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Research Article

Genitourinary infection and preterm labour: a retrospective study

Authors:

Sukhwinder Kaur Bajwa ,

Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, IN
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Sukhminderjit Singh Bajwa,

Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, IN
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Kamaljit Singh,

Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, IN
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Amarjit Kaur,

Government Medical College and Hospital, Patiala, Punjab, IN
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Sushila Goel,

Government Medical College and Hospital, Patiala, Punjab, IN
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Sudesh Goel

Government Medical College and Hospital, Patiala, Punjab, IN
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Abstract

Objectives: The relationship between genitourinary infections and preterm labour (PTL) is known for ages but still the scenario in developing countries is projecting the same picture as prevalent 2-3 decades earlier. We undertook a study to find out the prevalence of genitourinary infections and PTL with the help of simple laboratory tests so as to enable the various health workers to diagnose and treat them early with the assistance of simple and cost-effective diagnostic methods.

Patients and methods: A retrospective study was undertaken in the department of Obstetrics and Gynaecology/ Microbiology, Government Medical College and hospital, Patiala which comprised of 500 cases in PTL between 28-37 weeks of gestation and 500 normal term cases for comparison. All the cases were subjected to microbiological analysis for bacterial (aerobic), fungal and protozoal examination by two high vaginal swabs and urine samples for routine examination, bacteriological examination, culture and antibiotic sensitivity. Statistical analysis was carried out using chi square and student ‘’t’’ test.

Results: In the intervention group (Group A) of 500 cases of PTL the frequency of genital tract infection, urinary tract infection (UTI) and combined genitourinary infection (GUI) was 44%, 30% and 16% respectively as compared to 10%, 6% and 0% in the Group B, suggesting a statistically significant relationship of prevalence of genital as well as urinary tract infection in patients with preterm labour. The most common causative organisms of UTI were, Escherichia coli (14%) and Klebsiella pneumoniae (12%), while Gardnella vaginalis (16%) and Candida albicans (14%) were found to be commonly associated with genital tract infection. The number of low birth weight babies was significantly higher in intervention group than in the normal group.

Conclusions: Integration of a simple infection screening programme into routine antenatal care may reduce the incidence of preterm labour and improve perinatal outcome especially among the rural population of developing countries.

Key words: Preterm labour; genitourinary infections; intrauterine infections; bacterial vaginosis.

DOI: http://dx.doi.org/10.4038/sljog.v32i3.3984

SLJOG 2010; 32(3): 57-64

DOI: http://doi.org/10.4038/sljog.v32i3.3984
How to Cite: Bajwa, S.K. et al., (2012). Genitourinary infection and preterm labour: a retrospective study. Sri Lanka Journal of Obstetrics and Gynaecology. 32(3), pp.57–64. DOI: http://doi.org/10.4038/sljog.v32i3.3984
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Published on 21 Jan 2012.
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