Intrapartum treatment of acute chorioamnionitis

Impact on neonatal sepsis

L. C. Gilstrap, K. J. Leveno, S. M. Cox, J. S. Burris, M. Mashburn, C. R. Rosenfeld

Research output: Contribution to journalArticle

98 Citations (Scopus)

Abstract

In a study of 312 women with acute chorioamnionitis, 152 women received antibiotics before delivery, 90 received antibiotics after cord clamping, and 70 did not receive antibiotics. Antibiotics were administered during labor rather than after cord clamping if delivery was not imminent. Although endometritis developed more frequently in the patients receiving antibiotics after cord clamping, the difference was not statistically significant (5.6% versus 3.9%, difference not significant). There were two cases of verified sepsis in the group of infants (35 weeks) born to mothers receiving intrapartum antibiotics and there were eight cases in the no antibiotics group (p = 0.06). More importantly, in neonates ≥35 weeks' gestational age, there was a significant difference in the frequency of positive blood cultures for group B streptococci (0/133 versus 8/140, p < 0.05). We conclude that administration of antibiotics to the mother during labor may result in a decreased incidence of neonatal sepsis.

Original languageEnglish (US)
Pages (from-to)579-583
Number of pages5
JournalAmerican Journal of Obstetrics and Gynecology
Volume159
Issue number3
StatePublished - 1988

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Chorioamnionitis
Anti-Bacterial Agents
Constriction
Therapeutics
Mothers
Endometritis
Neonatal Sepsis
Blood Group Antigens
Streptococcus
Gestational Age
Sepsis
Newborn Infant
Incidence

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Intrapartum treatment of acute chorioamnionitis : Impact on neonatal sepsis. / Gilstrap, L. C.; Leveno, K. J.; Cox, S. M.; Burris, J. S.; Mashburn, M.; Rosenfeld, C. R.

In: American Journal of Obstetrics and Gynecology, Vol. 159, No. 3, 1988, p. 579-583.

Research output: Contribution to journalArticle

Gilstrap, L. C. ; Leveno, K. J. ; Cox, S. M. ; Burris, J. S. ; Mashburn, M. ; Rosenfeld, C. R. / Intrapartum treatment of acute chorioamnionitis : Impact on neonatal sepsis. In: American Journal of Obstetrics and Gynecology. 1988 ; Vol. 159, No. 3. pp. 579-583.
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