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Re: 21 wk loss pprom, incompetent cervix , gbs question

From: Jessica Bardales MD (anonymous@obgyn.net)
Wed, 27 Aug 2003 21:23:22 -0500 (CDT)


If you are an asymptomatic carrier of GBS (in your bowels), it is possible for the bacterium to contaminate the pregnancy by proximity, or passing to the uterus from the vagina. The resulting colonizing and infection could have ;ed to the PPROM and demise of the conceptus.

At Wed, 27 Aug 2003, Roberta wrote: >
>I lost my baby at 21 wks of a perfect pregnancy. When I arrived at the
>hospital 45 minutes after my water broke, I was 2 cm dilated. Testing
>showed both my placenta and the baby's skin had "heavy growth" for GBS.
>I delivered him 10 hours after ruptured membrane. The fluid had no foul
>odor and I did not have a fever. Current diagnosis is incompetent
>cervix, GBS may have caused rupture after I painlessly dilated.
>Contamination of placenta and baby as passed through vagina may explain
>"heavy growth" of GBS...although I have heard this is factored out in
>measurement. I plan to conceive again in the next few months...a
>cerclage will be done.
>
>Question: I had diarrhea several days before PPROM. I am wondering
>about GBS in my digestive tract. I understand that it is a normal flora
>here as well as the vagina. Is it possible that it passed from my blood
>to the placenta in this way? Maybe due to abnormal liver function?

--
Jessica Bardales MD, SOCOG
Hospital Ginecobstetrico Docente Provincial, Camaguey, Cuba.
*Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.
**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.



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