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Updated: Nov 17, 2025

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 and adverse outcomes in low-risk pregnancies: a population-based study
Diana A Racusin1, Han-Yang Chen1, Asha Bhalwal1
1Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX, USA.
Chorioamnionitis significantly increases risks for adverse neonatal and maternal outcomes in low-risk pregnancies. This infection also elevates the likelihood of infant mortality, highlighting its serious implications.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Health
- Infectious Diseases in Pregnancy
Background:
- Chorioamnionitis, an infection of the amniotic sac, is a known complication in pregnancy.
- Understanding its impact on low-risk pregnancies is crucial for maternal and infant well-being.
Purpose of the Study:
- To compare composite neonatal and maternal adverse outcomes in low-risk pregnancies with and without chorioamnionitis.
Main Methods:
- Retrospective cohort study using U.S. Vital Statistics Data.
- Inclusion criteria: full-term, low-risk, singleton pregnancies.
- Analysis via multivariable Poisson regression to assess chorioamnionitis association with adverse outcomes.
Main Results:
- 1.7% of 19.7 million live births (meeting criteria) had chorioamnionitis.
- Increased risk of composite neonatal adverse outcome (aRR=3.40; 95% CI=3.30-3.49).
- Increased risk of composite maternal adverse outcome (aRR=2.42; 95% CI=2.31-2.55) and infant mortality (aRR=1.23; 95% CI=1.09-1.38).
Conclusions:
- Chorioamnionitis is linked to significantly higher risks of adverse neonatal and maternal outcomes in low-risk pregnancies.
- The study confirms an increased risk of infant mortality associated with chorioamnionitis.
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