Histological chorioamnionitis and neurodevelopmental outcome in preterm infants
Objective: The objective of this study is to examine the neurodevelopmental outcome at 30 to 42 months corrected age of preterm infants with histological chorioamnionitis (HCA). Study Design: The study design is a retrospective cohort study with a prospective follow-up. All surviving infants with bi...
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| Veröffentlicht in: | Journal of perinatology 2013-01, Vol.33 (1), p.70-75 |
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| creator | Soraisham, A S Trevenen, C Wood, S Singhal, N Sauve, R |
| description | Objective:
The objective of this study is to examine the neurodevelopmental outcome at 30 to 42 months corrected age of preterm infants with histological chorioamnionitis (HCA).
Study Design:
The study design is a retrospective cohort study with a prospective follow-up. All surviving infants with birth gestational age |
| doi_str_mv | 10.1038/jp.2012.49 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1273681156</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A314800320</galeid><sourcerecordid>A314800320</sourcerecordid><originalsourceid>FETCH-LOGICAL-c515t-d84067a8e197a932ba5492083e57170b6d2a518f012638a3abd2745fb33ba9373</originalsourceid><addsrcrecordid>eNpt0V9rFDEQAPAgFXu2fekHKAsFEWWv-bvJPpaiVij0RZ9Ddnf2Lkc2WZNswW9vjqu2VclDQuaXITOD0DnBa4KZutrNa4oJXfP2FVoRLptaCM6O0ApLzmrFeHOM3qa0w3gflG_QMaVCCKnICt3f2pSDCxvbG1f12xBtMJO3wdtsU2X8UHlYYhjgAVyYJ_C5uLDkPkxQWV_NETLEqRxH43M6Ra9H4xKcPe4n6PvnT99ubuu7-y9fb67v6l4QketBcdxIo4C00rSMdkbwlmLFQEgicdcM1AiixlJWw5Rhphuo5GLsGOuKl-wEvT_knWP4sUDKerKpB-eMh7AkTahkjSJENIVe_kV3YYm-_K4oLlhT2kSf1MY40KWakKPp90n1NSNcYcwoLmr9H1XWAJPtg4fRlvsXD949e7AF4_I2Bbfk0uH0En44wD6GlCKMeo52MvGnJljvx6x3s96PWfO24IvHkpZuguEP_T3XAj4eQCohv4H4rOZ_0_0C63atkA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1245360742</pqid></control><display><type>article</type><title>Histological chorioamnionitis and neurodevelopmental outcome in preterm infants</title><source>MEDLINE</source><source>SpringerLink Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Soraisham, A S ; Trevenen, C ; Wood, S ; Singhal, N ; Sauve, R</creator><creatorcontrib>Soraisham, A S ; Trevenen, C ; Wood, S ; Singhal, N ; Sauve, R</creatorcontrib><description>Objective:
The objective of this study is to examine the neurodevelopmental outcome at 30 to 42 months corrected age of preterm infants with histological chorioamnionitis (HCA).
Study Design:
The study design is a retrospective cohort study with a prospective follow-up. All surviving infants with birth gestational age <29 weeks, born between 2000 and 2006, who had a neurodevelopmental assessment at 30 to 42 months corrected age were included. We compared the neurodevelopmental outcomes of infants with or without HCA.
Result:
Of the 384 infants, 197 (51%) were born to mothers with evidence of HCA. Infants with HCA were of lower gestational age (26 weeks vs 26.6 weeks) and more likely to have intraventricular hemorrhage (27.9% vs 14.4%), periventricular leukomalacia (2.5% vs 0%) and retinopathy of prematurity ⩾stage 3 (31.4% vs 22.4%). On univariate analysis, infants with HCA were more likely to have cerebral palsy (12.6% vs 6.4%,
P
=0.04). There was no significant difference in the incidence of cognitive delay, deafness, blindness, or total major disabilities between the two groups. After adjusting for perinatal variables, HCA was associated with increased risk of cerebral palsy (odds ratio (OR): 2.45; 95% confidence interval (CI) 1.11 to 5.40), but not for total major disabilities (OR: 1.22; 95% CI: 0.64 to 2.34). There was a trend towards increased risk of cerebral palsy with HCA with funisitis.
