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bluesky
Joined: 20 Sep 2008
Posts: 49
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 Posted: Fri Oct 10, 2008 5:46 pm Post subject: preterm birth |
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Presence of Trichomonas vaginalis predispose to preterm labour.
Fibroids have recognized association with preterm labour
Group B Streptococcal colonization is risk factor for preterm labour.
Placental chorioangioma is associated with preterm delivery. |
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bluesky
Joined: 20 Sep 2008
Posts: 49
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| Posted: Tue Oct 14, 2008 3:39 pm Post subject: |
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Presence of Trichomonas vaginalis predispose to preterm labour. TURE ( although I couldn't find reference)
Fibroids have recognized association with preterm labour TRUE
Group B Streptococcal colonization is risk factor for preterm labour.FALSE
Placental chorioangioma is associated with preterm delivery. TRUE |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1854
Location: Nottingham
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| Posted: Wed Oct 15, 2008 8:07 am Post subject: |
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Would agree but not convinced re TV.
It is a marker for other STDs however and they may well predispose.
Whilst we are on the subject of STDs and pregnancy - can you get a STD when pregnant? Can you get PID when pregnant? |
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Maud
Joined: 11 Oct 2007
Posts: 73
Location: Bristol
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| Posted: Wed Oct 15, 2008 8:51 am Post subject: |
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Pregnant women can get most, probably all STD's, including HIV, Chlamydia, HPV (warts) and herpes simplex.
PID is rare in pregnancy, because the amniotic sac prevents infections spreading from the cervix up towards the tubes. I suppose PID is still possible though, as not all PID is caused by ascending infections. |
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bluesky
Joined: 20 Sep 2008
Posts: 49
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| Posted: Wed Oct 15, 2008 9:16 am Post subject: |
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Nice Question Nick, I agree with Maud
PID is rare in pregnancy but associated with higher maternal and fetal morbidity compared to non pregnant woman, according to my knowledge should be treated with I/V antibiotics, ofcourse the woman should be adequately counselled about safety of antibiotics used.
what about endocervical swabs in pregnancy ??
NICK regarding TV I would like to share some reading from Leusly and Baker
There is increasing evidence that TV infection can have a detrimental effect on pregnancy and is associated with preterm delivery and low birth wt infants.
Local treatment in the form of pessaries can be used in 1st trimester but systemic treatment will eventually be required..  |
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cpeedahsa
Century Club
Joined: 21 Apr 2007
Posts: 921
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| Posted: Wed Oct 15, 2008 12:55 pm Post subject: |
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| Maud wrote: | Pregnant women can get most, probably all STD's, including HIV, Chlamydia, HPV (warts) and herpes simplex.
PID is rare in pregnancy, because the amniotic sac prevents infections spreading from the cervix up towards the tubes. I suppose PID is still possible though, as not all PID is caused by ascending infections. |
It is rare to have PID in pregnancy; however, the disease can occur in the first 12 weeks of gestation before the decidua seals off the uterus from ascending bacteria. |
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