[Diagnosis and management of infection and its role in preterm labor].
OBJECTIVE
Analysis of contemporary knowledge of infection and its role in etiology and pathogenesis of preterm labor.


METHODS
Review article.


METHODS
Department of Gynecology and Obstetrics, 1st Faculty of Medicine, Charles University, Prague.


METHODS
An overview of published data.


CONCLUSIONS
Infection is considered the most significant cause of preterm labor. The current research tend towards searching for local cervicovaginal markers of infection. An important role in the prenatal care is played by cervical ultrasonography which together with cervicovaginal markers can sort out the group of women with high risk of the preterm labor. Cervicovaginal markers can reveal microbial invasion into higher parts of the birth canals during the intrapartal care and justify the administration of antibiotics especially to women with the premature rupture of membranes. The routine administration of antibiotics was reevaluated in the management of preterm labor. The question of optimal antibiotics remains open.
Koucký
M
M
Gynekologicko-porodnická klinika I. LF UK a VFN, Praha.
Hájek
Z
Z
Parízek
A
A
D001424:Bacterial Infections / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D002821:Chorioamnionitis / Q000175:diagnosis / Q000628:therapy; D005260:Female; D005831:Genital Diseases, Female / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007752:Obstetric Labor, Premature / Q000209:etiology / Q000382:microbiology*; D011247:Pregnancy