Abstract
Objective: C-Reactive Proteins (CRP) is an indicator of Sub-clinical infection in cases of Premature Rupture Of Membrane (PROM). The aim of present study was, the estimation of CRP from the patients with premature rupture of membrane.
Materials and Methods: A total of 28 cases of Preterm, Premature rupture of membranes and 28 patients preterm with intact membranes, between 28-36 weeks of gestation were studied.
Results: The Sensitivity and specificity of CRP determination was found to be 82.6% each as an early predictor of subclinical chorioamnionitis. TLC had a low sensitivity of 20% and specificity of 60% in detecting histological chorioamnionitis (HCA).
Conclusion: CRP estimation is a reliable marker for detection of early chorioamnionitis at the same time, it is quite affordable and reasonably simple.
Keywords: PROM, CRP, Chorioamnionitis, Sensitivity, Specificity
References
- Diakoku NH, Kaltreider DF, Khouzami UA, Spense M, Johnson JWC. Premature rupture of membranes and spontaneous pre term labour; maternal endometritis risks. Obstel Gynecol 1982; 59:13-9.
- Hawrylyshyn P, Bernstein P, Milligan JE, Soldin S, Pollard A, Papsin FR. Premature rupture of membranes. The role of C-reactive protein in the prediction of chorioamnionitis. Am J Obstet Gynecol 1983; 143:240-6.
- Ismail MA, Zinaman MJ, Lowensohn RI, Moawad AH. The significance of C-reactive protein levels in women with premature rupture of membranes. Am J Obstet Gynecol 1985; 151:541.
- Fisk NM, Fysh J, Child AG, Gatenby PA, Jafferey H, Brapfield AH. Is C-reactive protein really useful in preterm premature rupture of membranes. Br J Obstet Gynecol 1987; 94:1159-64.
- Potkul RK, Moawad AH, Ponto KL. The association of subclinical infection with preterm labour. The role of Cr-reactive protein. Obstet Gynecol 1985; 153:642-5.
- Frab HF, Arnesen M, Geistler P, Knox GE. C-reactive protein with premature rupture of membranes and premature labour. Obstet Gynecol 1983; 62:49.
- Salazer Hr, Genger H, Mohar U, Lischka A, Sachatten C, Pollak A. C-reactive protein: an early marker for neonatal bacterial infection due to prolonged rupture of amniotic membranes and/or amnionitis. Acta Obstet Gynecol Scand 1987; 66:365-7.
- Romen Y, Artal R. C-reactive protein as a predictor of chorioamnionitis in cases of premature ruputre of membranes. Am J Obstet Gynecol 1984; 150:546-50.
- Evans MI, Hajj SN, Devove LD. C-reactive protein as a predictor of infectious morbidity with premature rupture of membranes. Am J Obstet Gynecol 1980; 138:648-51.
Corresponding Author
Dr Satyendu Sagar
Assistant Professor, Department of Microbiology
Nalanda Medical College, Patna, India