Clinical evaluation of the efficiency and safety of topical treatment for bacterial vaginosis in pregnant women


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Abstract

Objective. To evaluate the efficacy and safety of Multi-Gyn-ActiGel used to treat bacterial vaginosis (BV) and to prevent its recurrences in pregnant women before labor. Subjects and methods. A study group included 50 pregnant women with threatened preterm labor and new-onset BV. A comparison group consisted of 30 pregnant women with BV who had been treated with metronidazole and clindamycin 3 months before hospitalization. All underwent clinical and laboratory examinations. During BV therapy, Group 1 received Multi- Gyn-ActiGel and Group 2 used a probiotic. Results. Multi- Gyn-ActiGel was proved efficient and safe in treating BV and preventing obstetric complications. During therapy with this drug, the patients had no complaints and achieved optimal pH values and the normal pattern of vaginal smears. In the study group, all the pregnant women delivered at term. Conclusion. Multi-Gyn-ActiGel is an effective medication to treat BV and to prevent its recurrences. It is safe for a fetus and may be used in pregnant women at early gestational ages when a decision is made on the most effective prevention of pregnancy and labor complications.

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About the authors

Lydia S. Logutova

Moscow Regional Research Institute of Obstetrics and Gynecology

MD, Professor, Deputy Director for Science

Svetlana V. Novikova

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: sv_novikova@list.ru
MD, head of the obstetrics observational department

Ekaterina B. Tsivtsivadze

Moscow Regional Research Institute of Obstetrics and Gynecology

MD, Ph.D., a researcher of obstetric observational department

Alla V. Fedotova

Moscow Regional Research Institute of Obstetrics and Gynecology

PhD, researcher of the obstetrics observational department

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