Diagnosis and impact of Bacterial vaginosis in threatened preterm labour
Amsels criteria are a simple, inexpensive, easily reproducible method for the diagnosis of bacterial vaginosis (BV) and can be used on a mass scale. Vaginal fluid pH 4.5 can be taken as an initial criterion to screen bacterial vaginosis. A positive whiff with pH 4.5 will confirm the BV infections. Only if the whiff test is negative, microscopy can be performed in order to screen for clue cells. Preterm deliveries can be prevented to a certain extent if diagnosis and treatment of bacterial vaginosis is made during the threatened preterm labour, Inclusion of steroid administration shall decrease perinatal morbidity and mortality by decreasing respiratory distress syndrome and intra ventricular hemorrhage.