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B组链球菌感染和产科出血风险
Swetha Tummala1, Michelle J Wang2,3, Akanksha Srivastava2
1Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA. swethat@bu.edu.
Maternal and child health journal
|March 10, 2024
概括
在分娩期间感染B组链球菌 (GBS) 并没有增加产科出血 (OBH) 或相关并发症的风险. 需要进行进一步的研究,以了解周边感染和OBH风险.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 在怀孕期间的传染病.
背景情况:
- 乙组链球菌 (GBS) 是一种常见的细菌,可导致新生儿严重感染.
- 需要进一步调查GBS感染对孕产妇后果的潜在影响,特别是产科出血 (OBH).
- 了解OBH的风险因素对于提高分娩期间母亲安全至关重要.
研究的目的:
- 确定GBS感染与产科出血 (OBH) 风险之间的关联.
- 调查GBS状态与OBH相关的疾病 (OBH-M) 之间的关系.
- 探索产妇产内感染是否会改变GBS和OBH之间的关联.
主要方法:
- 记录了GBS状态 (2018-2019) 的分娩的回顾性队列研究.
- 由产前尿液或直阴道培养物确定GBS状态.
- 主要结局包括定量失血 (QBL),OBH和OBH-M的复合.
主要成果:
- 在GBS阳性和GBS阴性个体之间,QBL或OBH率没有显著差异.
- GBS状态与OBH发病率或相关干预没有关联.
- 在患有产妇内内感染 (III) 的患者中没有观察到显著差异.
结论:
- 在分娩时的GBS感染与OBH或OBH-M的风险增加无关.
- 需要进一步的研究来澄清围产部感染和OBH风险之间的联系.
- 这项研究表明,仅仅GBS状态可能不是产后出血的重要预测因素.
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