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- W2897675193 abstract "Funisitis is known to progress from inflammation in umbilical vessels (UV) to inflammation in Wharton's jelly (WJ) during ascending intrauterine infection. However, there are no data in humans about the time required for inflammation in UV to develop and for inflammation restricted to UV to progress to inflammation in WJ, and the effect of prolongation of pregnancy on the development of inflammation in UV and inflammation in WJ in patients with preterm premature rupture of membranes (preterm-PROM). We examined these issues in this study. The study population consisted of 151 women who delivered preterm due to preterm-PROM and who had sterile amniotic fluid (AF) defined as a negative AF culture and the absence of inflammation as evidenced by a matrix metalloproteinase-8 (MMP-8) level <23 ng/ml. We examined the association between amniocentesis-to-delivery interval and inflammatory status in the umbilical cord (ie. inflammation-free umbilical cord, inflammation restricted to UV, and inflammation in WJ) in patients with preterm-PROM. Amniocentesis-to-delivery interval was longer according to the progression of inflammation in umbilical cord from inflammation-free umbilical cord through inflammation restricted to UV to inflammation in WJ (median, range; 43.6 [0.01-1833.9] vs. 103.6 [26.4-152.8] hours vs. 131.3 [29.2-655.0]; Kruskal-Wallis test, P < 0.005 and Spearman rank correlation coefficient 0.298, P < 0.0005). Moreover, inflammation in WJ was more frequent according to the increase in amniocentesis-to-delivery interval (< 2 days vs. 2-7 days vs. > 7 days; 1.4% [1/71] vs. 15.4% [8/52] vs. 21.4% [6/28]; Pearson's chi-square test, P < 0.005 and linear by linear association, P < 0.001). This study demonstrated that more time is required to develop inflammation in UV with inflammation in WJ than inflammation restricted to UV in cases of preterm-PROM with sterile AF." @default.
- W2897675193 created "2018-10-26" @default.
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- W2897675193 date "2018-10-01" @default.
- W2897675193 modified "2023-09-23" @default.
- W2897675193 title "EP03.11: Timing of histologic progression from inflammation restricted to umbilical vessels to inflammation in Wharton's jelly in the context of preterm premature rupture of membranes with sterile amniotic fluid" @default.
- W2897675193 doi "https://doi.org/10.1002/uog.19816" @default.
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