Gynecologic and obstetric investigation
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Gynecol. Obstet. Invest. · Jan 2010
Clinical TrialPrevention of preterm birth is possible by vaginal pH screening, early diagnosis of bacterial vaginosis or abnormal vaginal flora and treatment.
Abnormal vaginal flora as well as bacterial vaginosis have a significant relative risk for miscarriage or preterm birth of 1.4-6.9. In the initial Erfurt trial, 0.3% of the neonates with gestational age <32+0 weeks were seen in an intervention group vs. 3.3% (p < 0.01) in the control group; in the larger Thuringia campaign, the figures were 0.94 vs. 1.36% (p < 0.01). ⋯ This should count even more, as there was no success in reducing the rate of low-birth-weight children in the decades preceding these prospective studies. However, after discontinuation of the campaign in 2000, the preterm birth rates mounted in 2005 in our hospital and the state to the same rate as prior to the programme.
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Gynecol. Obstet. Invest. · Jan 2010
Fatal factors of clinical manifestations and laboratory testing in patients with amniotic fluid embolism.
To identify factors leading to fatality of patients with amniotic fluid embolism (AFE). ⋯ Factors associated with patients with fatal AFE were identified. These included multiparity, noncesarean section at full-term and the three symptoms mentioned above. Sialyl Tn levels could be a possible prognostic fatality factor.
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Gynecol. Obstet. Invest. · Jan 2010
Gardnerella biofilm involves females and males and is transmitted sexually.
To study the incidence and distribution of adherent Gardnerella vaginalis. ⋯ Cohesive Gardnerella biofilm is a distinct, clearly definable entity which involves both genders and is sexually transmitted. The correct name distinguishing it from symptom-defined conditions like BV should be gardnerellosis and for the bacterium Gardnerella genitalis.
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Gynecol. Obstet. Invest. · Jan 2010
Does induced abortion increase the risk of preterm birth? Results from a case-control study.
We analyzed the association between previous induced abortions and risk of preterm birth. ⋯ This study does not support the suggestion that induced abortions, as performed in Italy during the study period, increase the risk of preterm delivery in subsequent pregnancies.