The Prevalence of Urogenital Infections in Pregnant Women Experiencing Preterm and Full-Term Labor

Giraldo, Paulo César; Araújo, Edilson Divino de; Eleutério, José; Amaral, Rose Luce Gomes do; Passos, Mauro Romero Leal; Gonçalves, Ana Katherine

doi:10.1155/2012/878241

Cited by 52 publications

(64 citation statements)

References 16 publications

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“…CG et al have proved that lower genital tract infections are very common among apparently healthy looking pregnant women with an overall prevalence of 40-54%. 14 The prevalence of BV during pregnancy has been reported as 20-30% in various studies. The present study estimated the prevalence of BV based on positive Amsel's criteria among preterm labour group as 30% and among term labour as 4% which coincides with the findings of Mittal et al and Svare et al 15,16 Findings in the study of Hiller and coworkers and Subtil et al demonstrated the increased association of preterm delivery with bacterial vaginosis which is also demonstrated in the present study.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of bacterial vaginosis in preterm and term labour: a one year study

Kiran

Kandati

Ponugoti

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Presence of intra uterine infections is one of the important risk factors for preterm labour. Bacterial vaginosis is one of the commonest genital infections during pregnancy and the prevalence ranges from 4 to 64% depending upon the racial, geographic factors. Most of the cases of bacterial vaginosis during pregnancy are asymptomatic and goes unrecognized. Some of the studies state that treatment of bacterial vaginosis is not associated with reduction in preterm birth rates among mothers with no history of preterm birth. The present was conducted to study the prevalence of bacterial vaginosis in women presenting with preterm labour and term labour and to analyze the causal relationship between bacterial vaginosis and preterm labour. The study also recorded the outcome of maternal and neonatal complications associated with bacterial vaginosisMethods: An observational study was conducted on 100 patients with preterm and term labour. Swabs were collected from all the patients and bacterial vaginosis was diagnosed based on Amsel’s criteria. Pearson’s chi-square test was used to demonstrate the difference between both groups with respect to various categorical data. Independent t- test was used to compare the mean maternal age and mean gestational age at admission in both the groups.Results: The mean maternal age of members in preterm labour was 25.60+4.295 and of term labour was 25.38 ± 4.01 years. Among preterm labour group only 14 cases were suggestive of bacterial vaginosis and 2 cases among 25 cases in labour group. The proportion of cases who were diagnosed as BV positive based on Amsel’s criteria were found more in preterm labour group than term labour group and was found statistically significant (p value = 0.001). Significantly more number of patients in preterm labour group demonstrated culture swab positivity with pathogenic organisms than in term labour group and was found statistically significant with p value=0.048.Conclusions: The present study clearly demonstrates significant association of preterm labour with bacterial vaginosis. Therefore, the screening for bacterial vaginosis as a routine during pregnancy and its prompt treatment may reduce the risk of preterm labour. This will also go a long way in the prevention of neonatal complications due to prematurity.

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Section: Discussionmentioning

confidence: 99%

Prevalence of bacterial vaginosis in preterm and term labour: a one year study

Kiran

Kandati

Ponugoti

2017

Int J Reprod Contracept Obstet Gynecol

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“…The factors that increase the risk of urinary tract infections in pregnant women include increased age, number of intercourses per week, number of childbirths, recessive sickle cell anemia, diabetes, immunodeficiency and urinary tract abnormalities 13,14 . The probability of urinary tract infection initiated around the sixth week and reaches the maximum during 22-24 weeks of gestational age.…”

Section: Introductionmentioning

confidence: 99%

“…The probability of urinary tract infection initiated around the sixth week and reaches the maximum during 22-24 weeks of gestational age. The increased probability of infection in pregnant women is most likely due to increased bladder volume, its expansion and expanded ureter 13,16 .…”

Section: Introductionmentioning

confidence: 99%

Determination of Prevalence of Urinary Tract Infection Among the Pregnant Women with Lower Abdominal Pain

