Should Abnormal Vaginal Flora in 2 nd Trimester of Pregnancy be Treated to Prevent Preterm Labor
Screening and treatment of abnormal vaginal flora during pregnancy to prevent preterm labor is a matter of debate for practicing obstetrician and physician in a country where maternal health and its outcome is a big concern. The recent evidence suggests that infection may be implicated in a substant...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | MAMC Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.mamcjms.in/article.asp?issn=2394-7438;year=2015;volume=1;issue=2;spage=64;epage=68;aulast=Kumari |
| _version_ | 1817995266254438400 |
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| author | Gunjan Kumari Anjali Tempe |
| author_facet | Gunjan Kumari Anjali Tempe |
| author_sort | Gunjan Kumari |
| collection | DOAJ |
| description | Screening and treatment of abnormal vaginal flora during pregnancy to prevent preterm labor is a matter of debate for practicing obstetrician and physician in a country where maternal health and its outcome is a big concern. The recent evidence suggests that infection may be implicated in a substantial proportion of cases of preterm delivery. Neonatal morbidity and mortality are primarily influenced by gestational age and less so by birth weight. Microbial flora normally present in the human vagina play a key role in preventing pathological organisms including those responsible for sexually transmitted diseases, yeast infections, bacterial vaginosis (BV), and urinary tract infection. The outcome gathered from various recent studies have been remarkably consistent and managed to support the hypothesis that antibiotic treatment before 20 weeks of gestation reduces the risk of preterm birth. It is concluded that screening for abnormal vaginal flora cannot be generalized, but it may be safely carried out in pregnant women who have a previous history of preterm labor. Antibiotics with lactobacillus treatment can eradicate abnormal vaginal flora in pregnancy, however, screening and treating all pregnant women with asymptomatic BV to prevent preterm birth and its consequences is not substantiated by evidence. |
| first_indexed | 2024-04-14T02:04:32Z |
| format | Article |
| id | doaj.art-54a07b6b22b144ef902ca83618ecbe86 |
| institution | Directory Open Access Journal |
| issn | 2394-7438 |
| language | English |
| last_indexed | 2024-04-14T02:04:32Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | MAMC Journal of Medical Sciences |
| spelling | doaj.art-54a07b6b22b144ef902ca83618ecbe862022-12-22T02:18:44ZengWolters Kluwer Medknow PublicationsMAMC Journal of Medical Sciences2394-74382015-01-0112646810.4103/2394-7438.157912Should Abnormal Vaginal Flora in 2 nd Trimester of Pregnancy be Treated to Prevent Preterm LaborGunjan KumariAnjali TempeScreening and treatment of abnormal vaginal flora during pregnancy to prevent preterm labor is a matter of debate for practicing obstetrician and physician in a country where maternal health and its outcome is a big concern. The recent evidence suggests that infection may be implicated in a substantial proportion of cases of preterm delivery. Neonatal morbidity and mortality are primarily influenced by gestational age and less so by birth weight. Microbial flora normally present in the human vagina play a key role in preventing pathological organisms including those responsible for sexually transmitted diseases, yeast infections, bacterial vaginosis (BV), and urinary tract infection. The outcome gathered from various recent studies have been remarkably consistent and managed to support the hypothesis that antibiotic treatment before 20 weeks of gestation reduces the risk of preterm birth. It is concluded that screening for abnormal vaginal flora cannot be generalized, but it may be safely carried out in pregnant women who have a previous history of preterm labor. Antibiotics with lactobacillus treatment can eradicate abnormal vaginal flora in pregnancy, however, screening and treating all pregnant women with asymptomatic BV to prevent preterm birth and its consequences is not substantiated by evidence.http://www.mamcjms.in/article.asp?issn=2394-7438;year=2015;volume=1;issue=2;spage=64;epage=68;aulast=KumariAerobic vaginitisbacterial vaginosisvaginal flora |
| spellingShingle | Gunjan Kumari Anjali Tempe Should Abnormal Vaginal Flora in 2 nd Trimester of Pregnancy be Treated to Prevent Preterm Labor MAMC Journal of Medical Sciences Aerobic vaginitis bacterial vaginosis vaginal flora |
| title | Should Abnormal Vaginal Flora in 2 nd Trimester of Pregnancy be Treated to Prevent Preterm Labor |
| title_full | Should Abnormal Vaginal Flora in 2 nd Trimester of Pregnancy be Treated to Prevent Preterm Labor |
| title_fullStr | Should Abnormal Vaginal Flora in 2 nd Trimester of Pregnancy be Treated to Prevent Preterm Labor |
| title_full_unstemmed | Should Abnormal Vaginal Flora in 2 nd Trimester of Pregnancy be Treated to Prevent Preterm Labor |
| title_short | Should Abnormal Vaginal Flora in 2 nd Trimester of Pregnancy be Treated to Prevent Preterm Labor |
| title_sort | should abnormal vaginal flora in 2 nd trimester of pregnancy be treated to prevent preterm labor |
| topic | Aerobic vaginitis bacterial vaginosis vaginal flora |
| url | http://www.mamcjms.in/article.asp?issn=2394-7438;year=2015;volume=1;issue=2;spage=64;epage=68;aulast=Kumari |
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