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Ginekologia Polska
Article . 2015 . Peer-reviewed
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Ginekologia Polska
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Significance of C-reactive protein in predicting fetal inflammatory response syndrome

Authors: Daiva, Bartkeviciene; Ingrida, Pilypiene; Diana, Ramasauskaite; Jolita, Zakareviciene; Dalia, Lauzikiene; Mindaugas, Silkunas; Rasa Aurelija, Vankeviciute; +3 Authors

Significance of C-reactive protein in predicting fetal inflammatory response syndrome

Abstract

The aim of the study was to identify and evaluate a possible correlation between C-reactive protein (CRP) concentration in maternal blood and the risk of developing fetal inflammatory syndrome (FIRS).The study included 158 infants born at 22-34 weeks of gestation and their mothers. Umbilical cord blood cytokines were evaluated in immunoassay tests and maternal blood was tested for CRP concentration.The period of gestation was significantly shorter in the FIRS group as compared to the control group (29.5 ± 3.1 vs. 32.2 ± 2.4 weeks, p < 0.001). Gestational age was ≤ 30 weeks for 53.8% of the newborns in the FIRS group and 15.8% of the newborns in the control group (p < 0.001). Maternal CRP before, during and after labor was significantly higher in the FIRS group as compared to the control group (p < 0.001). Our study investigated the correlation between CRP in maternal blood and IL-6 concentration during the entire perinatal period (p < 0.001).CRP concentration in the FIRS group was significantly higher than in controls before, during, and after labor. Thus, it seems safe to conclude that changing concentration of inflammatory factors in maternal blood are closely related to FIRS. Elevated CRP in maternal blood might signify a progressing intrauterine infection and herald the development of FIRS.

Keywords

Adult, Infant, Newborn, Pregnancy Outcome, Enzyme-Linked Immunosorbent Assay, Gestational Age, Amniotic Fluid, Systemic Inflammatory Response Syndrome, Fetal Diseases, Young Adult, C-Reactive Protein, Predictive Value of Tests, Pregnancy, Prenatal Diagnosis, Humans, Female

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Average
Average
Average
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