Document Detail


Bacterial vaginosis and preterm birth.
MedLine Citation:
PMID:  22060217     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Although it has been clear for more than 2 decades that bacterial vaginosis increases the risk for preterm birth in some women, it is not yet fully understood why this association exists or how best to modify the risk. Incomplete understanding of this polymicrobial condition and difficulties in classification contribute to the challenge. The relationship between altered vaginal microflora and preterm birth is likely mediated by host immune responses. Because treatment of bacterial vaginosis during pregnancy does not improve preterm birth rates, and may in fact increase them, screening and treatment of asymptomatic pregnant women is discouraged. Symptomatic women should be treated for symptom relief. This article reviews the pathophysiology of bacterial vaginosis and controversy surrounding management during pregnancy. Agents currently recommended for treatment of this condition are reviewed.
Authors:
Laura Manns-James
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Publication Detail:
Type:  Journal Article     Date:  2011-09-13
Journal Detail:
Title:  Journal of midwifery & women's health     Volume:  56     ISSN:  1542-2011     ISO Abbreviation:  J Midwifery Womens Health     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100909407     Medline TA:  J Midwifery Womens Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  575-83     Citation Subset:  IM; N    
Copyright Information:
© 2011 by the American College of Nurse-Midwives.
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