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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
[FREQUENCY OF PRETERM BIRTH IN WOMEN WITH CERVICAL VAGINAL INFECTIONS.]
Insights
Cervical and vaginal infections (CVI) in pregnant women significantly increase the risk of preterm birth (PB). Early detection and treatment of CVI are crucial for preventing premature births and newborn complications.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Infectious Diseases in Pregnancy
Background:
- Premature birth (PB) affects 5-18% of global births, posing risks for neonatal mortality and long-term developmental issues.
- Intrauterine infections, often ascending from the genital tract, are implicated in up to 40% of spontaneous preterm births.
- Genital tract infections are more prevalent in women experiencing preterm birth at lower gestational ages.
Purpose of the Study:
- To investigate the association between cervical and vaginal infections (CVI) and spontaneous preterm birth.
- To determine if CVI prevalence is significantly higher in women who deliver prematurely compared to a control group.
- To highlight the need for effective CVI prevention and treatment during pregnancy to reduce PB risks.
Main Methods:
- A retrospective study was conducted involving 70 pregnant women and their newborns.
- Participants were divided into a preterm birth group and a control group.
- Prevalence of CVI was compared between the two groups.
Main Results:
- The incidence of CVI in the preterm birth group was 37.14%.
- In the control group, the incidence of CVI was 17.14%.
- The study revealed more than a twofold increase in CVI incidence among women experiencing preterm birth.
Conclusions:
- Cervical and vaginal infections are significantly associated with an increased risk of preterm birth.
- Timely detection and appropriate therapeutic management of CVI during pregnancy are essential.
- Effective CVI management can potentially reduce the incidence of PB and associated neonatal infectious complications.
Abstract:
Premature birth (PB) occurs in 5% to 18% of births in the world. Children born prematurely are at increased risk of death, major neonatal complications, long-term adverse consequences for health and development. The cause of spontaneous preterm birth is often unknown, but it is believed that intrauterine infection is implicated in 40% of cases. The most likely route to intrauterine infection is ascending infection of the genital tract. Infection of the genital tract is more common in women with spontaneous preterm births in lower ge. tational age. s performed a retrospective research of 70 pregnant women and their newborns. In the group with preterm birth was reported high percentage of CVI - 37.14%, while in the control group this percentage is 17.14%. The results showed the increase in the incidence of CVI group of PB more than twice. There is a need an effective prevention and treatment of CVI during pregnancy. The timely detection of deviations from normal vaginal microflora and the correct therapeutic approach would reduce the risks of PB and infectious complications in newborns.
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