DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20193227

Study of genital dermatoses in pregnant females attending a tertiary care hospital

Seeniammal Sivanu, Maalik Babu, Soundharyaa Moorthi Savadamoorthi

Abstract


Background: Sexually transmitted infections (STI) prevalence in pregnancy is high and causes severe risk of transmission to the newborn. Usually they are asymptomatic and underdiagnosed. Most common STI’s are VVC, HPV, genital herpes, HIV, etc.

Methods: A hospital-based cross-sectional study was done for a period of one year (September 2017- August 2018) and 31 pregnant genital dermatoses were encountered.

Results: Among 31, infective etiology was seen in 15 cases (48%), non-infective etiology was seen in 3 cases (10%) and no STI’s were seen in 13 patients (42%). Vulvovaginal candidiasis was most common among pregnant females in 9 patients (60%) followed by genital warts in 3 patients (20%) followed by molluscum contagiosum, herpes genitalis and oral candidiasis in one patient (7%) respectively among infective etiology. Non-infective causes include vulval lymphangiectasia, epidermoid cyst and vascular swelling in one patient respectively (33.3%).

Conclusions: Screening of antenatal cases is more important to prevent complications. 


Keywords


Pregnancy, Vulvovaginal candidiasis, Vaginal pH, Newborn

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References


Singhal P, Naswa S, Marfatia YS. Pregnancy and sexually transmitted viral infections. Indian J Sex Transm Dis AIDS. 2009;30(2):71–8.

Shah M, Deshmukh S, Patel SV, Mehta K, Marfatia Y. Validation of vaginal discharge syndrome among pregnant women attending obstetrics clinic, in the tertiary hospital of Western India. Indian J Sex Transm Dis AIDS. 2014;35(2):118–23.

Mullick S, Watson-Jones D, Beksinska M, Mabey D. Sexually transmitted infections in pregnancy: prevalence, impact on pregnancy outcomes, and approach to treatment in developing countries. Sexually Transmitted Infections. 2005;81(4):294–302.

Luke JD, Silverberg NB. Vertically transmitted molluscum contagiosum infection. Pediatrics. 2010;125(2):423-5.

Sobel JD. Vulvovaginal candidosis. Lancet. 2007;369(9577):1961–71.

Ekanem EI, Ekott M, Udo AE, Efiok EE, Inyang-Out A. Prevalence of sexually transmitted diseases in pregnant women in Ikot Ekpene, a rural community in Akwa Ibom State, Nigeria. 2012; 2012.

Aguin TJ, Sobel JD. Vulvovaginal candidiasis in pregnancy. Curr Infect Dis Rep. 2015;17(6):462.

Mor G, Cardenas I. The Immune System in Pregnancy: A Unique Complexity. Am J Reprod Immunol. 2010;63(6):425–33.

Akerele J, Abhulimen P, Okonofua F. Prevalence of Asymptomatic Genital Infection among Pregnant Women in Benin City, Nigeria. Afr J Reprod Health. 2002;6(3)93-7.

Lee R, Nair M. Diagnosis and treatment of herpes simplex 1 virus infection in pregnancy. Obst Med. 2017;10(2):58.

Straface G, Selmin A, Zanardo V, De Santis M, Ercoli A, Scambia G. Herpes Simplex Virus Infection in Pregnancy. Infect Dis Obstet Gynecol. 2012;2012:385697.