Can Inflammatory Markers Diagnosed Upon Ultrasound Examination During Pregnancy Regress After Administration of Vaginal Treatment? – A Pilot Study

• Authors: Maria Szubert , Maria Respondek-Liberska
• Languages of publication: EN

Abstracts

EN

Background: Inflammatory markers in prenatal ultrasound are a heterogeneous group of images that can evolve during pregnancy, due to regression or exacerbation of infection in pregnant women.Objective:The assessment if effective rebalancing of the bacterial flora of the vagina can lead to withdrawal of the symptoms of inflammation in ultrasound examination (US).Methods: A retrospective pilot study, among pregnant woman admitted to the Department of Prenatal Cardiology ICZMP in 2013-2014 in whom ultrasonographic signs of intrauterine infection were present. Electronic database were searched for key words ”infection, placentitis, tricuspid regurgitation, poly/oligohydramnion, IUGR, CRP, antibiotics, vaginal treatment”. The analysis included 238 patients, 30 received antibacterial vaginal treatment, from 27 patients a complete follow-up (control ultrasound after 10-14 days and data on labor) were obtained.Results: The average age of patients was 29 years. In 22% of patients tricuspid regurgitation was observed and it was the most commonly recognized marker of infection. Regression of infection signs were observed in 21 patients (77.8%) after 2 weeks of vaginal treatment.2 patients presented with ultrasound image stabilization, in 3 patients worsening of tricuspid regurgitation or cardiac hypertrophy were detected. Polyhydramnios, the second most common parameter (18.51% of patients) resolved after treatment in all studied patients. The delivery took place an average at 39th week of gestation (SD +/- 1.93).Conclusions: Effective anti-inflammatory vaginal treatment improved ultrasound images in 21 out of 27 fetuses. These preliminary observations suggesting a beneficial role of the vaginal treatment on inflammatory markers in pregnancy ultrasound require further investigation.

Keywords

EN

tricuspid valve regurgitation; poyhydramnion; heart failure; pregnancy; inflammation

• Publisher: De Gruyter Open
• Journal: Prenatal Cardiology
• Year: 2015
• Volume: 5
• Issue: 2
• Pages: 11-14

Dates

published

1 - 6 - 2015

received

2 - 5 - 2015

accepted

28 - 6 - 2015

online

30 - 12 - 2015

Contributors

author

Maria Szubert

• Medical Univwersity of Lodz, Poland, Department of Obsterics and Gynecology

author

Maria Respondek-Liberska

• Department of Prenatal Cardiology, Polish Mother's Memorial Hospital Research Institute, Lodz, Poland
• Department of Diagnoses and Prevention Fetal Malformations Medical University of Lodz, Poland

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Identifiers

DOI

10.12847/06152