Conclusion:
HCA is associated with increased risk of cerebral palsy at 30 to 42 months corrected age in preterm infants.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/jp.2012.49</identifier><identifier>PMID: 22555781</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/699/375/366 ; 692/700/1720 ; Alberta ; Birth weight ; Blindness - diagnosis ; Blindness - pathology ; Cerebral palsy ; Cerebral Palsy - diagnosis ; Cerebral Palsy - pathology ; Child, Preschool ; Chorioamnionitis ; Chorioamnionitis - diagnosis ; Chorioamnionitis - pathology ; Cohort analysis ; Cohort Studies ; Cytokines ; Developmental Disabilities - diagnosis ; Developmental Disabilities - pathology ; Diagnosis ; Disability ; Disability Evaluation ; Female ; Fetal Membranes, Premature Rupture - diagnosis ; Fetal Membranes, Premature Rupture - pathology ; Follow-Up Studies ; Gestational Age ; Health aspects ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Infant, Premature, Diseases - diagnosis ; Infant, Premature, Diseases - pathology ; Infants (Premature) ; Intensive Care Units, Neonatal ; Intracranial Hemorrhages - diagnosis ; Intracranial Hemorrhages - pathology ; Lung diseases ; Male ; Maternal & child health ; Medicine ; Medicine & Public Health ; Newborn babies ; Odds Ratio ; original-article ; Pediatric Surgery ; Pediatrics ; Placenta ; Placenta - pathology ; Pregnancy ; Premature babies ; Research centers ; Retrospective Studies ; Risk Factors ; Ultrasonic imaging</subject><ispartof>Journal of perinatology, 2013-01, Vol.33 (1), p.70-75</ispartof><rights>Nature America, Inc. 2013</rights><rights>COPYRIGHT 2013 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jan 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c515t-d84067a8e197a932ba5492083e57170b6d2a518f012638a3abd2745fb33ba9373</citedby><cites>FETCH-LOGICAL-c515t-d84067a8e197a932ba5492083e57170b6d2a518f012638a3abd2745fb33ba9373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/jp.2012.49$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/jp.2012.49$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22555781$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soraisham, A S</creatorcontrib><creatorcontrib>Trevenen, C</creatorcontrib><creatorcontrib>Wood, S</creatorcontrib><creatorcontrib>Singhal, N</creatorcontrib><creatorcontrib>Sauve, R</creatorcontrib><title>Histological chorioamnionitis and neurodevelopmental outcome in preterm infants</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective:
The objective of this study is to examine the neurodevelopmental outcome at 30 to 42 months corrected age of preterm infants with histological chorioamnionitis (HCA).
Study Design:
The study design is a retrospective cohort study with a prospective follow-up. All surviving infants with birth gestational age <29 weeks, born between 2000 and 2006, who had a neurodevelopmental assessment at 30 to 42 months corrected age were included. We compared the neurodevelopmental outcomes of infants with or without HCA.
Result:
Of the 384 infants, 197 (51%) were born to mothers with evidence of HCA. Infants with HCA were of lower gestational age (26 weeks vs 26.6 weeks) and more likely to have intraventricular hemorrhage (27.9% vs 14.4%), periventricular leukomalacia (2.5% vs 0%) and retinopathy of prematurity ⩾stage 3 (31.4% vs 22.4%). On univariate analysis, infants with HCA were more likely to have cerebral palsy (12.6% vs 6.4%,
P
=0.04). There was no significant difference in the incidence of cognitive delay, deafness, blindness, or total major disabilities between the two groups. After adjusting for perinatal variables, HCA was associated with increased risk of cerebral palsy (odds ratio (OR): 2.45; 95% confidence interval (CI) 1.11 to 5.40), but not for total major disabilities (OR: 1.22; 95% CI: 0.64 to 2.34). There was a trend towards increased risk of cerebral palsy with HCA with funisitis.
