{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:20:03Z","timestamp":1790716803300,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,1,2]],"date-time":"2023-01-02T00:00:00Z","timestamp":1672617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe maternal risk factors, presentations, peripartum findings, and pregnancy outcomes in <jats:italic>Listeria monocytogenes<\/jats:italic>\u2010infected women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective descriptive case review. The records of 51 pregnant women infected with listeriosis who delivered infants between February 1, 2016 and February 28, 2018 at three academic hospitals in Johannesburg, South Africa, were included. The diagnosis of listeriosis was made on maternal\/neonatal\u2010sampled blood or tissue cultures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010eight (82.3%) <jats:italic>Listeria<\/jats:italic> infections of maternal and neonatal listeriosis were diagnosed on blood culture. The median gestational age at diagnosis was at a preterm gestation of 33 (20\u201343) weeks. Twenty\u2010eight women (54.9%) had normal vaginal deliveries. Precipitous labor was described in 18 (39%) of these women. Fetal distress was the indication for cesarean section in 22 (41.2%) women. Meconium\u2010stained amniotic fluid was found in 21 (61.7%) women at the time of delivery. The category of very low birth weight had 14 (27.4%) neonates with an Apgar score of less than 7 at 5\u00a0min. Maternal morbidities included chorioamnionitis (3 [5.8%]) and puerperal infections (7 [13.7%]). The <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010positive anemic women had a tendency towards listerial infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Symptoms of listeriosis were non\u2010specific and diagnosis was detected on blood culture sampling. Risk factors included HIV seropositivity and were associated with puerperal infections and anemia.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14617","type":"journal-article","created":{"date-parts":[[2022,12,10]],"date-time":"2022-12-10T13:28:01Z","timestamp":1670678881000},"page":"989-996","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Presentation and outcomes of <i>Listeria<\/i>\u2010affected pregnancies in Johannesburg tertiary hospitals: A 2\u2010year review"],"prefix":"10.1002","volume":"161","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8217-7536","authenticated-orcid":false,"given":"Olivia\u2010Joan","family":"Iiyambo","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Chris Hani Baragwanath Academic Hospital University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vuyelwa","family":"Baba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Chris Hani Baragwanath Academic Hospital University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juno","family":"Thomas","sequence":"additional","affiliation":[{"name":"Centre for Enteric Diseases National Institute for Communicable Diseases  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phuti","family":"Sekwadi","sequence":"additional","affiliation":[{"name":"Centre for Enteric Diseases National Institute for Communicable Diseases  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poovangela","family":"Naidoo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Maternal Fetal Medicine Unit, Chris Hani Baragwanath Academic Hospital University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir902"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874279301509010020"},{"key":"e_1_2_10_4_1","unstructured":"National Institute for Communicable Diseases.NICD Situation Update on Listeriosis Outbreak [NICD website].2018. Available from:https:\/\/www.nicd.ac.za\/nicd\u2010situation\u2010update\u2010on\u2010listeriosis\u2010outbreak\u20103\u2010march\u20102018\/. Accessed: March 24 2018."},{"key":"e_1_2_10_5_1","unstructured":"National Institute for Communicable Diseases.Listeriosis: Clinical recommendations for diagnosis and treatment [NICD website].2017. Available from:https:\/\/www.nicd.ac.za\/listeriosis\u2010clinical\u2010recommendations\u2010for\u2010diagnosis\u2010and\u2010treatment\/. Accessed: March 30 2018."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/17.2.224"},{"key":"e_1_2_10_7_1","unstructured":"Human Sciences Research Council.The Fifth South African National HIV Prevalence Incidence Behaviour and Communication Survey 2017 [HSRC website].2018. Available from:http:\/\/www.hsrc.ac.za\/uploads\/pageContent\/9234\/SABSSMV_Impact_Assessment_Summary_ZA_ADS_cleared_PDFA4.pdf. Accessed: July 27 2019."},{"key":"e_1_2_10_8_1","unstructured":"Statistics South Africa.Statistical Release P0302: Mid\u2010year population estimates 2017 [STATSSA website].2017. Available from:http:\/\/www.statssa.gov.za\/publications\/P0302\/P03022017.pdf. Accessed: February 23 2018."},{"key":"e_1_2_10_9_1","unstructured":"World Health Organization.Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity [WHO website].2011. Available from:https:\/\/www.who.int\/vmnis\/indicators\/haemoglobin.pdf. Accessed: February 15 2018."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2010.02.003"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.14740\/jocmr2058w"},{"key":"e_1_2_10_12_1","unstructured":"National Institute for Health and Care Excellence.Interpretation of cardiotocograph traces. (Clinical guideline [CG190]) [NICE website].2017. 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