Table III.
Inflammatory markers in amniotic fluid, pregnancy outcome and placenta pathology results in patients with preterm prelabor rupture of membranes according to the results of amniotic fluid cultures and PCR/ESI-MS
No inflammation/infection (n=18) |
p* value |
Sterile intra-amniotic inflammation (n=17) |
p§ value |
Microbial associated intra-amniotic inflammation (n=17) |
p† value |
|
---|---|---|---|---|---|---|
GA at amniocentesis | 31.5 (29.4 – 32.8) | 0.02 | 28.5 (25.1 – 31.7) | 0.04 | 24.8 (22.4 – 27.9) | <0.001 |
GA at delivery | 33.7 (32.5 – 34.1) | 0.006 | 31.8 (28 – 33) | 0.003 | 25.1 (22.7 – 28.6) | <0.001 |
AF white blood cell count (cells/mm3) | 1 (0 – 4) | <0.001 | 175 (21 – 395) | 0.4 | 58 (12.5 – 442) | <0.001 |
AF glucose (mg/dL) | 25 (13.5 – 31.7) | 0.005 | 10 (10 −16) | 0.4 | 13 (10 – 22) | 0.02 |
AF IL-6 (ng/mL) | 0.7 (0.5 – 1.1) | <0.001 | 12 (4.7 – 137) | 0.1 | 40.4 (13.2 – 151.5) | <0.001 |
Interval amniocentesis to delivery | 12 (1 – 22) | 0.6 | 9 (1 – 22) | 0.06 | 3 (1 – 4) | 0.02 |
Composite neonatal morbidity | 43.8 (7/16) | 0.2 | 64.7 (11/17) | 0.2 | 82.4 (14/17) | 0.02 |
Acute placental inflammation | 37.5 (6/16) | 0.5 | 50 (8/16) | 0.01 | 93.3 (14/15) | 0.001 |
Acute histologic chorioamnionitis | 37.5 (6/16) | 0.5 | 50 (8/16) | 0.01 | 93.3 (14/15) | 0.001 |
Funisitis | 25 (4/16) | 0.4 | 37.5 (6/16) | 0.1 | 66.7 (10/15) | 0.02 |
IQR: interquartile range; AF: amniotic fluid; GA: gestational age; PCR: polymerase chain reaction; ESI-MS: electrospray ionization mass spectrometry
Data presented as median (interquartile) and percentage and (n); AF: amniotic fluid; IL: interleukin
Comparison between no inflammation and sterile intra-amniotic inflammation
Comparison between patients with sterile intra-amniotic inflammation and microbial-associated intra-amniotic inflammation
Comparison between patients with no inflammation/infection and microbial-associated intra-amniotic inflammation