Objective The purpose of this study was to codify the relationship be tween bac terial vaginosis/fetal fibronectin and preterm labor/birth. Study design In this prospective study, 185 women who were symptomatic for pr...Objective The purpose of this study was to codify the relationship be tween bac terial vaginosis/fetal fibronectin and preterm labor/birth. Study design In this prospective study, 185 women who were symptomatic for preterm labor were assess ed for bacterial vaginosis and fetal fibronectin. Results These women comprised 4 groups: group A (n=23 women; +bacterial vaginosis/+fetal fibronectin); group B (n=31 women; -bacterial vaginosis/+fetal fibronectin); group C (n=47 women; +bacterial vaginosis/-fetal fibronectin); and group D (n=84 women; -bacteria l vaginosis/-fetal fibronectin). The time interval from gestational age at test ing until delivery was significantly shorter for groupsAand Bversus groups C and D (P≤.05 and P<.001, respectively). Similarly, delivery at < 32 weeks of gesta tion was increased in group B (26%) compared with groups A (9%), C (2%), and D (5%; P < .009; odds ratio, 165.90; 95%CI, 30.02, 916.08). Conclusion Women w ho are symptomatic for preterm labor should be considered for fetal fibronectin and bacterial vaginosis testing.展开更多
文摘Objective The purpose of this study was to codify the relationship be tween bac terial vaginosis/fetal fibronectin and preterm labor/birth. Study design In this prospective study, 185 women who were symptomatic for preterm labor were assess ed for bacterial vaginosis and fetal fibronectin. Results These women comprised 4 groups: group A (n=23 women; +bacterial vaginosis/+fetal fibronectin); group B (n=31 women; -bacterial vaginosis/+fetal fibronectin); group C (n=47 women; +bacterial vaginosis/-fetal fibronectin); and group D (n=84 women; -bacteria l vaginosis/-fetal fibronectin). The time interval from gestational age at test ing until delivery was significantly shorter for groupsAand Bversus groups C and D (P≤.05 and P<.001, respectively). Similarly, delivery at < 32 weeks of gesta tion was increased in group B (26%) compared with groups A (9%), C (2%), and D (5%; P < .009; odds ratio, 165.90; 95%CI, 30.02, 916.08). Conclusion Women w ho are symptomatic for preterm labor should be considered for fetal fibronectin and bacterial vaginosis testing.