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Relationship of amniotic-type placenta inflammation to pPROM, PROM and risk of early onset neonatal sepsis
M Jr Veleminsky, J Pradna, M Sr Veleminsky, J Tosner
Jazyk angličtina Země Švédsko
- MeSH
- chorioamnionitida patologie MeSH
- infekční komplikace v těhotenství patologie MeSH
- lidé MeSH
- nemoci novorozenců patologie MeSH
- novorozenec MeSH
- perinatální mortalita MeSH
- placenta patologie MeSH
- předčasný odtok plodové vody patologie MeSH
- pupečník patologie MeSH
- rizikové faktory MeSH
- sepse patologie MeSH
- těhotenství MeSH
- zánět patologie MeSH
- Check Tag
- lidé MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
BACKGROUND: PROM and pPROM and early onset neonatal sepsis negatively affect the neonatal perinatal mortality and morbidity. OBJECTIVES: The target of the work was to evaluate the relationship between chorioamnionitis, funisitis and PROM, pPROM and the risk of early onset neonatal sepsis. METHODS: We examined 152 samples of the placenta and umbilical cord, histologically and microbiologically, in 53 women without PROM, 52 women with PROM and 47 women with pPROM. RESULTS: We demonstrated a statistically significant relationship of chorioamnionitis and funisitis to the risk of early-onset neonatal sepsis. We demonstrated no relationship between pathological findings in the placenta and PROM or pPROM. CONCLUSIONS: The histological findings of an amniotic-type placentitis can particularly be used for supporting or possibly excluding the diagnosis of early onset neonatal sepsis.
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- $a Department of Obstetrics and Gynaecology, Hospital Ceske Budejovice, Czech Republic. veleminsky@volny.cz
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- $a BACKGROUND: PROM and pPROM and early onset neonatal sepsis negatively affect the neonatal perinatal mortality and morbidity. OBJECTIVES: The target of the work was to evaluate the relationship between chorioamnionitis, funisitis and PROM, pPROM and the risk of early onset neonatal sepsis. METHODS: We examined 152 samples of the placenta and umbilical cord, histologically and microbiologically, in 53 women without PROM, 52 women with PROM and 47 women with pPROM. RESULTS: We demonstrated a statistically significant relationship of chorioamnionitis and funisitis to the risk of early-onset neonatal sepsis. We demonstrated no relationship between pathological findings in the placenta and PROM or pPROM. CONCLUSIONS: The histological findings of an amniotic-type placentitis can particularly be used for supporting or possibly excluding the diagnosis of early onset neonatal sepsis.
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