Pathological vaginal discharge in pregnant women: scope review
Palavras-chave:
Pregnancy, Leucorrhea, Complications, InfectionsResumo
Introduction: Most women complain of vaginal infections, which account for 40% of gynecological consultations. During pregnancy, vulvovaginitis is associated with unfavorable obstetric outcomes. Objective: The objective of this study was to recognize the scientific evidence on the relationship between pathological vaginal discharge and the risk of complications during pregnancy. Methodology: This is a scoping review guided by the question: What is the scientific evidence on pathological vaginal discharge and complications in pregnancy? Scientific articles were collected from the PubMed, BVS, and SciELO databases. Results: Of the 35 articles analyzed, 10 were selected to compose the final sample. It was evident that pathological vaginal discharge is a very common occurrence in pregnancy and that treatment is necessary whenever diagnosed in order to prevent harm to the mother and baby. Conclusion: It can therefore be seen that the studies addressed in this scoping review provide scientific evidence of a relationship between pathological vaginal discharge and the risk of complications during pregnancy.
Referências
FEBRASGO - Brazilian Federation of Gynecology and Obstetrics Associations - Gynecology Protocol No. 24: Vaginitis and Vaginosis. São Paulo, 2018.
PASSOS, E. Routines in gynecology. 8th Ed. Porto Alegre. Artmed, 2023.
FEBRASGO - Brazilian Federation of Gynecology and Obstetrics Associations - Vulvovaginitis in pregnant women. No. 3. 2024.
SOUSA, A.P. et al. Changes in the vaginal microbiota during pregnancy and their clinical significance: a literature review. Journal of Medicine and Health Promotion. 2019.
ESPINHEIRO, R. de F. et al. Aspects of the vaginal microbiota and its relationship with candidiasis in pregnant women: a literature review. Research, Society and Development. 2022.
BEZERRA, D.E.R.; BELEM, G.G.; GONTIJO, E.E.L. Vulvovaginal candidiasis in pregnant women: an integrative review of the literature. e-Acadêmica. 2022.
ZIMMERMMANN, J.B. et al. Frequency and etiology of genital discharge in pregnancy. Rev Fac Ciênc Méd Sorocaba. 2019.
VALLELY, L.M. et al. Adverse pregnancy and neonatal outcomes associated with Neisseria gonorrhoeae: systematic review and meta-analysis. Sex Transm Infect. 2021.
HOLANDA, A.K. da S.; et al. Vulvovaginitis during pregnancy - importance of immediate treatment. Braz. J. of Develop. 2020.
JULIANA, N.C.A. et al. The association between vaginal microbiota dysbiosis, bacterial vaginosis, and aerobic vaginitis, and adverse pregnancy outcomes of women living in sub-Saharan Africa: a systematic review. Frontiers in Public Health. 2020.
HUSAIN, S. et al. Effects of oral probiotic supplements on vaginal microbiota during pregnancy: a randomized, double-blind, placebo-controlled trial with microbiome analysis. An International Journal of Obstetrics and Gynecology. 2019.
ROBERTS, C.L.; et al. Treatment of vaginal candidiasis for the prevention of preterm birth: a systematic review and meta-analysis. Systematic Reviews. 2015.
VAN GERWEN, O.T.; et al. Trichomoniasis and adverse birth outcomes: a systematic review and meta-analysis. BJOG. 2022.
