Intrapartum pyrexia, cardiotocography traces and histologic chorioamnionitis: a case-control study
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Sara Barbieri
,
Rossana Orabona
Abstract
Objectives
To compare characteristics of labor, cardiotocography traces, and maternal and neonatal outcomes, in a cohort of pregnancies at term complicated by maternal intrapartum pyrexia, with or without a histologic diagnosis of chorioamnionitis.
Methods
This is a retrospective case-control study including pregnancies at term with detection of maternal intrapartum pyrexia, delivered between January 2020 and June 2021. Cardiotocography traces were entirely evaluated, since admission till delivery, and classified according to the International Federation of Obstetrics and Gynecology (FIGO) guideline. Maternal and neonatal outcomes were also recorded as secondary outcomes. Placentas have been studied according to the Amniotic Fluid Infection Nosology Committee.
Results
Forty four patients met the inclusion criteria and were included in the study cohort. There was a significant association between the use of oxytocin augmentation in labor and the histologic diagnosis of chorioamnionitis. A significative recurrence of loss and/or absence of accelerations at the point of pyrexia was also documented in women with histological chorioamnionitis compared to the others.
Conclusions
Chorioamnionitis appears to be associated with myometrial disfunction, as suggested by the increased use of oxytocin augmentation during active labor of women at term with intrapartum pyrexia and histologic diagnosis of chorioamnionitis.
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Research ethics: Not applicable.
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Informed consent: Not applicable.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: The authors state no conflict of interest.
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Research funding: None declared.
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Data availability: The raw data can be obtained on request from the corresponding author.
References
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© 2024 Walter de Gruyter GmbH, Berlin/Boston
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Articles in the same Issue
- Frontmatter
- Review
- Newborns at risk of COVID-19, the story continues
- Opinion Paper
- Why do women choose home births
- Original Articles – Obstetrics
- Association between aneuploidy screening analytes and adverse outcomes in twin gestations
- Vaginal matrix metalloproteinase-9 (MMP-9) as a potential early predictor of preterm birth
- Intrapartum pyrexia, cardiotocography traces and histologic chorioamnionitis: a case-control study
- Effect of maternal asthma on fetal pulmonary artery Doppler parameters: a case-control study
- Association of BDNF polymorphism with gestational diabetes mellitus risk: a novel insight into genetic predisposition
- Transvaginal three-dimensional ultrasound assessment of embryonic genital tubercle at 8–10+6 weeks of gestation
- Ultrasound prediction of fetal macrosomia in pregnancies complicated by diabetes mellitus: a systematic review and meta-analysis
- Comparative analysis of ultrasonographic fetal lung texture in twin and singleton fetuses
- Association between first-trimester uterine artery Doppler and crown-rump length with growth discordance: does it make a difference
- Original Articles – Fetus
- Evaluating fetal tricuspid and mitral annular plane systolic excursion (TAPSE and MAPSE) using spatiotemporal image correlation (STIC) M-mode
- Hepatic arterial buffer response in monochorionic twins with selective fetal growth restriction
- Original Articles – Neonates
- Increases in drug-related infant mortality in the United States
- Factors of poor prognosis in newborns with a prenatal diagnosis of gastroschisis in Bogota, Colombia
