AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Vaginal infections in pregnancy: to treat or not? (T. Vaginalis, Bacterial Vaginosis).
ASHEVILLE, NC. -- Although the literature recommends against treating Trichomonas vaginalis infection and bacterial vaginosis in asymptomatic pregnant women, physicians still face a compelling dilemma in this regard, Dr. Philip Heine said at the annual Southern Obstetric and Gynecologic Seminar.
"Am I really comfortable with this? No, because there are other arguments for treating STDs. They potentially increase the risk for acquisition of other STDs, including HIV and so it makes me very uncomfortable to not treat these infections," he told this newspaper.
The evidence against treating asymptomatic T. vaginalis comes from a study that found an increased rate of preterm delivery among asymptomatic patients treated for T. vaginalis, compared with those on placebo (N. Engl. J. Med. 342[8]:534-40, 2000).
In the treatment group, 19% of the patients were delivered before 37 weeks' gestation, compared with 11% of those in the placebo group, said Dr. Heine, chief of maternal-fetal medicine at Duke University, Durham, N.C.
Studies of preterm delivery in low-risk patients with asymptomatic bacterial vaginosis have found that treatment was not associated with any increased risks or benefits.
Dr. Heine pointed out that physicians need to ...
- Douching may double preterm delivery risk. (Bacterial Vaginosis Link).
- Magazine article from: OB GYN News Evans, Jeff July 1, 2002 700+ words
...fold increased risk of preterm delivery. Bacterial vaginosis, which has been linked...to increase the risk of preterm delivery. The investigators suggested...that douching may lead to bacterial vaginosis, which increases the...
- New bacterial vaginosis findings from Michigan State University...
- Newspaper article from: OBGYN & Reproduction Week October 27, 2008 700+ words
...response, bacterial vaginosis, and risk of preterm delivery. These relations...3 levels, bacterial vaginosis, and preterm delivery vary by race...informative to preterm delivery risk than was bacterial vaginosis, suggesting...
- New data drive update of screening for bacterial vaginosis in...
- Magazine article from: Family Practice News Johnson, Kate February 15, 2008 700+ words
...screening for bacterial vaginosis in pregnant...risk for preterm delivery. But the...treating bacterial vaginosis in asymptomatic...factors for preterm delivery, whereas...treatment of bacterial vaginosis increased the chance of preterm ...
- BV Screening in High-Risk Pregnancy a Double-Edged Sword.(bacterial...
- Magazine article from: Family Practice News BOSCHERT, SHERRY September 15, 2000 700+ words
...treating bacterial vaginosis may benefit...risk for preterm delivery but may harm...risks for preterm delivery, three studied...previous preterm delivery, and two...pregnancies. Bacterial vaginosis (BV) treatment...
- Repeat Vaginal pH Testing Doubles Bacterial Vaginosis Found in Pregnancy.
- Magazine article from: Family Practice News BOSCHERT, SHERRY June 1, 1999 700+ words
...Medicine. The bacterial vaginosis rate in the screening...Minneapolis. Bacterial vaginosis has been linked...the incidence of preterm delivery. The current study...results significant. Bacterial vaginosis screening in pregnancy...
- Birth Control May Help Ward Off Bacterial Vaginosis; Contraceptive pills,...
- News wire article from: Consumer Health News (English) Thomas, Jennifer July 30, 2009 700+ words
...vaginosis," Wu said. Bacterial vaginosis occurs when the...Women can also have bacterial vaginosis without symptoms...associated with preterm delivery and low birth weight...by antibiotics, bacterial vaginosis tends to recur...
- Bacterial Vaginosis; Treatment.
- Newspaper article from: NWHRC Health Center - Bacterial Vaginosis March 16, 2005 700+ words
...show a reduction in preterm delivery after treatment...at low risk for preterm delivery (no history of...at high risk for preterm delivery should be followed...Secor, R. Mimi. "Bacterial Vaginosis." Clinician Reviews...
- Evidence supporting the notion that bacterial vaginosis can be transmitted...
- Magazine article from: Perspectives on Sexual and Reproductive Health Doskoch, P. December 1, 2005 700+ words
Bacterial vaginosis is associated with...Although the cause of bacterial vaginosis has not been identified...spontaneous abortion, preterm delivery and increased vulnerability...of women in whom bacterial vaginosis was clinically diagnosed...
