Barbara Hansen Cottrell is Associate Professor, Florida State University School of Nursing, Tallahassee, Florida. Mary Shannahan is Panhandle Fetal and Infant Mortality Review Nursing Advisor, Capital Area Healthy Start Coalition, Tallahassee, Florida.
Maternal Bacterial Vaginosis and Fetal/Infant Mortality in Eight Florida Counties, 1999 to 2000
Article first published online: 8 SEP 2004
Public Health Nursing
Volume 21, Issue 5, pages 395–403, September 2004
How to Cite
Cottrell, B. H. and Shannahan, M. (2004), Maternal Bacterial Vaginosis and Fetal/Infant Mortality in Eight Florida Counties, 1999 to 2000. Public Health Nursing, 21: 395–403. doi: 10.1111/j.0737-1209.2004.21502.x
- Issue published online: 8 SEP 2004
- Article first published online: 8 SEP 2004
- bacterial vaginosis;
- fetal mortality;
- infant mortality;
- racial disparities
Abstract This study determined the prevalence of maternal bacterial vaginosis (BV) in fetal/infant mortality cases and factors associated with BV. A retrospective descriptive study was utilized. Data were obtained from review of vital statistics and medical records of 176 women experiencing fetal/infant deaths in eight Florida counties, 1999 to 2000. Non-White mothers accounted for 68.96% of deaths (chi square = 10.119, df = 4, p = 0.038), although the population of the eight counties was 64% White. Of 121 non-White mothers (68.8%) with infections, 37 (30.6%) had BV. Most fetal/infant deaths (39.7%) occurred 20–23 weeks' gestation and at birthweights <500 g, as did most cases of BV (46%). Women with BV were more likely to be non-White (OR 2.756, 95% CI 1.075, 7.066), single (OR 2.090, 95% CI 1.081, 7.246), <24 years old (t = 3.172, p = 0.002), and have <12 years of education (t = 2.56, p = 0.011). Findings support early screening and treatment for BV in women with these risk factors or a history of prior fetal/infant loss or preterm/low-birthweight infant. Factors contributing to racial disparity in BV and fetal/infant mortality need further exploration.