Bacterial Isolates From Patients With Preterm Labor With and Without Preterm Rupture of the Fetal Membranes

H. Mikamo ； Y. Sato ； Y. Hayasaki ； K. Kawazoe ； Y.X. Hua ； T. Tamaya

《Infectious Diseases in Obstetrics and Gynecology》 1999卷 (1999/12) Pp. 190-194

https://doi.org/10.1155/S1064744999000320

摘要

Objective: The aim of this study is to describe the bacterial flora of women in preterm labor with or without premature rupture of membranes. Methods: Retrospective studies of 239 patients with preterm labor were performed. Results: One hundred and twenty-three of 239 patients with preterm labor (51.5%) had bacterial vaginosis. Seventy of the 239 patients with preterm labor (29.3 %) developed premature rupture of the membranes (preterm PROM). Of the 70 patients with preterm PROM, 51 (72.9%) had bacterial vaginosis. Therefore, 51 of the 123 patients with bacterial vaginosis (41.5%) developed preterm PROM. An increased number of organisms detected from the vaginal discharge in patients with preterm labor was associated with preterm PROM by Cochran-Armitage test. An increased number of organisms detected from the vaginal discharge in patients with preterm labor complicated with bacterial vaginosis was significantly associated with preterm PROM by Cochran-Armitage test. Conclusions: In preterm labor, the number of different species detected in the vagina provide sensitive and specific prediction of preterm PROM in patients with preterm labor.

關鍵字

preterm labor ； preterm PROM ； prediction ； bacterial vaginosis