN THE 3RD QUARTER AT THE IBN TOFAIL HOSPITAL CHU MED VI

Abstract

Background: Vaginal infections are a risk factor for preterm delivery. In this study, we sought
to evaluate the vaginal flora of pregnant women receiving opioid maintenance therapy (OMT)
in comparison to non-dependent, non-maintained controls.
Methods: This is a prospective study spanning 6 months from May 2019 to September 2019.
Vaginal swabs from the ectocervix were taken from 120 pregnant women in the last trimester
of pregnancy in the obstetric genecology department at Ibn Tofail Hospital.
A bacteriological study was realised in the laboratory.
Results: Of the 120 pregnant women, 55% were asymptomatic. The most frequent
symptomatology was represented by leucorrhoea, reported by 31% of women. Lactobacillus
was the most isolated bacteria with a rate of 40% , followed by Gardnerella vaginalis (32%) ,
only 8% cases had levures. Regarding genital conditions, vaginitis was found in 30% of
women, followed by yeast infections in 22% and vaginosis in 20%
Conclusions: The last trimester of pregnancy is a period of high rates of genital carriage of
risky germs and pathological genital conditions at risk of obstetrics and infection. this is the
reason why rigorous preventive measures are necessary to avoid contamination and
subsequently improve the foetal prognosis.