Thus, we traced the association between placentitis and amnionitis
rate on the background of positive bacterial cultures indicating that in 22% of cases there were staphylococci, in 18% of cases--Candida species and in 12% of cases--E.Coli (Table 1).
Preterm labor, amnionitis
, spontaneous abortion, stillbirth, and early-onset neonatal sepsis syndrome are the adverse outcomes .
Untreated upper tract UTIs are associated with low birth weight, prematurity, premature labor, hypertension, preeclampsia, maternal anemia and amnionitis
and premature delivery with intact amniotic membranes involving Staphylococcus aureus.
Desde su publicacion, en 1992, Pfau y Sacks[15, 30] encontraron resultados adversos perinatales y maternos, especialmente, bajo peso al nacer, es decir, peso menor de 2.500 g (odds ratio (OR)=1,4) (IC95% 1,2-1,6), prematuridad, menor a 37 semanas de gestacion (OR=1,3) (IC95% 1,1-1,4), parto prematuro con bajo peso, menos de 37 semanas y 2.500 g (OR = 1,5) (IC95% 1,2-1,7) y consecuencias maternas, como parto prematuro (OR = 1,6) (IC95% 1,4-1,8), hipertension/preeclampsia (OR = 1,4) (IC95% 1,2-1,7), anemia, entendida como hematocrito menor de 30% (odds ratio de 1,6) (IC95% 1,3-2,0), amnionitis
(OR = 1,4) (IC95% 1,1-1,9) (tabla 10)[15-17].
Las principales complicaciones maternas son la amnionitis
, la cual se presenta entre el 13-60%, y el abruptio de placenta, entre el 4-12%.
Procedures disturbing the integrity of the uterine contents, such as amniocentesis (2), cervical cerclage (3), transcervical chorionic villus sampling (4), or percutaneous blood sampling (2, 5), can permit entry of skin or vaginal organisms, causing amnionitis
and secondary fetal infection.
cerro, although none of these people reported symptoms of salmonellosis.) One patient was a pregnant woman who developed amnionitis
and septic shock and had to undergo an emergency cesarean section.
So we did not use amnionitis
or gestational age as a predictor for mothers with prior cesareans or breech infants: amnionitis
is very rare in elective cesareans (0.8 percent in these data), and so is an indicator for trial of labor.
A study of the biophysical profile (BPP) in PROM showed that a healthy fetus will have a normal BPP despite PROM, and that a decreased score on a BPP is associated with increased likelihood of impending amnionitis
. In this study, the presence of a nonreactive stress test and loss of fetal breathing were the most common abnormal variables in the BPP, and no evidence was offered that using a BPP as a first-line antepartum test is preferable to using the BPP as a secondary test in the setting of a nonreactive stress test.
The risk of postpartum infectious morbidity for the mother with amnionitis
is lower than the risk of infection for her neonate.