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Treatment of Bacterial Vaginosis in Early Pregnancy in Skaraborg and the Effect on Spontaneous Preterm Delivery

Completed
Conditions
Bacterial Vaginosis
Interventions
Drug: Clindamycin-2-phosphate
Registration Number
NCT02348463
Lead Sponsor
Skaraborg Hospital
Brief Summary

Bacterial vaginosis (BV) is a known risk factor for preterm delivery. This study was conducted in an attempt to investigate if treatment of bacterial vaginosis in early pregnancy could reduce the risk for preterm delivery.

Women were screened for bacterial vaginosis during the first visits at the maternal health care unit with a vaginal sample that were taken by the midwife or by herself. After the vaginal samples was air dried it was sent to the gynaecological department and was investigated using Hay/Ison classification. Eligible women were those who had lived in Skaraborg and delivered at Skaraborg hospital.

Detailed Description

The study has started 2007 and will continue until 2014. Pregnant women that will come to the maternal health care units in gestational week 8-11 will be offered to be screened for bacterial vaginosis. A vaginal sample will be taken by the midwife or by the women herself. The vaginal sample is air-dried and sent to the gynecological. There it is investigated using Hay/Ison classification for the diagnosis of bacterial vaginosis.

Women with bacterial vaginosis will be offered treatment with topical clindamycin treatment for 7 days if the women has passed the 12th gestational week. A control sample for the test of cure will be done after 10 week. If not cured of BV she will be offered a new treatment.

All women will be followed until delivery.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
540
Inclusion Criteria
  • pregnant women screened for bacterial vaginosis in early pregnancy
Exclusion Criteria
  • women not delivered at Skaraborg hospital.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
treatment of bacterial vaginosisClindamycin-2-phosphatewomen with bacterial vaginosis will be offered treatment with clindamycin-2-phosphate
Primary Outcome Measures
NameTimeMethod
preterm deliverybefore 37th week of gestation
Secondary Outcome Measures
NameTimeMethod
cure of bacterial vaginosisafter 10 weeks
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