Related Experiment Video
Updated: Jan 29, 2026

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
Isolated acute funisitis in the absence of acute chorioamnionitis: What does it mean?
Tracy B Grossman1, Debra S Heller2, Rebecca N Baergen3
1Weill Cornell Medical College, Department of Obstetrics & Gynecology, 525 E 68th St, New York, NY, 10065, USA.
Objective:
Acute funisitis (AF) is most commonly associated with acute chorioamnionitis (AC) and ascending infection. The significance of cases of AF without associated AC or isolated funisitis (IF) is unknown. Our objective was to evaluate clinical and pathologic features of IF and to determine its significance.
Study Design:
This was a retrospective review of placentas of patients delivering at our institution from 1997 to 2017. Placentas with the diagnosis of IF comprised the study population and placentas without either AF or AC served as controls.
Results:
There were 156 cases and 181 controls identified. Maternal age, gestational age, birthweight and mode of delivery were similar in both groups. 132 (84.6%) of cases of IF had meconium, with 62 (47.0%) having meconium only in the membranes, 36 (27.3%) in the membranes and cord and 34 (25.6%) in the membranes and cord with associated myonecrosis. 72 (38.7%) of controls had microscopically identified meconium, with only one (1.4%) showing meconium in the cord. None had myonecrosis (p < .001). There was also a significantly higher rate of intrauterine fetal demise (IUFD) in the IF group (p = .027). but the rate of suspected Intrauterine growth restriction (IUGR) was significantly greater in the controls (p = .014).
Conclusion:
IF is highly associated with the presence of meconium discharge and meconium-associated myonecrosis of umbilical vessels. The inflammation in IF may be the result of damage to the muscle fibers of the cord due to meconium but additional studies are necessary to understand the significance of these findings.
Insights
Isolated funisitis (IF) is strongly linked to meconium exposure and umbilical vessel damage. Further research is needed to fully understand the implications of IF in pregnancy outcomes.
Area of Science:
- Perinatal pathology
- Obstetrics
- Fetal medicine
Background:
- Acute funisitis (AF) is typically associated with acute chorioamnionitis (AC) and ascending infections.
- The clinical significance of isolated funisitis (IF), occurring without AC, remains unclear.
Purpose of the Study:
- To investigate the clinical and pathological characteristics of isolated funisitis (IF).
- To determine the significance of IF in pregnancy outcomes.
Main Methods:
- Retrospective review of placental data from 1997 to 2017.
- Comparison of 156 cases of IF with 181 control placentas lacking AF or AC.
Main Results:
- IF cases showed a significantly higher prevalence of meconium (84.6%) and meconium-associated myonecrosis in umbilical vessels compared to controls (38.7%, p < .001).
- A higher rate of intrauterine fetal demise (IUFD) was observed in the IF group (p = .027).
- Controls had a higher rate of suspected intrauterine growth restriction (IUGR) (p = .014).
Conclusions:
- Isolated funisitis (IF) is highly associated with meconium discharge and subsequent myonecrosis of umbilical vessels.
- Meconium may cause damage to umbilical cord muscle fibers, potentially explaining the inflammation in IF.
- Additional studies are required to elucidate the full significance of these findings in pregnancy.
Related Concept Videos
Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Acute Pancreatitis I: Introduction
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute Respiratory Failure-I
Definition: It is defined by specific criteria based on blood gas measurements. Hypoxemia happens when the partial pressure of oxygen (PaO2) falls below 60 mmHg. At the same time,...
Acute Respiratory Failure-II
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Acute Pyelonephritis I: Introduction

