https://m2.mtmt.hu/ hun 2026-09-20 15:35 JournalArticle 36094026 VALIDATED true This article belongs to the Special Issue New Trends in Perinatal and Pediatric Epidemiology 0 false 2026-07-07T08:15:38.673+0000 2025-06-27T10:44:02.355+0000 2025-04-16T06:36:49.492+0000 true 10045296 Cseh Éva /api/admin/10045296 Admin Cseh Éva (SE_AOK_Adm5_1GyermekgyCsehÉva, admin) true 10045296 2025-06-24T05:02:41.881+0000 2025-06-24T05:02:41.881+0000 2025-05-06T11:21:41.588+0000 true 10080205 Szalóky-Siki Ágnes /api/admin/10080205 Admin Szalóky-Siki Ágnes (SE_KK_Admin5_SZSA, admin) true true false true 24 24 /api/publicationtype/24 PublicationType Folyóiratcikk 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType Folyóiratcikk 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType Szakcikk (Folyóiratcikk) 101 true 10000059 true 1 /api/category/1 Category Tudományos true 1 Balogh, Dóra Csenge true true /api/journal/10071196 REVIEWED CHILDREN (BASEL) 2227-9067 true false 10071196 false 10071196 true 2227-9067 Journal FOREIGN 12 4 477 477 12 2025 Background: The importance and etiology of meconium-stained amniotic fluid (MSAF) in preterm pregnancies are still poorly understood. Among other factors, intrauterine inflammation is proposed to be a pathophysiological change associated with MSAF. To study the extent of intrauterine inflammation, histological evaluation represents the “gold standard” of diagnostics. Objectives: To investigate the concomitant occurrence of MSAF and histological chorioamnionitis (HCA) and fetal inflammatory response (FIR). To investigate the incidence of short-term neonatal outcomes in preterm infants born from MSAF. Materials and methods: We conducted a single-center retrospective study in a tertiary neonatal intensive care unit between 2020 and 2022. 237 preterm infants born ≤ 32 weeks or with ≤1500 g birthweight were investigated. The group of infants born from MSAF was compared to the group of infants born from clear amniotic fluid (CAF). The variables measured were the following: HCA, FIR, maternal and fetal vascular malformations (MVM, FVM), maternal clinical and laboratory signs of chorioamnionitis (CA), early neonatal outcomes, neonatal white blood cell count (WBC) in the first day of life, and neonatal c-reactive protein (CRP) level on the second day of life. Histological evaluation of the placenta and the umbilical cord was based on the recommendation of the 2014 Amsterdam Placental Workshop Group Consensus Statement (APWGCS). Results: Out of 237 preterm infants (mean gestational age: 28.6 (95% CI: 28.2; 28.9) weeks, mean birth weight: 1165 (95% CI: 1110; 1218) grams), 22 were born from MSAF. There was no difference between the perinatal characteristics of the two groups. A higher incidence of HCA (54.5% vs. 32.6%; p: <0.001), a higher incidence of stage 3 HCA (45.4% vs. 9.3%), a higher incidence of FIR (50% vs. 16.7%; p: <0.001), and a higher incidence of stage 3 FIR (18.2% vs. 1.9%) were found in the MSAF group in comparison with the CAF group. A higher incidence of elevated (>30 mg/L) maternal CRP level (36.8% vs. 15.3%; p: 0.02) and elevated (>15 mg/L) neonatal CRP level (31.8% vs. 14.4%; p: 0.03) was detected in the MSAF group. Among neonatal complications, severe (Stage III/IV) intraventricular hemorrhage (IVH) had a higher incidence in the MSAF group (22.2% vs. 5.1%; p: 0.005). Conclusion: MSAF in preterm pregnancies is associated with a severe maternal and fetal inflammatory response in the placenta and the umbilical cord. MSAF is also accompanied by elevated systemic inflammatory parameters and a higher incidence of severe neonatal IVH as well. true true 2025 true true true false true false GOLD 2026-07-07 false http://www.mdpi.com/journal/children 1 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 0 0 0 Folyóiratcikk Journal Article 24 1 Könyvrészlet Chapter in Book 25 0 Könyv Book 23 0 Egyéb konferenciaközlemény Conference paper 31 0 Egyéb konferenciakötet Conference proceedings 32 0 Oltalmi formák Protection forms 26 0 Disszertáció Thesis 28 0 Egyéb Miscellaneous 29 0 Alkotás Achievement 22 0 Kutatási adat Research data 33 0 Folyóiratcikk Journal Article 24 0 0 0 Könyvrészlet