Voltar
Artigo Produção Nacional Revisado por pares
BIBTEX RIS

Amniotic fluid “sludge” is an independent risk factor for preterm delivery

2014; Informa; Volume: 29; Issue: 1 Linguagem: Inglês

10.3109/14767058.2014.989202

ISSN

1476-7058

Autores

Alan Roberto Hatanaka, Rosiane Mattar, T. Kawanami, Marcelo Santucci França, Líliam Cristine Rôlo, Roseli Mieko Yamamoto Nomura, Edward Araujo Júnior, Luciano Marcondes Machado Nardozza, Antônio Fernandes Moron,

Tópico(s)

Maternal and Perinatal Health Interventions

Resumo

To determine the prevalence and the clinical significance of amniotic fluid "sludge" (AFS) in asymptomatic patients at low and high risk for spontaneous preterm delivery.A prospective cohort study was conducted on 195 singleton pregnancies at low or high risk for preterm birth (PTB) between the 16th and 26th weeks. Cervical length (CL) <25 mm and the presence of AFS were evaluated. The risk for preterm delivery before 28, 32, 35 and 37 weeks were determined according to the presence of AFS, CL < 25 mm and history of high risk for PTB. Stepwise logistic regression was performed to compare variables.AFS was an independent risk factor for PTB < 35 weeks (OR: 3.08, 95% CI: 1.13-8.34, p = 0.027) but not for PTB < 28, 32 and 37 weeks. CL < 25 mm was an independent risk factor for PTB < 28, 32 and 35 but not for PTB < 37 weeks. High risk for PTB was not found as an independent risk factor for PTB.AFS is an independent risk factor for PTB before 35 weeks.

Referência(s)