A longitudinal follow-up of bacterial vaginosis during pregnancy
| Autor: | Eira Andersson, Jens Jörgen Platz-Christensen, BjÖrn Hagmar, Åke Brandberg, Nils Wiqvist, Peter Pernevi |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
medicine.medical_specialty Sensitivity and Specificity Vaginal disease Pregnancy medicine Humans Pregnancy Complications Infectious Risk factor Vaginitis Vaginal Smears Gynecology Obstetrics business.industry Pregnancy Outcome Obstetrics and Gynecology Vaginosis Bacterial General Medicine Hydrogen-Ion Concentration medicine.disease medicine.anatomical_structure Vagina Gestation Female Bacterial vaginosis Clue cell business Follow-Up Studies Papanicolaou Test |
| Zdroj: | Acta Obstetricia et Gynecologica Scandinavica. 72:99-102 |
| ISSN: | 1600-0412 0001-6349 |
| DOI: | 10.3109/00016349309023420 |
| Popis: | Bacterial vaginosis (BV) has been considered by many investigators to be a risk factor for preterm labor. We have followed vaginal pH and the persistence of clue cells in Papanicolaou stained smears in 119 pregnant women during the course of pregnancy. Of 19 patients with clue cells in their smears during the first trimester, 11 (58%) still had clue cells at the second visit during the third trimester. Of the 100 patients without clue cells during their first trimester, none exhibited clue cells during the third trimester. If the persistence of clue cells is truly a risk factor for adverse pregnancy outcome, screening in the first trimester would identify a risk group of 15%. This risk group diminishes to 9% at the time of the third trimester. Vaginal pH > 4.5 had a recovery sensitivity of 76% and specificity of 83%. If clue cells can be considered as the identifying standard for bacterial vaginosis, the sensitivity and specificity of pH is 89% and 94%, respectively. The establishment of the diagnosis of BV during pregnancy and, in some cases, the treatment of the condition may be important as routine procedures in the antenatal center. |
| Databáze: | OpenAIRE |
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