Fetal cortisol response to intrauterine microbial colonisation identified by the polymerase chain reaction and fetal inflammation.

Fetal cortisol response to intrauterine microbial colonisation identified by the polymerase chain reaction and fetal inflammation. Research Abstract Details 

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Fetal cortisol response to intrauterine microbial colonisation identified by the polymerase chain reaction and fetal inflammation. Abstract Text:

R Miralles,R Hodge,S Kotecha,R Miralles,R Hodge,S Kotecha,R Miralles,R Hodge,S Kotecha,

OBJECTIVE: To determine the fetal cortisol response to intrauterine infection. Study design: 16s ribosomal RNA genes or the urease genes of Ureaplasma spp were identified by the polymerase chain reaction in intrauterine samples. Cord blood cortisol, interleukin 6 (IL6) and IL8 were measured in samples from 31 infants born at <32 weeks gestation. RESULTS: 13 infants (median gestation 30 weeks, birth weight 1350 g) had at least one positive intrauterine sample for microbial genes and 18 infants (31 weeks, 1320 g) did not. The cord blood cortisol concentration was significantly higher in fetuses exposed to intrauterine infection and significantly increased in fetuses/mothers presenting in preterm labour with intact membranes compared with infants delivered by elective prelabour caesarean section (p<0.05). The cord blood cortisol concentration was increased in the mothers with prelabour premature rupture of membranes but this was not significant compared with the caesarean section group. The cord blood cortisol concentration was significantly increased in the presence of chorioamnionitis or funisitis and was moderately correlated with cord blood IL6 (r = 0.64, p<0.01) and IL8 (r = 0.52, p<0.01). CONCLUSIONS: In this study, cord blood cortisol was increased in the colonised group compared with non-colonised infants. It is unclear if infants born following prelabour premature rupture of the membranes mount an adequate anti-inflammatory response.

Fetal cortisol response to intrauterine microbial colonisation identified by the polymerase chain reaction and fetal inflammation. Publishing Authors By Initials

R Miralles,R Hodge,S Kotecha,R Miralles,R Hodge,S Kotecha,R Miralles,R Hodge,S Kotecha,

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Fetal cortisol response to intrauterine microbial colonisation identified by the polymerase chain reaction and fetal inflammation. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Archives of disease in childhood. Fetal and neonat

VOLUME: 93

Page Numbers: F51-4

Journal Abbreviation: Arch. Dis. Child. Fetal Neonat

ISSN: 1468-2052

DAY: 3

MONTH: 04

YEAR: 2007

Fetal cortisol response to intrauterine microbial colonisation identified by the polymerase chain reaction and fetal inflammation. Information

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LANGUAGE: eng

NlmUniqueID: 9501297

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Grant and Affiliation Information for Fetal cortisol response to intrauterine microbial colonisation identified by the polymerase chain reaction and fetal inflammation.

AFFILIATION: Professor S Kotecha, Department of Child Health, Cardiff University, Heath Park, Cardiff CF14 4XN; KotechaS@cardiff.ac.uk.

Country: England

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MEDLINETA: Arch Dis Child Fetal Neonatal

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