Volume : X, Issue : VI, June - 2020

Urogenital infections- major contributing factor in preterm labor.

Dr Swati Solanki, Dr Mridula Singh

Abstract :

Introduction– Preterm delivery, defined as delivery occurring before 37 completed weeks of gestation, causes the majority of neonatal deaths unrelated to congenital anomalies and also accounts for more than one half of nursery costs. Furthermore, premature infants who survive often have significant morbidities including necrotizing enterocolitis, retinopathy of prematurity, intraventricular hemorrhage. Identifying and treating the underlying cause of preterm labor would potentially decrease perinatal morbidity and mortality. Objective – 1. Genital infections and urinary tract infections are causative factors of preterm labor. 2. To study incidence of genital infections and urinary tract infection in patients with preterm labor pains. Methodology– A prospective observational study done with women admitted in labor room with preterm labor pains at Atal Bihari Vajpayee government medical college Vidisha from 1 January 2019 to 31 December 2019.Diagnosis is made after examining Clean catch samples of urine under microscope and urine culture of all pregnant women with preterm labor, and vaginal swabs for microscopic examination, and culture along with per speculum examination done for detection of genital infections, and results were compared. RESULTS– Out of 468 pregnant women with preterm labor, collectively urogenital infection in 46%, isolated Urinary tract infection in14%, genital infection in 21%,11% women had both urinary tract infection and genital infection. About 10 % had asymptomatic bacteriuria with no history of urinary tract or genital infection. Among 21% of genital infections in the preterm labor patients, vaginal candidiasis in 28%, bacterial vaginosis in 40%, and group B streptococcus infection 10 % women, rest with gonococcal cervicitis and viral infection (HSV, HIV), and other infections. Conclusion–Both urinary tract infection and genital infection individually and collectively play major role in initiation of preterm labor, hence as urine routine examination is included in universal screening in pregnant women, evaluation for genital infection like candidiasis, bacterial vaginosis, Chlamydia trachomatis, trichomonas vaginalis should also be included in universal screening in pregnant women to decrease incidence of preterm labor.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

UROGENITAL INFECTIONS- MAJOR CONTRIBUTING FACTOR IN PRETERM LABOR., Dr Swati Solanki, Dr Mridula Singh INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-6 | June-2020

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