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BJOG. 2011 May;118(6):735-40. doi: 10.1111/j.1471-0528.2011.02911.x. Epub 2011 Mar 10.

Bleeding per vaginam is associated with funisitis in women with preterm prelabour rupture of the fetal membranes.

Author information

1
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University, Durham, NC, USA. chad.grotegut@duke.edu

Abstract

OBJECTIVE:

To evaluate the risk of funisitis among women with preterm prelabour rupture of the membranes (PPROM) and subsequent bleeding per vaginam.

DESIGN:

Prospective cohort study.

SETTING:

A University Hospital in the USA.

POPULATION:

A total of 157 women with PPROM, divided into those with bleeding per vaginam during the hospital admission (n = 46) and those without bleeding per vaginam (n = 111).

METHODS:

Pathologist blinded to bleeding status assessed placental pathology for funisitis.

MAIN OUTCOME MEASURES:

Funisitis.

RESULTS:

Women with bleeding per vaginam were more likely to have funisitis (67.4% versus 36%, P < 0.001) compared with those without bleeding. Logistic regression demonstrated that bleeding per vaginam predicted funisitis after controlling for gestational age at admission, latency period and gestational age at delivery.

CONCLUSIONS:

Among women with PPROM, those with bleeding per vaginam are more likely to have funisitis than those without bleeding per vaginam.

PMID:
21392243
PMCID:
PMC3075338
DOI:
10.1111/j.1471-0528.2011.02911.x
[Indexed for MEDLINE]
Free PMC Article
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