孕妇生殖道B族链球菌感染对母婴预后的影响

Effect of group B Streptococcal infection in reproductive tract of pregnant women on maternal and neonatal prognosis

  • 摘要: 目的 分析孕妇生殖道B族链球菌(GBS)感染对母婴预后的影响。 方法 将在本院产检且住院分娩的100例GBS感染孕妇纳入观察组,并将同期在本院产检且住院分娩的100例未感染GBS的正常妊娠孕妇纳入对照组,记录2组孕妇分娩方式及新生儿出生体质量、身长,比较2组母婴结局。 结果 2组孕妇分娩方式及新生儿出生体质量、身长比较,差异无统计学意义(P>0.05); 观察组早产、胎膜早破、宫内感染、产褥感染、胎儿宫内窘迫、新生儿感染、新生儿肺炎的发生率均高于对照组,差异有统计学意义(P<0.05)。 结论 孕妇生殖道GBS感染是影响母婴预后的关键原因,可增加胎膜早破、早产、宫内感染、产褥感染、胎儿宫内窘迫、新生儿感染、新生儿肺炎发生风险,临床应重视孕妇GBS感染的防治。

     

    Abstract: Objective To analyze the effect of group B Streptococcal(GBS)infection in reproductive tract of pregnant women on maternal and neonatal prognosis. Methods A total of 100 pregnant women with GBS infection who had pregnancy check-up and were hospitalized for birth delivery in our hospital were selected as observation group, and 100 normal pregnant women without GBS infections who had pregnancy check-up and were hospitalized for birth delivery during the same period were selected as control group. The delivery mode, neonatal birth weight and height were recorded, and the maternal and neonatal outcomes were compared between the two groups. Results There were no significant differences in the delivery mode, neonatal birth weight and height between the two groups(P>0.05). The incidence rates of premature delivery, premature rupture of membranes, intrauterine infection, puerperal infection, intrauterine distress, neonatal infections and neonatal pneumonia in the observation group were higher than those in the control group(P<0.05). Conclusion GBS infection in pregnant women, a key factor that influences maternal and neonatal prognosis, can increase the risks of premature rupture of membrane, premature delivery, intrauterine infection, puerperal infection, intrauterine distress, neonatal infection and neonatal pneumonia. Therefore, prevention of GBS infection should be paid attention in pregnant women.

     

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