Necrotizing funisitis: Clinical significance and association with chronic lung disease in premature infants

T. Matsuda, T. Nakajima, S. Hattori, K. Hanatani, Y. Fukazawa, K. Kobayashi, S. Fujimoto

Research output: Contribution to journalArticlepeer-review

63 Citations (Scopus)

Abstract

OBJECTIVES: Our purpose was to analyze the clinical significance of necrotizing funisitis, an unusual type of chronic inflammation of the umbilical cord, and to determine whether necrotizing funisitis is associated with chronic lung disease in premature infants. STUDY DESIGN: A total of 52 perinatal factors were prospectively assessed in 18 pregnant women and their fetuses in cases of chorioamnionitis at delivery occurring at 22 to 30 gestational weeks; a statistical comparison between the necrotizing funisitis group (n = 5) and the group without necrotizing funisitis (n = 16) was carried out. RESULTS: Significant correlations were found between necrotizing funisitis and the following factors: maternal serum C-reactive protein level on admission (p = 0.014), fetal distress (p = 0.044), umbilical artery blood pH value (p = 0.037) and polynuclear neutrophilic leukocyte count at birth (p = 0.014), chronic lung disease (p = 0.035), need for dexamethasone therapy for chronic lung disease (p = 0.029), duration of oxygen supplementation (p = 0.026), and length of hospital stay (p = 0.026). CONCLUSIONS: There was a significant association between necrotizing funisitis and development of chronic lung disease, suggesting that necrotizing funisitis is an important risk factor for the development of chronic lung disease.

Original languageEnglish
Pages (from-to)1402-1407
Number of pages6
JournalAmerican Journal of Obstetrics and Gynecology
Volume177
Issue number6
DOIs
Publication statusPublished - 1997

Keywords

  • Chorioamnionitis
  • Chronic lung disease
  • Necrotizing funisitis
  • Premature infant

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Fingerprint

Dive into the research topics of 'Necrotizing funisitis: Clinical significance and association with chronic lung disease in premature infants'. Together they form a unique fingerprint.

Cite this