Table II.
Demographic, clinical, laboratory and outcome characteristics of women with symptoms of preterm birth that provided AF samples for NGAL, MMP-9 and NGAL•MMP-9 complex levels (n=260).
Variable | Rule-out infection amniocenteses | |||
---|---|---|---|---|
no IAI* & TB n = 39 | no IAI* & PTB n = 132 | yes IAI* & PTB n = 89 | P value | |
Clinical and outcome characteristics at amniocentesis and at delivery | ||||
Maternal age, years, † | 24 [19 – 31] | 28 [23 – 32] | 27 [23 – 34] | 0.055 |
Parity † | 0 [0 – 1] | 0 [0 – 1] | 1 [0 – 2] | 0.450 |
Gravidity † | 2 [1 – 3] | 2 [1 – 4] | 3 [2 – 3] | 0.257 |
History of preterm birth ‡ | 4 (11) | 36 (27) | 24 (27) | 0.090 |
GA at amniocentesis, weeks † | 30 [26 – 32] | 30 [27 – 32] | 26 [24 – 29] | <0.001 |
GA at delivery, weeks † | 39 [38 – 39] | 31 [28 – 33] | 26 [25 – 29] | <0.001 |
Amniocentesis-delivery interval, days † | 61 [44 – 90] | 4 [1 – 11] | 0 [0 – 1] | <0.001 |
Amniocentesis-delivery < 7 days | 1 (3%) | 83 (63%) | 83 (93%) | <0.001 |
Birthweight, grams † | 3,150 [2,899 – 3,505] | 1,708 [1,183 – 2,100] | 930 [753 – 1,373] | <0.001 |
AF laboratory test results | ||||
Glucose, mg/dL † | 32 [25 – 46] | 28 [19 – 39] | 4 [2 – 12] | <0.001 |
LDH activity, U/L † | 156 [118 – 204] | 176 [125 – 263] | 744 [443 – 21,870] | <0.001 |
WBC count, cells/mm3 † | 4 [1 – 10] | 6 [2 – 21] | 895 [180 – 1,967] | <0.001 |
Positive Gram stain ‡ | 0 (0%) | 11 (8%) | 53 (60%) | <0.001 |
Positive culture results ‡ | 0 (0%) | 15 (11%) | 65 (73%) | <0.001 |
Placental histology results | n=8 | n=122 | n=88 | |
Chorionic plate inflammation, stage † | 1 [0 – 2] | 1 [0 – 2] | 3 [3 – 3] | <0.001 |
Amnionitis, grade † | 0 [0 – 0] | 0 [0 – 1] | 3 [2 – 3] | <0.001 |
Chorio-deciduitis, grade † | 1 [0 – 3] | 2 [0 – 3] | 3 [3 – 4] | <0.001 |
Funisitis, grade † | 0 [0 – 1] | 0 [0 – 0] | 2 [0 – 4] | <0.001 |
IAI was defined by an MR score 3 or 4 which is indicative of severe intra-amniotic inflammation.
Data presented as median [interquartile range] and analyzed by Kruskal-Wallis ANOVA on Ranks.
Data presented as n (%) and analyzed by Chi square test.
Abbreviations: IAI, intra-amniotic inflammation; PTB, preterm birth <37weeks; TB, term birth ≥37weeks; GA, gestational age; LDH, lactate dehydrogenase