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The Effect of Histological Chorioamnionitis on the Short-Term Outcome of Preterm Infants ≤32 Weeks: A Single-Center Study.
MedLine Citation:
PMID:  24093223     Owner:  NLM     Status:  Publisher    
Abstract Background and objectives: Chorioamnionitis is an acute inflammation of the membranes and chorion of the placenta. The aim of this study was to determine the effect of histological chorioamnionitis on the short-term outcome of preterm infants. Subjects and methods: The clinical characteristics and outcomes of the preterm infant including respiratory distress syndrome, duration of mechanical ventilation, patent ductus arteriosus requiring medical treatment or ligation, necrotizing enterocolitis, bronchopulmonary dysplasia, death and intraventricular hemorrhage (grade III-IV) were analyzed. Results: Two hundred and eighty-one infants born at ≤32 weeks gestational ages were included. Infants were divided into two groups: one with histological chorioamnionitis (n=145) and without histological chorioamnionitis (n=136). Mean gestational age was 28.8±2.6 weeks and 29.1±2.5 weeks, and mean birth weight was 1138±350 g and 1210±299 g, respectively. There were no differences in gestational age and birth weight among the groups. Compared with the group, histological chorioamnionitis was associated with early onset sepsis (p=0.007), patent ductus arteriosus (p=0.003), intraventricular hemorrhage (p=0.03), and death (p=0.04). Conclusion: Maternal histological chorioamnionitis is an important risk factor for preterm deliveries and associated with serious morbidities such as early onset sepsis, intraventricular hemorrhage, patent ductus arteriosus and increased mortality.
Sema Arayici; Gulsum Kadioglu Simsek; Mehmet Yekta Oncel; Zeynep Eras; Fuat Emre Canpolat; Serife Suna Oguz; Nurdan Uras; Sema Zergeroglu; Ugur Dilmen
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-10-7
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-10-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Division of Neonatology, Zekai Tahir Burak Maternity Teaching Hospital, Ankara, 06230, Turkey.
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