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Bacteruria with group-B streptococcus: is it a risk factor for adverse pregnancy outcomes?

Authors :
Kessous, Roy
Weintraub, Adi Y.
Sergienko, Ruslan
Lazer, Tal
Press, Fernanda
Wiznitzer, Arnon
Sheiner, Eyal
Source :
Journal of Maternal-Fetal & Neonatal Medicine. Oct2012, Vol. 25 Issue 10, p1983-1986. 4p.
Publication Year :
2012

Abstract

Objective: To investigate pregnancy outcomes of patients with and without group-B streptococcus (GBS) bacteriuria. Methods: A retrospective study comparing pregnancy outcomes of women with GBS bacteriuria during pregnancy, those with positive GBS vaginal cultures and those without GBS colonization during pregnancy was conducted. Results: A significant linear association was found with regard to intrapartum fever (U-GBS 0.5%, V-GBS 0.3%, no GBS 0.1%, p = 0.001) and chorioamnionitis (U-GBS 3.3%, V-GBS 1%, no GBS 0.7%, p = 0.001). In addition preterm delivery (15.3% vs. 7.9%, p = 0.001) and premature rupture of membranes (10.7% vs. 7.9, p = 0.001) were significantly higher in the U-GBS group compared to no GBS. Woman with U-GBS had higher rates of diabetes mellitus, hypertensive disorders, and habitual abortions as well as a higher risk for intrauterine growth restriction (IUGR). In addition patients with U-GBS underwent induction of labor and cesarean delivery more frequently. Conclusions: Our study showed a significant association between U-GBS and adverse obstetrical outcomes. In addition a linear association was found between GBS culture location and obstetric complications. However, GBS was not associated with adverse perinatal outcome in our population. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
14767058
Volume :
25
Issue :
10
Database :
Academic Search Index
Journal :
Journal of Maternal-Fetal & Neonatal Medicine
Publication Type :
Academic Journal
Accession number :
80206172
Full Text :
https://doi.org/10.3109/14767058.2012.671872