![]() 1 – 3 Furthermore, premature infants who survive often have significant morbidities including necrotizing enterocolitis, retinopathy of prematurity, intraventricular hemorrhage, chronic lung disease and developmental delay. Preterm delivery, defined as delivery occurring before 37 complete weeks of gestation, causes the majority of neonatal deaths unrelated to congenital anomalies and also accounts for more than one half of nursery costs. By adopting a rational approach to the diagnosis and treatment of genitourinary infections, family physicians can substantially decrease a patient's risk of preterm delivery. The role of Chlamydia trachomatis, Trichomonas vaginalis and Ureaplasma urealyticum is less clear. ![]() Asymptomatic bacteriuria, gonococcal cervicitis and bacterial vaginosis are strongly associated with preterm delivery. Uterine contractions may be induced by cytokines and prostaglandins, which are released by microorganisms. ![]() Prematurity is one of the leading causes of perinatal mortality in the United States. Genitourinary tract infections are one cause of preterm delivery. ![]()
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