title: Role and Importance ofChlamydia Trachomatisin Pregnant Patients.
abstract: OBJECTIVE
  The aim of this study was to assess the prevalence of chlamydial infection among pregnant women and to determine the role of this infection in the fetus.
  
  
  METHODS
  In the first phase of this study were reported 58 pregnant women with a positive test for active chlamydial infection by applying immunofluorescence. In the second phase of the study were reported pregnant with premature burst membranes (PBM), postnatal complications associated with chlamydial infection as puerperal endometritis, and newborns are monitored for low birth weight and growth retardation at birth.
  
  
  RESULTS
  With a positive test are 58 patients in the first trimester or pregnancy registration in our consultation. After regimen with Sumamed (2 x 500 mg for three days and after 10 days again same scheme for them and their partner) at the beginning of the third trimester, the PCR test was made again. Of these, 5 were positive again, participants are between 20 and 30 years old. With premature rupture of OM are 20 patients. There was no increased incidence of premature births. Infants born to infected mothers have a higher risk of developing respiratory symptoms in the first 60 days of life. 3 of them have low for his age bodyweight.
  
  
  CONCLUSIONS
  The scarcity of data on manifestations of chlamydial infection during pregnancy and neonatal outcomes justifies this study. Early diagnosis for registration of pregnancy and timely treatment of chlamydial infection as well as scrutinising the infection during the third trimester of pregnancy can prevent infection of the newborn. Therefore, preventive examinations should be considered as a priority for early detection of asymptomatic chlamydial infection in the conduct of antenatal care.
authors.affiliation: Department of Obstetrics and Gynecology, Trakia University, Faculty of Medicine, Stara Zagora, Bulgaria.
authors.forename: Mariya
authors.initials: M
authors.lastname: Angelova
authors.affiliation: Department of Obstetrics and Gynecology, Paraskev Stoyanov Medical University, Varna, Bulgaria.
authors.forename: Emil
authors.initials: E
authors.lastname: Kovachev
authors.affiliation: Department of Obstetrics and Gynecology, Trakia University, Faculty of Medicine, Stara Zagora, Bulgaria.
authors.forename: Veselina
authors.initials: V
authors.lastname: Tsankova
authors.affiliation: Department of Obstetrics and Gynecology, Trakia University, Faculty of Medicine, Stara Zagora, Bulgaria.
authors.forename: Iliana
authors.initials: I
authors.lastname: Koleva
authors.affiliation: Department of Obstetrics and Gynecology, Trakia University, Faculty of Medicine, Stara Zagora, Bulgaria.
authors.forename: Silvia
authors.initials: S
authors.lastname: Mangarova
keywords: Chlamydia trachomatis; neonatal infections; polymerase chain reaction; pregnancy; respiratory symptoms