TITLE:
Outcomes of Pregnancy with Group B Streptococcal Infections in Najran, Saudi Arabia
AUTHORS:
Majed Saeed Alshahrani, Ali H. Alhajri, Fahad Thamer Almutairi, Ashwag Hassan Abdelmajed, Fatima Ibrahim Abdalla, Yousra Bala Babkir Abdullah, Mosab Mohamedelamineltaib, Ahmed Faroug Ahmed Abdelaal, Mohamed Ahmed Mukhtar, Mowafag Bushra Galaleldin Elsayed, Marwa Mohamed Ahmed Elkhidir Babikir, Nihal Altayeb Abdallah, Selma Mohammed Abdelgadir Elhabeeb
KEYWORDS:
Pregnancy, Group B Streptococcal, Outcomes
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.3,
March
3,
2023
ABSTRACT: Background: The gram-positive,
beta-hemolytic, and chain-forming Group B Streptococcus (GBS), commonly known
as Streptococcus agalactiae, may
asymptomatically invade the human gastrointestinal and vaginal tracts. However,
GBS may become very invasive and pathogenic to the mother and baby during
pregnancy, having negative effects. Study Aim: This study aims to investigate the pregnancy outcomes of women who
tested positive for genitourinary GBS infection during pregnancy in Najran,
Saudi Arabia. Methods: Data was collected retrospectively from
patient files in Armed Forces Hospital, Najran, Saudi Arabia. Data collected
were entered to a Microsoft Excel sheet, then imported and analysed using the
Statistical Package for Social Sciences. Results: The study included 272
women of whom 66.5% were 31 to 45 years old. Gestational diabetes was diagnosed
in 8.5% of the sample, 71.7% had a normal spontaneous vaginal delivery (NSVD),
1.8% had previous abortions, and 27.2% of new-borns were admitted to the NICU
after delivery. There was a significant association between NICU admissions and
women employment status (p = 0.001), gravidity (p = 0.001), parity (p = 0.001),
history of abortions (p = 0.001), medical
conditions (p = 0.049), and mode of delivery (p = 0.049). Conclusion: According to the findings of
our study, GBS infection during
pregnancy is associated to more NICU admissions. NICU admissions were
significantly correlated with gestational diabetes, hypertension, and
hypothyroidism in mothers but not with intrapartum antibiotic use.