Format

Send to

Choose Destination
See comment in PubMed Commons below
Am J Obstet Gynecol. 1999 Mar;180(3 Pt 1):578-80.

The microbiologic effect of digital cervical examination.

Author information

1
Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, Ohio, USA.

Abstract

OBJECTIVE:

The purpose of this study was to determine whether digital examination introduces vaginal organisms into the cervix.

STUDY DESIGN:

Thirty-five women with reported ruptured membranes at >/=34 weeks' gestation underwent a sterile speculum examination and a standardized semiqualitative, semiquantitative endocervical culture before and immediately after digital cervical examination.

RESULTS:

Cultures taken before digital examination demonstrated a mean of 2.8 +/- 1.7 different types of organisms, whereas cultures taken after digital examination demonstrated a mean of 4.4 +/- 1.5 different types of organisms (P <.0001). Twenty-eight patients (80%) had heavier growth or a greater number of different organisms in the postexamination culture than in the pre-examination culture. The state of the fetal membranes (ruptured as opposed to intact) did not alter these relationships.

CONCLUSION:

An immediate effect of digital examination is the introduction of vaginal organisms into the cervical canal.

PMID:
10076131
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center