Some infections that existed before or during pregnancy startled the mothers. One of these infections is ureaplasma infections. Gynecology and Obstetrics Specialist Op. Dr. Contact İbrahim directly share with those who are curious about the subject.
What is Ureaplasma?
Microorganisms called ureaplasma urealiticum and mycoplasma hominization are the two most common types of bacterial-like structures called mycoplasma in the genital tract and respiratory tract.
Who is seen and how often?
The incidence of sexually active women in the lower genital tract is 40-95 percent for ureaplasma and 15-70 percent for mycoplasma. The presence of these bacteria in the genital area does not necessarily mean infection. Natural bacteria are found as part of the flora. They don't give you any indication. However, they may sometimes infect the resulting gestational sac.
What are the effects of pregnancy?
Ureaplasma has been associated with intra-sac infection, low birth weight and infant mortality during pregnancy in some studies. Mycoplasma has also been associated with miscarriage and post-infection and uterine infections in some studies. However, it is controversial whether they actually play a role in disease because of their high levels in healthy pregnant women who do not experience these infections.
Are statistical data available?
In a study conducted in 1976, ureaplasma was found to be the only microorganism found in the fetal lungs in 8 percent of 290 infant deaths in the womb and postpartum. Some investigators have found low birth weight in infants of women carrying ureaplasma in the vagina and cervix, but this relationship has not been confirmed in some other studies. In a study conducted in 1987, an increase in birth weight was shown by erythromycin antibiotic therapy given to women with ureaplamia during the last 12 weeks of pregnancy.
How is the treatment followed?
When the whole literature is evaluated, the results that associate mycoplasma and ureaplasm with poor pregnancy outcomes are not certain. Therefore, cultures are not recommended for both during pregnancy. Based on our data, the treatment of women harboring these microorganisms is not routinely recommended. However, antibiotic treatment may be considered in women with recurrent miscarriages and who are found to have these organisms in the vagina or cervix.
If treatment is necessary, tetracycline is an effective antibiotic for both microorganisms, but is not used during pregnancy. Erythromycin is effective for ureaplasma, but mycoplasma is resistant to this antibiotic. Clindamycin is effective for mycoplasma but not for ureaplasma. There is no obstacle for a woman carrying these bacteria to give birth normally.