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Titolo:
Intrauterine infection may be a major cause of stillbirth in Sweden
Autore:
Tolockiene, E; Morsing, E; Holst, E; Herbst, A; Ljungh, A; Svenningsen, N; Hagerstrand, I; Nystrom, L;
Indirizzi:
Univ Lund, Dept Pathol, Lund, Sweden Univ Lund Lund SwedenUniv Lund, Dept Pathol, Lund, Sweden Univ Lund, Dept Pediat, Lund, Sweden Univ Lund Lund SwedenUniv Lund, Dept Pediat, Lund, Sweden Univ Lund, Dept Med Microbiol, Lund, Sweden Univ Lund Lund SwedenUniv Lund, Dept Med Microbiol, Lund, Sweden Univ Lund, Dept Obstet & Gynecol, Lund, Sweden Univ Lund Lund SwedenUniv Lund, Dept Obstet & Gynecol, Lund, Sweden Umea Univ, Epidemiol Dept Publ Hlth, Umea, Sweden Umea Univ Umea SwedenUmea Univ, Epidemiol Dept Publ Hlth, Umea, Sweden
Titolo Testata:
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
fascicolo: 6, volume: 80, anno: 2001,
pagine: 511 - 518
SICI:
0001-6349(200106)80:6<511:IIMBAM>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHORIOAMNIONITIS; MECONIUM; MICROBIOLOGY;
Keywords:
chorioamnionitis; stillbirth;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Tolockiene, E Sunderby Hosp, S-97180 Lulea, Sweden Sunderby Hosp Lulea Sweden S-97180 , S-97180 Lulea, Sweden
Citazione:
E. Tolockiene et al., "Intrauterine infection may be a major cause of stillbirth in Sweden", ACT OBST SC, 80(6), 2001, pp. 511-518

Abstract

Aim of the study. To investigate intrauterine infection as a cause for unexplained stillbirth. Methods. Chorioamnionitis was studied in a material of stillbirths (117 subjects from the years 1985-1994) from a region in the south Sweden. Controlmaterial (126 alive and healthy newborns and with healthy mothers) was gathered from the same region. Results. Chorioamnionitis was a common diagnosis both with stillbirths and'healthy' deliveries (82 and 68%, respectively). Extension of the inflammation to decidua basalis was seven times more common among stillbirths than among controls (odds ratio 7.2, confidence interval 2.8-21.9). The most common bacteria found at cultures were Escherichia coli, Coagulase negative staphylococcus, Enterococcus faecalis and group B Streptococcus. The risk forstillbirth was doubled if both inflammation and bacteria were present (odds ratio 2.3, confidence interval 0.92-5.8). Meconium discharge was more common among stillbirths than controls (odds ratio=4.7, confidence interval 1.7-14). There were no differences in any respect regarding macerated and non-macerated stillbirths. Our findings are similar to the results from studies in developing countries except for the higher incidence of stillbirths insuch countries. Conclusions. Thus, a large part of otherwise unexplained stillbirths mightbe due to ascending infections.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 00:14:03