ABSTRACT
Retrospective analysis of the results of management in pregnancy and labor of 598 pregnancies during the period 1986-1990. The influence of prophylactic and therapeutic hospitalization related to the gestational age on the complication rate for premature labor, method of delivery, fetal outcome (APGAR-score, umbilical cord-pH, neonatal mortality) will be presented. There is a need for improvement in antenatal care and the management of delivery including liberal indication for prophylactic hospitalization and for delivery by caesarean section.
Subject(s)
Obstetric Labor, Premature/prevention & control , Pregnancy Outcome , Pregnancy, Multiple , Prenatal Care , Apgar Score , Birth Weight , Cesarean Section/statistics & numerical data , Delivery, Obstetric , Female , Fetal Death , Gestational Age , Hospitalization/trends , Humans , Infant Mortality , Infant, Newborn , Obstetric Labor, Premature/etiology , Pregnancy , Retrospective Studies , Risk Factors , Tocolysis , Twins , Uterine Cervical Incompetence/surgeryABSTRACT
UNLABELLED: The influence of the microflora of the vagina and cervix has been undervalued for the induction of premature birth. Examination of the microbiological problem by determination of the vaginal pH in combination with the microflora (Chlamydia trachomatis, Mycoplasma hominis, Ureaplasma urealyticum). Report of the outcome of 161 prospective, ad the beginning normal pregnancies in comparison of 200 primary hospitalized pregnancies with symptoms of imminent premature birth. CONCLUSION: The vaginal pH is a very useful parameter of screening for identification of disturbances of the microflora in practice. In cases of pathologic pH (> 4.5) it is possible by therapy to reduce the premature birth rate.
