Does histologic chorioamnionitis correspond to clinical chorioamnionitis?

Debra S. Heller, Lisa Howard Rimpel, Joan H. Skurnick

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

OBJECTIVE: To evaluate the degree to which histologic chorioamnionitis, a frequent finding in placentas submitted for histopathologic evaluation, correlates with clinical indicators of infection in the mother. STUDY DESIGN: A retrospective review was performed on 52 cases with a histologic diagnosis of acute chorioamnionitis from 2,051 deliveries at University Hospital, Newark, from January 2003 to July 2003. Third-trimester placentas without histologic chorioamnionitis (n = 52) served as controls. Cases and controls were selected sequentially. Maternal medical records were reviewed for indicators of maternal infection. RESULTS: Histologic chorioamnionitis was significantly associated with the usage of antibiotics (p = 0.0095) and a higher mean white blood cell count (p = 0.018). The presence of 1 or more clinical indicators was significantly associated with the presence of histologic chorioamnionitis (p = 0.019). CONCLUSION: Histologic chorioamnionitis is a reliable indicator of infection whether or not it is clinically apparent.

Original languageEnglish (US)
Pages (from-to)25-28
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume53
Issue number1
StatePublished - Jan 2008

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynecology

Keywords

  • Chorioamnionitis
  • Placenta
  • Pregnancy complications, infectious

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