Chapter in Book 25 0 0 0 Könyv Book 23 0 0 0 Egyéb konferenciaközlemény Conference paper 31 0 0 0 Egyéb konferenciakötet Conference proceedings 32 0 0 0 Oltalmi formák Protection forms 26 0 0 0 Disszertáció Thesis 28 0 0 0 Egyéb Miscellaneous 29 0 0 0 Alkotás Achievement 22 0 0 0 Kutatási adat Research data 33 0 0 0 2026 0 1 1 1 1 Q1 false false false false 2025-05-05T11:21:41.274+0000 Gyermekgyógyászati Klinika (SE / AOK / K); Neonatológiai Tanszék (SE / AOK / K / GYGYK); Patológiai és Kísérleti Rákkutató Intézet (SE / AOK / I); Szülészeti és Nőgyógyászati Klinika (SE / AOK / K); Szülészeti és Nőgyógyászati Klinika Baross utca... 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(SE / AOK / K / SZSZNK) 2 0.111 false false false Author 10074435 /api/author/10074435 Kovács Kinga (Csecsemő és Gyermekgyógyászat) Kovács Kinga true true Kovács Kinga true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 126186676 /api/authorship/126186676 Kovács, Őzike Zsuzsanna 3 0.11111111 false false false Kovács Őzike Zsuzsanna true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 126186677 /api/authorship/126186677 Regős, Eszter [Regős, Eszter (Molekuláris biológia), szerző] Patológiai és Kísérleti Rákkutató Intézet (SE / AOK / I) 4 0.111 false false false Author 10052245 /api/author/10052245 Regős Eszter (Molekuláris biológia) Regős Eszter true 10052245 true Regős Eszter true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 126354846 /api/authorship/126354846 Fintha, Attila [Fintha, Attila (patológia), szerző] Patológiai és Kísérleti Rákkutató Intézet (SE / AOK / I) 5 0.0 false false Author 10026799 /api/author/10026799 Fintha Attila (patológia) Fintha Attila true 10026799 true Fintha Attila true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 126186679 /api/authorship/126186679 Harmath, Ágnes [Harmath, Ágnes (sebészet, csecsem...), szerző] Szülészeti és Nőgyógyászati Klinika Baross utca... (SE / AOK / K / SZSZNK) 6 0.111 false false false Author 10020799 /api/author/10020799 Harmath Ágnes (sebészet, csecsemő- és gyermekgyógyászat és neonatológia) Harmath Ágnes true 10020799 true Harmath Ágnes true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 126186680 /api/authorship/126186680 Szabó, Miklós [Szabó, Miklós (gyermekgyógyászat...), szerző] Gyermekgyógyászati Klinika (SE / AOK / K); Neonatológiai Tanszék (SE / AOK / K / GYGYK) 7 0.111 false false false Author 10022694 /api/author/10022694 Szabó Miklós (gyermekgyógyászat, neonatológia) Szabó Miklós true 10022694 true Szabó Miklós true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 126186681 /api/authorship/126186681 Gasparics, Ákos [Gasparics, Ákos (orvostudomány), szerző] Szülészeti és Nőgyógyászati Klinika Baross utca... 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Furuta 2012: Immunohistochemical detection of meconium in the fetal membrane, placenta and umbilical cord., Placenta, 33, p. 24, DOI: 10.1016/j.placenta.2011.10.007 43 10.1016/j.placenta.2011.10.007 false true /api/publication/36094026 Balogh Dóra Csenge et al. Association of Meconium-Stained Amniotic Fluid and Histological Chorioamnionitis with Fetal Inflammatory Response in Preterm Deliveries. (2025) CHILDREN (BASEL) 2227-9067 12 4<div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10082487"><a href="/gui2/?type=authors&mode=browse&sel=10082487" target="_blank">Balogh Dóra Csenge (<span class="authorship-author-name">Balogh Dóra Csenge</span> <span class="authorAux-mtmt"> csecsemő- és gyermekgyógyászat</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Szülészeti és Nőgyógyászati Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10074435"><a href="/gui2/?type=authors&mode=browse&sel=10074435" target="_blank">Kovács Kinga (<span class="authorship-author-name">Kovács Kinga</span> <span class="authorAux-mtmt"> Csecsemő és Gyermekgyógyászat</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Szülészeti és Nőgyógyászati Klinika">SZSZNK</span>/Szülészeti és Nőgyógyászati Klinika Baross utcai részleg</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Kovács Őzike Zsuzsanna </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10052245"><a href="/gui2/?type=authors&mode=browse&sel=10052245" target="_blank">Regős