Amniotic fluid glucose and intraamniotic infection

Brian Kirshon, Bernard Rosenfeld, Giancarlo Mari, Michael Beifort

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Thirty-nine patients with either premature labor and/or preterm premature ruptured membranes underwent transabdominal amniocentesis to enable the following amniotic fluid analyses to be performed: culture and sensitivity, Gram's stain, and glucose determination. All nine patients with intraamniotic infection had amniotic fluid glucose values <10 mg/dl. Three patients with amniotic fluid glucose levels <10 mg/dl but without chorioamnionitis were delivered of infants within 72 hours of admission. The mean amniotic fluid glucose level of patients with intraamniotic infection (5 ± 2.4 mg/dl) was significantly lower than in those without intraamniotic infection (39.8 ± 18.42 mg/dl). All patients with amniotic fluid glucose values <10 mg/dl had either bacteria and/or white glood cells on Gram's stain. Two patients without chorioamnionitis had white cells on Gram's stain and amniotic fluid glucose values >10 mg/dl. It appears that amniotic fluid glucose is more sensitive and more specific than Gram's stain in the diagnosis of intraamniotic infection. All 12 patients with low amniotic fluid glucose values were delivered of infants within 72 hours as the result of either the presence of infection or the progression of labor.

Original languageEnglish (US)
Pages (from-to)818-820
Number of pages3
JournalAmerican Journal of Obstetrics and Gynecology
Volume164
Issue number3
DOIs
StatePublished - Jan 1 1991
Externally publishedYes

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Amniotic Fluid
Glucose
Infection
Amniocentesis
Premature Obstetric Labor
Membranes
Gram's stain

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

Amniotic fluid glucose and intraamniotic infection. / Kirshon, Brian; Rosenfeld, Bernard; Mari, Giancarlo; Beifort, Michael.

In: American Journal of Obstetrics and Gynecology, Vol. 164, No. 3, 01.01.1991, p. 818-820.

Research output: Contribution to journalArticle

Kirshon, Brian ; Rosenfeld, Bernard ; Mari, Giancarlo ; Beifort, Michael. / Amniotic fluid glucose and intraamniotic infection. In: American Journal of Obstetrics and Gynecology. 1991 ; Vol. 164, No. 3. pp. 818-820.
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