Preterm labor, premature membrane rupture and lower urogenital tract infections

Objective & Hypothesis:Objective: Determination of whether there is any relationship between preterm labor, premature membrane rupture and lower urogenital tract infections.

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Key Findings & Data:Material and Methods: Patients with preterm labor (group I, n:37) and premature membrane rupture (group II, n:42) who admitted to our clinic were enrolled into study.

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Conclusion & Impact:So that it is very important to take consideration of even asymptomatic infections and try to treat them.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Prematüre doğum · Fetal membranlar · prematür rüptür

Abstract

Objective: Determination of whether there is any relationship between preterm labor, premature membrane rupture and lower urogenital tract infections. Material and Methods: Patients with preterm labor (group I, n:37) and premature membrane rupture (group II, n:42) who admitted to our clinic were enrolled into study. Women with term gestation were taken as control group (group III, n:20). Vaginal and urinary speciments were cultured for bacterial infections. Specimens, taken from lateral vaginal wall, were investigated for bacterial vaginosis, candidal and Trichomonas vaginalis infections. Vaginal pH was measured in all patients. Results: There was no statistical significant difference between three groups in terms of candidal and Trichomonas vaginalis infections. Bacterial vaginosis, pH and vaginal culture positivity had statistical significant higher ratio in both groups compared with control group. Urinary culture positivity ratio was significantly higher in preterm labor compared with control group whereas it was not significant in premature membrane rupture group. Conclusion: There is significant relationship between preterm labor and premature membrane rupture and, lower urogenital tract infections. So that it is very important to take consideration of even asymptomatic infections and try to treat them.

Özet

Amaç: Preterm doğum ve prematüre membran rüptürü ile alt ürogenital infeksiyonlar arasında bir ilişkisinin olup olmadığının belirlenmesi. Gereç ve Yöntem: Preterm eylem (grup I, n:37) ve prematüre membrane rüptürü (PEMR) (grup II, n:42) şikayetiyle kliniğimize başvuran hastalar ile miadında gebeler (grup III, n:20) kontrol grubu olarak çalışmaya alındı. Çalışmaya alınan kadınların vajinal ve idrar kültürleri ile vajen yan duvarından alınan örnekler candida, bakteriyel vajinozis ve Trikomonas vaginalis açısından incelendi. Vajenin pH ölçümü yapıldı. Bulgular: Üç grup arasında candidal ve Trikomonas vaginalis infeksiyonları açısından anlamlı bir istatistiksel farklılık saptanmadı. Bakteriyel vaginozis, pH ve vajinal kültür pozitifliği kontrol grubuna göre her iki grupta da istatistiksel olarak anlamlı bir yüksekliğe sahipti. İdrar kültürü pozitifliği oranı kontrol grubuna göre preterm eylem grubunda istatistiksel olarak anlamlı bir yüksekliğe sahipken prematüre membran rüptürü olan gruptaki yükseklik istatistiksel açıdan anlamlı değildi. Sonuç: Preterm eylem ve prematür membran rüptürü ile alt ürogenital sistem infeksiyonları arasında anlamlı bir ilişki mevcut olup, gebeliğin antenatal kontrolleri sırasında asemptomatik infeksiyonların bile dikkate alınması ve tedavilerinin yapılması önemlidir.

Keywords

Prematüre doğum Fetal membranlar prematür rüptür İdrar yolu enfeksiyonları Premature Birth Fetal Membranes Premature Rupture Urinary Tract Infections

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Cite This Article

ŞAHİN, H. G., ZETEROĞLU, Ş., ŞAHİN, H. A., DEVECİ, A., GÜVERCİNCİ, M. (2004). Preterm labor, premature membrane rupture and lower urogenital tract infections. Medical Network Klinik Bilimler ve Doktor, Cilt: 10 - Sayı: 1, 87–90. https://ajindex.com/articles/279137

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