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A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development
08:50

A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development

Published on: June 24, 2020

Chorioamnionitis.

G B Melis1, M Orrù, R Uras

  • 1Clinica Ginecologica Ostetrica e de Fidiopatologia della Riproduzione Umana, Università degli Studi di Cagliari, Cagliari, Italy. gineca.gbmelis@tiscali.it

Journal of Chemotherapy (Florence, Italy)
|April 17, 2008
PubMed
Summary
This summary is machine-generated.

Chorioamnionitis, an infection causing placental membrane inflammation, can lead to premature labor. Antibiotics may prevent intra-amniotic inflammation after premature rupture of membranes (PROM) but do not always prevent delivery.

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Last Updated: Jul 9, 2026

A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development
08:50

A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development

Published on: June 24, 2020

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases

Background:

  • Chorioamnionitis is a microbial inflammation of placental membranes.
  • Infections are a frequent cause of premature labor.
  • Premature rupture of membranes (PROM) can lead to intra-amniotic inflammation.

Purpose of the Study:

  • To evaluate the efficacy of antibiotic treatment in preventing intra-amniotic inflammation and premature delivery following PROM.
  • To determine if prior chorioamnionitis affects the outcome of antibiotic treatment for PROM.

Main Methods:

  • Retrospective analysis of 218 patients with PROM.
  • Assessment of antibiotic treatment initiation and its impact on delivery timing and intra-amniotic inflammation.
  • Comparison of outcomes in patients with and without previous chorioamnionitis.

Main Results:

  • Antibiotic treatment initiated immediately after PROM prevented intra-amniotic inflammation in some cases.
  • Despite antibiotic treatment, 41 patients delivered within 48 hours of PROM.
  • In cases of previous chorioamnionitis, antibiotics did not prevent premature labor but could prolong pregnancy if PROM was not infection-dependent.

Conclusions:

  • Antibiotic treatment is crucial for managing PROM, potentially preventing intra-amniotic inflammation and prolonging pregnancy.
  • The presence of prior chorioamnionitis complicates the management of PROM and may necessitate different therapeutic strategies.
  • Further research is needed to optimize interventions for PROM, especially in the context of prior infections.