ABSTRACT
OBJECTIVE: The aim of this study was to evaluate the percentage of pregnant women with negative Group B Streptococcus (GBS) screening results by culture at 35 weeks' gestation, who subsequently had positive GBS test results after 39 weeks' gestation. MATERIALS AND METHODS: From 2006 to 2007, we recruited 150 pregnant women who received routine GBS culture screening at 35 weeks' gestation with negative results, and who had repeat cultures and real-time polymerase chain reaction (RT-PCR) tests for GBS after 39 weeks' gestation. RESULTS: Two percent of pregnant women with GBS-negative results by culture screening at 35 weeks' gestation were GBS-positive at 39 weeks' gestation. CONCLUSION: It is necessary to perform a GBS test 4 weeks after an initial negative GBS culture at 35-37 weeks of gestation. RT-PCR provides a simple and rapid alternative method for detecting rectovaginal GBS colonization at the time of labor.
Subject(s)
Microbiological Techniques/methods , Pregnancy Complications, Infectious/diagnosis , Reverse Transcriptase Polymerase Chain Reaction/methods , Streptococcal Infections/diagnosis , Streptococcus agalactiae/genetics , Adolescent , Adult , DNA, Bacterial/genetics , Female , Humans , Mass Screening/methods , Pilot Projects , Predictive Value of Tests , Pregnancy , Prenatal Care/methods , Prospective Studies , Sensitivity and Specificity , Streptococcus agalactiae/growth & development , Streptococcus agalactiae/isolation & purification , Young AdultABSTRACT
OBJECTIVE: To report on the case of a woman who presented with lower abdominal pain and vaginal bleeding, and who was diagnosed with early interstitial pregnancy. DESIGN: Case report. SETTING: Medical center and teaching hospital. PATIENT: A 32-year-old woman with a previous history of ectopic pregnancy. INTERVENTION(S): Imaging study with ultrasonography and laparoscopy. MAIN OUTCOME MEASURE(S): Complete resolution of the ectopic pregnancy at the interstitial site of the amputated fallopian tube, and resumption of menstruation. RESULT(S): Other causes of internal bleeding were ruled out. Menstruation resumed 30 days after the procedure. CONCLUSION: An early interstitial pregnancy may be successfully managed with laparoscopic electrodessication.