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01.10.2011 | Materno-fetal Medicine

Is colonization with GBS in a previous pregnancy associated with adverse perinatal outcomes?

verfasst von: Adi Y. Weintraub, Roy Kessous, Ruslan Sergienko, Shimrit Salem Yaniv, Fernanda Press, Arnon Wiznitzer, Eyal Sheiner

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 4/2011

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Abstract

Objective

To investigate whether colonization with GBS in a previous pregnancy is associated subsequently with adverse obstetric and perinatal outcomes.

Methods

A retrospective study was undertaken comparing pregnancy complications of patients with and without colonization with GBS in a previous pregnancy from 1988 to 2006. Women with a positive GBS culture in the current pregnancy, women lacking prenatal care and multiple gestations were excluded from the analysis.

Main outcome measures

Adverse obstetric and perinatal outcomes including premature rupture of membranes, intrapartum fever, chorioamnionitis and perinatal mortality.

Results

Out of 184,266 singleton deliveries, 230 (0.12%) were of patients with a positive GBS culture in their previous pregnancy. Previous GBS colonization was not found to be associated with adverse pregnancy outcomes such as PROM (9.1 vs. 6.8%; P = 0.16), intrapartum fever (1.3 vs. 2.2%; P = 0.72) and chorioamnionitis (1.3 vs. 0.8%; P = 0.29).

Conclusions

GBS colonization in a previous pregnancy is not associated with adverse pregnancy outcomes in the current pregnancy.

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Titel: Is colonization with GBS in a previous pregnancy associated with adverse perinatal outcomes?
verfasst von: Adi Y. Weintraub
Roy Kessous
Ruslan Sergienko
Shimrit Salem Yaniv
Fernanda Press
Arnon Wiznitzer
Eyal Sheiner
Publikationsdatum: 01.10.2011
Verlag: Springer-Verlag
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 4/2011
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-010-1724-6

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Is colonization with GBS in a previous pregnancy associated with adverse perinatal outcomes?