Sekharan¹,

Kumar

Kumari

et al. 2017

PBJ

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The present study was aimed to determine the prevalence of urinary tract infection among the pregnant women with lower abdominal pain and its aetiological micro-organism. Cross sectional study was done at Mount meru hospital laboratory, Arusha, Tanzania. 225 pregnant women attending an antenatal clinic in Levolosi hospital (Arusha, Tazania) were enrolled. To diagnose urinary tract infection in the enrolled participants, mid stream urine was collected and culture on Macconkey agar media and blood agar media. Urine analysis was done using dipstick test, urine microscopy and biochemical tests. The prevalence of urinary tract infection was found to be 31.6%. High incidence of infection was found in 33-40 years age group (41.6%). The incidence of infection was high in the third trimester of pregnancy compared to first and second trimester. The prevalence of infection is more in participants who had past history of infection. The bacterial pathogens isolated include E.coli (40.8%), Staphylococcus species (30.0%), Klebsiella species (14.1%), Proteus species (11.3%), Citrobacter species (1.4%) and Enterobacter species (1.4%). Diagnosis of urinary tract infection in pregnant women during all antenatal visits should be considered a vital care in the community. This helps to keep away from complications in pregnancy at an early stage.

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“…Microbial infections of the vagina (vaginosis and vaginitis) among pregnant women are serious problems because they can lead to serious medical complications such as preterm labor, amniotic fluid infection, premature rupture of the fetal membranes, and low birth weight of the neonate [1], leading to high prenatal mortality [2]. However, proper identification and treatment will reduce the risk of preterm birth and its consequences [3].…”

Section: Introductionmentioning

confidence: 99%

“…The vagina could be infected by a variety of pathogens including bacteria, fungi, viruses, and parasites [1,2]. Bacterial vaginosis (BV) is the most frequent vaginal infection, characterized by the replacement of Lactobacillus species of normal vaginal flora by the excessive growth of a mixture of microorganisms including Gardnerella vaginalis, Bacteroides species, genital mycoplasma, and fastidious anaerobic bacteria [4].…”

Section: Introductionmentioning

confidence: 99%

Vaginal infections among pregnant women at Omdurman Maternity Hospital in Khartoum, Sudan

Abdelaziz

Ibrahim

Bilal

et al. 2014

J Infect Dev Ctries

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Introduction: Microbial infections of the vagina in pregnant women are health problems that lead to serious medical complications and consequences. This study aimed to investigate and determine antimicrobial susceptibilities of the causative agents of vaginal infections in pregnant women. Methodology: A cross-sectional study of pregnant women (n = 200) was conducted between August and December 2008 at Omdurman Maternity Hospital, Khartoum, Sudan. Vaginal and cervical swabs were obtained from each subject and processed for isolation and identification of pathogenic microorganisms using standard methods of wet mount preparation, direct Gram smear, Nugent scoring system, direct immunofluorescence, and cultural techniques. Antimicrobial susceptibility testing of bacterial isolates was performed using standard procedures. Statistical analysis was done using SPSS program version 12.0.1. A p value < 0.05 was considered statistically significant. Results: Of the 200 pregnant women enrolled, BV was detected in 49.8%, followed by Chlamydia trachomatis (31.3%) and Candida albicans (16.6%), with low frequencies of Neisseria gonorrhoeae (1.8%) and Trichomonas vaginalis (0.5%). Higher infection rates were recorded among subjects in the third trimester (71.6%) than in the second trimester of gestation (28.4%). No significant association (p = 0.7) between history of abortions and C. trachomatis infections was found. Gentamicin was the most active agent against Gram-positive and Gram-negative bacteria. Clarythromycin was the most active against Mycoplasma species. Conclusions: Pregnant women with vaginal complaints revealed various positive microbiology results. Such cases may require specific medication. Routine culture of vaginal and cervical samples should be performed on all pregnant women during prenatal visits.

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The Prevalence of Urogenital Infections in Pregnant Women Experiencing Preterm and Full-Term Labor

Cited by 52 publications

References 16 publications

Prevalence of bacterial vaginosis in preterm and term labour: a one year study

Prevalence of bacterial vaginosis in preterm and term labour: a one year study

Determination of Prevalence of Urinary Tract Infection Among the Pregnant Women with Lower Abdominal Pain

Vaginal infections among pregnant women at Omdurman Maternity Hospital in Khartoum, Sudan

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