title: Helicobacter pylori seropositivity and stool antigen in patients with hyperemesis gravidarum.
abstract: The objective of this paper is to investigate whether Helicobacter pylori is an etiologic factor in hyperemesis gravidarum. Thirty one patients with hyperemesis gravidarum and twenty nine pregnant controls without hyperemesis gravidarum were included in this prospective study. All pregnant women were examined both for Helicobacter pylori serum immunoglobulin G antibodies (HpIgG Ab), showing chronic infection, and Helicobacter pylori stool antigens (HpSA), showing active gastrointestinal colonization. Chi-square and Student t tests were used accordingly for statistical analysis. Helicobacter pylori seropositivity was 67.7% in the patients with hyperemesis gravidarum and 79.3% in the control group (chi(2) = 1.02, P = .31). HpSA was detected in 22.6% of patients with hyperemesis gravidarum, whereas 6.9% of patients in the control group. The difference was not statistically significant (chi(2) = 2.89, P = .08). In this study, no relation was found between Helicobacter pylori and hyperemesis gravidarum. The low social status of women in both groups could be one of the reasons for the high prevalence of Hp infection.
authors.affiliation: Turkish Ministry of Health, Ankara Etlik Maternity and Women's Health Teaching Hospital, Etlik, Ankara, Turkey.
authors.forename: R Sinan
authors.initials: RS
authors.lastname: Karadeniz
authors.forename: Ozlem
authors.initials: O
authors.lastname: Ozdegirmenci
authors.forename: M Metin
authors.initials: MM
authors.lastname: Altay
authors.forename: Ayse
authors.initials: A
authors.lastname: Solaroglu
authors.forename: Serdar
authors.initials: S
authors.lastname: Dilbaz
authors.forename: Nedret
authors.initials: N
authors.lastname: Hizel
authors.forename: Ali
authors.initials: A
authors.lastname: Haberal
mesh_terms: D000293:Adolescent; D000328:Adult; D000907:Antibodies, Bacterial / Q000097:blood*; D000942:Antigens, Bacterial / Q000032:analysis*; D005243:Feces / Q000382:microbiology*; D005260:Female; D016481:Helicobacter Infections / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology; D016480:Helicobacter pylori / Q000276:immunology* / Q000302:isolation & purification; D006801:Humans; D006939:Hyperemesis Gravidarum / Q000382:microbiology*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology; D015995:Prevalence
chemical_list: D000907:Antibodies, Bacterial; D000942:Antigens, Bacterial