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与孕期后期诊断相比,首次产前检查时诊断出的细菌性阴道病能更好地预测早产。

Bacterial vaginosis diagnosed at the first antenatal visit better predicts preterm labour than diagnosis later in pregnancy.

作者信息

Schoeman J, Steyn P S, Odendaal H J, Grové D

机构信息

Department of Obstetrics and Gynaecology, Tygerberg Hospital, University of Stellenbosch, South Africa.

出版信息

J Obstet Gynaecol. 2005 Nov;25(8):751-3. doi: 10.1080/01443610500314660.

DOI:10.1080/01443610500314660
PMID:16368577
Abstract

This study was conducted as part of a double-blind randomised placebo-controlled trial, the aim of which was to determine whether vitamin C could reduce the recurrence risk of pre-term labour. In this study, women with a history of pre-term labour in a preceding pregnancy were randomised to receive either 250 mg vitamin C or a matching placebo twice daily until 34 weeks' gestation. They attended a dedicated pre-term labour clinic every 2 weeks. All women were screened for bacterial vaginosis (BV) at each visit. It was first determined that vitamin C did not have any effect on the presence of BV. Women who were diagnosed with BV before 20 weeks' gestation were at higher risk of delivering pre-term than those who developed BV after 20 weeks.

摘要

本研究是一项双盲随机安慰剂对照试验的一部分,其目的是确定维生素C是否可以降低早产的复发风险。在本研究中,有前次妊娠早产史的女性被随机分为两组,一组每天两次服用250毫克维生素C,另一组服用匹配的安慰剂,直至妊娠34周。她们每2周前往一个专门的早产诊所就诊。每次就诊时对所有女性进行细菌性阴道病(BV)筛查。首先确定维生素C对BV的存在没有任何影响。妊娠20周前被诊断为BV的女性比20周后患BV的女性早产风险更高。

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引用本文的文献

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The Association Between Vaginal Microbiota Dysbiosis, Bacterial Vaginosis, and Aerobic Vaginitis, and Adverse Pregnancy Outcomes of Women Living in Sub-Saharan Africa: A Systematic Review.撒哈拉以南非洲地区女性阴道微生物失调、细菌性阴道病和需氧性阴道炎与不良妊娠结局的相关性:系统评价。
Front Public Health. 2020 Dec 10;8:567885. doi: 10.3389/fpubh.2020.567885. eCollection 2020.
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Vitamin supplementation for preventing miscarriage.
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Cochrane Database Syst Rev. 2016 May 6;2016(5):CD004073. doi: 10.1002/14651858.CD004073.pub4.
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Vitamin C supplementation in pregnancy.孕期补充维生素C
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Antibiotics for treating bacterial vaginosis in pregnancy.用于治疗妊娠细菌性阴道病的抗生素。
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Association between semen exposure and incident bacterial vaginosis.精液接触与细菌性阴道病发病之间的关联。
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