Diagnosis of Vaginal Infection in Pregnancy

Pregnant women are prone to vaginal infection. At Primary Health Care Clinics diagnosis of causative organism of vagincll infections is made by clsing historp-taking and assessment of clinicalpicture methods. The accuracy of these methods is investigated in this stctdy by comparing the results obtained by historytaking and assessment of clinical picture with that which is obtained by examining wet mount specimens under a microscope. Seventy respo~~dents participated in the study Irz 48,6% cases, the diagnosis c ~ t h e camtive organism, as identified by the two different methods, were similar. In 51.4% of the cases the diagnosis differed Candida albicans infection was diagnosed by 10 respondents, while 3 actlrally had Trichomonas vaginalis infection and seven had Gardnerella vaginalis infection. Trichomor~a.~ vaginalis iizfection was diagnosed in 26 cases, while 15 were actl~ally dne to Candida albicans and 11 dele to Gardnerella vaginalis. Vaginal infections, cncised by Gardnerella vaginalis was not diagnosed in any of the cases while the historytaking and assessment of clinical picture methods were ~ u e d . It (lid occur in 11 cuses and was diagnosed by the method of examining wet mount slides.