INFECTIONS IN PERINATAL PERIOD II. GYNECOLOGICAL AND OBSTETRICAL ANAMNESTIC DATA AND PRETERM DELIVERY

  • Vladimira Assejev Klinični oddelek za perinatologijo Ginekološka klinika Klinični center Šlajmerjeva 3 1525 Ljubljana
  • Marija Avanzo-Velkavrh Klinični oddelek za perinatologijo Ginekološka klinika Klinični center Šlajmerjeva 3 1525 Ljubljana
  • Živa Novak-Antolič Klinični oddelek za perinatologijo Ginekološka klinika Klinični center Šlajmerjeva 3 1525 Ljubljana
  • Ivan Verdenik Enota za raziskovalno delo Ginekološka klinika Klinični center Šlajmerjeva 3 1525 Ljubljana
Keywords: spontaneous and indicated preterm delivery, risk factors, infections, estimation of risk for preterm delivery

Abstract

Background. Around 6% of preterm newborns contribute to the 75% perinatal mortality rate. Besides, these newborns are more prone to morbidity. Despite numerous studies and measures the overall preterm delivery rate over the last decade has not decreased. Namely, spontaneous preterm delivery rate has been decreasing, yet the indicated preterm delivery rate has been increasing. There are numerous factors triggering a preterm delivery, one of them being infections. This study is the second in our series of papers dealing with preterm delivery. The aim of this study was to find whether there exists, together with other risk factors, a relationship between gynecological and obstetrical anamnestic data and preterm delivery.

Methods. For 133 mothers and their preterm babies (study group) and 127 mothers and their term babies (control group), a questionnaire was filled-in after delivery.

Results. Significant differences regarding infections between the study and control group were found in anamnestic data regarding the use of antibiotics in current pregnancy (except for urinary tract infection) and use of antibiotics during current delivery. Besides these, significant differences were observed also in connection with a previous preterm delivery, the interval between a previous and current delivery of less than two years, conization, use of tocolytics in current pregnancy, sick leave in current pregnancy, diseases in current pregnancy which actually led to indicated preterm delivery in favour of mother’s condition.

Conclusions. Pregnant women who delivered preterm, were significantly more often treated with antibiotics in current pregnancy. There were no such differences regarding colpitis and cervicitis treatment in current pregnancy or gynecological infections treatment before pregnancy. These pregnant women should be regarded as more prone to preterm delivery. Further studies of the Slovenian population will provide valuable data that will help find a more accurate estimated risk for preterm delivery and thus reduce the group of pregnant women requiring additional methods for estimation of risk for preterm delivery and secondary preventive measures.

Downloads

Download data is not yet available.

References

Chamberlain G. Preterm Labour. ABC of Antenatal Care. Brit Med J 1991; 303: 44–8.

Gibbs RS, Romero R, Hillier SL, Eschenbach DA, Sweet RL. A review of premature birth and subclinical infection. Am J Obstet Gynecol 1992; 166: 1515–28.

Avanzo-Velkavrh M, Assejev V, Novak-Antolič Ž. Vnetja v obporodnem obdobju. I. Pogostnost prisotnosti Chlamydiae trachomatis in streptokoka skupine B pri porodnicah in njihovih novorojenčkih. Zdrav Vestn 1998; 67: 515–8.

Zupan J. Iskanje faktorjev v populaciji žensk, ki najpogosteje pripeljejo do prezgodnjega poroda ter komplikacij pri novorojencu in matematična analiza posameznega faktorja. In: URP. Rizični dejavniki v reprodukciji človeka in neugodni vplivi na rast in razvoj otrok in mladine. Končno poročilo. Ljubljana: Klinični center, 1981: 1–16.

Blejec T. Iskanje rizičnih dejavnikov za prezgodnji porod. Raziskovalno poročilo za RSS 1990. Ljubljana: Ginekološka klinika, 1990: 1–1

Peterlin A, Andolšek L. Utjecaj umjetnog prekida trudnoće u adolescentica na pojavu spontanog pobačaja, preranog poroda i na težinu novorođenčadi. Jugosl Ginekol Perinatol 1986; 26: 49–52.

Lotrič-Pentek S. Prezgodnji porod. Zdrav Var 1988; 27: 31–4.

Kožuh-Novak M, Pajntar M, Zupan J. Prezgodnji porod, prezgodaj rojeni otrok ter njegov telesni in duševni razvoj – prve izkušnje. Zdrav Var 1988; 27: 306–13.

Zaletel-Kragelj L, Pajntar M. Dejavniki tveganja za prezgodnji porod. Analiza 17.878 porodov v Sloveniji v letu 1986. Zdrav Vestn 1992; 61: 187–90.

Zaletel-Kragelj L. Analiza učinkovitosti multiple regresije, diskriminantne analize in logistične regresije pri identifikaciji in vrednotenju napovednih dejavnikov prezgodnjega poroda. Doktorska disertacija. Ljubljana: Medicinska fakulteta, 1997: 1–1

Pajntar M, Obersnel-Kveder D, Zupan J et al. Prezgodnji porod, prezgodaj rojeni otrok in njegov nadaljnji razvoj. Ljubljana: Univerzitetna ginekološka klinika, 1989: 78–8.

Pajntar M, Kožuh-Novak M, Obersnel-Kveder D et al. Prezgodnji porod, prezgodaj rojeni otrok in njegov nadaljnji razvoj. Ljubljana: UISMSV, 1990: 32–2.

Pajntar M. Prezgodnji porod. In: Pajntar M, Novak-Antolič Ž eds. Nosečnost in vodenje poroda. Ljubljana: CZ, 1994: 203–4.

Novak-Antolič Ž. Grozeči prezgodnji porod. In: Pajntar M, Novak-Antolič Ž eds. Nosečnost in vodenje poroda. Ljubljana: CZ, 1994; 81–6.

Pearlman M, Faix R. No rush to obliterate genital tract colonisation in pregnant women. Lancet 1997; 350: 531–2.

Abrams B, Newman V, Key T, Parker J. Maternal weight gain and preterm delivery. Obstet Gynecol 1989; 74: 577–83.

Wisborg K, Henriksen TB, Hedegaard M, Secher NJ. Smoking during pregnancy and preterm birth. Brit J Obstet Gynaecol 1996; 103: 800–5.

Vitoratos N, Botsis D, Grigoriou O, Bettas P, Papoulias I, Zourlas PA. Smoking and preterm labor. Clin Exp Obst Gyn 1997; 4: 220–2.

How to Cite
1.
Assejev V, Avanzo-Velkavrh M, Novak-Antolič Živa, Verdenik I. INFECTIONS IN PERINATAL PERIOD II. GYNECOLOGICAL AND OBSTETRICAL ANAMNESTIC DATA AND PRETERM DELIVERY. TEST ZdravVestn [Internet]. 1 [cited 5Aug.2024];72(3). Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/1811
Issue
Vol 72 No 3 (2003): March
Section
Professional Article


The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.

The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory

The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.

The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.

The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence. 

Most read articles by the same author(s)