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The Effect of Histological and Subclinical Chorioamnionitis and Funisitis on Breathing Effort in Premature Infants at Birth: a Retrospective Cohort Study

Overview
Journal Eur J Pediatr
Specialty Pediatrics
Date 2024 Oct 25
PMID 39453483
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Abstract

Conclusion: HCA + FUN and subclinical HCA + FUN are associated with reduced oxygenation and parameters that reflect breathing effort in premature infants at birth.

What Is Known: • Acute antenatal inflammation, in the form of chorioamnionitis (fetal membranes) and funisitis (umbilical vessels), affects a large proportion of premature infants. • Clinical chorioamnionitis is associated with reduced breathing effort and oxygenation in premature infants at birth.

What Is New: • Histological and subclinical chorioamnionitis and funisitis are associated with reduced breathing effort parameters and oxygenation in premature infants at birth.

References
1.
Dekker J, van Kaam A, Roehr C, Flemmer A, Foglia E, Hooper S . Stimulating and maintaining spontaneous breathing during transition of preterm infants. Pediatr Res. 2019; 90(4):722-730. DOI: 10.1038/s41390-019-0468-7. View

2.
Crawshaw J, Kitchen M, Binder-Heschl C, Thio M, Wallace M, Kerr L . Laryngeal closure impedes non-invasive ventilation at birth. Arch Dis Child Fetal Neonatal Ed. 2017; 103(2):F112-F119. PMC: 5868244. DOI: 10.1136/archdischild-2017-312681. View

3.
Heesters V, Dekker J, Panneflek T, Kuypers K, Hooper S, Visser R . The vocal cords are predominantly closed in preterm infants <30 weeks gestation during transition after birth; an observational study. Resuscitation. 2023; 194:110053. DOI: 10.1016/j.resuscitation.2023.110053. View

4.
Panneflek T, Kuypers K, Polglase G, Derleth D, Dekker J, Hooper S . The influence of chorioamnionitis on respiratory drive and spontaneous breathing of premature infants at birth: a narrative review. Eur J Pediatr. 2024; 183(6):2539-2547. PMC: 11098929. DOI: 10.1007/s00431-024-05508-4. View

5.
Gluckman P, Johnston B . Lesions in the upper lateral pons abolish the hypoxic depression of breathing in unanaesthetized fetal lambs in utero. J Physiol. 1987; 382:373-83. PMC: 1183029. DOI: 10.1113/jphysiol.1987.sp016372. View