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Table 2 Indicators of chorioamnionitis: clinical, histologic and microbiological

From: Cerebral palsy and placental infection: a case-cohort study

 

Cases

Sub-Cohort

Relative risk (95% Confidence Intervals)

P value

Clinical indicators

n = 82

n = 207

  

Recorded clinical chorioamnionitis

10 (12%)

27 (13%)

0.94 [0.54, 1.64]

0.84

   Maternal fever a

21 (26%)

40 (19%)

1.26 [0.84, 1.87]

0.26

   Uterine tenderness

13 (16%)

30 (14%)

1.13 [0.69, 1.82]

0.63

   Maternal tachycardia

15 (18%)

49 (24%)

0.78 [0.48, 1.26]

0.31

   Fetal tachycardia

11 (13%)

33 (16%)

0.87 [0.51, 1.49]

0.62

Elevated maternal C-reactive protein (>6 mg/L) /no. tested

29 /38 (76%)

49 /78 (63%)

1.75 [0.93, 3.30]

0.08

Abnormal maternal whiteblood count >15,000 × 10 6 /L/no. tested

55 /70 (79%)

114 /159 (72%)

1.37 [0.85, 2.23]

0.20

Neonatal sepsis

18 (22%)

30 (14%)

1.45 [0.97, 2.18]

0.07

Placental Microbiology

n = 30

n = 85

  

One or more isolates

11(37%)

30 (35%)

1.05 [0.56, 1.96]

0.88

   Group B Streptococcus

4 (13%)

5 (6%)

1.85 [0.86, 3.97]

0.12

   Escherichia coli

6 (20%)

4 (5%)

2.35 [1.27, 4.34]

0.01

   Bacteroides/Prevotella spp.

3 (10%)

5 (6%)

1.54 [0.62, 3.84]

0.35

   Ureaplasma spp.

3 (10%)

14 (16%)

0.66 [0.23, 1.90]

0.44

   Other isolates

4 (13%)

15 (18%)

0.79 [0.32, 1.97]

0.61

Placental histopathology

    

   Chorioamnionitis

n = 54

n = 150

  
 

22 (41%)

56 (37%)

1.19 [0.76, 1.88)

0.45

   Funisitis

n = 54

n = 144

  
 

14 (26%)

31 (22%)

1.35 [0.83, 2.21]

0.23

  1. a >37.5°C on two consecutive occasions