Bacterial Vaginosis in Pregnancy

Susan Van Os, SM

CLIENT SITUATION
DC is a 29 year old G3T2P0A0L2 woman who sought midwifery care for the birth of her third child. During discussions with her midwife regarding routine vaginal swabs, she declined swabs for Chlamydia trachomatis, Neisseria gonorrhea and Trichomonas vaginalis because screening results in her previous pregnancy were negative. She advised the midwife that since she was confident in the monogamy of her relationship, she was not at risk for a sexually transmitted infection in this pregnancy, and further questioned the need for a swab for bacterial vaginosis based on the same reasoning.

This article has been peer-reviewed.