Document Detail


Cervical leukocyte sub-populations in idiopathic preterm labour.
MedLine Citation:
PMID:  17275097     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate cervical epithelial leukocyte sub-populations in pregnant women with a history of idiopathic preterm labour. METHODS: A prospective observational study was undertaken of 106 women with a past history of idiopathic preterm delivery following spontaneous labour. A cytobrush was used to sample the epithelium of the cervix at 12-16 weeks of gestation and again 8 weeks later. All women had investigations for cervical and vaginal infection as well as serial transvaginal ultrasonography of their cervix; the mode and gestation at delivery were recorded. Leukocyte sub-populations were examined using immunocytochemistry, and the number of leukocytes per total cell count was calculated. MAIN OUTCOME MEASURES: Cervical epithelial leukocytes populations were (1) described in pregnancy, (2) observed over increasing gestation, (3) analysed in women who developed marked cervical shortening and (4) in those whose preterm labour recurred. RESULTS: There was no significant change in cervical epithelial leukocyte populations during the second trimester of pregnancy. There was no association between cervical leukocytes and cervical shortening. Women with idiopathic preterm labour that recurred had fewer cervical macrophages at the beginning of the second trimester of pregnancy than those whose subsequent pregnancy progressed beyond 35 weeks of gestation. CONCLUSIONS: Cervical epithelial macrophages may serve to prevent recurrent preterm labour, possibly by preventing ascending infection.
Authors:
M K Whitworth; I Pafilis; G Vince; S Quenby
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Publication Detail:
Type:  Journal Article     Date:  2007-02-01
Journal Detail:
Title:  Journal of reproductive immunology     Volume:  75     ISSN:  0165-0378     ISO Abbreviation:  J. Reprod. Immunol.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-07-27     Completed Date:  2007-11-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8001906     Medline TA:  J Reprod Immunol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  48-55     Citation Subset:  IM    
Affiliation:
University of Liverpool, Department of Reproductive and Developmental Medicine, Liverpool Women's NHS Foundation Trust, Liverpool L8 7SS, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antigens, CD / analysis
Cervix Uteri / immunology*
Female
Humans
Leukocytes / cytology*
Lymphocyte Subsets / immunology
Macrophages
Obstetric Labor, Premature / immunology*,  physiopathology
Pregnancy
Pregnancy Trimester, Second
Prospective Studies
Vaginal Smears
Chemical
Reg. No./Substance:
0/Antigens, CD

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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