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Infectious Diseases in Obstetrics and Gynecology
Volume 7 (1999), Issue 4, Pages 190-194
Bacterial Isolates From Patients With Preterm Labor With and Without Preterm Rupture of the Fetal Membranes
Department of Obstetrics and Gynecology, School of Medicine, Gifu University, 40, Tsukasa-machi, Gifu city Gifu 500-8705, Japan
Received 19 October 1998; Accepted 1 April 1999
Copyright © 1999 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Objective: The aim of this study is to describe the bacterial flora of women in preterm labor with or without premature rupture of membranes.
Methods: Retrospective studies of 239 patients with preterm labor were performed.
Results: One hundred and twenty-three of 239 patients with preterm labor (51.5%) had bacterial vaginosis. Seventy of the 239 patients with preterm labor (29.3 %) developed premature rupture of the membranes (preterm PROM). Ofthe 70 patients with preterm PROM, 51 (72.9%) had bacterial vaginosis. Therefore, 51 of the 123 patients with bacterial vaginosis (41.5%) developed preterm PROM. An increased number of organisms detected from the vaginal discharge in patients with preterm labor was associated with preterm PROM by Cochran-Armitage test. An increased number of organisms detected from the vaginal discharge in patients with preterm labor complicated with bacterial vaginosis was significantly associated with preterm PROM by Cochran-Armitage test.
Conclusions: In preterm labor, the number of different species detected in the vagina provide sensitive and specific prediction of preterm PROM in patients with preterm labor. Infect. Dis. Obstet. Gynecol. 7:190–194, 1999.