Gebelik ve Bartolin Absesi: 47 Olgunun İncelenmesi

Aim: To examine the clinical characteristics and obstetric outcomes of pregnant women who were hospitalized for Bartholin abscess. Material and Methods: During the study period 47 patients were identified who were hospitalized with a diagnosis of Bartholin abcess and were surgically managed in our perinatology unit. Hospital records of the patients were evaluated retrospectively in terms of their clinical characteristics, laboratory parameters and maternal and perinatal outcomes. Results: The mean age of patients was 27.0 ± 5.9 years, while the median gestational age at referral was 32.3 (5.5 to 41.1) weeks. Bartholin abscess were in leftside in 25 (53.2%) cases and nulliparous cases (53.2%) were more common. Median abscess diameter was calculated as 3.5 cm (2 to 6.5). All patients underwent surgical drainage with antibiotic treatment and it was observed that 21 (44.7%) cases were treated with silver nitrate application. The cultures of 25 (53.2%) were negative, while the most common microorganisms isolated was E. Coli with 12 (25.5%) patients. In follow-up, 17 (34%) of the cases gave preterm birth and it was seen that cesarean delivery was more frequently applied. 8 (16.7%) neonates needed intensive care and 2 (4.2%) of them were found to be lost in early neonatal period. Conclusion: Although Bartholin abcess are not seen commonly during pregnancy, it can lead to important clinical condition that increases fetal and maternal complications of severe infection as a result of physiological changes during pregnancy. Although it is difficult to conclude, it is possible that Bartolin abscess may cause preterm birth.