Table 1 Demographic and clinical characteristics of women with preterm prelabor rupture of membranes with intra-amniotic infection, sterile intra-amniotic inflammation, colonization of the amniotic cavity, and negative amniotic fluid.
Characteristic | Intra-amniotic infection (n = 15) | Sterile intra-amniotic inflammation (n = 11) | Colonization of the amniotic cavity (n = 20) | Negative amniotic fluid (n = 58) | p-value |
---|---|---|---|---|---|
Maternal age [years, median (IQR)] | 32 (30.36) | 36 (29–41) | 30 (27–33) | 31 (27–35) | 0.19 |
Primiparous [number (%)] | 8 (53%) | 4 (45%) | 7 (35%) | 31 (54%) | 0.42 |
Smoking [number (%)] | 3 (20%) | 1 (9%) | 5 (25%) | 3 (5%) | 0.07 |
Pre-pregnancy body mass index [kg/m2, median (IQR)] | 25.9 (20.7–30.1) | 26.7 (21.4–28.9) | 24.0 (19.5–27.5) | 24.5 (21.2–29.2) | 0.67 |
Gestational age at sampling [weeks + days, median (IQR)] | 29 + 3 (26 + 6–30 + 5) | 30 + 0 (24 + 0–33 + 4) | 33 + 2 (32 + 0–35 + 3) | 33 + 2 (30 + 1–35 + 0) | < 0.0001 |
Gestational age at delivery [weeks + days, median (IQR)] | 30 + 4 (27 + 4–32 + 3) | 32 + 4 (27 + 1–34 + 0) | 34 + 1 (33 + 0–35 + 3) | 34 + 1 (32 + 0–35 + 5) | < 0.0001 |
Latency from PPROM to amniocentesis [hours, median (IQR)] | 5 (3–21) | 10 (5–16) | 4 (2–6) | 4 (2–10) | 0.11 |
Latency from PPROM to delivery [hours, median (IQR)] | 141 (60–305) | 227 (36–536) | 42 (12–106) | 142 (26–312) | 0.02 |
Amniotic fluid IL-6 levels at admission [ng/mL, median (IQR)] | 13.0 (5.7–33.3) | 5.6 (3.5–10.5) | 1.1 (0.8–1.6) | 0.8 (0.4–1.4) | < 0.0001 |
CRP levels at admission [mg/L, median (IQR)] | 10.7 (3.9–21.9) | 6.5 (4.7–12.6) | 4.6 (2.8–8.1) | 4.7 (2.3–8.5) | 0.12 |
WBC count at admission [x109 L, median (IQR)] | 11.4 (9.6–14.3) | 11.8 (10.7–15.2) | 11.4 (9.8–14.7) | 12.3 (10.4–14.3) | 0.92 |
Administration of corticosteroids [number (%)] | 15 (100%) | 10 (91%) | 14 (70%) | 42 (72%) | 0.07 |
Administration of antibiotics [number (%)] | 15 (100%) | 10 (91%) | 19 (95%) | 57 (98%) | 0.47 |
Spontaneous vaginal delivery [number (%)] | 11 (73%) | 6 (55%) | 13 (65%) | 43 (74%) | 0.56 |
Cesarean section [number (%)] | 4 (27%) | 5 (45%) | 7 (35%) | 15 (26%) | 0.56 |
Birth weight [grams, median (IQR)] | 1500 (1100–1890) | 1960 (880–2130) | 2150 (1685–2445) | 2125 (1743–2630) | 0.002 |
Apgar score < 7; 5 min [number (%)] | 2 (13%) | 1 (9%) | 1 (5%) | 1 (2%) | 0.26 |
Apgar score < 7; 10 min [number (%)] | 1 (7%) | 1 (9%) | 1 (5%) | 1 (2%) | 0.59 |