TMSS Medical College Journal

Background: Pregnant women commonly develop increased vaginal discharge which may lead to pregnancy complications like abortions, premature birth, low birth weight and other morbidities. This study conducted to determine pregnancy complications and sociodemographic status of pregnent women attending in the Department of Gynae & Obs, North Bengal Medical College & Hospital, Sirajganj. Materials and Methods : The cross-sectional descriptive study was conducted in North Bengal Medical College & Hospital, Sirajganj. The study period was from 01% may’ 2016 to 30" April’ 2017. All women with spontaneous or prompted complaints of vaginal discharge with pregnancy with or without other symptoms attending out patient and in patient department were enrolled into the study after obtaining informed consent. Results : The mean age was found 27.3+9.5 years, 27(27.0%) patients were nullipara, 43(43.0%) were para I and 30(30.0%) were para 2 or more. All (100.0%) patients had discharge, 47(47.0%) had itching, 25(25.0%) had odor and 3(3.0%) had burning. About 19(19.0%) patients had hypertension, 41(41.0%) patients had diabetes, 35(35.0%) had depression, 24(24.0%) had anemia, 19(19.0%) had threatened abortion, 17(17.0%) had threatened premature labor, 40(40.0%) had urinary infection and 39(39.0%) had hospitalization. Conclusion : All patients had vaginal discharge, other symptoms was found itching, odor and burning. It may lead to pregnancy complications like depression, anemia, threatened abortion, threatened premature labor, urinary infection and hospitalization.

Pregnant women commonly develop increased vaginal discharge which may lead to pregnancy complications like abortions, premature birth, low birth weight and other morbidities.' Abnormal vaginal discharge in a pregnant woman causes discomfort and increases risk of complications. Management of such patient is difficult as the physician will need to distinguish leucorrhoea of pregnancy from pathological vaginal discharge and also to decide on the drugs to prescribe that are not contraindicated in pregnancy.’ Vaginal yeast infection refers to irritation of the vagina due to the presence of opportunistic yeast of the genus Candida (mostly Candida albicans). About 75% of women will have at least one episode of vaginal yeast infection during their lifetime.’ Of the approximately 150 species of the yeast Candida* known more than 20 can cause infection in humans.® Candida albicans is the most important species among the other clinically significant species, including C. glabrata, C. parapsilosis, C. krusei and C. dubliniensis. Candida spp. lives commensally on the skin and in the genitor-urinary tract and gastrointestinal tract. They are harmless in their human host when they do not overgrow and interrupt the human immune system.® However, under certain conditions, some species exploit the host environment and cause disease. Superficial infection affects mucous membranes and skin, whereas invasive candidiasis can be acute or chronic and can affect the bloodstream and internal organs.’ Candida can be found in the oral cavity (oral candidiasis), the gastrointestinal tract (including the esophagus and gallbladder), at bronchial venous catheter sites, and in skin lesions.”