Determinants of adverse neonatal outcome in vaginal deliveries complicated by suspected intraamniotic infection.
Adult
Amniotic Fluid
/ microbiology
Anti-Bacterial Agents
/ therapeutic use
Bacterial Infections
/ drug therapy
Chorioamnionitis
/ diagnosis
Cohort Studies
Delivery, Obstetric
/ adverse effects
Female
Humans
Infant, Newborn
Israel
/ epidemiology
Labor, Obstetric
/ physiology
Maternal Age
Obstetric Labor Complications
/ epidemiology
Pregnancy
Pregnancy Complications
/ epidemiology
Pregnancy Outcome
/ epidemiology
Retrospective Studies
Risk Factors
Young Adult
Antibiotics
Chorioamnionitis
Infection
Maternal outcomes
Pregnancy
Journal
Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
15
04
2020
accepted:
27
07
2020
pubmed:
5
8
2020
medline:
13
1
2021
entrez:
5
8
2020
Statut:
ppublish
Résumé
Intraamniotic infection, categorized into isolated maternal fever, suspected intraamniotic infection (SII), and confirmed intraamniotic infection, is associated with neonatal morbidity. However, there is paucity of data regarding the association between intraamniotic infection duration and neonatal outcomes among term singleton vaginal deliveries. We aimed to study the risk factors for adverse neonatal outcome among vaginal deliveries complicated by SII. A retrospective observational study conducted at a tertiary medical center. All consecutive singleton term deliveries with SII were included between 2011 and 2019. Maternal and obstetrical characteristics were evaluated to identify risk factors for adverse neonatal outcome. Correlation between SII duration and neonatal adverse outcome was analyzed. Overall, 882 were analyzed. Most women (85.4%) were primiparous. Median gestation age at delivery was 40 Duration of suspected intraamniotic infection was not associated with increased neonatal morbidity among women delivering vaginally at term. Prolonged second stage was a strong independent predictor of an adverse neonatal outcome among fetuses exposed to intraamniotic infection.
Identifiants
pubmed: 32749533
doi: 10.1007/s00404-020-05717-w
pii: 10.1007/s00404-020-05717-w
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1345-1352Références
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