Amniotic fluid sludge is associated with earlier preterm delivery and raised cervicovaginal interleukin 8 concentrations

Suff, Natalie; Webley, Eve; Hall, Megan; Tribe, Rachel M.; Shennan, Andrew H.

doi:10.1016/j.ajogmf.2023.101161

American Journal of Obstetrics & Gynecology MFM

2023

DOI: 10.1016/j.ajogmf.2023.101161

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Amniotic fluid sludge is associated with earlier preterm delivery and raised cervicovaginal interleukin 8 concentrations

Natalie Suff,

Eve Webley,

Megan Hall

et al.

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2024

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Cited by 2 publications

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Screening for women at risk of spontaneous preterm birth, including cervical incompetence

Hui

2024

Best Practice & Research Clinical Obstetrics & Gynaecol

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Screening for women at risk of spontaneous preterm birth, including cervical incompetence

Hui

2024

Best Practice & Research Clinical Obstetrics & Gynaecol

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A Review of the Literature: Amniotic Fluid “Sludge”—Clinical Significance and Perinatal Outcomes

Luca,

Săsăran,

Muntean

et al. 2024

JCM

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Introduction: This paper seeks to report and emphasize the most important aspects from the scientific literature about the diagnostic accuracy of the amniotic fluid “sludge” (AFS), its characterization, its treatment, and its association with premature birth. AFS is defined as a floating freely hyperechogenic material within the amniotic cavity in the proximity of the internal os. Materials and Methods: We conducted a search on Pubmed and Google Scholar for relevant articles on the subject of amniotic fluid “sludge” published until January 2024. Searches were focused on articles about diagnosis, treatment, maternal and neonatal outcomes, risk of preterm birth, and case reports. The full-text reading stage resulted in the inclusion of 51 studies. Results: AFS is independently associated with chorioamnionitis, preterm delivery, short cervix, increased risk of neonatal morbidity, and cervical insufficiency. This hyperechogenic free-floating material is linked with preterm birth before 32 weeks of gestation, especially when it is associated with short cervical length. Discussion: Present studies identify some controversial benefits of antibiotics in reducing the incidence of preterm birth in women with AFS. Nevertheless, in this review, we can conclude that the presence of AFS in pregnancy is a marker for the microbial invasion of the amniotic cavity, as it is associated with preterm birth. Further studies on a larger group of patients are necessary to clarify and exactly define the terms of managing these cases.

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Amniotic fluid sludge is associated with earlier preterm delivery and raised cervicovaginal interleukin 8 concentrations

Cited by 2 publications

References 19 publications

Screening for women at risk of spontaneous preterm birth, including cervical incompetence

Screening for women at risk of spontaneous preterm birth, including cervical incompetence

A Review of the Literature: Amniotic Fluid “Sludge”—Clinical Significance and Perinatal Outcomes

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