Abstract

Objective: to study the microbial landscape of the placenta in full-term pregnancy and intact fetal membranes.
 Materials and methods. 19 pregnant women in the gestational age of 37-41 weeks with intact membranes underwent elective cesarean section at Samara City Clinical Hospital No. 1 named after N.I. Pirogov. Their placental tissues were collected and RT-PCR tests for Lactobacillus spp., Enterobacteriaceae, Streptococcus spp., Staphylococcus spp., Gardnerella vaginalis / Prevotella bivia / Porphyromonas spp., Eubacterium spp., Sneathia spp. / Leptotrihia spp. / Fusobacterium spp, Megasphaera spp. / Veillonella spp. / Dialister spp., Lachnobacterium spp. / Clostridium spp., Mobiluncus spp. / Corynebacterium spp., Peptostreptococcus spp., Atopobiumvaginae, Mycoplasma hominis, Ureaplasma (urealyticum + parvum), Candida spp., Mycoplasma henitalium were performed.
 Results. In case of physiological full-term pregnancy the total bacterial mass can be 103.9-103.7 GE/sample on the placenta, it is a normal variant. Sterile placentas were found in 21.1% of cases. Unknown microorganisms were revealed in 52.6% of cases, they were unidentified by the standard panel Femoflor-16. In other cases Enterobacteriaceae spp. (102.6 GE/sample) were found in the placental tissues in patients with intact fetal membrane. The presence of Lactobacillus spp. in the placental tissues with intact membranes is not typical.
 Conclusion. RT-PCR test allow to reveal a small amount of bacterial mass in the placental tissue in case of physiological full-term pregnancy, in which the representatives of Enterobacteriaceae spp. are often time detected.

Highlights

  • Sterile placentas were found in 21.1% of cases

  • “Unknown” microorganisms were revealed in 52.6% of cases, they were unidentified by the standard panel “Femoflor-16”

  • RT-PCR test allow to reveal a small amount of bacterial mass in the placental tissue in case of physiological full-term pregnancy, in which the representatives of Enterobacteriaceae spp. are often time detected

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Summary

ОСОБЕННОСТИ МИКРОБИОТЫ ПЛАЦЕНТЫ ПРИ ДОНОШЕННОЙ БЕРЕМЕННОСТИ

Для цитирования: Безрукова А.А., Спиридонова Н.В., Каганова М.А., Галкина Д.А. Особенности микробиоты плаценты при доношенной беременности // Аспирантский вестник Поволжья. – 2020. – No 5–6. – С. 7–14. Особенности микробиоты плаценты при доношенной беременности // Аспирантский вестник Поволжья. ■ Цель исследования — изучить микробный пейзаж плаценты при доношенной беременности и неповрежденных плодных оболочках. При физиологически протекающей доношенной беременности возможно присутствие общей­ бактериальной массы 103,9–103,7 ГЭ/образец на плаценте, что является вариантом нормы. В остальных случаях при целом плодном пузыре в тканях плаценты выявлены представители Enterobacteriaceae spp. При физиологически протекающей доношенной беременности возможно выявление методом ПЦР-РВ небольшого количества бактериальной массы, в составе которой наиболее часто встречаются представители Enterobacteriaceae spp. 19 pregnant women in the gestational age of 37-41 weeks with intact membranes underwent elective cesarean section at Samara City Clinical Hospital No 1 named after N.I. Pirogov.

Aspirantskiy Vestnik Povolzhiya
Results
Conclusion
Материалы и методы
Результаты исследования
Контроль взятия материала
Стерильные Aseptic
Обсуждение результатов
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