Relationship between Urogenital Culture Positivity and Threatened Preterm Labor in Pregnant Women

Aysun Firat; Nebahat Uzunay

Article Details

Relationship between Urogenital Culture Positivity and Threatened Preterm Labor in Pregnant Women

Authors:

Aysun Firat | Nebahat Uzunay

Publisher:

Kirsehir Ahi Evran University

Main Topics:

Klinik Tıp Bilimleri (Diğer)

Journal:

Ahi Evran Tıp Dergisi Vol.8 Issue 2, pp.229-233

Document Type:

Article

Publication Date:

8/2024

Document Language:

English

Document ID (Org No.):

2001324053

pISSN:

2619-9203

Keywords:

Abstract:

 Purpose: Preterm labor TPL, which can result in preterm birth, is known as one of the most common causes of pregnancy complications and neonatal morbidities. This study investigates the relationship between positive urogenital culture and preterm labor in patients with TPL. Materials and Methods: Between 2018 and 2022, medical records of patients monitored due to threatened preterm labor TPL were reviewed. Demographic data, gestational histories, and results of vaginal swabs and urine samples were recorded. Transvaginal ultrasound was used to measure cervical length during preterm and term births, categorized as 25mm, 20mm, and 15mm. Statistical analyses were conducted using Chi-square, Mann-Whitney U, and Pearsons correlation r tests. A significance level of P0.05 was considered statistically significant. Results: A total of 202 patients monitored for TPL were included. Approximately half of the patients 40-50 tested positive for vaginal culture, whereas this rate was much lower in urine culture 10-15. There was no significant difference in terms of both vaginal and urine cultures among patients who had early preterm, late preterm, and term births p0.05. However, it was observed that positive culture results increased parallel to cervical length shortening CL15mm in both early and late preterm births p0.05. Candida, Staphylococcus, and Escherichia species were the most frequently isolated organisms. Conclusion: In patients with TPL, urogenital culture results did not show significant differences between preterm and term births r0.19. However, it is crucial not to overlook the potential of culture positivity r0.74 increasing in parallel with cervical length reduction to initiate early labor.

 Purpose: Preterm labor TPL, which can result in preterm birth, is known as one of the most common causes of pregnancy complications and neonatal morbidities. This study investigates the relationship between positive urogenital culture and preterm labor in patients with TPL. Materials and Methods: Between 2018 and 2022, medical records of patients monitored due to threatened preterm labor TPL were reviewed. Demographic data, gestational histories, and results of vaginal swabs and urine samples were recorded. Transvaginal ultrasound was used to measure cervical length during preterm and term births, categorized as 25mm, 20mm, and 15mm. Statistical analyses were conducted using Chi-square, Mann-Whitney U, and Pearsons correlation r tests. A significance level of P0.05 was considered statistically significant. Results: A total of 202 patients monitored for TPL were included. Approximately half of the patients 40-50 tested positive for vaginal culture, whereas this rate was much lower in urine culture 10-15. There was no significant difference in terms of both vaginal and urine cultures among patients who had early preterm, late preterm, and term births p0.05. However, it was observed that positive culture results increased parallel to cervical length shortening CL15mm in both early and late preterm births p0.05. Candida, Staphylococcus, and Escherichia species were the most frequently isolated organisms. Conclusion: In patients with TPL, urogenital culture results did not show significant differences between preterm and term births r0.19. However, it is crucial not to overlook the potential of culture positivity r0.74 increasing in parallel with cervical length reduction to initiate early labor.

 Purpose: Preterm labor TPL, which can result in preterm birth, is known as one of the most common causes of pregnancy complications and neonatal morbidities. This study investigates the relationship between positive urogenital culture and preterm labor in patients with TPL. Materials and Methods: Between 2018 and 2022, medical records of patients monitored due to threatened preterm labor TPL were reviewed. Demographic data, gestational histories, and results of vaginal swabs and urine samples were recorded. Transvaginal ultrasound was used to measure cervical length during preterm and term births, categorized as 25mm, 20mm, and 15mm. Statistical analyses were conducted using Chi-square, Mann-Whitney U, and Pearsons correlation r tests. A significance level of P0.05 was considered statistically significant. Results: A total of 202 patients monitored for TPL were included. Approximately half of the patients 40-50 tested positive for vaginal culture, whereas this rate was much lower in urine culture 10-15. There was no significant difference in terms of both vaginal and urine cultures among patients who had early preterm, late preterm, and term births p0.05. However, it was observed that positive culture results increased parallel to cervical length shortening CL15mm in both early and late preterm births p0.05. Candida, Staphylococcus, and Escherichia species were the most frequently isolated organisms. Conclusion: In patients with TPL, urogenital culture results did not show significant differences between preterm and term births r0.19. However, it is crucial not to overlook the potential of culture positivity r0.74 increasing in parallel with cervical length reduction to initiate early labor.

