The group with HCA had a worse comparative result and presented: lower gestational age at delivery, lower average birth weight, lower Apgar scores, longer neonatal hospitalization, worse maternal clinical conditions and, higher rates of stillbirth, low birth weight (LBW), very low birth weight (VLBW), complications in pregnancy and childbirth, and cesarean delivery due to fetal distress or chorioamnionitis. The group with HCA had a shorter latency period and a greater number of clinical and laboratory criteria in the evolution.
A total of 295 cases of PPROM were selected, of which 72 (24.4%) had HCA. A retrospective cohort analysis of PPROM cases (20–37 weeks) was conducted comparing the patients with and without HCA, seeking a predictive model of HCA using logistic regression. We aimed to analyze the impact of histological chorioamnionitis (HCA) in the presence of preterm premature rupture of the membranes (PPROM) on obstetric and neonatal outcomes, and its possible predictability.
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