| Chorioamnionitis in the preterm gestation. | |
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MedLine Citation:
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PMID: 7070724 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Two hundred fifty-one patients with premature rupture of membranes between 28 and 34 weeks' gestation were followed prospectively to evaluate the maternal and neonatal effects of chorioamnionitis. Forty-seven (19%) developed intrauterine infection prior to delivery. Fetal tachycardia, maternal leukocytosis, and uterine contractions were not predictive of intrauterine infection in afebrile patients. In afebrile patients, however, amniocenteses positive for bacteria on Gram stains and/or with subsequent positive culture correlated with subsequent development of antenatal maternal fever. Other than an increased rate of postpartum endometritis no serious maternal complications were seen in patients with chorioamnionitis. Neonatal outcome, however, was significantly adversely affected with respect to increase in perinatal mortality, overall neonatal infection rate, and respiratory distress syndrome (RDS) in patients with maternal infection. Neither trial of labor nor duration of labor in patients with chorioamnionitis correlated with adverse neonatal outcome. However, the appearance of maternal fever prior to the onset of labor correlated more significantly with neonatal death and RDS in the newborn that did the development of maternal fever in the intrapartum period. |
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Authors:
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T J Garite; R K Freeman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 59 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 1982 May |
Date Detail:
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Created Date: 1982-06-24 Completed Date: 1982-06-24 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 539-45 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Amniotic Fluid
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microbiology Bacteria / isolation & purification Bacterial Infections / etiology*, microbiology Endometritis / etiology Female Fetal Death / etiology Fetal Membranes, Premature Rupture / complications* Humans Infant, Newborn Infant, Newborn, Diseases / etiology* Male Pregnancy Prospective Studies Respiratory Distress Syndrome, Newborn / etiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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