Prevalence and risk factors of chorioamnionitis among adolescents

Vaughn I. Rickert, Constance M. Wiemann, Gary Hankins, Juliet McKee, Abbey Berenson

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: To identify the prevalence of chorioaminionitis and unique risk factors for this disorder among adolescents under 18 years of age. Methods: At their first prenatal visit we interviewed 352 adolescents who received prenatal care and delivered an infant at our institution between April 20, 1992, and November 10, 1994, to elicit information on demographic characteristics and behavioral risk factors. Retrospective chart review confirmed the presence of chorioamnionitis using accepted clinical criteria. We determined reproductive history, evidence of sexually transmitted disease, duration of labor, use of oxytocin, an internal uterine pressure monitor or conduction anesthesia, timing and duration of ruptured membranes, type of delivery, and infant birth weight from review of subjects' charts. Logistic regression analysis was used to develop adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for risk factors of chorioaminionitis. Results: Ten percent (34 of 352) of adolescents met the clinical definition for chorioamnionitis. Alcohol and tobacco use during pregnancy (OR 7.6; 95% CI 2.3, 25.8) and being married or living with a partner (OR 2.7; 95% CI 1.1, 6.5) were significantly associated with chorioamnionitis, as was conduction anesthesia (OR 4.1; 95% CI 1.1, 15.4), a second stage labor longer than 2 hours (OR 3.5; 95% CI 1.4, 8.5), and rupture of the membranes longer than 18 hours (OR 6.9; 95% CI 2.5, 18.9). Parity or preterm delivery did not differ significantly between those with or without chorioamnionitis. Conclusion: These data suggest that in addition to risk factors observed in adults, adolescents who concurrently use tobacco and alcohol during pregnancy, are married or living with a male partner, and have conduction anesthesia are at increased risk for chorioamnionitis.

Original languageEnglish (US)
Pages (from-to)254-257
Number of pages4
JournalObstetrics and Gynecology
Volume92
Issue number2
DOIs
StatePublished - Aug 1998

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Chorioamnionitis
Odds Ratio
Confidence Intervals
Conduction Anesthesia
Tobacco Use
Alcohols
Second Labor Stage
Pregnancy
Reproductive History
Prenatal Care
Membranes
Oxytocin
Sexually Transmitted Diseases
Parity
Birth Weight
Rupture
Logistic Models
Regression Analysis
Demography
Pressure

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Prevalence and risk factors of chorioamnionitis among adolescents. / Rickert, Vaughn I.; Wiemann, Constance M.; Hankins, Gary; McKee, Juliet; Berenson, Abbey.

In: Obstetrics and Gynecology, Vol. 92, No. 2, 08.1998, p. 254-257.

Research output: Contribution to journalArticle

Rickert, Vaughn I. ; Wiemann, Constance M. ; Hankins, Gary ; McKee, Juliet ; Berenson, Abbey. / Prevalence and risk factors of chorioamnionitis among adolescents. In: Obstetrics and Gynecology. 1998 ; Vol. 92, No. 2. pp. 254-257.
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abstract = "Objective: To identify the prevalence of chorioaminionitis and unique risk factors for this disorder among adolescents under 18 years of age. Methods: At their first prenatal visit we interviewed 352 adolescents who received prenatal care and delivered an infant at our institution between April 20, 1992, and November 10, 1994, to elicit information on demographic characteristics and behavioral risk factors. Retrospective chart review confirmed the presence of chorioamnionitis using accepted clinical criteria. We determined reproductive history, evidence of sexually transmitted disease, duration of labor, use of oxytocin, an internal uterine pressure monitor or conduction anesthesia, timing and duration of ruptured membranes, type of delivery, and infant birth weight from review of subjects' charts. Logistic regression analysis was used to develop adjusted odds ratios (ORs) and 95{\%} confidence intervals (CIs) for risk factors of chorioaminionitis. Results: Ten percent (34 of 352) of adolescents met the clinical definition for chorioamnionitis. Alcohol and tobacco use during pregnancy (OR 7.6; 95{\%} CI 2.3, 25.8) and being married or living with a partner (OR 2.7; 95{\%} CI 1.1, 6.5) were significantly associated with chorioamnionitis, as was conduction anesthesia (OR 4.1; 95{\%} CI 1.1, 15.4), a second stage labor longer than 2 hours (OR 3.5; 95{\%} CI 1.4, 8.5), and rupture of the membranes longer than 18 hours (OR 6.9; 95{\%} CI 2.5, 18.9). Parity or preterm delivery did not differ significantly between those with or without chorioamnionitis. Conclusion: These data suggest that in addition to risk factors observed in adults, adolescents who concurrently use tobacco and alcohol during pregnancy, are married or living with a male partner, and have conduction anesthesia are at increased risk for chorioamnionitis.",
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