Relationship between maternal c-reactive protein level and neonatal outcome in patients with preterm premature rupture of membranes treated with Ampicillin and Azithromycin.
This historical cohort study aimed to assess the relationship between antenatal maternal C-reactive protein (CRP) level and neonatal outcome preterm premature rupture of membranes (PPROM). We reviewed the records of 70 singleton pregnancies with PPROM between 24 and 34 weeks. Maternal CRP levels of neonates with respiratory distress syndrome, neonatal sepsis, grade 3-4 intraventricular haemorrhage and stage 2-3 necrotizing enterocolitis, perinatal mortality were compared with those without these complications. Administration of corticosteroid, tocolysis for two days and prophylactic antibiotics (intravenous ampicillin/sulbactam, and oral azithromycin) were the standard management protocol. The mean age at PPROM was 29 weeks 2 days (±3 weeks), the mean age at birth was 30 weeks 5 days (±20 days). CRP levels were not different between groups. Uni/multivariate analysis showed that maternal CRP levels were not related with neonatal outcomes. Neonatal complications in PPROM are related with the degree of prematurity and maternal WBC counts.
a Department of Obstetrics and Gynecology , Erciyes University, Medical Faculty , Kayseri , Turkey and.
Mehmet
M
Serdar Kutuk
b Department of Pediatrics, Division of Neonatalogy , Erciyes University, Medical Faculty , Kayseri , Turkey.
Osman
O
Bastug
b Department of Pediatrics, Division of Neonatalogy , Erciyes University, Medical Faculty , Kayseri , Turkey.
Ahmet
A
Ozdemir
b Department of Pediatrics, Division of Neonatalogy , Erciyes University, Medical Faculty , Kayseri , Turkey.
Mehmet
M
Adnan Ozturk
a Department of Obstetrics and Gynecology , Erciyes University, Medical Faculty , Kayseri , Turkey and.
Mahmut
M
Tuncay Ozgun
a Department of Obstetrics and Gynecology , Erciyes University, Medical Faculty , Kayseri , Turkey and.
Mustafa
M
Basbug
b Department of Pediatrics, Division of Neonatalogy , Erciyes University, Medical Faculty , Kayseri , Turkey.
Tamer
T
Gunes
b Department of Pediatrics, Division of Neonatalogy , Erciyes University, Medical Faculty , Kayseri , Turkey.
Selim
S
Kurtoglu
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000328:Adult; D000667:Ampicillin / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D019072:Antibiotic Prophylaxis / Q000379:methods*; D017963:Azithromycin / Q000008:administration & dosage; D002097:C-Reactive Protein / Q000032:analysis*; D015331:Cohort Studies; D004359:Drug Therapy, Combination; D005260:Female; D005322:Premature Rupture of Fetal Membranes / Q000097:blood* / Q000188:drug therapy; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000209:etiology*; D011247:Pregnancy; D011256:Pregnancy Outcome; D047928:Premature Birth / Q000097:blood; D015145:Tocolysis / Q000379:methods*
D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D000667:Ampicillin; D017963:Azithromycin; D002097:C-Reactive Protein
C-reactive protein; neonatal sepsis; postnatal outcome; premature rupture of membranes