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Histologic chorioamnionitis at term: implications for the progress of labor and neonatal wellbeing
- Source :
- The journal of maternal-fetalneonatal 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. 26(2)
- Publication Year :
- 2012
-
Abstract
- The aim of the present study was to evaluate: i) the rate of histologic chorioamnionitis in relation to the onset of labor and mode of delivery; ii) influence of clinical parameters on the risk of histologic chorioamnionitis in laboring women; iii) neonatal outcome in relation to histologic chorioamnionitis.A cohort study was conducted on 395 healthy women at term, with singleton uneventful pregnancy, of which 195 with spontaneous onset of labor and 200 with elective cesarean section. All placentas, collected after delivery, were examined for the diagnosis of histologic chorioamnionitis. Mode of delivery, presence of bacterial infection of placenta and membranes, maternal clinical parameters and neonatal outcome were recorded.The rate of histologic chorioamnionitis in women with spontaneous onset of labor was significantly higher than in those experiencing elective cesarean section (28.7% vs. 11.5%). Nulliparity and the duration of labor were independent variables associated with acute histologic chorioamnionitis. The presence of histologic chorioamnionitis did not affect neonatal outcome.The present study showed a highest rate of histological chorionamniositis in women delivering after spontaneous onset of term labor, although the mode of delivery either vaginally or by emergency cesarean section was not influenced by the presence of this pathological condition.
- Subjects :
- medicine.medical_specialty
Chorioamnionitis
Term delivery
Histologic chorioamnionitis
Cesarean section
Neonatal outcome
Spontaneous delivery
Cohort Studies
Histologic Chorioamnionitis
Pregnancy
Placenta
Medicine
Humans
reproductive and urinary physiology
Gynecology
Elective cesarean section
business.industry
Infant, Newborn
Pregnancy Outcome
Obstetrics and Gynecology
medicine.disease
Delivery, Obstetric
Mode of delivery
medicine.anatomical_structure
Logistic Models
Pediatrics, Perinatology and Child Health
Labor Onset
Female
business
Labor onset
Cohort study
Subjects
Details
- ISSN :
- 14764954
- Volume :
- 26
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- The journal of maternal-fetalneonatal 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
- Accession number :
- edsair.doi.dedup.....0bff71ec5c364dd2e6e628fa605b58ce