Health Awareness blog

50% of patients with bacteria vaginosis are asymptomatic and rarely cause any significant complication. However, intervention should be taken during pregnancy because it may cause adverse pregnancy outcomes. During pregnancy, bacteria vaginosis has been found to be associated with:

• Premature rupture of membranes
• Preterm labour
• Preterm birth
• Chorioamnionitis
• Postpartum endometritis

Treatment is with:

• Oral metronidazole 400mg twice daily for 5-7 days or
• Oral metronidazole 2g as single dose

*From the meta-analyses studies, they have concluded that metronidazole is not teratogenic and safe to be given to pregnant women during the first trimester.

Related topic:

• Bacteria vaginosis / anaerobic vaginosis
• Criteria use to diagnose bacteria vaginosis

Reference:

1. Malaysia Guidelines In The Treatment of Sexual Transmitted Infections. 2008.

This method is used to reduce uterine inversion if manual method is unsuccessful.

1. Need to exclude uterus perforation by clinical inspection.
2. The operator need to hold the inverted uterus within the vagina
3. The introitus need to be sealed by the 2 hands of an assistant
4. Infuse 2 litre of warm saline (e.g.: use 1000ml bags of saline through a silastic ventous cup, urological Y giving set, or with a funnel and anesthetic machine scavenging tubing)

Related:

• Uterine inversion

Reference:

1. Brian Magowan. Churchill’s Pocketbooks Obstetrics and Gynaecology. 3^rd edition. Elsevier Churchill Livingstone.