 Amaç: Erken doğumla sonuçlanan preterm eylem tehdidi TPL, gebelik komplikasyonları ve yenidoğan morbiditesinin en sık görülen sebeplerinden biri olarak bilinmektedir. Bu çalışmada, TPL olan hastalarda pozitif ürogenital kültür ile erken doğum eylemi arasındaki ilişki araştırılmıştır. Araçlar ve Yöntem: 2018 ile 2022 yılları arasında TPL nedeniyle takip edilen hastaların tıbbi dosyaları değerlendirildi. Demografik verileri, gestasyonel hikayeleri, vaginal swab ve idrar örneklerinin sonuçları kaydedildi. Transvaginal ultrasonografi TVUS ile preterm ve term doğum sırasındaki servikal uzunluk ölçümleri yapılarak, 25mm, 20mm ve 15mm olarak derecelendi. İstatistiksel analizler Chi square, Mann Whitney U ve Pearsons korelasyon r testleri ile yapıldı. P0.05 değeri anlamlı olarak kabul edildi. Bulgular:TPL ile takip edilen 202 hasta çalışmaya dahil edildi. Hastaların yaklaşık yarısında 40-50 vaginal kültür pozitif bulunurken, bu oran idrar kültüründe çok daha az 10-15 idi. Erken preterm, geç preterm ve term doğum yapan hastalar arasında hem vaginal hem de idrar kültürleri açısından bir farklılık saptanmadı p0.05. Bununla birlikte, erken ve geç preterm doğumlarda, servikal uzunluğun kısalmasına paralel olarak CL15mm pozitif kültür sonuçlarının arttığı tespit edildi p0.05. Candida, Staphylococcus ve Escherichia türleri en sık olarak izole edildi. Sonuç: TPL olan hastalarda ürogenital kültür sonuçları preterm ve term doğumlar açısından anlamlı farklılık göstermemekle birlikte r0.19, servikal uzunluktaki azalma ile paralel şekilde artış gösteren kültürde üremenin r0.74 erken eylemi başlatma potansiyeli göz ardı edilmemelidir.

Article Details

Relationship between Urogenital Culture Positivity and Threatened Preterm Labor in Pregnant Women

Authors:

Aysun Firat | Nebahat Uzunay

Publisher:

Kirsehir Ahi Evran University

Main Topics:

Klinik Tıp Bilimleri (Diğer)

Journal:

Ahi Evran Tıp Dergisi Vol.8 Issue 2, pp.229-233

Document Type:

Article

Publication Date:

8/2024

Document Language:

English

Document ID (Org No.):

2001324053

pISSN:

2619-9203

preterm delivery

threatened preterm labor

urine culture

urogenital infection

vaginal cultureerken doğum tehdidi

idrar kültürü

preterm eylem

ürogenital infeksiyon

vaginal kültür

Issues

Article Details

Authors: Aysun Firat | Nebahat Uzunay

Publisher: Kirsehir Ahi Evran University

Main Topics: Klinik Tıp Bilimleri (Diğer)

Journal: Ahi Evran Tıp Dergisi Vol.8 Issue 2, pp.229-233

Document Type: Article

Publication Date: 8/2024

Document Language: English

Document ID (Org No.): 2001324053

pISSN: 2619-9203

Issues

Authors:

Aysun Firat | Nebahat Uzunay

Publisher:

Kirsehir Ahi Evran University

Main Topics:

Klinik Tıp Bilimleri (Diğer)

Journal:

Ahi Evran Tıp Dergisi Vol.8 Issue 2, pp.229-233

Document Type:

Article

Publication Date:

8/2024

Document Language:

English

Document ID (Org No.):

2001324053

pISSN:

2619-9203