Svensson L, Ingemarsson I, Mårdh P A
Obstet Gynecol. 1986 Mar;67(3):403-9.
Specimens for the isolation of microorganisms were obtained from the cervical canal in 83 and from the placenta in 86 of 90 women delivered by cesarean section. In addition, the placentas from 87 of these women were examined histopathologically. No correlation was found between the isolation of a given microorganism from the cervical canal and infectious disease in mothers and/or neonates. Isolation of microorganisms from the placenta was correlated with rupture of the membranes occurring six or more hours before surgery and, in women with intact fetal membranes, was correlated with uterine activity. Chorioamnionitis histopathologically was associated with maternal and/or neonatal infections and prematurity. Microorganisms were not isolated significantly more often from the placenta in cases with chorioamnionitis than without. The value of cervical and placental cultures in predicting intrauterine infection is questionable.
在90例剖宫产分娩的女性中，83例的微生物分离标本取自宫颈管，86例取自胎盘。此外，对其中87例女性的胎盘进行了组织病理学检查。从宫颈管分离出特定微生物与母亲和/或新生儿的传染病之间未发现相关性。从胎盘分离出微生物与手术前6小时或更长时间发生的胎膜破裂有关，对于胎膜完整的女性，与子宫活动有关。组织病理学上的绒毛膜羊膜炎与母亲和/或新生儿感染及早产有关。有绒毛膜羊膜炎的病例中，从胎盘分离出微生物的频率并不比没有绒毛膜羊膜炎的病例显著更高。宫颈和胎盘培养在预测宫内感染方面的价值值得怀疑。
