17OHP-C in patients with spontaneous preterm labor and intact membranes: is there an effect according to the presence of intra-amniotic inflammation?
In: American journal of reproductive immunology (New York, N.Y. : 1989), Jg. 80 (2018-09-01), Heft 3, S. e12867
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Zugriff:
Problem: It is not known whether 17-alpha-hydroxyprogesterone caproate (17OHP-C) is effective for preventing preterm delivery with an episode of preterm labor (PTL) with or without intra-amniotic inflammation/infection.
Methods of Study: This was a retrospective cohort study. One hundred and seven PTL patients were selected and divided into a 17OHP-C group (use of 17OHP-C: n = 53) and a no-treatment group (no use of 17OHP-C: n = 54). Moreover, the patients were divided into three subgroups (subgroup A: without intra-amniotic inflammation, B: with mild intra-amniotic inflammation, and C: with severe intra-amniotic inflammation) according to their level of amniotic interleukin (IL)-8, and perinatal prognosis was analyzed.
Results: Interval from admission to delivery (days) in the 17OHP-C group (76 [13-126], n = 34) was significantly longer than that in the no-treatment group (50 [8-104], n = 33; P = .012) in subgroup B. In cases without intra-amniotic microbes in subgroup B, a significant prolongation of gestational days was associated with the 17OHP-C group (79 [13-126], n = 25) compared with the no-treatment group (50 [8-104], n = 29; P = .029). However, there were no significant differences in subgroups A or C.
Conclusion: 17OHP-C could prolong gestational period in limited PTL cases with sterile mild intra-amniotic inflammation.
(© 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
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17OHP-C in patients with spontaneous preterm labor and intact membranes: is there an effect according to the presence of intra-amniotic inflammation?
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Autor/in / Beteiligte Person: | Yoneda, S ; Yoneda, N ; Shiozaki, A ; Yoshino, O ; Ueno, T ; Niimi, H ; Kitajima, I ; Tamura, K ; Kawasaki, Y ; Makimoto, M ; Yoshida, T ; Saito, S |
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Zeitschrift: | American journal of reproductive immunology (New York, N.Y. : 1989), Jg. 80 (2018-09-01), Heft 3, S. e12867 |
Veröffentlichung: | Copenhagen : Wiley-Blackwell ; <i>Original Publication</i>: New York : Alan R. Liss, Inc., c1989-, 2018 |
Medientyp: | academicJournal |
ISSN: | 1600-0897 (electronic) |
DOI: | 10.1111/aji.12867 |
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