Recurrent Bacterial Vaginosis in Pregnancy: Clinico-Laboratory Monitoring and Relapse-Oriented Follow-Up in a Tertiary Maternity Hospital in Uzbekistan

Recurrent bacterial vaginosis (RBV) is a clinically significant form of vaginal dysbiosis characterised by repeated episodes of disturbed microbiota composition, typically involving a reduction of Lactobacillus dominance and an overgrowth of anaerobic bacteria. During pregnancy, this condition deserves particular attention because physiological hormonal and immunological adaptations can influence vaginal microbial stability and potentially modify both symptom manifestation and treatment response. In routine obstetric practice, RBV presents not only as a common cause of vaginal discharge and malodor but also as a condition that complicates clinical decision-making due to frequent relapse and the limited therapeutic options acceptable in pregnancy.