Goldenberg Robert L, Culhane Jennifer F, Johnson Derek C
Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Alabama at Birmingham, 1500 6th Avenue South, Birmingham, AL 35233, USA.
Clin Perinatol. 2005 Sep;32(3):523-59. doi: 10.1016/j.clp.2005.04.006.
Adverse pregnancy outcomes can follow direct placental, fetal, or neonatal infection, or preterm birth associated with vaginal, cervical, intrauterine, or even nonpelvic infections. These latter infections appear to be associated with the majority of very early preterm births, and may explain some of the long-term neurologic damage associated with preterm birth. Bacterial vaginosis and its associated intrauterine infections likely contribute far more to the overall burden of adverse pregnancy outcomes than the more classical perinatal infections such as rubella and syphilis.
不良妊娠结局可能继发于直接的胎盘、胎儿或新生儿感染,或与阴道、宫颈、子宫内甚至非盆腔感染相关的早产。这些后期感染似乎与大多数极早早产有关,并且可能解释了一些与早产相关的长期神经损伤。细菌性阴道病及其相关的子宫内感染对不良妊娠结局的总体负担可能比风疹和梅毒等更典型的围产期感染的贡献要大得多。