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Kurnosenko I.V.

Department of Obstetrics and Gynecology, South Ural State Medical University, Ministry of Health of Russia, Chelyabinsk, Russia

Dolgushina V.F.

Kafedra akusherstva i ginekologii

Diagnostic criteria for intrauterine infection during pregnancy

Authors:

Kurnosenko I.V., Dolgushina V.F.

More about the authors

Journal: Russian Bulletin of Obstetrician-Gynecologist. 2016;16(6): 63‑67

DOI: 10.17116/rosakush201616663-67

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Table of contents

DIAGNOSTIC CRITERIA FOR INTRAUTERINE INFECTION DURING PREGNANCY
DIAGNOSTIC CRITERIA FOR INTRAUTERINE INFECTION DURING PREGNANCY

To cite this article:

Kurnosenko IV, Dolgushina VF. Diagnostic criteria for intrauterine infection during pregnancy. Russian Bulletin of Obstetrician-Gynecologist. 2016;16(6):63‑67. (In Russ.)
https://doi.org/10.17116/rosakush201616663-67

Подписка 2026 Российский вестник акушера-гинеколога (Russian Bulletin of Obstetrician-Gynecologist)
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Abstract:

Objective — to identify the prognostic criteria for obstetric and perinatal complications on the basis of an analysis of anamnestic data and the specific features of the course of current pregnancy in patients with morphologically verified intrauterine infection (IUI). Subject and methods. A total of 327 pregnant women enrolled in the study by continuous sampling were examined. Group 1 consisted of 130 patients, in whom IUI was verified by histological placental examination (a study group). Group 2 included 197 pregnant women whose placentas displayed no inflammatory changes (a comparison group). Clinical, laboratory, instrumental, microbiological, and pathological examinations were performed. Results. The women with morphologically confirmed IUI showed the features of their current pregnancy: the latter and early neonatality were more commonly complicated. The criteria for IUI during pregnancy can be considered to be a combination of the following factors: a compromised obstetric/gynecological history, cervicitis, recurrent threatened miscarriage, a number of echographic signs (abnormal amount of amniotic fluid, placental structural changes), uteroplacental circulatory disorders, and prothrombotic hemostasis. Miscarriage and preterm birth were significantly more frequently recorded in the study group. Conclusion. Identification of clinicoanamnestic, microbiological, pathological, and instrumental diagnostic criteria of IUI during pregnancy will be able to predict obstetric and perinatal complications of pregnancy and to timely use therapeutic and preventive measures to reduce perinatal losses. The authors declare no conflicts of interest.

Keywords:

cervititis
intrauterine infection
recurrent threatened miscarriage
preterm birth
placental insufficiency
early neonatal complications

Authors:

Kurnosenko I.V.

Department of Obstetrics and Gynecology, South Ural State Medical University, Ministry of Health of Russia, Chelyabinsk, Russia

Dolgushina V.F.

Kafedra akusherstva i ginekologii

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References:

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