scholarly journals Periodontal Disease and Bacterial Vaginosis Increase the Risk for Adverse Pregnancy Outcome

2005 ◽  
Vol 13 (4) ◽  
pp. 213-216 ◽  
Author(s):  
Juha Oittinen ◽  
Tapio Kurki ◽  
Minnamaija Kekki ◽  
Minna Kuusisto ◽  
Pirkko Pussinen ◽  
...  

Objectives.To determine whether periodontal disease or bacterial vaginosis (BV) diagnosed before pregnancy increase the risk for adverse pregnancy outcome.Methods.We enrolled a total of 252 women who had discontinued contraception in order to become pregnant. The first 130 pregnant women were included in the analyses.Results.Multivariate analysis showed a strong association between periodontal disease and adverse pregnancy outcome (OR 5.5, 95% confidence interval 1.4–21.2;p= 0.014), and a borderline association between BV and adverse pregnancy outcome (OR 3.2, 95% confidence interval 0.9–10.7;p= 0.061).Conclusion.Our study suggests that pre-pregnancy counseling should include both oral and vaginal examinations to rule out periodontal disease and BV. This may ultimately have an impact on antenatal healthcare, and decrease the risk for adverse pregnancy outcome.

Author(s):  
Bilal Ur Rehman ◽  
Hiba Gull

Background: In pregnancy, subclinical hypothyroidism is more common than overt hypothyroidism, ranging from 15% to 28% in Iodine sufficient region. Evidence suggests that subclinical hypothyroidism is associated with adverse pregnancy outcome. The aim of this study was to find the prevalence of subclinical hypothyroidism in pregnant women and adverse pregnancy outcome.Methods: This hospital based prospective comparative study was conducted over a period of 6 months from 1st July 2018 to 31st December 2018 in department of obstetrics and gynecology SKIMS Soura Kashmir. All the subjects who fulfilled the inclusion criteria and who consented to participate were screened for subclinical hypothyroidism.Results: A total of 175 pregnant women participated in the study and subclinical hypothyroidism was diagnosed in 25 pregnant women (14.2%). Most of our patients were in age group 21 to 30 years (69.1%). Pregnant women with subclinical hypothyroidism had significant risk of preeclampsia (35%) and higher cesarean section rate (29.6%). Neonate of women with subclinical hypothyroidism had higher incidence poor Apgar score, NICU admission.Conclusions: The prevalence of subclinical hypothyroidism is high in pregnant women and the gravity of the complications like pre-eclampsia, neonate with low Apgar score, increased NICU admission, overweight the cost of screening. In this view, we propose screening of all pregnant women in the first trimester for diagnosis.


2019 ◽  
Vol 220 (1) ◽  
pp. S377-S378
Author(s):  
Kartik K. Venkatesh ◽  
Virginia Pate ◽  
Kim Boggess ◽  
Michele Funk ◽  
Marcela Smid

BDJ ◽  
2004 ◽  
Vol 197 (5) ◽  
pp. 251-258 ◽  
Author(s):  
S Moore ◽  
M Ide ◽  
P Y Coward ◽  
M Randhawa ◽  
E Borkowska ◽  
...  

1987 ◽  
Vol 42 (3) ◽  
pp. 153-155
Author(s):  
MICHAEL G. GRAVETT ◽  
PRESTON H. NELSON ◽  
TIMOTHY DEROUEN ◽  
CATHY CRITCHLOW ◽  
DAVID A. ESCHENBACH ◽  
...  

2000 ◽  
Vol 11 (4) ◽  
pp. 257-261 ◽  
Author(s):  
P Gichangi ◽  
K Fonck ◽  
C Sekande-Kigondu ◽  
J Ndinya-Achola ◽  
J Bwayo ◽  
...  

We examined partner notification among syphilitic pregnant women in Nairobi. At delivery, 377 women were found to be rapid plasma reagin (RPR) reactive. Data were available for 94% of the partners of women who were tested during pregnancy; over 67% of the partners had received syphilis treatment while 23% had not sought treatment mainly because they felt healthy. Six per cent of the women had not informed their partners as they feared blame and/or violence. Adverse pregnancy outcome was related to lack of partner treatment during pregnancy (7% versus 19%, odds ratio (OR) 3.0, 95% confidence interval (CI) 0.9- 10.0). Our data suggest that messages focusing on the health of the unborn child have a positive effect on partner notification and innovative and locally adapted strategies for partner notification need more attention.


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