Conclusion:
HCA is associated with increased risk of cerebral palsy at 30 to 42 months corrected age in preterm infants.</description><subject>692/699/375/366</subject><subject>692/700/1720</subject><subject>Alberta</subject><subject>Birth weight</subject><subject>Blindness - diagnosis</subject><subject>Blindness - pathology</subject><subject>Cerebral palsy</subject><subject>Cerebral Palsy - diagnosis</subject><subject>Cerebral Palsy - pathology</subject><subject>Child, Preschool</subject><subject>Chorioamnionitis</subject><subject>Chorioamnionitis - diagnosis</subject><subject>Chorioamnionitis - pathology</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Cytokines</subject><subject>Developmental Disabilities - diagnosis</subject><subject>Developmental Disabilities - pathology</subject><subject>Diagnosis</subject><subject>Disability</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Fetal Membranes, Premature Rupture - diagnosis</subject><subject>Fetal Membranes, Premature Rupture - pathology</subject><subject>Follow-Up Studies</subject><subject>Gestational Age</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature, Diseases - diagnosis</subject><subject>Infant, Premature, Diseases - pathology</subject><subject>Infants (Premature)</subject><subject>Intensive Care Units, Neonatal</subject><subject>Intracranial Hemorrhages - diagnosis</subject><subject>Intracranial Hemorrhages - pathology</subject><subject>Lung diseases</subject><subject>Male</subject><subject>Maternal & child health</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Newborn babies</subject><subject>Odds Ratio</subject><subject>original-article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Placenta</subject><subject>Placenta - pathology</subject><subject>Pregnancy</subject><subject>Premature babies</subject><subject>Research centers</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Ultrasonic imaging</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpt0V9rFDEQAPAgFXu2fekHKAsFEWWv-bvJPpaiVij0RZ9Ddnf2Lkc2WZNswW9vjqu2VclDQuaXITOD0DnBa4KZutrNa4oJXfP2FVoRLptaCM6O0ApLzmrFeHOM3qa0w3gflG_QMaVCCKnICt3f2pSDCxvbG1f12xBtMJO3wdtsU2X8UHlYYhjgAVyYJ_C5uLDkPkxQWV_NETLEqRxH43M6Ra9H4xKcPe4n6PvnT99ubuu7-y9fb67v6l4QketBcdxIo4C00rSMdkbwlmLFQEgicdcM1AiixlJWw5Rhphuo5GLsGOuKl-wEvT_knWP4sUDKerKpB-eMh7AkTahkjSJENIVe_kV3YYm-_K4oLlhT2kSf1MY40KWakKPp90n1NSNcYcwoLmr9H1XWAJPtg4fRlvsXD949e7AF4_I2Bbfk0uH0En44wD6GlCKMeo52MvGnJljvx6x3s96PWfO24IvHkpZuguEP_T3XAj4eQCohv4H4rOZ_0_0C63atkA</recordid><startdate>20130101</startdate><enddate>20130101</enddate><creator>Soraisham, A S</creator><creator>Trevenen, C</creator><creator>Wood, S</creator><creator>Singhal, N</creator><creator>Sauve, R</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20130101</creationdate><title>Histological chorioamnionitis and neurodevelopmental outcome in preterm infants</title><author>Soraisham, A S ; Trevenen, C ; Wood, S ; Singhal, N ; Sauve, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c515t-d84067a8e197a932ba5492083e57170b6d2a518f012638a3abd2745fb33ba9373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>692/699/375/366</topic><topic>692/700/1720</topic><topic>Alberta</topic><topic>Birth weight</topic><topic>Blindness - diagnosis</topic><topic>Blindness - pathology</topic><topic>Cerebral palsy</topic><topic>Cerebral Palsy - diagnosis</topic><topic>Cerebral Palsy - pathology</topic><topic>Child, Preschool</topic><topic>Chorioamnionitis</topic><topic>Chorioamnionitis - diagnosis</topic><topic>Chorioamnionitis - pathology</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Cytokines</topic><topic>Developmental Disabilities - diagnosis</topic><topic>Developmental Disabilities - pathology</topic><topic>Diagnosis</topic><topic>Disability</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Fetal Membranes, Premature Rupture - diagnosis</topic><topic>Fetal Membranes, Premature Rupture - pathology</topic><topic>Follow-Up Studies</topic><topic>Gestational Age</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Premature, Diseases - diagnosis</topic><topic>Infant, Premature, Diseases - pathology</topic><topic>Infants (Premature)</topic><topic>Intensive Care Units, Neonatal</topic><topic>Intracranial Hemorrhages - diagnosis</topic><topic>Intracranial Hemorrhages - pathology</topic><topic>Lung diseases</topic><topic>Male</topic><topic>Maternal & child health</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Newborn babies</topic><topic>Odds Ratio</topic><topic>original-article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Placenta</topic><topic>Placenta - pathology</topic><topic>Pregnancy</topic><topic>Premature babies</topic><topic>Research centers</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soraisham, A S</creatorcontrib><creatorcontrib>Trevenen, C</creatorcontrib><creatorcontrib>Wood, S</creatorcontrib><creatorcontrib>Singhal, N</creatorcontrib><creatorcontrib>Sauve, R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soraisham, A S</au><au>Trevenen, C</au><au>Wood, S</au><au>Singhal, N</au><au>Sauve, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Histological chorioamnionitis and neurodevelopmental outcome in preterm infants</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2013-01-01</date><risdate>2013</risdate><volume>33</volume><issue>1</issue><spage>70</spage><epage>75</epage><pages>70-75</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>Objective:
The objective of this study is to examine the neurodevelopmental outcome at 30 to 42 months corrected age of preterm infants with histological chorioamnionitis (HCA).
Study Design:
The study design is a retrospective cohort study with a prospective follow-up. All surviving infants with birth gestational age <29 weeks, born between 2000 and 2006, who had a neurodevelopmental assessment at 30 to 42 months corrected age were included. We compared the neurodevelopmental outcomes of infants with or without HCA.
Result:
Of the 384 infants, 197 (51%) were born to mothers with evidence of HCA. Infants with HCA were of lower gestational age (26 weeks vs 26.6 weeks) and more likely to have intraventricular hemorrhage (27.9% vs 14.4%), periventricular leukomalacia (2.5% vs 0%) and retinopathy of prematurity ⩾stage 3 (31.4% vs 22.4%). On univariate analysis, infants with HCA were more likely to have cerebral palsy (12.6% vs 6.4%,
P
=0.04). There was no significant difference in the incidence of cognitive delay, deafness, blindness, or total major disabilities between the two groups. After adjusting for perinatal variables, HCA was associated with increased risk of cerebral palsy (odds ratio (OR): 2.45; 95% confidence interval (CI) 1.11 to 5.40), but not for total major disabilities (OR: 1.22; 95% CI: 0.64 to 2.34). There was a trend towards increased risk of cerebral palsy with HCA with funisitis.
Conclusion:
HCA is associated with increased risk of cerebral palsy at 30 to 42 months corrected age in preterm infants.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>22555781</pmid><doi>10.1038/jp.2012.49</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of perinatology, 2013-01, Vol.33 (1), p.70-75 |
| issn | 0743-8346 1476-5543 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | 692/699/375/366 692/700/1720 Alberta Birth weight Blindness - diagnosis Blindness - pathology Cerebral palsy Cerebral Palsy - diagnosis Cerebral Palsy - pathology Child, Preschool Chorioamnionitis Chorioamnionitis - diagnosis Chorioamnionitis - pathology Cohort analysis Cohort Studies Cytokines Developmental Disabilities - diagnosis Developmental Disabilities - pathology Diagnosis Disability Disability Evaluation Female Fetal Membranes, Premature Rupture - diagnosis Fetal Membranes, Premature Rupture - pathology Follow-Up Studies Gestational Age Health aspects Hospitals Humans Infant Infant, Newborn Infant, Premature, Diseases - diagnosis Infant, Premature, Diseases - pathology Infants (Premature) Intensive Care Units, Neonatal Intracranial Hemorrhages - diagnosis Intracranial Hemorrhages - pathology Lung diseases Male Maternal & child health Medicine Medicine & Public Health Newborn babies Odds Ratio original-article Pediatric Surgery Pediatrics Placenta Placenta - pathology Pregnancy Premature babies Research centers Retrospective Studies Risk Factors Ultrasonic imaging |
| title | Histological chorioamnionitis and neurodevelopmental outcome in preterm infants |
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