Eszter (<span class="authorship-author-name">Regős Eszter</span> <span class="authorAux-mtmt"> Molekuláris biológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Intézet">I</span>/Patológiai és Kísérleti Rákkutató Intézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10026799"><a href="/gui2/?type=authors&mode=browse&sel=10026799" target="_blank">Fintha Attila (<span class="authorship-author-name">Fintha Attila</span> <span class="authorAux-mtmt"> patológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Intézet">I</span>/Patológiai és Kísérleti Rákkutató Intézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10020799"><a href="/gui2/?type=authors&mode=browse&sel=10020799" target="_blank">Harmath Ágnes (<span class="authorship-author-name">Harmath Ágnes</span> <span class="authorAux-mtmt"> sebészet, csecsemő- és gyermekgyógyászat és neo...</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Szülészeti és Nőgyógyászati Klinika">SZSZNK</span>/Szülészeti és Nőgyógyászati Klinika Baross utcai részleg</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10022694"><a href="/gui2/?type=authors&mode=browse&sel=10022694" target="_blank">Szabó Miklós (<span class="authorship-author-name">Szabó Miklós</span> <span class="authorAux-mtmt"> gyermekgyógyászat, neonatológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Gyermekgyógyászati Klinika; <span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Gyermekgyógyászati Klinika">GYGYK</span>/Neonatológiai Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10044603"><a href="/gui2/?type=authors&mode=browse&sel=10044603" target="_blank">Gasparics Ákos (<span class="authorship-author-name">Gasparics Ákos</span> <span class="authorAux-mtmt"> orvostudomány</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Szülészeti és Nőgyógyászati Klinika">SZSZNK</span>/Szülészeti és Nőgyógyászati Klinika Baross utcai részleg</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10049076"><a href="/gui2/?type=authors&mode=browse&sel=10049076" target="_blank">Varga Péter ✉ (<span class="authorship-author-name">Varga Péter</span> <span class="authorAux-mtmt"> neonatológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Szülészeti és Nőgyógyászati Klinika">SZSZNK</span>/Szülészeti és Nőgyógyászati Klinika Baross utcai részleg</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;36094026" target="_blank">Association of Meconium-Stained Amniotic Fluid and Histological Chorioamnionitis with Fetal Inflammatory Response in Preterm Deliveries</a></div> <div> <span class="journal-title">CHILDREN (BASEL)</span> <span class="journal-issn">( <a target="_blank" href="https://portal.issn.org/resource/ISSN/2227-9067">2227-9067</a>)</span>: <span class="journal-volume">12</span> <span class="journal-issue">4</span> <span class="page"> Paper 477. 12 p. </span> <span class="year">(2025)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.3390/children12040477" target="_blank" href="https://doi.org/10.3390/children12040477"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="001475759700001" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/001475759700001"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="105003460580" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105003460580"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="40310124" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=40310124&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Pediatrics, Perinatology and Child Health&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q1</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 1</span> | Független: 1 | Függő: 0 | Nem jelölt: 0 | WoS jelölt: 1 | Scopus jelölt:&nbsp;1 | WoS/Scopus jelölt:&nbsp;1 | DOI jelölt:&nbsp;1 </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 36094026</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">kézi felvitel</span> </div> <div class="lastModified">Utolsó módosítás: 2025.06.27. 12:44 Pécsi Éva (MTMT Közp 2,3, admin) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: This article belongs to the Special Issue New Trends in Perinatal and Pediatric Epidemiology</pre> </div></div>