Van Yuzuncu Yil University, School of Medicine, Department of Gastroenterology, Van, Turkey.
Etlik Zübeyde Hanım Maternity and Women's Health Teaching and Research Hospital, Ankara, Turkey.
Yale J Biol Med. 2020 Sep 30;93(4):487-493. eCollection 2020 Sep.
: Limited data are available from recent trials involving pregnant women to guide infection diagnosis. There are no data about the presence of in the amniotic fluid as well. Furthermore, the relation between amniotic fluid and hyperemesis gravidarum (HG) has not been characterized yet. : This is a prospective study conducted after obtaining approval from the Ethics Committee. Pregnant women undergoing amniocentesis were enrolled in the study. The stool antigen test assessed the presence of in amniotic fluid. A perinatologist independently performed an amniocentesis. The obtained amniotic liquid was sent to the laboratory to evaluate infection by stool antigen assay. We determined the rate of in amniotic fluid and assessed relations between infection and pregnancy outcome, including HG. : Between May and September 2017, we enrolled 48 pregnant women who underwent amniocentesis to detect possible fetal malformations. Patients were divided into two groups regarding the HG status. There were significant differences between the groups in terms of infection presence. Among them, 28 (58.3%) were found to have a positive test in their amniotic fluid. The rate of HG was significantly higher (71.4%) in patients who tested positive for in amniocentesis than the -negative group (20%), (p<0.001). : The study's main new finding is that presence of in the amniotic fluid is possible. Our data suggest that -infected amniotic fluid is associated with the experience of past HG. The current study may have important implications for HG detection and help identify patients who would benefit from future preventive strategies.
目前针对孕妇的感染诊断,仅有少量来自近期试验的数据可以参考。同样,也没有关于羊水内是否存在 的数据。此外,羊水 与妊娠剧吐(HG)之间的关系尚未明确。
这是一项前瞻性研究,在获得伦理委员会批准后进行。研究纳入了接受羊膜穿刺术的孕妇。通过粪便抗原检测评估羊水内 是否存在。由一名围产专家独立进行羊膜穿刺术。抽取的羊水被送到实验室,通过粪便抗原检测评估 感染情况。我们确定了羊水内 的感染率,并评估了 感染与妊娠结局(包括 HG)之间的关系。
2017 年 5 月至 9 月期间,我们纳入了 48 名接受羊膜穿刺术以检测可能的胎儿畸形的孕妇。根据 HG 状态将患者分为两组。两组在 是否存在感染方面存在显著差异。其中,28 名(58.3%)孕妇的羊水粪便抗原检测呈阳性。在羊膜穿刺术中检测到 的孕妇中,HG 发生率(71.4%)明显高于 阴性组(20%)(p<0.001)。
本研究的主要新发现是羊水内可能存在 。我们的数据表明,感染羊水与既往 HG 经历有关。本研究可能对 HG 的检测具有重要意义,并有助于识别可能从未来预防性策略中获益的患者。