The role of Mycoplasma and Ureaplasma in adverse pregnancy outcomes

Obstet Gynecol Clin North Am. 2014 Dec;41(4):615-27. doi: 10.1016/j.ogc.2014.08.010. Epub 2014 Oct 5.

Abstract

Genital mycoplasmas are frequently found in the vaginal flora across socioeconomic and ethnic groups and have been demonstrated to be involved in adverse perinatal outcomes. Both Mycoplasma and Ureaplasma spp cause inflammation potentially leading to spontaneous preterm birth and PPROM as well as postdelivery infectious complications and neonatal infections. Herein we have provided an overview of the existing literature and supportive evidence for genital mycoplasma's role in perinatal complications. Future research will need to focus on clearly delineating the species, allowing for discrimination of their effects.

Keywords: Bronchopulmonary dysplasia; Chorioamnionitis; Endometritis; Genital mycoplasma; Mycoplasma; Preterm birth; Ureaplasma.

Publication types

  • Review

MeSH terms

  • Adult
  • Antiviral Agents / therapeutic use
  • Chorioamnionitis / microbiology
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Fetal Membranes, Premature Rupture / microbiology
  • Fetal Membranes, Premature Rupture / prevention & control*
  • Humans
  • Infant, Newborn
  • Infant, Premature, Diseases / epidemiology
  • Infant, Premature, Diseases / microbiology
  • Mycoplasma / isolation & purification*
  • Mycoplasma Infections / epidemiology
  • Mycoplasma Infections / microbiology*
  • Mycoplasma Infections / prevention & control
  • Polymerase Chain Reaction
  • Pregnancy
  • Pregnancy Complications, Infectious / epidemiology
  • Pregnancy Complications, Infectious / microbiology*
  • Pregnancy Complications, Infectious / prevention & control
  • Pregnancy Outcome
  • Premature Birth / microbiology
  • Premature Birth / prevention & control*
  • Prevalence
  • Ureaplasma / isolation & purification*
  • Ureaplasma Infections / epidemiology
  • Ureaplasma Infections / microbiology*
  • Ureaplasma Infections / prevention & control
  • Vagina / microbiology

Substances

  • Antiviral Agents

Supplementary concepts

  • Preterm Premature Rupture of the Membranes