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Amniotic fluid interleukin-6: Correlation with upper genital tract microbial colonization and gestational age in women delivered after spontaneous labor versus indicated delivery

OBJECTIVE: Our purpose was to determine whether amniotic fluid interleukin-6 is increased and inversely proportional to gestational age in women with chorioamnion colonization and spontaneous labor versus women delivered for medical or obstetric indications. STUDY DESIGN: The chorioamnion and amniot...

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Published in:American journal of obstetrics and gynecology 1995-08, Vol.173 (2), p.606-612
Main Authors: Andrews, William W., Hauth, John C., Goldenberg, Robert L., Gomez, Ricardo, Romero, Roberto, Cassell, Gail H.
Format: Article
Language:English
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Summary:OBJECTIVE: Our purpose was to determine whether amniotic fluid interleukin-6 is increased and inversely proportional to gestational age in women with chorioamnion colonization and spontaneous labor versus women delivered for medical or obstetric indications. STUDY DESIGN: The chorioamnion and amniotic fluid were cultured at cesarean delivery for aerobic and anaerobic bacteria, fungi, mycoplasmas, Chlamydia trachomatis and Trichomonas vaginalis in 269 women with singleton gestations with intact membranes. The amniotic fluid interleukin-6 concentration was also determined. RESULTS: Amniotic fluid interleukin-6 levels were (1) higher in women with spontaneous labor versus those with indicated deliveries (15.8 ± 5.0 vs 2.2 ± 0.2 ng/ml, p = 0.01), (2) inversely proportional to gestational age in women with spontaneous labor (
ISSN:0002-9378
1097-6868
DOI:10.1016/0002-9378(95)90290-2