Isolation of Genital Mycoplasmas From Blood Obtained Shortly After Vaginal Delivery

Prophylaxis against infective endocarditis in obstetrics: new NICE guidance: a commentary

“…There is a paucity of evidence relating to the frequency of bacteraemia following vaginal delivery. The available data are from publications from 1959 to 1989, and rates of 0.5–8% were reported 9,10 . The frequency of bacteraemia following an instrumental delivery is unknown.…”

“…The available data are from publications from 1959 to 1989, and rates of 0.5-8% were reported. 9,10 The frequency of bacteraemia following an instrumental delivery is unknown. Extrapolating from the paper cited by NICE, a conservative estimate for vaginal delivery may be much higher than this at 14%.…”

Update on detection of bacteremia and fungemia.

“…Prolonged fever postpartum has been clearly associated with positive blood cultures (52,92,107,130). The use of surveillance cultures suggests, however, that mycoplasmas may commonly cause transient asymptomatic bacteremia in as many as 8% of postpartum women (107). The frequency of isolation specifically in women with postpartum fever is not characterized.…”

Review article

“…Infections in pregnancy can damage the fetus or placenta. The commonest agents are cytomegalovirus, rubella, toxoplasmosis [96], and possibly mycoplasmas [82,83]. They are frequently associated with premature delivery and SGA babies, which are probably growth retarded; in the latter case estrogen levels would be expected to be ' reduced.…”