Leptospirosis outcomes in pregnancy
Introduction: Leptospirosis is a serious disease of humans, caused by different strains of the ‎bacteria Leptospira. The disease in humans can include pregnant mothers with poor outcomes ‎such as intrauterine fetal death, abortion, and delivery of a newborn with signs of congenital &...
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| Format: | Article |
| Language: | English |
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Guilan University of Medical Sciences
2009-04-01
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| Series: | Journal of Holistic Nursing and Midwifery |
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| Online Access: | http://hnmj.gums.ac.ir/browse.php?a_code=A-10-243-119&slc_lang=en&sid=1 |
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| author | parvaneh rezasoltani fatemeh rafat |
| author_facet | parvaneh rezasoltani fatemeh rafat |
| author_sort | parvaneh rezasoltani |
| collection | DOAJ |
| description | Introduction: Leptospirosis is a serious disease of humans, caused by different strains of the ‎bacteria Leptospira. The disease in humans can include pregnant mothers with poor outcomes ‎such as intrauterine fetal death, abortion, and delivery of a newborn with signs of congenital ‎leptospirosis. Moreover, due to overlapping signs and symptoms, leptospirosis is often ‎difficult to distinguish from HELLP syndrome and Acute Fatty Liver of pregnancy. ‎Therefore, it's necessary to assess the effect of leptospirosis on pregnancy outcome in human.‎
Objective: The goal of this study was to review the articles relating to leptospirosis and ‎pregnancy outcomes.‎
Methods: Data were gathered via a number of electronic databases and books.‎
Results: Leptospirosis is the most widespread zoonosis in the world. In tropical regions, the ‎infection is endemic, while in industrialized countries, the disease is rare. Leptospirosis is ‎difficult to distinguish from many other diseases in humans. Human infection may be ‎subclinical or present with a wide spectrum of symptoms. Common symptoms in humans are ‎similar to influenza and include headache, joint and muscular ache and pain, gastrointestinal ‎discomfort, nausea, vomiting, sweating, high fever. Researches have reported few cases in ‎pregnant women and the effect on prenatal outcome. Intrauterine fetal death, abortion, ‎delivery of a newborn with signs of congenital leptospirosis, and developmental abnormality ‎has all been reported. It has been proven that the bacteria can pass to a baby via breast milk. It ‎has also been detected in placenta, amniotic fluid and umbilical cord blood. Where the mother ‎has suffered a severe illness the cytotoxic impact of leptospires combined with hemorrhagia ‎and pyrexia can be a primary cause of fetal mortality, usually via placental ischaemia. ‎
Conclusion: While leptospirosis is rare in pregnancy, we should consider this infection in ‎pregnant women developing acute liver dysfunction or acute infection without fever, besides ‎HELLP syndrome and Acute Fatty Liver of Pregnancy. ‎ |
| format | Article |
| id | doaj-art-33ea166c0c874654899e22f6334c74a0 |
| institution | Kabale University |
| issn | 2588-3712 2588-3720 |
| language | English |
| publishDate | 2009-04-01 |
| publisher | Guilan University of Medical Sciences |
| record_format | Article |
| series | Journal of Holistic Nursing and Midwifery |
| spelling | doaj-art-33ea166c0c874654899e22f6334c74a02025-01-02T16:23:53ZengGuilan University of Medical SciencesJournal of Holistic Nursing and Midwifery2588-37122588-37202009-04-011913742Leptospirosis outcomes in pregnancyparvaneh rezasoltani0fatemeh rafat1 Introduction: Leptospirosis is a serious disease of humans, caused by different strains of the ‎bacteria Leptospira. The disease in humans can include pregnant mothers with poor outcomes ‎such as intrauterine fetal death, abortion, and delivery of a newborn with signs of congenital ‎leptospirosis. Moreover, due to overlapping signs and symptoms, leptospirosis is often ‎difficult to distinguish from HELLP syndrome and Acute Fatty Liver of pregnancy. ‎Therefore, it's necessary to assess the effect of leptospirosis on pregnancy outcome in human.‎ Objective: The goal of this study was to review the articles relating to leptospirosis and ‎pregnancy outcomes.‎ Methods: Data were gathered via a number of electronic databases and books.‎ Results: Leptospirosis is the most widespread zoonosis in the world. In tropical regions, the ‎infection is endemic, while in industrialized countries, the disease is rare. Leptospirosis is ‎difficult to distinguish from many other diseases in humans. Human infection may be ‎subclinical or present with a wide spectrum of symptoms. Common symptoms in humans are ‎similar to influenza and include headache, joint and muscular ache and pain, gastrointestinal ‎discomfort, nausea, vomiting, sweating, high fever. Researches have reported few cases in ‎pregnant women and the effect on prenatal outcome. Intrauterine fetal death, abortion, ‎delivery of a newborn with signs of congenital leptospirosis, and developmental abnormality ‎has all been reported. It has been proven that the bacteria can pass to a baby via breast milk. It ‎has also been detected in placenta, amniotic fluid and umbilical cord blood. Where the mother ‎has suffered a severe illness the cytotoxic impact of leptospires combined with hemorrhagia ‎and pyrexia can be a primary cause of fetal mortality, usually via placental ischaemia. ‎ Conclusion: While leptospirosis is rare in pregnancy, we should consider this infection in ‎pregnant women developing acute liver dysfunction or acute infection without fever, besides ‎HELLP syndrome and Acute Fatty Liver of Pregnancy. ‎http://hnmj.gums.ac.ir/browse.php?a_code=A-10-243-119&slc_lang=en&sid=1leptospirosis pregnancy outcomes |
| spellingShingle | parvaneh rezasoltani fatemeh rafat Leptospirosis outcomes in pregnancy Journal of Holistic Nursing and Midwifery leptospirosis pregnancy outcomes |
| title | Leptospirosis outcomes in pregnancy |
| title_full | Leptospirosis outcomes in pregnancy |
| title_fullStr | Leptospirosis outcomes in pregnancy |
| title_full_unstemmed | Leptospirosis outcomes in pregnancy |
| title_short | Leptospirosis outcomes in pregnancy |
| title_sort | leptospirosis outcomes in pregnancy |
| topic | leptospirosis pregnancy outcomes |
| url | http://hnmj.gums.ac.ir/browse.php?a_code=A-10-243-119&slc_lang=en&sid=1 |
| work_keys_str_mv | AT parvanehrezasoltani leptospirosisoutcomesinpregnancy AT fatemehrafat leptospirosisoutcomesinpregnancy |