Bleeding per vaginam is associated with funisitis in women with preterm prelabour rupture of the fetal membranes.

Abstract

To evaluate the risk of funisitis among women with preterm prelabour rupture of the membranes (PPROM) and subsequent bleeding per vaginam. Prospective cohort study. A University Hospital in the USA. A total of 157 women with PPROM, divided into those with bleeding per vaginam during the hospital admission (n = 46) and those without bleeding per vaginam (n = 111). Pathologist blinded to bleeding status assessed placental pathology for funisitis. Funisitis. Women with bleeding per vaginam were more likely to have funisitis (67.4% versus 36%, P < 0.001) compared with those without bleeding. Logistic regression demonstrated that bleeding per vaginam predicted funisitis after controlling for gestational age at admission, latency period and gestational age at delivery. Among women with PPROM, those with bleeding per vaginam are more likely to have funisitis than those without bleeding per vaginam.