Abstract | OBJECTIVE: The association between the detection of Mycoplasma hominis or Ureaplasma urealyticum in midtrimester amniotic fluid and amniotic fluid cytokine concentrations and subsequent pregnancy outcome were examined. STUDY DESIGN: RESULTS: U urealyticum was detected in 22 of 172 amniotic fluids (12.8%); M hominis was present in 11 of 179 amniotic fluids (6.1%). There was no relationship between U urealyticum detection and the concentration of any cytokine. Detection of M hominis was associated with elevated intra-amniotic concentrations of interleukin-4 ( P = .01). Preterm premature rupture of membranes that was followed by preterm birth occurred in 5 women (2.8%); 5 women (2.8%) had a spontaneous preterm birth with intact membranes. All 5 of the women with preterm premature rupture of membranes (100%) tested positive for either U urealyticum or M hominis , as opposed to none of the women with spontaneous preterm birth and to 27 of 161 women (16.8%) with a term birth ( P = .0002). CONCLUSION: The detection of M hominis or U urealyticum in midtrimester amniotic fluid by polymerase chain reaction- enzyme-linked immunosorbent assay may be a risk factor for subsequent preterm premature rupture of membranes.
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Authors | Sriram C Perni, Santosh Vardhana, Irina Korneeva, Sara L Tuttle, Lilly-Rose Paraskevas, Stephen T Chasen, Robin B Kalish, Steven S Witkin |
Journal | American journal of obstetrics and gynecology
(Am J Obstet Gynecol)
Vol. 191
Issue 4
Pg. 1382-6
(Oct 2004)
ISSN: 0002-9378 [Print] United States |
PMID | 15507969
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Amniotic Fluid
(chemistry, microbiology)
- Cytokines
(analysis)
- Enzyme-Linked Immunosorbent Assay
- Female
- Fetal Membranes, Premature Rupture
(epidemiology, microbiology)
- Humans
- Mycoplasma hominis
(isolation & purification)
- Polymerase Chain Reaction
- Pregnancy
- Pregnancy Outcome
(epidemiology)
- Pregnancy Trimester, Second
- Risk Factors
- Ureaplasma urealyticum
(isolation & purification)
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