Vaginal douching: Association with lower genital tract infections in African pregnant women

Background and Objectives: Douching, a common practice, could further incre ase the risk of genital infections. Goal of this Study: To describe douching practices in pregnant women and to evaluate associations with lower genital tract infections. Study Design: Cross-sectional study in Abidjan, Gate d'Ivoire. Results: Among 552 women included, douching before consultation was reporte d by 97% and was common practice for 98%. Intravaginal drying agents were u sed by 10%. Genital warts were less frequent for women who usually douched (p = 0.015). U. urealyticum infection was associated with douching and with the use of intravaginal agents. Diagnosis of genital infections was indepe ndent of douching with water or soap, but chlamydial infection was associat ed with douching with antiseptics, used by 14% of the women (p = 0.036). HI V infection was two times more frequent in women using antiseptics (p = 0.1 7). Conclusion: The study confirms the widespread practice of douching in Afric an pregnant women. The harmful effects of antiseptics need to be substantia ted.