Bacterial vaginosis is not a strong risk factor for early miscarriage

Bacterial vaginosis is not a strong risk factor for miscarriage before 16 weeks' gestation, but it may be associated with miscarriage in the second trimester. Oakeshott and colleagues (p 1334) conducted a prospective cohort study of 1216 pregnant women attending general practices and family planning clinics. Although treatment of asymptomatic bacterial vaginosis is unlikely to prevent miscarriage in the first trimester, initiatives to prevent miscarriage in the second trimester and preterm birth should consider screening and treatment before 13 weeks' gestation. Non-invasive screening for bacterial vaginosis by using self-administered vaginal swaps is feasible in community based, healthy pregnant women.

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Relevant Article

Association between bacterial vaginosis or chlamydial infection and miscarriage before 16 weeks' gestation: prospective community based cohort study

Pippa Oakeshott, Phillip Hay, Sima Hay, Frances Steinke, Elizabeth Rink, and Sally Kerry
BMJ 2002 325: 1334. [Abstract] [Full Text] [PDF]