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细菌性阴道病:从围产期和新生儿角度来看的一种有问题的感染。

Bacterial vaginosis: a problematic infection from both a perinatal and neonatal perspective.

作者信息

Denney Jeff M, Culhane Jennifer F

机构信息

Department of Obstetrics & Gynecology, Division of Maternal-Fetal Medicine, University of Utah, Salt Lake City, UT, USA.

出版信息

Semin Fetal Neonatal Med. 2009 Aug;14(4):200-3. doi: 10.1016/j.siny.2009.01.008. Epub 2009 Apr 11.

DOI:10.1016/j.siny.2009.01.008
PMID:19362525
Abstract

Bacterial vaginosis (BV) infections are common in women of reproductive age and are easily diagnosed and treatable. Aside from being an annoyance when symptoms of discharge, odor, and pruritus occur in the gravid female, BV infections increase risk of late miscarriage, preterm labor, preterm premature rupture of membranes, and, consequently, preterm delivery. Antepartum and puerperal issues such as chorioamnionitis and endometritis are increased in the context of maternal BV. Moreover, the morbidities and mortality of preterm delivery are consequently increased as a result of BV during pregnancy. Although the pathology associated with BV appears to result from inflammation, more investigation is needed in terms of designing guidelines for appropriate screening and treatment for the prevention of adverse outcomes.

摘要

细菌性阴道病(BV)感染在育龄女性中很常见,且易于诊断和治疗。除了在妊娠女性出现白带、异味和瘙痒症状时令人烦恼外,BV感染还会增加晚期流产、早产、胎膜早破以及随之而来的早产风险。在产妇BV的情况下,诸如绒毛膜羊膜炎和子宫内膜炎等产前和产后问题会增加。此外,孕期BV会导致早产的发病率和死亡率增加。尽管与BV相关的病理似乎是由炎症引起的,但在制定适当的筛查和治疗指南以预防不良后果方面,仍需要更多的研究。

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