الفهرس 
Incidence of Vaginal Infection among Pregnant Women Using a New Modality
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Abstract
Vaginal infection is one of the risk conditions that affect (60–80%) of women during pregnancy. Aim of the study was to identify the incidence of vaginal infection among pregnant women using new modality. A descriptive cross-sectional research design was utilized. The study was carried out at Obstetrics and Gynecology Out-Patient Clinics at Kasr Al-Aini Hospital, Cairo University. A total of 112 purposive sample of pregnant women complaining from any signs and symptoms related to vaginal infection over a period of 6 months from September 2020 to March 2021. Four tools utilized to collect data: 1) Structured interviewing questionnaire, 2) clinical presentation assessment tool, 3) vaginal pH pad tool, 4) microscopic test examination. Results showed that, mean age of the study sample was (28.17±7.01) years, less than half (37.5%) can read and write. The majority was housewives (97.3%), (30.5%) of them has more than para 3, (50 %) has gravida (3-5) times. The most common symptoms of vaginal infection as reported by study sample were itching (83%), dyspareunia (75.9%), white cheesy vaginal secretion (52.7%) and burning during urination (48.2%), vaginal pH strip pad <4.5 found among (78.6%) of the study sample which indicated candidiasis infection and pH pad ≥5 found among (21.4%) of the study sample which indicated bacterial vaginosis. Vaginal pH pad showed the highest efficiency in detecting bacterial vaginosis at a cutoff value of ≥5, with (100%) sensitivity, (95.7%) specificity, (83.3%) positive predictive value, (100%) negative predictive value and (96.4%) accuracy. On the other hand, it was of low value in detecting other types of vaginal infections. It was concluded that, vaginal pH determination is highly sensitive and specific in detecting pregnant women with bacterial vaginosis. Based on the study findings, the following was recommended, regular screening for vaginal infection during routine antenatal visits for early detection of vaginal infection.