Document Detail


Bacterial vaginosis and group B streptococcal colonization and preterm delivery in a low-risk population.
MedLine Citation:
PMID:  16490998     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the relationship between bacterial vaginosis (BV) and group B streptococcal (GBS) colonization in the 2nd trimester of pregnancy and preterm delivery. METHODS: 1,197 pregnant women between 22 and 25 weeks' gestation had a high vaginal swab for assessment of BV and GBS. Exclusion criteria were: previous preterm delivery, or mid-trimester abortion or termination of pregnancy, multiple gestation, oligo- or polyhydramnios, placenta previa, fetal abnormalities, uterine malformations, cervical incompetence, cervical cerclage, or receipt of an antibiotic effective against BV or GBS following the screening. All women had no risk factors for preterm delivery. The primary outcome measure in this analysis was spontaneous preterm delivery before 37 weeks' gestation. RESULTS: The preterm delivery rate was 8.7%, while the maternal BV and GBS colonization rates were 7.9 and 12.5%, respectively. Following adjustment for potential confounders BV was associated with an increased risk of preterm delivery (RR 2.19; CI: 1.21-3.98) (p = 0.01). On the contrary, GBS colonization was found to have a negative correlation with preterm birth (RR 0.43; 95% CI: 0.19-1.00). CONCLUSIONS: Although BV is a risk factor for preterm delivery, GBS colonization in the 2nd trimester of pregnancy has an inverse correlation with preterm delivery.
Authors:
George Daskalakis; Angeliki Papapanagiotou; Spyros Mesogitis; Nikolaos Papantoniou; Konstantinos Mavromatis; Aris Antsaklis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  21     ISSN:  1015-3837     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:  2006  
Date Detail:
Created Date:  2006-02-21     Completed Date:  2006-06-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  172-6     Citation Subset:  IM    
Copyright Information:
(c) 2006 S. Karger AG, Basel
Affiliation:
1st Department of Obstetrics and Gynecology, Athens University, Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Greece / epidemiology
Humans
Incidence
Logistic Models
Pregnancy
Premature Birth / epidemiology*
Streptococcal Infections / epidemiology*
Vagina / microbiology
Vaginosis, Bacterial / epidemiology*

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