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Obstetrics & Gynecology 1989;74:88-92
© 1989 by The American College of Obstetricians and Gynecologists
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Placental Abruption in the Preterm Gestation: An Association With Chorioamnionitis

MARILYN J. DARBY, MD, STEVE N. CARITIS, MD and SUSAN SHEN-SCHWARZ, MB, BS

From the Departments of Obstetrics and Gynecology and Pathology, The University of Pittsburgh School of Medicine, Magee-Womens Hospital, Pittsburgh, Pennsylvania

Abstract

Thirty-seven women with acute severe preterm placental abruption were compared with a control group of 51 women requiring preterm delivery for a medical complication of pregnancy. Histologic chorioamnionitis and funisitis were present significantly more often in patients with abruption than in control patients (41 versus 4%; P < .0001). No patient in either group had clinical evidence of chorioamnionitis. We conclude that a significant association exists between preterm placental abruption and histologic chorioamnionitis.




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