The Relationship of Gestational Age on the Incidence of Vulvovaginal Candidiasis
Wiradi Suryanegara *
Community Medicine Department, Medical Faculty, Universitas Kristen Indonesia, Jakarta, Indonesia.
Gorga I. V. W. Udjung
Obstetrics and Gynecology Division, Medical Faculty, Universitas Kristen Indonesia, Jakarta, Indonesia.
*Author to whom correspondence should be addressed.
Abstract
Pregnancy is a risk factor for vulvovaginitis. Vulvovaginitis is an infection of the vaginal and vulvar mucosa, most often caused by bacterial vaginosis (BV), vulvovaginal candidiasis (CVV), and trichomoniasis (TR), even in some cases, a mixed infection. CVV is the second most common infection after BV that causes vulvovaginitis. Colonization of Candida sp. in the vagina is at least 20% in non-pregnant women but increases to 30% in pregnant women and increases in the third trimester to 40%, so the increasing gestational age, the higher the risk of CVV. This study aims to determine the relationship between gestational age and the incidence of CVV. This research method is a cross-sectional analytic design, using primary data from anamnesis and vaginal swab examinations on 50 samples of pregnant women at the Jatibening Health Center UPTD, 34 samples (68%) tested positive, and 16 samples (32%) tested negative for vulvovaginitis. CVV was found most often in the third trimester of pregnancy by 50%. The Chi-Square regression test was performed where the p-value = 0.042 (significant). Gestational age affects the incidence of CVV.
Keywords: Gestational age, vulvovaginitis, vulvovaginal candidiasis