Maternal Serum Ferritin, C-Reactive Protein, and Procalcitonin Levels for Predicting Subclinical Intra-Amniotic Infection in Preterm Premature Rupture of Membrane

Background: The preterm premature rupture of the membrane is linked to various perinatal problems, including chorioamnionitis. Objectives: To evaluate the use of serum ferritin, C-reactive protein, and procalcitonin as early indicators for predictions of subclinical intra-amniotic fluid infection...

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Main Authors: Balsam N. Nahedh, Mahdi M. Shalal
Format: Article
Language:English
Published: College of Medicine University of Baghdad 2024-12-01
Series:مجلة كلية الطب
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Online Access:https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1997
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author Balsam N. Nahedh
Mahdi M. Shalal
author_facet Balsam N. Nahedh
Mahdi M. Shalal
author_sort Balsam N. Nahedh
collection DOAJ
description Background: The preterm premature rupture of the membrane is linked to various perinatal problems, including chorioamnionitis. Objectives: To evaluate the use of serum ferritin, C-reactive protein, and procalcitonin as early indicators for predictions of subclinical intra-amniotic fluid infection.   Methods: A case-control study was conducted at Baghdad Teaching Hospital from January to October 2021.  A convenient sample of 90 singleton pregnant women with a live fetus between 24 - 36 weeks of gestation were divided into three groups: Group 1 (controls) included 30 women with intact membranes and no signs of labour seen in the outpatient obstetrics clinic in Baghdad Teaching Hospital; Group 2 included 30 women with preterm premature rupture of membrane (PPROM) but without chorioamnionitis; and Group 3 included 30 women with PPROM and chorioamnionitis. The second and third groups were collected from the labour room in Baghdad Teaching Hospital. Results: There was no significant difference in the levels of C-reactive protein between the study groups. Serum ferritin and Procalcitonin levels were normal in all of the participants, with a significant difference in the level of Procalcitonin between group 2 (PPROM with chorioamnionitis) and group 3 (PPROM without chorioamnionitis). Conclusion: Procalcitonin might be used to detect the presence of chorioamnionitis. Serum ferritin and C-reactive protein had no role in the detection of chorioamnionitis among patients with preterm premature membrane rupture.
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spelling doaj-art-a0267be821764864af15a71ba367b8842025-01-19T12:24:11ZengCollege of Medicine University of Baghdadمجلة كلية الطب0041-94192410-80572024-12-0166410.32007/jfacmedbagdad.6621997Maternal Serum Ferritin, C-Reactive Protein, and Procalcitonin Levels for Predicting Subclinical Intra-Amniotic Infection in Preterm Premature Rupture of MembraneBalsam N. Nahedh0https://orcid.org/0009-0006-1087-2250Mahdi M. Shalal1https://orcid.org/0000-0002-2221-6510Department of Obstetrics and Gynecology, Baghdad Teaching Hospital, Baghdad, Iraq.Department of Obstetrics and Gynecology, College of Medicine, University of Baghdad, Baghdad, Iraq. Background: The preterm premature rupture of the membrane is linked to various perinatal problems, including chorioamnionitis. Objectives: To evaluate the use of serum ferritin, C-reactive protein, and procalcitonin as early indicators for predictions of subclinical intra-amniotic fluid infection.   Methods: A case-control study was conducted at Baghdad Teaching Hospital from January to October 2021.  A convenient sample of 90 singleton pregnant women with a live fetus between 24 - 36 weeks of gestation were divided into three groups: Group 1 (controls) included 30 women with intact membranes and no signs of labour seen in the outpatient obstetrics clinic in Baghdad Teaching Hospital; Group 2 included 30 women with preterm premature rupture of membrane (PPROM) but without chorioamnionitis; and Group 3 included 30 women with PPROM and chorioamnionitis. The second and third groups were collected from the labour room in Baghdad Teaching Hospital. Results: There was no significant difference in the levels of C-reactive protein between the study groups. Serum ferritin and Procalcitonin levels were normal in all of the participants, with a significant difference in the level of Procalcitonin between group 2 (PPROM with chorioamnionitis) and group 3 (PPROM without chorioamnionitis). Conclusion: Procalcitonin might be used to detect the presence of chorioamnionitis. Serum ferritin and C-reactive protein had no role in the detection of chorioamnionitis among patients with preterm premature membrane rupture. https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1997C-reactive proteinChorioamnionitisPreterm premature rupture of membraneProcalcitoninSerum ferritin
spellingShingle Balsam N. Nahedh
Mahdi M. Shalal
Maternal Serum Ferritin, C-Reactive Protein, and Procalcitonin Levels for Predicting Subclinical Intra-Amniotic Infection in Preterm Premature Rupture of Membrane
مجلة كلية الطب
C-reactive protein
Chorioamnionitis
Preterm premature rupture of membrane
Procalcitonin
Serum ferritin
title Maternal Serum Ferritin, C-Reactive Protein, and Procalcitonin Levels for Predicting Subclinical Intra-Amniotic Infection in Preterm Premature Rupture of Membrane
title_full Maternal Serum Ferritin, C-Reactive Protein, and Procalcitonin Levels for Predicting Subclinical Intra-Amniotic Infection in Preterm Premature Rupture of Membrane
title_fullStr Maternal Serum Ferritin, C-Reactive Protein, and Procalcitonin Levels for Predicting Subclinical Intra-Amniotic Infection in Preterm Premature Rupture of Membrane
title_full_unstemmed Maternal Serum Ferritin, C-Reactive Protein, and Procalcitonin Levels for Predicting Subclinical Intra-Amniotic Infection in Preterm Premature Rupture of Membrane
title_short Maternal Serum Ferritin, C-Reactive Protein, and Procalcitonin Levels for Predicting Subclinical Intra-Amniotic Infection in Preterm Premature Rupture of Membrane
title_sort maternal serum ferritin c reactive protein and procalcitonin levels for predicting subclinical intra amniotic infection in preterm premature rupture of membrane
topic C-reactive protein
Chorioamnionitis
Preterm premature rupture of membrane
Procalcitonin
Serum ferritin
url https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/1997
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