Ocheke AN, Ocheke IE, Agaba PA, Imadde GE, Silas OA, Ajetunmobi OI, Godwins EJ, Ekere C, Sendeht A, Bitrus J, Agaba EI, Sagay AS. MATERNAL AND NEONATAL OUTCOMES OF HISTOLOGICAL CHORIOAMNIONITIS.
J West Afr Coll Surg 2016;
6:1-14. [PMID:
28856121 PMCID:
PMC5555724]
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Abstract
BACKGROUND
Clinical Chorioamnionitis contributes to maternal and neonatal morbidity and mortality but the effect of histological chorioamnionitis is sparse in our environment.
AIM
To determine the maternal and neonatal outcomes of histological chorioamnionitis amongst pregnant women and their babies.
DESIGN OF THE STUDY
Cross sectional longitudinal study.
SETTING
Jos University Teaching Hospital (JUTH), Jos, Nigeria.
METHODOLOGY
Parturients were interviewed and examined as well as had their placenta examined histologically for chorioamnionitis. They and their babies were followed up for 6 weeks after delivery to monitor for any complications that may arise.
RESULTS
A total of 148 parturients were enrolled from the labour ward of Jos University Teaching Hospital and of these 90 (60.8%) had histologic chorioamnionitis (HCA). As regards outcome, 9(10%) with histologic chorioamnionitis as well as 5(8.62%) of those without HCA had premature delivery. Low birth weight occurred in 12(13.33%) and 6(10.34 %) of those with HCA and without HCA respectively. In all, 1(1.47%) and 1(2.56%) of women with HCA and without HCA correspondingly had neonatal sepsis. Puerperal sepsis occurred in 2(2.94%) of those with HCA and 2(5.13%) of those without HCA.
CONCLUSION
Our study has demonstrated that histological chorioamnionitis had no adverse maternal or neonatal effect. There is the need for more studies investigating the cause and the implication of histological chorioamnionitis.
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