Resultado perinatal de gestantes submetidos à busca ativa de infecção genital

This paper aimed at evaluate perinatal results of pregnant women who were submitted to an active search of inferior genital infection. Three sub-projects were developed in chapters in order to reach this objective. Chapter 1 - Infection of the lower genital tract and perinatal outcomes: a literature...

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Detalles Bibliográficos
Autor: Gondo, Danielle Cristina Alves Feitosa [UNESP]
Tipo de recurso: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2014
País:Brasil
Institución:Universidade Estadual Paulista (UNESP)
Repositorio:Repositório Institucional da UNESP
Idioma:portugués
OAI Identifier:oai:repositorio.unesp.br:11449/123285
Acceso en línea:http://hdl.handle.net/11449/123285
http://www.athena.biblioteca.unesp.br/exlibris/bd/cathedra/06-04-2015/000816181.pdf
Access Level:acceso abierto
Palabra clave:Aparelho genital feminino
Vulvovaginite
Gravidez - Complicações
Trabalho de parto - Complicações e sequelas
Chlamydia trachomatis
Pregnancy Complications
Descripción
Sumario:This paper aimed at evaluate perinatal results of pregnant women who were submitted to an active search of inferior genital infection. Three sub-projects were developed in chapters in order to reach this objective. Chapter 1 - Infection of the lower genital tract and perinatal outcomes: a literature review. The purpose was to identify in 10 years scientific production, evidences of neonatal conditions at birth when the mother presented genital tract infection during pregnancy. The results differed. The studies showed an association of certain types of infection in some outcomes and not in others. The most frequently searched association was among bacterial vaginitis and prematurity, present in six cases and absent in three of them. Chapter II - Perinatal outcome of pregnant women submitted to an active search of the lower genital tract infection; observational and analytical study. The purpose was to evaluate the perinatal result of low risk pregnant women submitted to an active search of genital infection. In this case, the chance of first minute Agpar score to be less than 7 points was significantly smaller among pregnant women who underwent an active search. Newborns in this group weighed 350 grams more. Chapter III - Perinatal results of women who experienced premature labor and were submitted to an active search of inferior genital tract infection. The purpose was to compare prematurity frequency and first minute Apgar score, inferior to seven, in pregnant women submitted or not to an active search of the inferior genital tract and etiological treatment. The study was controlled and non randomized. A significative relationship between an active search and lower prematurity indexes and better Agpar scores was found. The study leads to the conclusion that considering the relevance of the subject for public health, the results should be seen as a first approach. Further investigations on special controlled studies with larger ...