Table 1.
Outcome or cytokine | Saline (N = 6) | GBS (N = 5) | BSCI+GBS (N = 4) | P-value | |
---|---|---|---|---|---|
Saline vs. BSCI+GBS | GBS vs. BSCI+GBS | ||||
MATERNAL AND FETAL OUTCOMES | |||||
PTL | 0 (0%) | 4 (80%) | 0 (0%) | NS | 0.02 |
MIAC | 0 (0%) | 3 (60%) | 4 (100%) | 0.005* | NS |
Fetal Bacteremia | 0 (0%) | 3 (60%) | 4 (100%) | 0.005* | NS |
Adverse outcomes‡ | 0 (0%) | 5 (100%) | 4 (100%) | 0.005* | NS |
UTERINE CONTRACTILITY | |||||
Peak Mean HCA (mm Hg∙s/h) | 1,327 (507) | 4,008 (763) | 3,654 (964) | 0.06 | NS |
Final HCA (mm Hg∙s/h) | 607 (434) | 3,843 (847) | 2,427 (1,189) | 0.06 | NS |
AMNIOTIC FLUID CYTOKINES AND PROSTAGLANDINS (ng/mL) | |||||
IL-1β | 0.03 (0.02) | 5.1 (3.1) | 5.8 (2.1) | 0.01* | NS |
TNF-α | 0.03 (0.01) | 2.0 (1.2) | 1.0 (0.2) | 0.01* | NS |
IL-6 | 7.1 (2.6) | 22.7 (1.5) | 11.8 (7.6) | NS | NS |
IL-8 | 0.9 (0.3) | 15.7 (4.2) | 3.6 (1.6) | 0.06 | 0.03* |
PGE2α | 0.5 (0.2) | 4.5 (4.1) | 3.7 (1.3) | 0.03* | NS |
PGF2α | 0.4 (0.2) | 98.5 (98.0) | 1.6 (0.8) | NS | NS |
FETAL CYTOKINES (pg/mL) | |||||
IL-1β | 0.9 (0.6) | 42.3 (23.2) | 3.6 (1.0) | 0.02* | 0.05 |
TNF-α | 2.3 (1.1) | 7.8 (0.8) | 3.2 (1.8) | NS | <0.05* |
IL-6 | 3.6 (1.9) | 675.3 (413.0) | 241.8 (218.0) | 0.01* | NS |
IL-8 | 574 (314) | 4,721.7 (1745.0) | 1,098.4 (885.0) | NS | 0.09 |
BSCI, broad spectrum chemokine inhibitor; GBS, Group B Streptococcus; HCA, hourly contraction area; IL, interleukin; PTL, preterm labor; MIAC, Microbial invasion of the amniotic cavity; PGE2, prostaglandin E2; PGF2α, prostaglandin F2 alpha; TNF-α, tumor necrosis factor alpha.
Adverse outcomes represent PTL and/or MIAC.
Maternal and fetal outcomes are shown as number (%) and are compared using Fisher's exact test. Amniotic fluid cytokines and prostaglandins are shown as mean peak (standard error of the mean) in ng/mL. Fetal plasma cytokines (pg/mL) represent the mean quantity at delivery (GBS and BSCI+GBS) or at their peak (saline controls) with standard error of the mean shown in parentheses. Cytokines and prostaglandins are compared between the saline and BSCI+GBS group and the GBS and BSCI+GBS group.
P < 0.05 are considered significant, but p ≤ 0.1 are shown due to the small sample size.