Author/Editor		Assejev, Vladimira; Avanzo-Velkavrh, Marija; Novak-Antolič, Živa; Verdenik, Ivan
Title		Vnetja v obporodnem obdobju: 2. ginekološki in porodniški anamnestični podatki in prezgodnji porod
Translated title		Infections in perinatal period: 2. gynecological and obstetrical anamnastic data and preterm delivery
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 72, št. 3
Publication year		2003
Volume		str. 131-4
Language		slo
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 condition. Conclusions. Pregnant women who delivered preterm, were significantly more often treated with antibiotics in current pregnancy. These pregnant women should be regarded as more prone to preterm delivery. There were no such differences regarding colpitis and cervicitis treatment in current pregnancy or gynecological infections treatment before pregnancy. (Abstract truncated at 2000 characters).
Summary		Izhodišča. Vzrok za 75% perinatalne umrljivosti predstav ja okrog 6% prezgodaj rojenih. Ti otroci tudi pogosteje zbolevajo. Kljub ogromnemu številu raziskav ter ukrepanj se skupni delež prezgodnjih porodov v zadnjih desetletjih ni zmanjšal: delež spontanega prezgodnjega poroda se zmanjšuje, iatrogenega pa zvišuje. Vzrokov za prezgodnji porod je veliko, eden od njih so vnetja. Ta naš prispevek je drugi v seriji člankov, ki obravnavajo prezgodnji porod Želeli smo ugotoviti, ali obstaja skupaj z drugimi dejavniki povezava med ginekološkimi in porodniškimi anamnestičnimi podatki za vnetje in prezgodnjim porodom. Metode. Za 133 žensk, ki so rodile prezgodaj, in njihovih otrok iz raziskovane skupine in 127 žensk, ki so rodile po 37. tednu nosečnosti, in njihovih otrok iz kontrolne skupine smo po porodu izpolnili vprašalnik s pomočjo ankete. Rezultati. Značilne razlike med raziskovano in kontrolno skupino so bile v naslednjih anamnestičnih podatkih glede vnetij: jemanje antibiotikov v sedanji nosečnosti (razen zaradi uroinefekta), dajanje antibiotikov med tem porodom. Poleg tega so bile značilne razlike tudi v anamnestičnih podatkih glede prejšnjih prezgodnjih porodov, obdobja manj kot dve leti od prejšnjega poroda, konizacij, zdravljenj s tokolitiki v sedanji nosečnosti, bolniškega staleža v tej nosečnosti, bolezni v tej nosečnosti, zaradi katere je prišlo do iatrogenega prezgodnjega poroda v korist matere. Zaključki. Nosečnice, ki so rodile prezgodaj so bile značilno večkrat zdravljene z antibiotiki v nosečnosti. Te nosečnice torej obravnavamo kot dodatno ogrožene za prezgodnji porod. Značilnih razlik glede zdravljenja kolpitisa in cervicitisa v tej nosečnosti ter zdravljenja vnetja rodil zunaj nosečnosti pa ni bilo. (Izvleček prekinjen pri 2000 znakih).
Descriptors		LABOR, PREMATURE ANTIBIOTICS PREGNANCY RISK FACTORS