Pathological Vaginal Discharge among Pregnant Women: Pattern of Occurrence and Association in a Population-Based Survey

Fonseca, Tania Maria Morais Vieira da; César, Juraci Almeida; Mendoza-Sassi, Raúl Andrés; Schmidt, Elisabeth B.

doi:10.1155/2013/590416

Cited by 25 publications

(22 citation statements)

References 17 publications

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“…This is in contrast to a study done by Fonseca TM et al, in Brazil which showed that history of pathological vaginal discharge during pregnancy was significantly associated with threatened premature labour. 9 We did not observe a significant correlation between a positive family history of preterm birth and preterm delivery (p=0.821). This is in contrast to a study published by Sherf Y et al, which concluded that family history of preterm delivery is an independent risk factor for recurrence of preterm birth in the subsequent generation.…”

Section: Resultsmentioning

confidence: 52%

Clinical profile and fetal outcome in women with preterm labor pains

Gupta

Juneja

Salhan

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: Preterm labor is a potential cause of preterm birth. Certain demographic and presenting features in pregnant women may correlate to the severity of the problem and progression to delivery. The aim of the study was to find out the clinical profile and fetal outcome in women with preterm labor pains in a tertiary care hospital of North India.Methods: 83 women with preterm labor were included in the study. Antenatal corticosteroids and tocolytic therapy were given. Women who delivered preterm comprised of Group A and who delivered at term were Group B. Clinical profile and fetal outcome was compared and statistically analyzed.Results: 39 (47.0%) women had preterm delivery (Group A) and 44 (53.0%) women delivered at term (Group B). 23.1% women in group A and 4.5% in group B had a previous preterm birth (p=0.021). 16 (41%) women in group A and 4 (9.1%) in group B had a positive microbial growth on high vaginal swab (p=0.001). The odds of having a preterm birth with cervical length of <2 cm was calculated to be 5.281 (p=0.000). A statistically significant difference was observed in the mean birth weight, Apgar score and nursery admissions in both the groups (p=0.000).Conclusions: A prior history of preterm birth, a positive growth on high vaginal swab and a cervical length of less than 2 cm were found to be significantly associated with preterm birth.

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Section: Resultsmentioning

confidence: 52%

Clinical profile and fetal outcome in women with preterm labor pains

Gupta

Juneja

Salhan

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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“…Our long experience in the management of miscarriage have been shown that the majority of the histopathology studies of the products of conception often reveal infected products which suggests that the infection is one of the primary causes of miscarriage. During pregnancy genital mucosa becomes thinner and has greater surface area, making pregnant women more susceptible to infection [13]. Furthermore, it is reported that infection such as chlamydia trachomatis is an important causative factor of miscarriage and the association between chlamydia positive diagnostic test and miscarriage is significant (OR 2.41,95% CI 1.32-3.35, P<0.01) [8].…”

Section: Discussionmentioning

confidence: 99%

Antimicrobial Prophylaxis for Women with First Trimester Vaginal Bleeding Could Reduce the Rate of Miscarriage

Frass¹

2017

JGO

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This is a prospective study conducted to examine the possible benefit of antibiotic prophylaxis in reducing the symptoms of threatened miscarriage as well as decreasing the rate of progression into spontaneous miscarriage in women with first trimester vaginal bleeding. This study was conducted at Al Thawra General Hospital over a year (from Jan. to Dec 2016). Ninety-two women with threatened miscarriage during the first trimester were included (case group) and compared to 90 pregnant women without vaginal bleeding with similar parity and gestational age. Amoxicillin-clavulanate drug was given for all cases of the study group during vaginal bleeding. Both groups were monitored up to 28 weeks gestational age. Among 92 women with threatened miscarriage, only three cases (3.2%) had spontaneous loss (P < 0.001). Vaginal bleeding was significantly relieved within 3 days of antibiotic administration (P < 0.00). Results of this study give evidence that antibiotic prophylaxis for women with threatened miscarriage reduces the amount and duration of vaginal bleeding, and decreases the rate of progression into spontaneous miscarriage.

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“…La gestación conduce a un desequilibrio del microambiente vaginal, favoreciendo la proliferación de microorganismos e incrementando la gravedad y recurrencia de infecciones. Diversos estudios han mostrado que las mujeres más jóvenes poseen mayor tendencia a tener flujo vaginal patológico durante la gestación [12][13][14] . Así pues, la población considerada en este estudio presentó una mediana de edad de 23 años, cifra similar a la obtenida por algunos estudios.…”

Section: Discussionunclassified

Infecciones vaginales en pacientes gestantes de una clínica de alta complejidad de Medellín-Colombia

Jiménez

Valle²,

Padilla

et al. 2016

archmed

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Objetivo: describir características de las infecciones vaginales en pacientes gestantes. La gestación constituye un factor predisponente para infecciones vaginales, las cuales pueden generar consecuencias deletéreas para la madre y el feto. Materiales y métodos: estudio transversal, descriptivo. Población compuesta por gestantes con diagnóstico de infección vaginal en una clínica de alta complejidad durante enero de2011 a junio de 2012. Se recolectó información sociodemográfica, clínica, microbiológicay terapéutica de las historias clínicas de las pacientes. Resultados: Se incluyeron 67 pacientes, con una mediana de edad de 23 (RIQ 21-29) años; el 40% era primigestantey el 66% nulípara. Únicamente el 15% de las infecciones vaginales se presentaron en el primer trimestre gestacional. Los síntomas más frecuentemente referidos fueron:flujo vaginal (59.7%), síntomas urinarios bajos (26.9%) y prurito vulvar (23.9%); los principales hallazgos al examen físico fueron flujo (79.1%) y fetidez (16.4%) vaginal. En el 67,2% de los casos fue ordenada la realización del directo y gram de flujo vaginal, de los cuales, el 64,4% se realizó intrahospitalariamente. La reacción leucocitaria estuvopresente en la totalidad de las pacientes y en el 90% fue de moderada a abundante.Ocho de cada 10 pacientes presentó blastoconidias y pseudomicelios. El diagnóstico microbiológico más frecuente fue Candidiasis vulvovaginal (41.4%), seguido porVaginosis bacteriana (24.1%). Conclusión: las infecciones vaginales constituyen una patología con sintomatología frecuente, la cual se presenta generalmente en lasegunda mitad del embarazo, siendo Candida spp. el agente etiológico más común.

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Pathological Vaginal Discharge among Pregnant Women: Pattern of Occurrence and Association in a Population-Based Survey

Cited by 25 publications

References 17 publications

Clinical profile and fetal outcome in women with preterm labor pains

Clinical profile and fetal outcome in women with preterm labor pains

Antimicrobial Prophylaxis for Women with First Trimester Vaginal Bleeding Could Reduce the Rate of Miscarriage

Infecciones vaginales en pacientes gestantes de una clínica de alta complejidad de Medellín-Colombia

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